Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/361592
Type: Artigo
Title: Distal symmetric and cardiovascular autonomic neuropathies in brazilian individuals with type 2 diabetes followed in a primary health care unit: a cross-sectional study
Author: Matos, Mozania Reis de
Santos-Bezerra, Daniele Pereira
Cavalcante, Cristiane das Graças Dias
Carvalho, Jacira Xavier de
Leite, Juliana
Neves, Jose Antonio Januario
Admoni, Sharon Nina
Passarelli, Marisa
Parisi, Maria Candida
Correa-Giannella, Maria Lucia
Abstract: The paucity of epidemiological data regarding diabetes complications in Brazil motivated us to evaluate the prevalence rates of distal symmetric polyneuropathy (DSP) and of cardiovascular autonomic neuropathy (CAN) in individuals with type 2 diabetes (T2D) followed in a primary care unit. A total of 551 individuals (59.3% women, 65 years old; diabetes duration of 10 years; HbA1c of 7.2%, medians) were included in this cross-sectional study. DSP was diagnosed by sum of the Neuropathy Symptoms Score (NSS) and Modified Neuropathy Disability Score (NDS) and by the Semmes–Weinstein monofilament. CAN was diagnosed by cardiovascular autonomic reflex tests combined with spectral analysis of heart rate variability. The prevalence rates of DSP were 6.3% and 14.3%, as evaluated by the sum of NSS and NDS and by the Semmes–Weinstein monofilament, respectively. Those with DSP diagnosed by monofilament presented longer diabetes duration, worse glycemic control and a higher stature. The prevalence rates of incipient and definitive CAN were 12.5% and 10%, respectively. Individuals with definitive CAN presented a higher frequency of hypercholesterolemia and of arterial hypertension. The higher prevalence rate of DSP with the use of the monofilament suggests that it may be a more appropriate tool to diagnose DSP in the primary care setting in Brazil
Subject: Diabetes mellitus tipo 2
Country: Suiça
Editor: MDPI
Rights: Aberto
Identifier DOI: 10.3390/ijerph17093232
Address: https://www.mdpi.com/1660-4601/17/9/3232
Date Issue: 2020
Appears in Collections:HC - Artigos e Outros Documentos

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