Risk factors for microvascular and macrovascular complications in men and women with type 2 diabetes

Scand J Prim Health Care. 1999 Jun;17(2):116-21. doi: 10.1080/028134399750002755.

Abstract

Objective: To evaluate the importance of risk factors for microvascular and macrovascular complications, separated by sex, in type 2 diabetes.

Design: Cross-sectional surveys of diabetic patients registered with primary health services in 1995.

Setting: Three community health centres in Stockholm County.

Subjects: 407 subjects with type 2 diabetes in 1995. For 78 of these, data were also registered in 1992.

Main outcome measures: Odds ratio (OR) by logistic regression for risk factors predicting microvascular and macrovascular complications, for age and duration in years.

Results: For microvascular complications, the most important factors were in men the duration of diabetes (OR 1.13, p < 0.001) and in women the duration of diabetes (OR 1.08, p < 0.001) and age (OR 1.04, p < 0.05). For macrovascular complications, the most important factors were in men, age (OR 1.09, p < 0.001) and hypertension (OR 4.85, p < 0.001) and in women, age (OR 1.08, p < 0.001) and duration of diabetes (OR 1.08, p < 0.01).

Conclusions: Hypertension is more important among men and the duration of diabetes among women as risk factor for macrovascular complications in type 2 diabetes.

MeSH terms

  • Aged
  • Analysis of Variance
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetic Angiopathies / epidemiology
  • Diabetic Angiopathies / prevention & control*
  • Diabetic Nephropathies / epidemiology
  • Diabetic Nephropathies / prevention & control*
  • Diabetic Neuropathies / epidemiology
  • Diabetic Neuropathies / prevention & control*
  • Diabetic Retinopathy / epidemiology
  • Diabetic Retinopathy / prevention & control
  • Female
  • Humans
  • Logistic Models
  • Male
  • Odds Ratio
  • Primary Health Care
  • Risk Factors
  • Sweden / epidemiology