Analysis by Cluster for assessment of metabolic control in t | 75931


Analysis by Cluster for assessment of metabolic control in type 2 diabetics

Author(s): García Orri, José Joaquín1; Lara Severino, Reyna del Carmen1; Zúñiga Juárez, Margarita1; Vargas Celio, Nadia2; Parra Pérez, Joaquín José1; Roda Miranda, Osvaldo Isidro1

Objective: To evaluate the metabolic descontrol (DM tb) in patients with type 2 diabetes mellitus (DM2), using geometric coding of variables and classification by cluster.

Design: observational, prospective, transversal, descriptive and analytical study.

Location: Institution of Health of Ciudad del Carmen, Campeche.

Subjects: 39 patients with DM2, outpatient successors, were evaluated without drug treatment and attending for the first time nutritional consultation.

Methods: Coding of variables related to DMtb in DM2, applying geometric progression. They were coded: blood pressure (BP), fasting blood glucose (GA), Body Mass Index (BMI), total cholesterol (TC) and triglycerides (TGs) fasting. Criteria for categorization and analysis in the Official Mexican Norm (NOM-015-SSA2-2010). The percentage of the sample in each cluster, were evaluated similarity and was calculated difference between them. Correlation and concordance between variables was determined, and combinations thereof

Results: 87.2% of patients showed DMtb. It was observed that high BMI is associated with the alteration of other indicators of DMtb. The altered of conglomerates IMC-GA and BMI-TGs-GA each represent 20.5% of the sample. Was identified association and concordance between DMtb and patient age (Cramer’s V = 0.37, p = 0.002 and Tau-b of Kendall = 0.037, p = 0.001), but not for DMtb and sex (Cramer’s V = 0.60, p = 0.71 and Tau-b of Kendall = 0.037, p = 0.71).

Conclusion: The DMtb is presented as frequent condition in patients with DM2, showing association with age, but not with sex. Elevated BMI is linked to other indicators DMtb, and it shows particularly conglomerate with GA and TGs.

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Journal Highlights
  • Blood Glucose
  • Dietary Supplements
  • Cholesterol, Dehydration
  • Digestion
  • Electrolytes
  • Clinical Nutrition Studies
  • energy balance
  • Diet quality
  • Clinical Nutrition and Hospital Dietetics