Prospective Urban and Rural Epidemiology Study PURE Patricio López-Jaramillo, MD, PhD Lina Patricia Pradilla MD National Coordinator Colombia.

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Presentation transcript:

Prospective Urban and Rural Epidemiology Study PURE Patricio López-Jaramillo, MD, PhD Lina Patricia Pradilla MD National Coordinator Colombia

PURE - URBAN Bucaramanga 300 subjects Sampling by blocks All economical social levels representated 01 1XX XXX 01

PURE - RURAL 317 subjects Included three areas: –Aratoca (01 2XX) –Barichara (01 3XX) –Villanueva (01 4XX)

STATUS OF COLOMBIA Applied Surveys URBANRURAL MEN93126 WOMEN NON- RESPONDER 200 TOTAL355317

STATUS OF COLOMBIA Examinated population URBANRURAL MEN87126 WOMEN TOTAL300317

MALE Urban (n=87)Rural (n=126) p MeanSDMeanSD Age NS Systolic BP NS Diastolic BP NS Weight <0.001 Height NS BMI <0.001 Waist Hip <0.001 W/H ratio NS Glycemia <0.0001

FEMALE Urban (n=213)Rural (n=191) p MeanSDMeanSD Age NS Systolic BP Diastolic BP Weight Height NS BMI < Waist NS Hip < W/H ratio < Glycemia <0.0001

MALE Urban (n=87)Rural (n=126) p MeanSDMeanSD Arm < Calf Head Grip Strenght NS FEMALE Urban (n=87)Rural (n=126) p MeanSDMeanSD Arm < Calf Head Grip Strenght

Prevalence Blood Pressure ≥135 / ≥85 TotalUrbanRuralp Total sample (%) 276 (44.7) 124 (44.9) 152 (55.0) Men (%) 108 (50.9) 45 (41.6) 63 (58.3) Women (%) 168 (41.5) 79 (47.0) 89 (52.9) p value: Х 2 test urban vs rural

Prevalence Obesity Body Mass Index > 30Kg/m 2 TotalUrbanRuralp Total sample (%) 101 (16.3) 71 (70.2) 30 (29.7) < Men (%) 24 (11.2) 16 (66.6) 8 (33.3) Women (%) 77 (19.0) 55 (71.4) 22 (28.5) p value: Х 2 test urban vs rural

Prevalence Abdominal Obesity Waist Circumference TotalUrbanRuralp Men* (%) 78 (36.7) 45 (57.6) 33 (42.3) < Women** (%) 192 (47.5) 103 (53.6) 89 (46.3) * Men: Waist circumference ≥ 90 cm **Women: Waist circumference ≥ 80 cm p value: Х 2 test urban vs rural

Prevalence of Fasting plasma glucose >100 mg/dl TotalUrbanRuralp Total sample (%) 121 (19.6) 89 (73.5) 32 (26.4) < IFG (%) 93 (15.0) 69 (74.1) 24 (25.8) < Type 2 DM(%) 28 (4.0) 20 (71.4) 8 (28.5) p value: Х 2 test urban vs rural

Impaired Fasting Glucose TotalUrbanRuralp Male (%)27 (12.6)15 (74.0)7 (25.9) Female (%)66 (16.3)49 (74.2)17 (25.7) Type 2 Diabetes Mellitus Male (%)7 (3.2)5 (71.4)2 (28.5) Female (%)21 (5.2)15 (71.4)6 (28.5) p value: Х 2 test urban vs rural

LESSONS LEARNED Urban: 1 month to complete all study in 300 subjects Rural: 1.5 month Personal: six ( 2 MDs, 3 nurses, 1 laboratory technician, all full time)