<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-2953</journal-id>
<journal-title><![CDATA[Revista Cubana de Endocrinología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Endocrinol]]></abbrev-journal-title>
<issn>1561-2953</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-29532020000200006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo asociados a las complicaciones cardiovasculares en mujeres de edad mediana con diabetes mellitus tipo 2]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk Factors Associated with Cardiovascular Complications in Middle-Aged Women with Type 2 Diabetes Mellitus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Ramos]]></surname>
<given-names><![CDATA[Eduardo R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Bencosme]]></surname>
<given-names><![CDATA[Eduardo R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Bencosme]]></surname>
<given-names><![CDATA[Niurka N.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Atención al Diabético  ]]></institution>
<addr-line><![CDATA[Bayamo, Granma ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico Hermanos Ameijeiras  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Facultad de Ciencias Médicas Efraín Benítez Popa ]]></institution>
<addr-line><![CDATA[Bayamo, Grama ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>31</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-29532020000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-29532020000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-29532020000200006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En la mujer con diabetes de edad mediana confluyen una serie de factores aterogénicos que favorecen la aparición de complicaciones cardiovasculares.  Objetivo:  Identificar los factores de riesgo asociados a las complicaciones cardiovasculares en mujeres con diabetes mellitus tipo 2 de edad mediana.  Métodos:  Se realizó un estudio analítico de tipo casos y controles con mujeres con diabetes tipo 2 en edad mediana (40-59 años) que ingresaron en el Centro de Atención al Diabético de Bayamo, Granma, desde el año 2010 al 2017. Se excluyeron las mujeres con menopausia artificial. El tamaño de la muestra quedó constituido por 375 pacientes, las que fueron escogidas por muestreo aleatorio simple: 125 con complicaciones cardiovasculares (casos) y 250 no complicadas (controles).  Resultados:  El número de mujeres con complicaciones cardiovasculares se incrementó con la menopausia y con el tiempo de haber ocurrido este evento (p = 0,0125). El análisis univariado expuso que siete factores incrementaron el riesgo de presentar complicaciones cardiovasculares, entre ellos, la menopausia (OR = 1,88, IC: 1,1- 3,0, p = 0,0077); mientras que el multivariado exhibió que solo tres de ellos lo hicieron de forma independiente, los cuales fueron: el tiempo de evolución de la diabetes mayor de 10 años (OR = 4,97, IC: 2,35-10,54, p = 0,000), la hipertensión arterial (OR = 3,58, IC: 1,71-7.48, p = 0,001) y el tabaquismo (OR = 2,605, IC: 1,47-4,59, p = 0,001).  Conclusiones:  Los principales factores de riesgo asociados a las complicaciones cardiovasculares en mujeres con diabetes mellitus tipo 2 de edad mediana fueron el tiempo de evolución de la diabetes mayor de 10 años, la hipertensión arterial y el tabaquismo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: In middle-aged diabetic women, a series of atherogenic factors converge that favor the appearance of cardiovascular complications.  Objective:  To identify the risk factors associated with cardiovascular complications in middle-aged women with type 2 diabetes mellitus.  Methods:  An analytical case-control study was carried out with middle-aged (40-49 years old) women with type 2 diabetes and who were admitted to the Diabetic Care Center in Bayamo City, Granma, from 2010 to 2017. Women with artificial menopause were not part of the study. The sample was made up of 375 patients, who were selected by simple randomized sampling: 125 presented cardiovascular complications (cases) and 250 presented no complications (controls).  Results:  The number of women with cardiovascular complications was correspondingly higher with menopause and with the time after the occurrence of this event (p = 0.0125). Univariate analysis showed that seven factors increased the risk for presenting cardiovascular complications, among them menopause (OR = 1.88, CI: 1.1-3.0, p = 0.0077); while multivariate analysis showed that only three of them did so independently, which were time of evolution of diabetes over ten years (OR = 4.97, CI: 2.35-10.54, p = 0.000), arterial hypertension (OR = 3.58, CI: 1.71-7.48, p = 0.001), and smoking (OR=2.605, CI: 1.47-4.59, p = 0.001).  Conclusions:  The main risk factors associated with cardiovascular complications among middle-aged women with type 2 diabetes mellitus were time of evolution of diabetes over ten years, arterial hypertension, and smoking.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[diabetes mellitus tipo 2]]></kwd>
<kwd lng="es"><![CDATA[complicaciones cardiovasculares]]></kwd>
<kwd lng="es"><![CDATA[menopausia]]></kwd>
<kwd lng="es"><![CDATA[edad mediana]]></kwd>
<kwd lng="en"><![CDATA[type 2 diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[cardiovascular diseases]]></kwd>
<kwd lng="en"><![CDATA[menopause]]></kwd>
<kwd lng="en"><![CDATA[middle age]]></kwd>
</kwd-group>
</article-meta>
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