Relationship between Body Mass Index, LDL Cholesterol, and Diabetes Control in Indigenous Populations
https://orcid.org/0009-0004-4364-1198
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Introduction: Diabetes is a chronic disease that affects various populations and presents unique challenges due to factors such as
body mass index (BMI), blood pressure, and low-density lipoprotein (LDL) concentrations. Additionally, there is a lack of specific studies
on Indigenous populations. Objective: To evaluate the relationship between BMI, blood pressure, and LDL cholesterol concentrations with glycemic control in Indigenous patients with diabetes. Methods: A cross-sectional study was conducted at the MALLAMAS Indigenous Health Provider (IPS) from 2020 to 2024. Data on BMI, blood pressure, LDL cholesterol, and glycated hemoglobin (HbA1c) were analyzed using descriptive techniques and logistic regression models. Results: Among the 609 Indigenous individuals analyzed, 38.95% were men.
Each additional unit of BMI reduced the odds ratio for having HbA1c > 7% by 6.7% (OR = 0.933; 95% CI: 0.885-0.984). Patients with
poorer glycemic control showed higher systolic (p = 0.0356) and diastolic (p = 0.0004) blood pressure levels. Uncontrolled hypertension significantly increased the odds of poor glycemic control (p = 0.022). No significant association was observed between LDL cholesterol and glycemic control. Conclusion: Uncontrolled hypertension and elevated
BMI are associated with poorer diabetes control in this population; however, the lack of association between LDL cholesterol and glycemic control suggests the need to explore other contextual factors. These findings underscore the importance of comprehensive and culturally sensitive diabetes management in Indigenous communities.
diabetes mellitus, índice de masa corporal, presión arterial, LDLcolesterol, pueblos indígenasdiabetes mellitus, body mass index, arterial pressure, cholesterol, LDL, indigenous people
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