Cardiometabolic risk and educational level in adult patients with type 1 diabetes

J. Nádas, Z. Putz, J. Fövényi, Z. Gaál, A. Gyimesi, T. Hídvégi, N. Hosszúfalusi, G. Neuwirth, T. Oroszlán, P. Pánczél, G. Vándorfi, G. Winkler, I. Wittmann, G. Jermendy

Research output: Contribution to journalArticle

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Abstract

A low educational level and a poor socioeconomic status could be associated with increased risk for chronic diseases. The aim of the study was to evaluate the relationship between the educational level and cardiometabolic risk in adult patients with type 1 diabetes (n = 437; age: 38.0 ± 10.4 years, duration of diabetes: 19.2 ± 11.1 years; x ± SD). Educational levels were classified as low [primary school, n = 56 (12.8%)], middle [high school, n = 251 (57.4%)] or high [university, n = 130 (29.7%)]. The prevalence rate of the metabolic syndrome proved to be higher in patients with low versus high educational levels (ATP-III criteria: 42.9 vs. 21.5%, P = 0.0006). Antihypertensive treatment and cardiovascular diseases were more prevalent in patients with low versus high educational level (46.4 vs. 26.2%, P = 0.01; 12.5 vs. 2.3%, P = 0.02; respectively). Overall glycemic control was worse in patients with low versus high educational level (HbAlc: 8.8 ± 1.6 vs. 7.9 ± 1.4%; P = 0.0006). Patients with low versus high educational level differed significantly regarding smoking habits (smokers: 28.6 vs. 11.6%; P = 0.01) and regular physical activity (5.4 vs. 33.1%; P = 0.0001). Higher prevalence rate of certain cardiometabolic risk factors was associated with low educational level in middle-aged type 1 diabetic patients with relatively long duration of diabetes; therefore, these patients should have priority when preventing cardiovascular complications.

Original languageEnglish
Pages (from-to)159-162
Number of pages4
JournalActa Diabetologica
Volume46
Issue number2
DOIs
Publication statusPublished - Jun 2009

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Type 1 Diabetes Mellitus
Social Class
Antihypertensive Agents
Habits
Chronic Disease
Cardiovascular Diseases
Adenosine Triphosphate
Smoking
Exercise

Keywords

  • Cardiometabolic risk
  • Educational level
  • Metabolic syndrome
  • Type 1 diabetes

ASJC Scopus subject areas

  • Endocrinology
  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Cardiometabolic risk and educational level in adult patients with type 1 diabetes. / Nádas, J.; Putz, Z.; Fövényi, J.; Gaál, Z.; Gyimesi, A.; Hídvégi, T.; Hosszúfalusi, N.; Neuwirth, G.; Oroszlán, T.; Pánczél, P.; Vándorfi, G.; Winkler, G.; Wittmann, I.; Jermendy, G.

In: Acta Diabetologica, Vol. 46, No. 2, 06.2009, p. 159-162.

Research output: Contribution to journalArticle

Nádas, J, Putz, Z, Fövényi, J, Gaál, Z, Gyimesi, A, Hídvégi, T, Hosszúfalusi, N, Neuwirth, G, Oroszlán, T, Pánczél, P, Vándorfi, G, Winkler, G, Wittmann, I & Jermendy, G 2009, 'Cardiometabolic risk and educational level in adult patients with type 1 diabetes', Acta Diabetologica, vol. 46, no. 2, pp. 159-162. https://doi.org/10.1007/s00592-008-0065-4
Nádas J, Putz Z, Fövényi J, Gaál Z, Gyimesi A, Hídvégi T et al. Cardiometabolic risk and educational level in adult patients with type 1 diabetes. Acta Diabetologica. 2009 Jun;46(2):159-162. https://doi.org/10.1007/s00592-008-0065-4
Nádas, J. ; Putz, Z. ; Fövényi, J. ; Gaál, Z. ; Gyimesi, A. ; Hídvégi, T. ; Hosszúfalusi, N. ; Neuwirth, G. ; Oroszlán, T. ; Pánczél, P. ; Vándorfi, G. ; Winkler, G. ; Wittmann, I. ; Jermendy, G. / Cardiometabolic risk and educational level in adult patients with type 1 diabetes. In: Acta Diabetologica. 2009 ; Vol. 46, No. 2. pp. 159-162.
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abstract = "A low educational level and a poor socioeconomic status could be associated with increased risk for chronic diseases. The aim of the study was to evaluate the relationship between the educational level and cardiometabolic risk in adult patients with type 1 diabetes (n = 437; age: 38.0 ± 10.4 years, duration of diabetes: 19.2 ± 11.1 years; x ± SD). Educational levels were classified as low [primary school, n = 56 (12.8{\%})], middle [high school, n = 251 (57.4{\%})] or high [university, n = 130 (29.7{\%})]. The prevalence rate of the metabolic syndrome proved to be higher in patients with low versus high educational levels (ATP-III criteria: 42.9 vs. 21.5{\%}, P = 0.0006). Antihypertensive treatment and cardiovascular diseases were more prevalent in patients with low versus high educational level (46.4 vs. 26.2{\%}, P = 0.01; 12.5 vs. 2.3{\%}, P = 0.02; respectively). Overall glycemic control was worse in patients with low versus high educational level (HbAlc: 8.8 ± 1.6 vs. 7.9 ± 1.4{\%}; P = 0.0006). Patients with low versus high educational level differed significantly regarding smoking habits (smokers: 28.6 vs. 11.6{\%}; P = 0.01) and regular physical activity (5.4 vs. 33.1{\%}; P = 0.0001). Higher prevalence rate of certain cardiometabolic risk factors was associated with low educational level in middle-aged type 1 diabetic patients with relatively long duration of diabetes; therefore, these patients should have priority when preventing cardiovascular complications.",
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