Incidence of type 2 diabetes in the elderly in Central Spain: Association with socioeconomic status, educational level, and other risk factors

Aims To analyze the incidence of type 2 diabetes (T2D) in Central Spain and its association with the socioeconomic status (SES), educational level, and other risk factors (RF) in the elderly population of three communities. Methods Data for 5278 elderly participants (≥65 years old) were obtained usi...

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Bibliographic Details
Authors: Hawkins Carranza, Federico; Corbatón Anchuelo, Arturo; Bermejo Pareja, Félix; Martín Arriscado Arroba, Cristina; Vega Quiroga, Saturio; Benito León, Julián; Serrano Ríos, Manuel
Format: Article
Publication date:2022
Country:España
Institution:Universidad Complutense de Madrid (UCM)
Repository:Docta Complutense
Language:English
OAI Identifier:oai:docta.ucm.es:20.500.14352/71572
Online Access:https://hdl.handle.net/20.500.14352/71572
Access Level:Open access
Keyword:Type 2 diabetes mellitus
Incidence
Exercise
Prevalence
Interventions
Socioeconomic status
Risk factor
Endocrinología
3205.02 Endocrinología
Description
Summary:Aims To analyze the incidence of type 2 diabetes (T2D) in Central Spain and its association with the socioeconomic status (SES), educational level, and other risk factors (RF) in the elderly population of three communities. Methods Data for 5278 elderly participants (≥65 years old) were obtained using a census population-based survey. There was a first and a second survey three years later. The association between SES, educational level, RF, and T2D incidence was analyzed. Results The incidence rate for T2D was 9.8/1000 person-years without gender differences. Incident T2D was associated with low SES and lower educational levels. Baseline and follow-up BMI were also the main RFs for T2D. Communities’ incidence rates were: (1) Margarita, working-class area: 11.3/1000 person-years; (2) Arévalo, agricultural region: 10.1/1000 person-years and; (3) Lista, professional high-income class area: 7.6/1000 person-years. Conclusion We found an incidence rate of 9.8/1000 person-years of T2D in the elderly population. The risk of T2D was associated with a lower income and educational level. An increase in BMI may mediate this association. Our results emphasize the necessity of strategies for the prevention of diabetes that includes an approach to SES, educational levels, and other RF among older individuals in Spanish community settings.