Risk factors associated with type II diabetes mellitus in the Miraflores community in Ecuador

Authors

DOI:

https://doi.org/10.36097/rgcs.v2i2.3188

Keywords:

type 2 diabetes mellitus, risk factors, nutrition, physical activity, rural health

Abstract

Type 2 diabetes mellitus (T2DM) is an increasingly prevalent public health problem, particularly in rural communities where social and economic determinants affect disease management. This study aimed to identify risk factors associated with T2DM in the community of Miraflores, located in the 24 de Mayo canton of Ecuador. A descriptive and cross-sectional study was conducted with a random sample of 60 individuals diagnosed with the disease, using a structured survey to assess their knowledge of the disease, eating habits, physical activity, family history, tobacco and alcohol use, and access to health services. The results revealed limited understanding of the disease, a diet high in high-glycemic index carbohydrates, low frequency of physical activity, and economic constraints that limited access to healthy foods and glucose monitoring. A total of 78.3% reported a family history of T2DM, and more than 50% reported regular tobacco or alcohol use. It is concluded that T2DM in this community is the result of an interaction among genetic, behavioral, and environmental factors, highlighting the need for educational interventions, improved access to metabolic monitoring, and enhanced living conditions to mitigate its impact.

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References

Allen, K., & McFarland, M. (2020). How Are Income and Education Related to the Prevention and Management of Diabetes? Journal of Aging and Health, 32(9), 1063-1074. https://doi.org/10.1177/0898264319879608

Alvarado, J. M., & Zambrano, J. I. (2023). Tradition and nutrition: an analysis of Manabí cuisine and its impact on health and cultural identity. Journal of Food Science and Gastronomy, 1(2), 25-29. https://doi.org/10.5281/zenodo.13994886

Alvarado, J. M., Zambrano, J. I., & García, M. A. (2021). Densidad energética nutricional de platos típicos manabitas. QhaliKay, 5(3), 66-74. https://doi.org/10.33936/qkrcs.v5i3.3911

Angulo, A. A., Rodríguez, D., & García, M. A. (2024). Estado nutricional y calidad de vida del adulto mayor: revisión sistemática. Revista Gregoriana de Ciencias de la Salud, 1(2), 165-177. https://doi.org/10.36097/rgcs.v1i2.3149

Asante, R. B. (2019). Determining the glycemic load of boiled yam, cassava and plantain in Abura, Central Region of Ghana [Thesis, University of Cape Coast]. http://ir.ucc.edu.gh/jspui/handle/123456789/4225

Avalos, M. I., López, C., Morales, M. H., Priego, H. R., Garrido, S. M. G., & Cargill, N. R. (2017). Calidad en el control de la diabetes mellitus en unidades de atención primaria de México. Un estudio desde la perspectiva de la familia de los pacientes. Atención Primaria, 49(1), 21-27. https://doi.org/10.1016/j.aprim.2016.02.012

Berkowitz, S. A., Delahanty, L. M., Terranova, J., Steiner, B., Ruazol, M. P., Singh, R., Shahid, N. N., & Wexler, D. J. (2019). Medically Tailored Meal Delivery for Diabetes Patients with Food Insecurity: A Randomized Cross-over Trial. Journal of General Internal Medicine, 34(3), 396-404. https://doi.org/10.1007/s11606-018-4716-z

Böhm, A., Hoffmann, C., Irmler, M., Schneeweiss, P., Schnauder, G., Sailer, C., Schmid, V., Hudemann, J., Machann, J., Schick, F., Beckers, J., Hrabě de Angelis, M., Staiger, H., Fritsche, A., Stefan, N., Nie, A. M., Häring, H.-U., & Weigert, C. (2016). TGF-β Contributes to Impaired Exercise Response by Suppression of Mitochondrial Key Regulators in Skeletal Muscle. Diabetes, 65(10), 2849-2861. https://doi.org/10.2337/db15-1723

Cole, J. B., & Florez, J. C. (2020). Genetics of diabetes mellitus and diabetes complications. Nature Reviews Nephrology, 16(7), 377-390. https://doi.org/10.1038/s41581-020-0278-5

Enríquez-Navascués, J. M., & Aguirre-Allende, I. (2022). Concepto de factor de riesgo como medida de asociación y efecto: Tipos y utilización. Cirugía Española, 100(10), 652-655. https://doi.org/10.1016/j.ciresp.2021.10.003

Farías-Vílchez, B. A., Ruíz, D. B., Farías-Vílchez, B. A., & Ruíz, D. B. (2021). Conocimientos sobre diabetes mellitus tipo 2 y adherencia al tratamiento en pacientes del hospital Reátegui de Piura, Perú. Acta Médica Peruana, 38(1), 34-41. https://doi.org/10.35663/amp.2021.381.1119

Fernández, C. I. J., Pereira, Y. A. M., Chang, A. S. O., Olmedo, S. I. G., & Gaete, M. C. A. (2022). Fisiopatología y alteraciones clínicas de la diabetes mellitus tipo 2: Revisión de literatura. Revista Nova, 20(38), Article 38. https://doi.org/10.22490/24629448.6184

Forbes-Hernández, T. Y., Betancourt, G., Bilbao, T., Rodríguez, D., & García, M. A. (2021). Estimación de la calidad antioxidante de la dieta de estudiantes universitarios mexicanos. QhaliKay, 5(2), 30-41. https://doi.org/10.33936/qkrcs.v5i2.3494

Forbes-Hernández, T. Y., Betancourt, G., Rodríguez, D., & García, M. A. (2020). Capacidad antioxidante total de la dieta vs. balance redox. QhaliKay, 4(1), 35-48. https://doi.org/10.33936/qkrcs.v4i1.2711

Gallardo, W. D., & García, M. A. (2024). Junk food: analysis of risks, benefits, and social perception. Journal of Food Science and Gastronomy, 2(1), 26-34. https://doi.org/10.5281/zenodo.13996283

John, A., Howarth, F. C., & Raza, H. (2022). Exercise alleviates diabetic complications by inhibiting oxidative stress-mediated signaling cascade and mitochondrial metabolic stress in GK diabetic rat tissues. Frontiers in Physiology, 13. https://doi.org/10.3389/fphys.2022.1052608

Kim, S. Y., Min, C., Oh, D. J., & Choi, H. G. (2019). Tobacco Smoking and Alcohol Consumption Are Related to Benign Parotid Tumor: A Nested Case-Control Study Using a National Health Screening Cohort. Clinical and Experimental Otorhinolaryngology, 12(4), 412-419. https://doi.org/10.21053/ceo.2018.01774

Klatman, E. L., Jenkins, A. J., Ahmedani, M. Y., & Ogle, G. D. (2019). Blood glucose meters and test strips: Global market and challenges to access in low-resource settings. The Lancet Diabetes & Endocrinology, 7(2), 150-160. https://doi.org/10.1016/S2213-8587(18)30074-3

Krentz, N. A. J., & Gloyn, A. L. (2020). Insights into pancreatic islet cell dysfunction from type 2 diabetes mellitus genetics. Nature Reviews Endocrinology, 16(4), 202-212. https://doi.org/10.1038/s41574-020-0325-0

Liu, Y., Wang, Y., Ni, Y., Cheung, C. K. Y., Lam, K. S. L., Wang, Y., Xia, Z., Ye, D., Guo, J., Tse, M. A., Panagiotou, G., & Xu, A. (2020). Gut Microbiome Fermentation Determines the Efficacy of Exercise for Diabetes Prevention. Cell Metabolism, 31(1), 77-91.e5. https://doi.org/10.1016/j.cmet.2019.11.001

Lopes, K. F. C., & Tenani, G. D. (2024). Diabetes mellitus tipo 2: o papel da genética e da nutrição na prevenção e controle da doença: uma revisão integrativa. CERES - Health & Education Medical Journal, 2(2), Article 2. https://doi.org/10.62234/ceresv2n2-003

Luo, Z., Fabre, G., & Rodwin, V. G. (2019). Meeting the Challenge of Diabetes in China. International Journal of Health Policy and Management, 9(2), 47-52. https://doi.org/10.15171/ijhpm.2019.80

Marti-Aguado, D., Clemente-Sanchez, A., & Bataller, R. (2022). Cigarette smoking and liver diseases. Journal of Hepatology, 77(1), 191-205. https://doi.org/10.1016/j.jhep.2022.01.016

Miksi, S. L. (2022). Estimación de los costos directos de la atención de diabetes mellitus 2 en Colombia. http://hdl.handle.net/1992/57362

Mohan, V., Khunti, K., Chan, S. P., Filho, F. F., Tran, N. Q., Ramaiya, K., Joshi, S., Mithal, A., Mbaye, M. N., Nicodemus, N. A., Latt, T. S., Ji, L., Elebrashy, I. N., & Mbanya, J. C. (2020). Management of Type 2 Diabetes in Developing Countries: Balancing Optimal Glycaemic Control and Outcomes with Affordability and Accessibility to Treatment. Diabetes Therapy, 11(1), 15-35. https://doi.org/10.1007/s13300-019-00733-9

Moreira-Saltos, J. R., & Zambrano-Cedeño, X. C. (2024). Caracterización agroproductiva integral: Un estudio de los cantones de Manabí – Ecuador. Investigación Valdizana, 18(3), Article 3. https://doi.org/10.33554/riv.18.3.2206

Pradeepa, R., & Mohan, V. (2021). Epidemiology of type 2 diabetes in India. Indian Journal of Ophthalmology, 69(11), 2932. https://doi.org/10.4103/ijo.IJO_1627_21

Sampath Kumar, A., Maiya, A. G., Shastry, B. A., Vaishali, K., Ravishankar, N., Hazari, A., Gundmi, S., & Jadhav, R. (2019). Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis. Annals of Physical and Rehabilitation Medicine, 62(2), 98-103. https://doi.org/10.1016/j.rehab.2018.11.001

Schnurr, T. M., Jakupović, H., Carrasquilla, G. D., Ängquist, L., Grarup, N., Sørensen, T. I. A., Tjønneland, A., Overvad, K., Pedersen, O., Hansen, T., & Kilpeläinen, T. O. (2020). Obesity, unfavourable lifestyle and genetic risk of type 2 diabetes: A case-cohort study. Diabetologia, 63(7), 1324-1332. https://doi.org/10.1007/s00125-020-05140-5

Suárez, B. G., & Maggi, B. L. (2020). Escala de Likert en el nivel de conocimiento de Diabetes Tipo 2 en la provincia de Santa Elena. https://repositorio.upse.edu.ec/handle/46000/8382

Vaesken, A. M. L., Tercero, A. B. R., & Comelli, P. C. V. (2021). Conocimientos de diabetes y alimentación y control glucémico en pacientes diabéticos de un hospital de Asunción. Revista Científica Ciencias de la Salud, 3(1), Article 1. https://doi.org/10.53732/rccsalud/03.01.2021.45

Vallejo Carmona, L. (2022). Efecto sinérgico del 3’,4’-dihidroxifenilglicol e hidroxitirosol sobre el estrés oxidativo, nitrosativo y biomarcadores cardiovasculares en un modelo experimental de diabetes mellitus tipo 1. https://riuma.uma.es/xmlui/handle/10630/25436

Villegas Baquero, A. D. (2020). Incidencia de pacientes con diabetes mellitus tipo 2 descompensada en la unidad de medicina interna hospital Alfredo Noboa Montenegro. Mayo-Agosto 2019 [Bachelor's Thesis]. https://dspace.uniandes.edu.ec/handle/123456789/10975

Wee, M. S. M., & Henry, C. J. (2020). Reducing the glycemic impact of carbohydrates on foods and meals: Strategies for the food industry and consumers with special focus on Asia. Comprehensive Reviews in Food Science and Food Safety, 19(2), 670-702. https://doi.org/10.1111/1541-4337.12525

Yang, D., Yang, Y., Li, Y., & Han, R. (2019). Physical Exercise as Therapy for Type 2 Diabetes Mellitus: From Mechanism to Orientation. Annals of Nutrition and Metabolism, 74(4), 313-321. https://doi.org/10.1159/000500110

Zavala-Hoppe, A. N., Arteaga-Hernández, & Teresa Belén Cañarte-Suarez. (2024). Factores de riesgo y sus complicaciones en pacientes con diabetes mellitus en Latinoamérica. MQRInvestigar, 8(1), 1446-1463. https://doi.org/10.56048/MQR20225.8.1.2024.1446-1463

Zhang, Z., Zhu, Y., Wang, Q., Chang, T., Liu, C., Zhu, Y., Wang, X., & Cao, X. (2022). Global Trends and Research Hotspots of Exercise for Intervening Diabetes: A Bibliometric Analysis. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.902825

Published

2025-07-31

Issue

Section

Original articles

How to Cite

Gutiérrez, J. J., Castro, J. J., Franco, V. A., Panta, I. N., Loor, L. W., & Rivadeneira, M. A. (2025). Risk factors associated with type II diabetes mellitus in the Miraflores community in Ecuador. Revista Gregoriana De Ciencias De La Salud, 2(2), 44-58. https://doi.org/10.36097/rgcs.v2i2.3188

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