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- Overweight, central obesity and abdominal obesity in middle-age adults in an inland region of Northeast Portuguese: a pilot studyPublication . Teixeira, José Eduardo; Bragada, José A.; Bragada, João P.; Coelho, Joana C.M.M.; Pinto, Isabel; Reis, Luís P.; Magalhães, PedroThe prevalence of central and abdominal obesity has been increasing over last decades in developed countries. As well, the high prevalence of obesity in Portugal has already been documented, however it is need to better understand the prevalence in each region of the country. Thus, the aim of this study was to evaluate the prevalence of the overweight, central obesity and abdominal obesity in middle-age in an inland region of Northeast Portuguese. Methods: A descriptive and cross-sectional community sample was collected from two Portuguese primary health care centres between January 2019 and December 2020. A total of 673 individuals aged 40–65 years were included for analysis, among which 400 women (53.34 ± 7.33 years) and 273 men (53.01 ± 7.20 years). Prevalence of overweight, central obesity and abdominal obesity were analysed across sexes using body mass index and waist circumference. Categorical variables were expressed by counts and proportions with a 95% confidence interval (CI). Chi-squared test or fisher exact test were applied whenever appropriate. To compare continuous variables independent sample t-test or Mann-Whitney U test were used. Statistical significance was set at p < 0.05. Results: The prevalence of overweight, central obesity and abdominal obesity in this cross-sectorial sample were 41.01%, 30.61% and 67.20%, respectively. Significant differences among men and women were found for abdominal obesity (p < 0.001). Women presented a higher prevalence of abdominal obesity (67.5%). Men have higher prevalence of overweight (48.72%) and central obesity (31.14%) than women (35.75% and 30.25%, respectively). However, differences were not statistically significant between sexes for overweight and central obesity (p ≥ 0.05). Conclusion: A higher prevalence of overweight, central obesity and abdominal obesity was reported for middle- age adults in this inland region of Northeast Portuguese. Our data suggest a higher prevalence of all three clinical conditions, comparing previous Portuguese epidemiological studies. Current report provides the study pilot for a more detailed epidemiological research. Also, preliminary findings emphasise the importance of implementing physical activity programmes and promoting healthy lifestyles to tackling this growing public health problem.
- Overweight, central obesity and abdominal obesity in middle-age adults in an inland region of northeast Portuguese: a pilot studyPublication . Teixeira, José Euardo; Bragada, José A.; Bragada, João P.; Coelho, Joana C.M.M.; Pinto, Isabel C.; Reis, Luís P.; Magalhães, PedroThe prevalence of central and abdominal obesity has been increasing over last decades in developed countries. As well, the high prevalence of obesity in Portugal has already been documented, however it is need to better understand the prevalence in each region of the country. Thus, the aim of this study was to evaluate the prevalence of the overweight, central obesity and abdominal obesity in middleage in an inland region of Northeast Portuguese. Methods: A descriptive and cross-sectional community sample was collected from two Portuguese primary health care centres between January 2019 and December 2020. A total of 673 individuals aged 40–65 years were included for analysis, among which 400 women (53.34 ± 7.33 years) and 273 men (53.01 ± 7.20 years). Prevalence of overweight, central obesity and abdominal obesity were analysed across sexes using body mass index and waist circumference. Categorical variables were expressed by counts and proportions with a 95% confidence interval (CI). Chi-squared test or fisher exact test were applied whenever appropriate. To compare continuous variables independent sample t-test or Mann-Whitney U test were used. Statistical significance was set at p < 0.05. Results: The prevalence of overweight, central obesity and abdominal obesity in this cross-sectorial sample were 41.01%, 30.61% and 67.20%, respectively. Significant differences among men and women were found for abdominal obesity (p < 0.001). Women presented a higher prevalence of abdominal obesity (67.5%). Men have higher prevalence of overweight (48.72%) and central obesity (31.14%) than women (35.75% and 30.25%, respectively). However, differences were not statistically significant between sexes for overweight and central obesity (p ≥ 0.05). Conclusion: A higher prevalence of overweight, central obesity and abdominal obesity was reported for middle-age adults in this inland region of Northeast Portuguese. Our data suggest a higher prevalence of all three clinical conditions, comparing previous Portuguese epidemiological studies. Current report provides the study pilot for a more detailed epidemiological research. Also, preliminary findings emphasise the importance of implementing physical activity programmes and promoting healthy lifestyles to tackling this growing public health problem.
- Prevalence of type 2 Diabetes Mellitus in a middle-age North-East Portuguese population: an exploratory and preliminary studyPublication . Teixeira, José Eduardo; Bragada, José A.; Bragada, João P.; Coelho, Joana C.M.M.; Pinto, Isabel; Reis, Luís P.; Magalhães, PedroBackground: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disease with a growing impact on morbidity and mortality worldwide. Previous studies detected a high prevalence of T2DM in Portugal, however the latest Portuguese epidemiological reports about Diabetes were performed in 2010 and 2015. Thus, the aim of this study was to evaluate the prevalence of T2DM in a middle-age Portuguese population from a North-East Portuguese region. Methods: An exploratory study was conducted between January 2019 and December 2020 from two primary health care centers in a North-East Portuguese region. A total of 673 individuals aged 40–69 years were analyzed, among which 400 women (53.34 ± 7.33 years) and 273 men (53.01 ± 7.20 years). T2DM diagnosis were based on World Health Organization (WHO) and International Diabetes Federation (IDF) criteria (2006). Impaired fasting glucose (IFG) was included for analysis (≥110.0mg/dLand<126.0 mg/dL). Categorical variables were expressed by counts and proportions with a 95% confidence interval (CI). Chi-squared test or fisher exact test was applied whenever appropriate. Results: The prevalence of T2DMin this middle-age Portuguese population was 14.9%. Significant differences among sexes were found (p<0.05) with a higher prevalence for men (17.9%) than women (12.8%). Also, T2DM prevalence was significant different among age-groups with an increase with age (p < 0.001). T2DM prevalence represented 5.8%, 16.0% and 25.5% of the cases on age groups 40–49 years, 50–59 years and 60–69 years, respectively. Analyzing the prevalence of T2DM in each age group according to sex, women had 4.7%, 12.4% and 24.5% diabetic cases in the age groups 40–49 years, 50–59 years and 60–69 years, respectively. Otherwise, men had 7.4%, 21.6% and 26.9% of the diagnosed T2DM for the same age groups. Regarding to IFG, 5.1% of the non-diabetics presented some degree of change in fasting glucose in the blood. Of those, the higher percentage of IFG cases was present in men (4.5%) than women (0.6%). Individuals with 60–69 years have higher percentage of IFG (12.5%) than other age-groups (4.3% and 5.0% for 40–49 and 50–59 years, respectively). Women had ab normal-values for fasting glucose in 4.9%, 1.3% and 8.5% of the 40–49 years, 50–59 years and 60–69 years’ age-groups, respectively. Conversely, men presented 3.4%, 11.5% and 18.4% of IFG prevalence for the same age-groups. Conclusion: A high prevalence of T2DM was reported in the studied middle-age North-East Portuguese population. Men have a higher number of diabetics, however an age-related increase for both sexes. The results also suggest potential cases of pre-diabetes, which should be carefully monitored. Further epidemiological reports should include the influence of socio-demographic factors, physical activity patterns and health-risk behaviors on prevalence of T2DM.