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Abstract(s)
Introdução: A Diabetes Mellitus é uma doença metabólica caracterizada por hiperglicemia inapropriada, sendo a doença metabólica mais conhecida.1,3 A ela associada, advêm complicações que se dividem em macrovasculares (das quais fazem parta a doença arterial coronária e cérebro-vascular) e as microvasculares (como a disfunção sexual, retinopatia, neuropatia e nefropatia).7 A prevalência da disfunção sexual está aumentada em pacientes com DM associada a outros fatores de risco tais como, hipertensão, dislipidémia, doença arterial coronária, idade avançada e um IMC elevado. Além disso, também o mau controlo glicémico e outras alterações microvasculares contribuem para o elevado risco desta complicação.6
Objetivo: Investigar se a disfunção sexual está associada a doença arterial coronária e avaliar qual o padrão característico que leva os doentes da consulta de diabetologia do Hospital Sousa Martins a terem ou não a dita disfunção.
Métodos e Materiais: Dos 1205 pacientes inscritos na consulta de diabetologia no ano de 2016 do HSM, foram selecionas os que tinham antecedentes de DAC tendo em conta os critérios de inclusão e exclusão. Ficou-se com uma amostra de 148 doentes. Destes, 2 entraram diretamente para o estudo por terem relatos de disfunção sexual nos dados do processo. Dos restantes, 42 aceitaram responder ao questionário IIEF ou FSFI para avaliar a disfunção sexual. Foram recolhidos dados relevantes do processo como idade, IMC, HbA1c, presença de comorbilidades e alterações microvasculares, terapêutica antidiabética e o uso de fármacos que tenham como efeito adverso a disfunção sexual. Foi usado o software estatístico SPSS versão 23 para o tratamento estatístico.
Resultados: Dentro da amostra de 44 doentes, 16 mulheres e 28 homens, 22,7% revelou ter disfunção sexual, 34,1% não apresenta esta complicação e 43,7% não têm atividade sexual. A maioria dos utentes pertencia ao escalão etário dos 60-69 anos. De todas as possíveis caraterísticas analisadas que poderiam ter associação com a disfunção sexual, apenas o sexo feminino, teve significância estatística (p-value 0,007).
Conclusões: Assim, pode concluir-se que 22,7% de pacientes da amostra apresentam-se com disfunção sexual. Quanto às caraterísticas e após análise detalhada, apenas se conseguiu constatar que as mulheres sofrem mais desta complicação. Obviamente, e dada a reduzida dimensão da amostra, estas conclusões são apenas válidas para os doentes estudados e não podem ser extrapolados para a população em geral.
Introduction: Diabetes Mellitus is a metabolic disease characterized by inappropriate hyperglycemia, and it is the most well-known metabolic disease.1,3 Linked to it are complications that divide into macrovascular (such as coronary artery disease and cerebro-vascular disease) and microvascular (such as sexual dysfunction, retinopathy, neuropathy and nephropathy).7 The prevalence of sexual dysfunction is increased in patients with DM associated with other risk factors such as hypertension, dyslipidemia, coronary artery disease, advanced age and a high BMI. In addition, poor glycemic control and other microvascular changes also contribute to the increased risk of this complication.6 Objective: To investigate whether sexual dysfunction is associated with coronary artery disease and to assess the characteristic pattern that leads diabetic patients from the Sousa Martins Hospital to have or not the dysfunction. Methods and Materials: Of the 1205 patients enrolled in the diabetes clinic consultation of the SMH in 2016, those with a history of CAD were selected, taking into account the inclusion and exclusion criteria. A sample of 148 patients was taken. Of these, 2 entered directly into the study because they had reports of sexual dysfunction in the process data. Of the remainder, 42 accepted to respond to the IIEF or FSFI questionnaire to assess sexual dysfunction. Relevant data were collected, such as age, BMI, HbA1c, presence of comorbidities and microvascular changes, antidiabetic therapy and the use of drugs that have the adverse effect of sexual dysfunction. Statistical software SPSS version 23 was used for statistical treatment. Results: Within the sample of 44 patients, 16 women and 28 men, 22.7% had sexual dysfunction, 34.1% did not have this complication and 43.7% had no sexual activity. Most of the users belonged to the age group of 60-69 years. Of all the possible analyzed characteristics that could have association with the sexual dysfunction, only the female sex, had statistical significance (p-value 0.007). Conclusions: Thus, it can be concluded that 22.7% of patients in the sample present with sexual dysfunction. Regarding the characteristics and after detailed analysis, it was only found that women suffer more from this complication. Obviously, given the small sample size, these findings are only valid for the patients studied and can not be extrapolated to the general population.
Introduction: Diabetes Mellitus is a metabolic disease characterized by inappropriate hyperglycemia, and it is the most well-known metabolic disease.1,3 Linked to it are complications that divide into macrovascular (such as coronary artery disease and cerebro-vascular disease) and microvascular (such as sexual dysfunction, retinopathy, neuropathy and nephropathy).7 The prevalence of sexual dysfunction is increased in patients with DM associated with other risk factors such as hypertension, dyslipidemia, coronary artery disease, advanced age and a high BMI. In addition, poor glycemic control and other microvascular changes also contribute to the increased risk of this complication.6 Objective: To investigate whether sexual dysfunction is associated with coronary artery disease and to assess the characteristic pattern that leads diabetic patients from the Sousa Martins Hospital to have or not the dysfunction. Methods and Materials: Of the 1205 patients enrolled in the diabetes clinic consultation of the SMH in 2016, those with a history of CAD were selected, taking into account the inclusion and exclusion criteria. A sample of 148 patients was taken. Of these, 2 entered directly into the study because they had reports of sexual dysfunction in the process data. Of the remainder, 42 accepted to respond to the IIEF or FSFI questionnaire to assess sexual dysfunction. Relevant data were collected, such as age, BMI, HbA1c, presence of comorbidities and microvascular changes, antidiabetic therapy and the use of drugs that have the adverse effect of sexual dysfunction. Statistical software SPSS version 23 was used for statistical treatment. Results: Within the sample of 44 patients, 16 women and 28 men, 22.7% had sexual dysfunction, 34.1% did not have this complication and 43.7% had no sexual activity. Most of the users belonged to the age group of 60-69 years. Of all the possible analyzed characteristics that could have association with the sexual dysfunction, only the female sex, had statistical significance (p-value 0.007). Conclusions: Thus, it can be concluded that 22.7% of patients in the sample present with sexual dysfunction. Regarding the characteristics and after detailed analysis, it was only found that women suffer more from this complication. Obviously, given the small sample size, these findings are only valid for the patients studied and can not be extrapolated to the general population.
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Keywords
Diabetes Mellitus Disfunção Sexual Doença Arterial Coronária