Apoyo social, control glucémico y consumo de alcohol en adultos con Diabetes Mellitus Tipo 2

Karla Karime Escudero González; María Magdalena Alonso Castillo; Nora Angélica Armendáriz García; Karla Selene López García; Francisco Cadena Santos

Karla Karime Escudero González Universidad Autónoma de Nuevo León, Facultad de Enfermería Monterrey. Nuevo León, México https://orcid.org/0009-0007-5669-5066
María Magdalena Alonso Castillo Universidad Autónoma de Nuevo León, Facultad de Enfermería Monterrey. Nuevo León, México https://orcid.org/0000-0002-7197-8116
Nora Angélica Armendáriz García Universidad Autónoma de Nuevo León, Facultad de Enfermería Monterrey. Nuevo León, México http://orcid.org/0000-0001-9033-3244
Karla Selene López García Universidad Autónoma de Nuevo León, Facultad de Enfermería Monterrey. Nuevo León México https://orcid.org/0000-0002-9462-7140
Francisco Cadena Santos Universidad Autónoma de Tamaulipas, Facultad de Enfermería. Victoria, Tamaulipas, México https://orcid.org/0000-0001-8792-692X

Palabras clave: Diabetes mellitus tipo 2, Consumo de alcohol, Apoyo social, Control glucémico

Key-words: Diabetes mellitus type 2, Alcohol consumption social support, Glycemic control

Resumen

Introducción: El consumo de alcohol en adultos con Diabetes Mellitus tipo 2 puede afectar factores sociales y relacionados con la salud. Este estudio analiza la relación del apoyo social percibido, el consumo de alcohol y el control glucémico en esta población. Metodología: Descriptivo, correlacional y transversal. Se utilizaron el Cuestionario de Identificación de Trastornos por Uso de Alcohol, la Escala de Apoyo Social Percibido, prevalencias, Prueba Chi Cuadrada de Pearson y Coeficiente de Correlación de Spearman. Resultados: Se encontró asociación entre el control glucémico y consumo de alcohol (p < 0.001), y correlación entre el apoyo social percibido y consumo de alcohol (r = -0.398, p < 0.05). Conclusiones: Existe una relación entre el apoyo social percibido y el consumo de alcohol, y entre el control glucémico y el consumo de alcohol en adultos con DM2. Se sugieren intervenciones para reducir el consumo de alcohol que fortalezcan el apoyo social.

Abstract

Introduction: Alcohol consumption in adults with type 2 diabetes mellitus can affect social and health-related factors. This study analyzes the relationship between perceived social support, alcohol consumption, and glycemic control in this population. Methodology: A descriptive, correlational, and cross-sectional study. The Alcohol Use Disorders Identification Test, the Perceived Social Support Scale, prevalence rates, Pearson’s Chi-square test, and Spearman’s correlation coefficient were used. Results: An association was found between glycemic control and alcohol consumption (p < 0.001), and a correlation between perceived social support and alcohol consumption (r = −0.398; p < 0.05). Conclusions: There is a relationship between perceived social support and alcohol consumption, as well as between glycemic control and alcohol consumption in adults with T2DM. Interventions aimed at reducing alcohol consumption and strengthening social support are suggested.

Bibliografía

Ilhan, Mustafá Necmi; Yapar, Dilek. Alcohol consumption and alcohol policy. Turkish Journal of Medical Sciences 2020; 50: 1197–202. https://doi.org/10.3906/sag-2002-237.

Khamis, Abd Alghani; Salleh, Siti Zuliana; Ab Karim, Mohd Sayuti; Mohd Rom, Noor Ashikin; et al. Alcohol Consumption Patterns: A Systematic Review of Demographic and Sociocultural Influencing Factors. International Journal of Environmental Research and Public Health 2022; 19(13). https://doi.org/10.3390/ijerph19138103.

Ramírez-Girón, Natalia; Gallegos-Cabriales, Esther; Salazar-González, Bertha Cecilia. Riesgo ecológico para desarrollar Diabetes Mellitus tipo 2: derivación de una teoría de rango medio. Index de Enfermería 2019; 28(4): 199–203. https://ciberindex.com/c/ie/e12369.

Llamosas, Laura; Rehm, Jürgen; Bright, Sophie; Buckley, Charlotte; et al. The relationship between alcohol consumption, BMI, and type 2 diabetes: A systematic review and dose-response meta-analysis. Diabetes Care 2023; 46(11): 2076–83. https://doi.org/10.2337/dc23-1015.

World Health Organization. Global status report on alcohol and health and treatment of substance use disorder. OMS (sitio web), 2024. https://www.who.int/publications/i/item/9789240096745.

Organización Mundial de la Salud. Plan de Acción Mundial sobre el Alcohol 2022–2030 con el fin de fortalecer la aplicación de la Estrategia Mundial para Reducir el Uso Nocivo del Alcohol. OMS (sitio web), 2022. https://www.who.int/es/publications/i/item/9789240090101.

Shield, Kevin; Manthey, Jakob; Rylett, Margaret; Probst, Charlotte; et al. National, regional, and global burdens of disease attributable to alcohol use from 2000 to 2016: a comparative risk assessment study. The Lancet Public Health 2020; 5(1): 51– 61. https://doi.org/10.1016/S2468-2667(19)30231-2.

Ramírez-Toscano, Yenisei; Canto-Osorio, Francisco; Carnalla, Martha; Colchero, Arantxa M.; et al. Alcohol consumption patterns in Mexican adolescents and adults: Ensanut Continua 2022. Salud Pública de México 2023; 65: 75–83. https://doi.org/10.21149/14817.

Yan, Yaqiong; Wu, Tingting; Zhang, Miao; Li, Changfeng; Liu, Qing; Li, Fang. Prevalence, awareness and control of type 2 diabetes mellitus and risk factors in Chinese elderly population. BMC Public Health 2022; 22(1). https://doi.org/10.1186/s12889-022-13759-9.

Goins, Turner; Grant, Molly; Conte, Kathleen; Lefler, Lisa. Social support and diabetes management among older American Indians. Frontiers in Public Health 2022; 10: 780851. https://doi.org/10.3389/fpubh.2022.780851.

Onyango, Jude Tadeo; Namatovu, Jane Frances; Besigye, Innocent Kabahena; Kaddumukasa, Mark; Mbalinda, Scovia Nalugo. Relationship between perceived family support and diabetes self-management among patients in Uganda. Pan African Medical Journal 2022; 41: 279.33723. https://doi.org/10.11604/pamj.2022.41.279.33723.

Instituto Mexicano del Seguro Social. Diagnóstico y Tratamiento Farmacológico de la Diabetes Mellitus tipo 2 en el Primer Nivel de Atención. Ciudad de México: IMSS, 2018. https://www.imss.gob.mx/profesionales-salud/gpc.

Azmiardi, Akhmad; Murti, Bhisma; Febrinasari, Ratih Puspita; Tamtomo, Didik Gunawan. Low social support and risk for depression in people with type 2 diabetes mellitus: a systematic review and meta-analysis. Journal of Preventive Medicine and Public Health 2022; 55: 37–48. https://doi.org/10.3961/jpmph.21.490.

Presley, Caroline A.; Mondesir, Favel L.; Juarez, Lucía D.; Agne, April A.; et al. Social support and diabetes distress among adults with type 2 diabetes covered by Alabama Medicaid. Diabetic Medicine 2021; 38(4): 14503. https://doi.org/10.1111/dme.14503.

Tusubira, Andrew K.; Nalwadda, Christine K.; Akiteng, Ann R.; Hsieh, Evelyn; et al. Social support for self-care: patient strategies for managing diabetes and hypertension in rural Uganda. Annals of Global Health 2021; 87(1): 1–13. https://doi.org/10.5334/aogh.3308.

Durán Pincay, Yelisa Estefanía; Durán Pincay, Mercy Doménica; Parrales Ponce, Néstor Raúl; Jijón Cañarte, Lidia Fernanda; Cañarte Murillo, Jenniffer Romina; Jaime Mora, Vicente Augusto. Factores de riesgo y clínicos asociados a la diabetes e hipertensión en Latinoamérica. Salud, Ciencia y Tecnología 2025; 5: 1767. https://doi.org/10.56294/saludcyt20251767.

Klompstra, Leonie; Löf, Marie; Björkelund, Cecilia; Hellenius, Mai-Lis; et al. How are socioeconomic status, social support and health history associated with unhealthy lifestyle behaviours in middle-aged adults: Results of the Swedish CArdioPulmonary bioImage Study (SCAPIS) COHORT. Archives of Public Health 2025; 83(1): 75. https://doi.org/10.1186/s13690-025-01513-7.

Boateng-Poku, Andrew; Benca-Bachman, Chelsie E.; Najera, Dalora D.; Whitfield, Keith E.; et al. The role of social support on the effects of stress and depression on African American tobacco and alcohol use. Drug and Alcohol Dependence 2020; 209: 107926. https://doi.org/10.1016/j.drugalcdep.2020.107926.

Geng, Tingting; Zhu, Kai; Lu, Qi; Wan, Zhenzhen; et al. Healthy lifestyle behaviors, mediating biomarkers, and risk of microvascular complications among individuals with type 2 diabetes: A cohort study. PLOS Medicine 2023; 20(1): e1004135. https://doi.org/10.1371/journal.pmed.1004135.

Moraga-Jaramillo, Romina; Bello-Escamilla, Natalia; Castillo-Olate, Rosa; Arriagada-Llanos, Aracely; Cuevas-Martínez, Paula; Valenzuela-Vejar, Camila. Nivel de comunicación familiar y autoeficacia en pacientes con Diabetes Mellitus tipo 2 en atención primaria de salud. Index de Enfermería 2024; 33(1): e14680. https://doi.org/10.58807/indexenferm16360.

Babor, Thomas F.; Higgins-Biddle, John C.; Saunders, John B.; Monteiro, Maristela G. AUDIT: Cuestionario de Identificación de los Trastornos debidos al Consumo de Alcohol. Ginebra: Organización Mundial de la Salud, 2001 (2ª edición). https://www.paho.org/sites/default/files/AUDIT-spa.pdf.

Sherbourne, Cathy Donald; Stewart, Anita. The MOS Social Support Survey. Social Science & Medicine 1991; 32(6): 705–14. https://doi.org/10.1016/0277-9536(91)90150-B.

Londoño Arredondo, Nora Helena; Rogers, Heather L.; Castilla-Tang, José Filadelfo; Posada-Gómez, Sara L.; et al. Validación en Colombia del Cuestionario MOS de apoyo social. International Journal of Psychological Research 2012; 5(1): 142–50. http://www.redalyc.org/articulo.oa?id=299023539016.

Priede, Amador; Andreu-Vaillo, Yolanda; Martínez-López, Paula; Ruiz-Torres, María; Hoyuela, Fernando; González-Blanch, César. Validación de la escala MOS-SSS de apoyo social en una muestra de pacientes oncológicos recién diagnosticados. Proceedings of the International Congress of Clinical Psychology 2016; 45-53. https://aepc.es/PsClinicaXI/6.pdf.

Herrera Navarrete, Bibian; Galindo Vázquez, Óscar; Bobadilla Alcaraz, Rogelio; Penedo, Frank J.; Lerma, Abel. Propiedades psicométricas del Cuestionario MOS de Apoyo Social en una muestra de pacientes con enfermedades cardiovasculares en población mexicana. Psicología y Salud 2021; 31(2): 225-35. https://go.gale.com/ps/i.do?id=GALE%7CA667588385&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=14051109&p=AONE&sw=w&userGroupName=anon%7E88fffc8&aty=open-web-entry.

Telumbre, Juan Yovani; Maas, Lucely; Castillo-Arcos, Lubia del Carmen; Noh-Moo, Pedro Moisés; Escalante-García, Yasmin. Apoyo social y consumo de alcohol en personas con hipertensión arterial del sureste de México. Horizon Interdisciplinary Journal 2025; 3(2). https://doi.org/10.56935/hij.v3i2.57.

Pomares Ávalos, Ahmed José; Benítez Rodríguez, Mayté; Vázquez Núñez, Marian Amanda; Santiesteban Alejo, Ricardo Eloy. Relación entre la adherencia terapéutica y el apoyo social percibido en pacientes con hipertensión arterial. Revista Cubana de Medicina General Integral 2020; 36(2): 1190. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252020000200004&lng=es&nrm=iso.

Quiroga-Sanzana, Claudia Elena; Parra-Monje, Gabriela Rocío; Moyano-Sepúlveda, Camila Julia; Díaz-Bravo, Marco Alejandro. Percepción de apoyo social y calidad de vida: la visión de personas mayores chilenas en el contexto de pandemia durante el 2020. PROSPECTIVA. Revista de Trabajo Social e Intervención Social 2022; 33: 57-74. https://doi.org/10.25100/prts.v0i33.11544.

Che, Mengmeng; Zhou, Qin; Lin, Weiquan; Yang, Yunou; et al. Healthy Lifestyle Score and Glycemic Control in Type 2 Diabetes Mellitus Patients: A City-Wide Survey in China. Healthcare (Switzerland) 2023; 11(14). https://doi.org/10.3390/healthcare11142037.

Sady, Elton; Nogueira de Sá, Ana; Díaz, Alexandra; Carvalho, Deborah. Differences in the prevalence of risk and protective factors for chronic non-communicable diseases among adults living in Brazilian capitals in 2019: cross-sectional study. Revista Mineira de Enfermagem 2024; 28: e1548. https://doi.org/10.35699/2316-9389.2024.49529.

Ye, Qing; Ouyang, Xiaojun; Qin, Zhenzhen; Chen, Yijia; et al. Association between alcohol drinking and glycemic management among people with type 2 diabetes in China. Journal of Diabetes Investigation 2024; 15(2): 237–44. https://doi.org/10.1111/jdi.14108.

Ruangchaisiwawet, Achiraya; Bankhum, Narumit; Tanasombatkul, Krittai; Phinyo, Phichayut; Yingchankul, Nalinee. Prevalence and the association between clinical factors and diabetes-related distress with poor glycemic control in patients with type 2 diabetes: A Northern Thai cross-sectional study. PLOS ONE 2023; 18(11). https://doi.org/10.1371/journal.pone.0294810.

DeMasi, Dominick; Harrison, Laura; Davis, Fredick A.; Berman, Adam; Kapoor, Sandeep; Kwon, Nancy. Low-moderate alcohol use effects on glycemic control of patients presenting in the ED. International Journal of Emergency Medicine 2025; 18(1): 70. https://doi.org/10.1186/s12245-025-00874-8.

Primeaux, Stefany D.; Simon, Liz; Ferguson, Tekeda F.; Levitt, Danielle E.; et al. Alcohol use and dysglycemia in people living with HIV in the ALIVE-Ex study. Alcoholism: Clinical and Experimental Research 2021; 45(9): 1735–46. https://doi.org/10.1111/acer.14667.

Telumbre-Terrero, Juan Yovani; Maas-Góngora, Lucely; Castillo-Arcos, Lubia del Carmen; Noh-Moo, Pedro Moisés; Peralta-Barrientos, Jazmín de Fátima. Autotrascendencia y patrón de consumo de alcohol o tabaco en adultos con diabetes mellitus tipo 2. Index de Enfermería 2024; 33(4): 14903. https://doi.org/10.58807/indexenferm20246902

Apoyo social, control glucémico y consumo de alcohol en adultos con Diabetes Mellitus Tipo 2

Social Support, glycemic control and Alcohol Consumption in Adults with Type 2 Diabetes Mellitus

Resumen

Abstract

Bibliografía