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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 891
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L4d1nTklODc3lhLHEn1YqAKAPvvwVpUuheDdB0i4dXmsLC3tXZehaONVJH4igD//2Q==
Lifestyle and its relationship with glycosylated hemoglobin in diabetic
adults.
Estilo de vida y su relación con la hemoglobina glicosilada en adultos
diabéticos.
Autores:
Muñiz Quimis, Jessica María
UNIVERSIDAD ESTATAL DEL SUR DE MANABÍ
FACULTAD DE CIENCIAS DE LA SALUD
Egresado de laboratorio clínico
Jipijapa – Ecuador
muniz-jessica5070@unesum.edu.ec
https://orcid.org/0000-0003-1694-1078
Tóala Quijije, Geomara Gabriela
UNIVERSIDAD ESTATAL DEL SUR DE MANABÍ
FACULTAD DE CIENCIAS DE LA SALUD
Egresado de laboratorio clínico.
Jipijapa – Ecuador
toala-quijije2768@unesum.edu.ec
https://orcid.org/0000-0001-8000-2193
Dr. Quimis Cantos, Yaritza Yelenia, Mg.
UNIVERSIDAD ESTATAL DEL SUR DE MANABÍ
FACULTAD DE CIENCIAS DE LA SALUD
Docente tutor
Jipijapa– Ecuador
quimis.yaritza@unesum.edu.ec
https://orcid.org/0000-0002-8107-4129.
Citación/como citar este artículo: Muñiz, J., Tóala G, J. y Quimis, Y. (2022).
Estilo de vida y su relación con la
hemoglobina glicosilada en adultos diabéticos.
MQRInvestigar, 6(3), 891-910.
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Fechas de recepción: 01-AGO-2022 aceptación: 17-AGO-2022 publicación: 15-SEP-2022
https://orcid.org/0000-0002-8695-5005
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http://mqrinvestigar.com/
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 892
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Resumen
La Diabetes Mellitus se la define como una enfermedad compleja y crónica, fue identificada
por la Organización Mundial de la Salud como una de las cuatro
enfermedades no
transmisibles, siendo responsable de la muerte de alrededor de 5 millones de personas, las
causas son múltiples, van desde el sobrepeso u obesidad, sedentarismo, hábitos alimenticios
inadecuados que traen consigo diversas consecuencias además de un elevado riesgo de mor-
talidad y morbilidad, que pueden causar graves problemas de salud. La prueba para el
diagnóstico y control del diabético tipo 2 es la medición de la hemoglobina glicosilada. Esta
investigación tiene
como objetivo determinar
el
estilo de vida y su relación con
la
hemoglobina glicosilada en adultos diabéticos. La metodología utilizada es de diseño
documental
de
tipo
descriptivo
deductivo,
informativo
o
exploratorio,
los
artículos
seleccionados corresponden a los años 2016-2022. En los resultados se observó que el estilo
de vida está relacionado con la hemoglobina glicosilada debido a la inadecuada ingesta de
alimento, sedentarismo, obesidad, ingesta de alcohol, entre otros malo hábitos que conllevan
a valores elevados de la prueba, entre los síntomas que se relacionan a los niveles elevados
de la hemoglobina glicosilada son fatiga, pérdida de peso, visión borrosa, depresión, poliuria,
somnolencia, apetito incrementado, las diferentes complicaciones de los diabéticos están
relacionada con el estilo de vida, si no son tratadas conducen a la muerte.
Palabras claves: Diabetes, Hemoglobina Glicosilada, Estilo de vida, complicaciones,
factores de riesgo.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 893
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Abstract
Diabetes Mellitus is defined as a complex and chronic disease, it was identified by the World
Health Organization as one of the four non-transmittable diseases, being responsible for the
death of around 5 million people, the causes are multiple, ranging from overweight or obesity,
sedentary lifestyle, inadequate eating habits that bring with them various consequences in
addition to a high risk of morbidity and morbidity, that can cause serious health problems.
The test for the diagnosis and control of type 2 diabetic is the measurement of glycosylated
hemoglobin. This research aims to determine lifestyle and its relationship with glycosylated
hemoglobin in diabetic adults. The methodology used is documentary design of deductive,
informative or exploratory descriptive type, the selected articles correspond to the years
2016-2022. In the results it was observed that the lifestyle is related to glycosylated
hemoglobin due to inadequate food intake, sedentary lifestyle, obesity, alcohol intake, among
other bad habits that lead to high values of the test, among the symptoms that are related to
high levels of glycosylated hemoglobin are fatigue, weight loss, blurred vision, depression,
polyuria, drowsiness, increased appetite, the different complications of diabetics are related
to lifestyle, if left untreated lead to death.
Keywords: Diabetes, Glycosylated hemoglobin, Lifestyle, complications, risk factors.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 894
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Introducción
La Diabetes Mellitus (DM) se la define como una enfermedad compleja y crónica, que fue
identificada por la Organización Mundial de la Salud (OMS) como una de las cuatro
enfermedades no transmisibles (ENT) que requieren intervención prioritaria. Es importante
conocer
que
de
acuerdo
a
las
estimaciones
que
la
OMS
ha
realizado
en
el
2014
aproximadamente cerca de 422 millones de adultos a nivel mundial padecían diabetes, cuatro
veces más que en el 1980 (Coello Viñán B, Coello Viñán J, Sanchez De la Torre M., 2021).
Esta patología se la ha considerado como la responsable de la muerte de alrededor de 5
millones de personas. Los datos epidemiológicos indican que la diabetes se encuentra en
niveles críticos y tendencia al aumento. Siendo este un problema grave de salud que puede
provocar diversas complicaciones a las personas diabéticas que llevan un inadecuado estilo
de vida con o sin tratamiento farmacológicos (Coello Viñán B, Coello Viñán J, Sanchez De
la Torre M., 2021).
En Latinoamérica hay alrededor de 15 millones de personas con DM y se espera que esto
incremente a 20 millones en diez años, presenta complicaciones que se producen a nivel
macrovascular que se deben a una ateroesclerosis acelerada de los vasos sanguíneos
medianos y grandes y microvascular que se debe al deterioro del sistema vascular que afecta
a los pequeños vasos (Calderón D, Medina A, Rivera A., 2017).
Acorde con las cifras del Ministerio de Salud Pública (MSP) en Ecuador en el 2018 la
prevalencia de la diabetes en adultos fue entre 20 a 79 años, las principales causas que
conllevan a padecer esta enfermedad son: una alimentación inadecuada, el sedentarismo, el
sobrepeso, la obesidad, el consumo de tabaco y alcohol, consumo excesivo de azúcar, sal,
grasas saturadas y ácidos grasos. Mientras que en el año 2014 el Instituto Nacional de
Estadística y Censos (INEC) reportó a la diabetes mellitus como segunda causa de mortalidad
general, siendo así la primera causa de mortalidad en las mujeres y la tercera en los hombres
(Bravo Bonoso D, Parrales Choez A, Solórzano Solórzano S., 2020).
Según la OMS es estilo de vida es como una forma general de vida, que se basa en la
interacción de las condiciones de vida y los patrones individuales de conducta lo que se
refiere a la manera de vivir, rutinas cotidianas o hábitos, determinados por los factores
socioculturales y las características personales (Araque Sepúlveda I, Bernal Orduz F,
Corredor Gamba S, Hernández Piratoba F, Fagua Pacavita L, Suescún Carrero S, Sandoval
CuellarC., 2017).
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 895
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jj/oTfEn/grn/wDiaAD/AIVx44/6E3xJ/wCCuf8A+JoAP+FceOP+hN8Sf+Cuf/4mgA/4Vx44
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Cuf/AOJoAP8AhXHjj/oTfEn/AIK5/wD4mgA/4Vx44/6E3xJ/4K5//iaAD/hXHjj/AKE3xJ/4
K5//AImgA/4Vx44/6E3xJ/4K5/8A4mgA/wCFceOP+hN8Sf8Agrn/APiaANXwv8IvGmua3b6f
L4d1nTklODc3lhLHEn1YqAKAPvvwVpUuheDdB0i4dXmsLC3tXZehaONVJH4igD//2Q==
Los estilos de vida de las personas inciden positiva o negativamente sobre su calidad de vida
y está integrado por aspectos como la alimentación, consumo de drogas, realización de
actividad física y hábitos como el tabaquismo y el consumo de alcohol, entre otros aspectos
que
inciden en
el
proceso salud-enfermedad,
convirtiéndose
en
la
carga
mundial
de
morbilidad de enfermedades crónica degenerativas o sus complicaciones (Álvarez Miño L,
Canova Barrios C, Quintana Honores M., 2018).
La diabetes mellitus tipo 2 representa una carga de enfermedad importante en términos de
morbilidad, mortalidad y discapacidad. A pesar de los esfuerzos para disminuir el impacto
negativo en mortalidad de esta, y otras enfermedades crónicas no transmisibles, el camino es
largo y probablemente aún más complejo para países de ingresos medios y bajos (Bernabé
Ortiz A, Carrillo Larco R., 2019).
La OMS identifica la inactividad física, el tabaquismo, el uso nocivo de alcohol y una dieta
poco saludable como los cuatro factores de riesgo comportamentales modificables que
aumentan el riesgo de padecer enfermedades no transmisibles. En 2010, las conductas poco
saludables fueron responsables de aproximadamente 21,5 millones de muertes en todo el
mundo, siendo los factores de riesgo dietéticos los más importantes, dado que causaron 9,3
millones de defunciones, y el bajo consumo de frutas y verduras el primero de estos factores,
con 5,7 millones. En el año 2012 a nivel mundial, las enfermedades no transmisibles
ocasionaron 38 millones de muertes, de las cuales, más del 40 % de ellas (16 millones) fueron
muertes prematuras ocurridas antes de los 70 años de edad ( Gamboa Delgado E, Murillo
López A, Rangel Caballero L., 2017).
Las causas de la diabetes II son múltiples, van desde el sobrepeso u obesidad, sedentarismo,
hábitos alimenticios inadecuados que traen consigo diversas consecuencias además de un
elevado riesgo de mor-talidad y morbilidad, que pueden causar graves problemas en las
personas y que a su vez compromete el desarrollo socioeconómico de los países, dado que
afecta la productividad, reduce la esperanza de vida e incrementa los costos en la atención
médica (Canchari Aquino A, Calizaya Milla Y, Javier Aliaga D, Lozano López T, Saintila
Jacksaint, Torres Lucero M., 2020).
Uno de las herramientas más importantes para el diagnóstico y control del diabético tipo 2 es
la medición de la HbA1c y es necesaria para el funcionamiento y ajuste de tratamiento en la
diabetes mellitus. Hay diversos procedimientos para la determinación de HbA1c: los más
utilizados son las técnicas realizadas en laboratorio. Esta no puede ser utilizada como prueba
única para realizar cambios en el tratamiento de pacientes diabéticos ya que un valor elevado
de esta solo indica el mal funcionamiento del tratamiento (Gonzáles Quintanilla N, Macías
Loor N, Loor Solórzano M, Loor Solórzano G., 2021).
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 896
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Cuf/AOJoAP8AhXHjj/oTfEn/AIK5/wD4mgA/4Vx44/6E3xJ/4K5//iaAD/hXHjj/AKE3xJ/4
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La prueba de hemoglobina A1c (HbA1c) mide la cantidad de azúcar en la sangre adherida a
hemoglobina. La hemoglobina es la parte de los glóbulos rojos que transporta el oxígeno de
los pulmones al resto del cuerpo. La prueba de HbA1c muestra la cantidad promedio de
glucosa adherida a hemoglobina en los últimos 3 meses. Los niveles de HbA1c altos pueden
ser un signo de diabetes, una enfermedad crónica que causa problemas de salud graves como
enfermedad de corazón y riñón y daño nervioso (Muñiz Lino K, Salvatierra Cox E, Veliz
Castro T., 2020).
La presente investigación tiene como propósito identificar el estilo de vida y su relación con
la hemoglobina glicosilada, la sintomatología y las complicaciones que pueden presentar los
adultos diabéticos, obteniendo cifras que pueden contribuir con un control adecuado y una
mejor comprensión de este problema de salud mundial, para cumplir con lo planteado se
realizara búsqueda de artículos de revisión bibliografías con información actualizada y
verídica que de alguna manera aporte un mejoramiento dentro de la calidad de vida de los
individuos.
La investigación es de diseño documental y tipo descriptivo deductivo, informativo o
explicativo siendo de gran aporte para los adultos diabéticos relacionándolo con el estilo de
vida que llevan las personas diabéticas que reciben o no un tratamiento farmacológico
teniendo en cuentas las diferentes complicaciones que pueden presentar y como va afectar a
la salud si no lleva control de hemoglobina glicosilada.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 897
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Material y métodos
La investigación se realizó bajó la modalidad de revisión bibliográfica sistemática, de diseño
documental de tipo descriptivo, deductivo, informativo o exploratorio el cual permitió
determinar estilo de vida y su relación con la hemoglobina glicosilada en adultos diabéticos.
Cabe recalcar que la investigación es de diseño documental, debido a que facilita la selección
y recopilación de información mediante la lectura crítica de documentos, investigaciones y
material bibliográfico de diferentes fuentes bibliográficas y de búsqueda.
Estrategias de búsqueda.
Para la búsqueda y selección de información se analizaron diferentes artículos científicos en
pdf, libros y páginas web (OMS, MSP) publicados, así mismo se obtuvo información a través
de fuentes indexadas como Scielo, Google académico, Redalyc, Medline, Dialnet, Pubmed,
Medigraphic,
NCBI,
tomando
en
consideración
los
siguientes
criterios
de
selección:
información de estudios con fecha de publicación de los últimos seis años (2016-2022), en
idioma de inglés y español utilizando palabras claves como hemoglobina glicosilada, estilo
de vida, manifestaciones clínicas, consecuencias, síntomas de la diabetes para realizar la
investigación correspondiente y recolectar datos.
Criterios de inclusión y exclusión.
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Los criterios de inclusión para este estudio son los siguientes:
Se incluyeron datos y documentos actualizados sobre hemoglobina glicosilada y
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estilo de vida, a partir de 6 años de publicación (2016-2022).
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Artículos originales relacionados al tema.
Artículos que incluyan pacientes adultos.
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Los criterios de exclusión para este estudio son los siguientes:
Se excluyó información que no se relacionen al estilo de vida y hemoglobina
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glicosilada en adultos diabéticos, con información insuficiente.
Artículo que tengan más de 5 años de publicación.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 898
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Resultados
Tabla 1. Estilo de vida relacionado con los niveles de hemoglobina glicosilada en adultos
diabéticos
Región
/País
Año del
Estudio
Muestra
Resultados
Sexo
Rango
de
edad
Referencia
Chile
2016
714
Estilo de vida
IMC
(30,8),
normopeso
(22,1%),
sobrepeso
(29,2%%).
Hemoglobin
a glicosilada
(2, 7%)
femenino y
Masculino
27-90
Augare
S
y
Col.
(Viñan B, Viñan J, De
la Torres M, 2021)
Madrid
2017
131
Estilo de vida
Obesas
y
sobrepeso
(45%),
peso
corporal
(102,3).
Hemoglobin
a glicosilada
(9,11%)
femenino y
Masculino
<30
Mencía
J
y
Col.
(Sanchez R, Lira A,
Perales M, Alfonso L,
, 2018)
España
2018
106
Estilo de vida
IMC
(31,6),
actividad
física
(16,65),
crecimiento
espiritual
(25,52),
perfil de la salud
(127,09).
Hemoglobin
a glicosilada
(7,9%)
femenino y
Masculino
20-80
Sánchez
R
y
Col.
(Gabetts
J,
Amarilla
A, Rosa R, Menendez
G,
Estigarribia
L,
Baez
J,
Zarate
F,
Hermosa
W,
Campuzano H, 2019)
Paragu
ay
2019
111
Estilo
de
vida
Preobesidad
y
obesidad
(71%),
hipertensión
arterial
(87%),
sedentarismo
(70%), tabaquismo
(22%).
Hemoglobin
a Glicosilada
(2, 1%)
femenino y
Masculino
30-70
Gabetta
J
y
Col.
(Mencía J, Castillo R,
Cabrera
M,
Urquiza
J,García L, Fuente G,
2017)
Cuba
2021
601
Estilo de vida
Peso
saludable
(69,4%) sobrepeso
(68,2%)
obeso
(70,4%)
fuman
(15,4%)
sedentarismo
(93,4%)
alcohólicos
(17,4%)
alimentación
inadecuada
(70,8%).
Hemoglobin
a Glicosilada
(73,0
%)
elevada
femenino
<60
Estupiñan
F
y
Col.
(Estupiñán F, Jiménez
P, Gómez H, Rico O,
Agudelo E, Salvá A,
Piñera A, 2021)
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 899
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España
2021
42
Estilo de vida
IMC
(28,09),
sobrepeso
(42,90%),
ansiedad
y
depresión
(59,50%).
Hemoglobin
a Glicosilada
(45, 20%)
Elevada
femenino y
Masculino
42-83
Viñan
B
y
Col
(Aguero S, Godoy E,
Piña E, 2016)
Análisis
De acuerdo a los estudios realizados se observa que el estilo de vida tiene relación con la hemoglobina
glicosilada debido a que si existen valores elevados de esta prueba de laboratorios en pacientes
diabéticos va prevalecer
graves problemas de salud ya sea por una inadecuada ingesta de alimento,
por la falta de ejercicios, sobrepeso, obesidad, ingesta de alcohol, ansiedad y depresión, entre otros
malo hábitos.
Tabla 2. Síntomas relacionados con la alteración de los niveles de hemoglobina glicosilada
Región
/País
Año
del
Estudi
o
Síntomas
Resultados
Sexo
Rango
de
edad
Referencia
España
2017
Síntomas
somáticos
y
depresión
.
Síntomas somáticos y
depresión
(<0,05),
hemoglobina
glicosilada (<0,01)
Femenino
y
Masculino
<30
Agudelo
J
y
Col.
(Romero S, Barrios
S, Apip M,Tobar V,
Arias N, Bobadilla
O, 2022)
Chile
2018
Depresió
n.
Síntoma
depresivo
(34,7%) hemoglobina
glicosilada (7,2)
Femenino
y
Masculino
<30
Valenzuela
M
y
Col. (Arancibia M,
Munzenmayer
B,
Madrid
E,
Valenzuela
M,
Osorio T., 2018)
Lima
2020
Somnole
ncia,
apetito
increment
ado.
Somnolencia y apetito
incrementado
(22%)
hemoglobina
glicosilada
(7,1%)
GA
107mg/dl
IMC
(28,7)
Femenino
29
Robles
J
y
Col.
(Robles J, Ortiz J,
Gonzales S, 2020)
Paragu
ay
2020
Síntomas
Urinarios.
Síntomas
urinarios
(77,78%)
hemoglobina
glicosilada (10mg/dl)
control
metabólico
(79,60%)
Femenino
<20
Gómez
T
y
Col.
(Gomez T, Riveros
M, Salinas J, 2020)
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 900
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Ecuado
r
2020
Fatiga,
pérdida
de
peso,
visión
borrosa.
Hemoglobina
glicosilada (7,9%)
Femenino
y
Masculino
<30
Poveda
K
y
Col.
(Agudelo
J,
Martinez E, Ospina
M, 2017)
Chile
2022
Calidad
de sueño.
Hemoglobina
glicosilada (57, 7%)
Femenino
y
Masculino
<64
Romero
S
y
Col.
(Poveda
K,
García
K,
Subía
D,Choez
C, 2020)
Análisis
Haciendo énfasis a los principales síntomas que se encuentran relacionada a los niveles elevados de
la hemoglobina glicosilada son fatiga, pérdida de peso, visión borrosa, depresión, síntomas urinarios,
somnolencia y apetito incrementado, síntomas somáticos y depresión, así como también el control
adecuado y control inadecuado de la diabetes, es importante conocer que todos estos síntomas se
observan alto nivel de hemoglobina glicosilada en los pacientes con diabetes, los mismo que le
derivan a complicaciones que perjudican la salud, cabe recalcar que la hemoglobina glicosilada es un
prueba de rutina que toda persona diabética se realiza para mantener controlado la diabetes mellitus,
además se debe tener presente que no siempre la diabetes mellitus puede manifestar síntomas que esté
relacionado a esta enfermedad. De acuerdo a la revisión bibliográficas de estos artículos se pude
determinar que la alteración de la hemoglobina glicosilada en personas adultas diabéticas tiene a
presentar diversos síntomas que indican que mayores prevalencias de otras enfermedades.
Tabla 3. Tipos de estilo de vida y las complicaciones que presentan los adultos diabéticos
Región
/País
Año del
Estudio
complicaciones
Estilo vida
Sexo
Rango
de edad
Referencia
Lima-
Perú
2017
Presión
Arterial
(50,9%)
Helicobacter
Pylori
(5,6%)
Chagas (+) panel
lipídico
(57,2%).
Sobrepeso
(19, 1%)
Obesidad
(27, 8%)
Femenino
y
masculino
40-94
Montanez M y Col ( Booth R,
Blais F, Carter B, James J,
Gibson A, Johnson M, Kilin
K, Laubli D, Montanez M,
Paes
J,
Sauerbeck
T,
Speakman
A,
Thomas
M,
Reagan K, Jensen L, Diaz S,
Dogbey G, Drozek D, 2017)
Colom
bia-
Pereira
2019
Hipertensión
conlleva
a
insuficiencia
renal (53,33%).
Tabaquism
o
(8,14%),
consumo
de
alcohol
(16,28%),
consumo
de
café
(74,42%)
femenino y
Masculino
<60
Pérez D y Col. (Rodríguez-
Martínez M, Soler-Otero J,
Brizuela-Labrada
O,
Santisteban-Sánchez
H,
Berro-Zamora A, 2020)
Cuba
2020
Retinopatía
diabética (95%).
Buen
control
metabólico
(58%), mal
Femenino
y
masculino
<35
Martinez M y Col (Perez D,
Mora M, Rada L, Barbosa W,
2019)
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 901
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control
metabólico
(92%)
Colom
bia
2020
Trastorno
neurocognitivo
(30,67%).
Sedentaris
mo (34
Femenino
y
masculino
<30
Zapata D y Col.
(Zapata D,
Roque
R,
Colmenares
M,
Parodi J, 2020)
Lima
2020
Cardiovascular
(17, 4%).
Tabaquism
o (60, 9%)
Femenino
y
masculino
<60
Macha V y Col. (Macha V,
Pandal
A,
Colmenares
F,
Parodi J, 2020)
Ecuado
r.
2020
Hiperglucemia
(50%).
Antecedent
es
familiares
(50%)
malos
hábitos
alimenticio
s (25%)
Femenino
y
masculino
34-70
Mancheno
A
y
Col.
(Mancheno A, 2020)
Análisis
El estilo de vida que las personas con diabetes mellitus llevan tienen estrecha relación con las
diferentes complicaciones como las que podemos observar en la tabla que son retinopatía diabética,
trastorno neurocognitivos que presenta una persona diabética con o sin tratamiento, además se
correlaciona con los niveles de hemoglobina glicosilada, debido a que mientras mayor sea la
complicación los valores de hemoglobina glicosilada van a disminuir y mientras un diabético lleven
un estilo de vida inadecuado va incidir en los resultado de dicha prueba, debido a que las
complicaciones que no son tratadas a tiempos van a conllevar a la muerte del paciente.
Discusión
Con base a la literatura reciente el estilo de vida se la relaciona los niveles de hemoglobina
glicosilada, la misma que indica a que mayor problemas de salud mayor va ser el resultado
de este análisis de laboratorio, cabe mencionar que la calidad de vida y los valores de
hemoglobina glicosilada guarda estrecha relación, de la misma manera se lleva un control
rutinario de esta prueba en personas diabéticas, de hecho los 6 artículos propuestos aquí
describen que estilo de vida se correlaciona con el estilo de vida en diabéticos.
Es importante saber que el estilo de vida inadecuado conlleva consecuencias graves en la
diabetes mellitus tipo 2 enfatizándose al consumo excesivo de calorías, que da como
resultado al sobrepeso, obesidad, así como también la inactividad física, cabe mencionar que
el factor principal que ha provocado estos problemas de salud es el uso de la tecnología,
además los cambios que la sociedad ha realizado en la actualidad, lo cual se han encargado
de que las personas modifiquen sus estilos de vida en lo que engloba ,a alimentación, trabajo
y el uso del tiempo libre haciendo menos saludables sus actividades y siendo factores
predisponente al incremento de la diabetes mellitus tipo 2. El estilo de vida fue desfavorable
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 902
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respecto al 45,1% de los participantes, entre un total de 102 pacientes con diabetes mellitus
tipo 2 examinados según el estudio mencionado por Alarcón J y Col (Alarcon J,, 2020).
Con respecto a la hemoglobina glicosilada en un estudio en México en el año 2018 por
Bulman J y Col. (Angulo R, Bulman J, Gomez G, Greene E, Martinez T, Gonzales F, Weber
F, 2018) se incluyeron 388 pacientes donde se determinó que ni la edad ni el sexo van a
predisponer
en
la
obtención
de
la
hemoglobina
glicosilada,
por
ende
la
prueba
de
hemoglobina glicosilada se la determino mediante la técnica capilar la mismo que mostro
mayor número de casos de prediabetes con un valor de 170 vs 63 y para diabetes 27 vs 13
con respecto a la prueba de glucosa sérica, teniendo una diferencia entre personas sanas entre
ambos grupos, cabe recalcar que en este estudio se determinó 191 personas con hemoglobina
glicosilada y 312 personas sanas con glucosa sérica, teniendo el 90,2% de similitud con un
p<0,001, además se obtuvo que el nuevo corte de hemoglobina glicosilada para el diagnóstico
de diabetes es de 6,65%.
Valenzuela M y Col. (Arancibia M, Munzenmayer B, Madrid E, Valenzuela M, Osorio T.,
2018) llevaron a cabo un estudio incluyendo 323 pacientes donde revelaron en su estudio que
las frecuencias de los síntomas depresivo fueron del 34,7%, teniendo en cuenta que los
pacientes con depresión van a presentar niveles más elevado de hemoglobina glicosilada con
respecto al incumplimiento del tratamiento englobando mayores trastornos metabólicos, la
sintomatología depresiva que más prevaleció en el estudio fue en las mujeres. Sin embargo,
para otros estudios Matías J y Col. ( Aguirre R, Bejarano A, Matias J, Romero F, Vargas A.,
2019) en su estudio realizado a 327 pacientes el 23,9% presentaron depresión, el 32,7%
ansiedad y el 7, 95% se suicidalidad indicando que estos síntomas más prevalecen en las
mujeres, las misma que no van estar relacionado a los niveles de hemoglobina glicosilada si
no que estos síntomas son propios de la diabetes mellitus.
Montanez M y Col. ( Booth R, Blais F, Carter B, James J, Gibson A, Johnson M, Kilin K,
Laubli D, Montanez M, Paes J, Sauerbeck T, Speakman A, Thomas M, Reagan K, Jensen L,
Diaz S, Dogbey G, Drozek D, 2017) en su estudio realizado en Lima Perú se observó que las
complicaciones de la diabetes mellitus tiende alterar los niveles de hemoglobina glicosilada
con un porcentaje de 47% así como también la obesidad y sobrepeso se observa valores de
65,1% teniendo en cuenta que estos resultados enfatizan las anomalías que se van a
relacionar con el estilo de vida, ya que esta información es importante para poder desarrollar
estrategias de prevención y tratamiento de las enfermedades que estén relacionado al estilo
de vida de las personas diabéticas. En cambio, Gabriel R y col. ( Abdelkader N, Acosta T,
Alkandari A, Djordjevic, Egido J, Huelgas R, Gabiel R, Januszewska A, Kamenov Z,
Makrilakis K, Mitrakou A, Lalic N, colagiuri S, Lind M, Lindstrom J, Natali A, Paulweber
B, Pastor J, Satman I, Teuschl Y, Silva L, Ridaura R., 2020) reportaron que su estudio tomó
en cuenta a 1.390 personas con hiperglucemia, observándose las principales complicaciones
de la diabetes mellitus tales como la retinopatía diabética fueron del 4,2%, la neuropatía grave
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 903
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Cuf/AOJoAP8AhXHjj/oTfEn/AIK5/wD4mgA/4Vx44/6E3xJ/4K5//iaAD/hXHjj/AKE3xJ/4
K5//AImgA/4Vx44/6E3xJ/4K5/8A4mgA/wCFceOP+hN8Sf8Agrn/APiaANXwv8IvGmua3b6f
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del 5,3% y la nefropatía del 5,7%, cabe recalcar que este estudio implica la modificación del
estilo
de
vida
combinado
con
fármacos
hipoglucemiantes
para
poder
prevenir
complicaciones micro vasculares.
Dentro de la información estudiada no se evidenciaron datos que difieran con la investigación
realizada. Luego del análisis exhaustivo de nuestros datos podemos recomendar que se
realice un estudio más a fondo de las diferentes complicaciones de la diabetes mellitus, así
como también los signos y síntomas que se presentan en pacientes diabéticos y pruebas
efectivas y eficaces que conlleven un menor tiempo de espera por parte del paciente para la
obtención de un diagnóstico y tratamiento oportuno.
Conclusiones
La diabetes mellitus es un grave problema de salud mundial debido a que, si no llevan un
estilo de vida adecuado englobando una mala alimentación, el sedentarismo, entre otros
malos hábitos las complicaciones a futuro van hacer catastróficas, según lo observado en esta
investigación se pudo establecer que existe una relación entre el estilo de vida y los valores
de hemoglobina glicosilada en personas diabéticas obteniendo que el inadecuado estilo de
vida conlleva a valores elevados de HbA1c.
Se evidencio que los principales síntomas que se observan en la diabetes son fatiga, pérdida
de peso, visión borrosa, depresión, micción frecuente, somnolencia, apetito incrementado y
depresión además debemos conocer que no siempre la diabetes mellitus 2 puede manifestar
síntomas a diferencia de la Diabetes mellitus 1 que si presenta síntomas.
Debemos tener en cuenta que el estilo de vida que lleven las personas diabéticas está
estrechamente relacionado con los valores de hemoglobina glicosilada y está a su vez se
relacionan con las diferentes complicaciones, con mayor prevalencia la retinopatía diabética,
trastornos neurocognitivos entre otros, enfatizando que si estas complicaciones no son
tratadas a tiempos pueden causar muerte de la persona.
Según los estudios realizados actualmente varios coinciden que la modificación en el estilo
de vida de las personas puede prevenir la diabetes mellitus tipo 2 en personas pre diabéticas
y la diabetes mellitus 1 en niños y adolescentes.
Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 904
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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 905
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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 906
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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 907
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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 908
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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 909
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Vol.6 No.3 (2022): Journal Scientific
Investigar ISSN: 2588–0659
https://doi.org/10.56048/MQR20225.6.3.2022.891-910
Vol.6-N° 03, 2022, pp. 891-910
Journal Scientific
MQRinvestigar 910
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Conflicto de intereses:
Los autores declaran que no existe conflicto de interés posible.
Financiamiento:
No existió asistencia financiera de partes externas al presente artículo.
Agradecimiento: N/A
Nota:
El artículo no es producto de una publicación anterior, tesis, proyecto, etc.