Objective: The aim of this study was to describe relationships between self-reported diabetes mellitus and its treatment, according to demographic and socioeconomic data, as well as indicators of nutritional status in community-dwelling older adults. Methods: This is a population-based and a cross-sectional study derived from the multicentric survey "Frailty in Brazilian Elderly". The random sample consisted of 881 community-dwelling older adults aged 65 years and older from the city of Campinas. The self-reported variables were: age, gender, family income (minimum salaries), education (years of education); and absolute data (yes versus no) regarding unintentional weight loss and weight gain, diabetes, and its treatment. Anthropometric variables were collected by trained examiners following classic protocols. Body mass index was classified as: underweight <23; normal weight ≥23 and <28; overweight ≥28 and <30; and obesity ≥30. Waist-to-hip ratio, indicator of abdominal adiposity, was classified according the metabolic risk, for male and female, respectively: low 0.90-0.95 and 0.80-0.85; moderate 0.96-1.00 and 0.86-0.90; and high >1.00 and >0.90. Results: The variables most associated with diabetes were obesity (OR=2.19), abdominal adiposity (OR=2.97), and unintentional weight loss (OR=3.38). The lack of diabetes treatment was associated with advanced age (p=0.027), lower educational level (p=0.005), and low metabolic risk (p=0.004). Conclusion: Self-reported diabetes was associated with obesity but mostly with abdominal adiposity and unintentional weight loss. Not being treated for diabetes mellitus was associated with advanced age, lower levels of education, and lower abdominal adiposity.276653664Schmidt, M.I., Duncan, B.B., Silva, G.A., Menezes, A.M., Monteiro, C.A., Barreto, S.A., Chronic noncommunicable diseases in Brazil: Burden and current challenges (2011) Lancet., 377 (9781), pp. 1949-1961(2006) Definition and diagnosis of diabetes Mellitus and intermediate hyperglycemia: Report of a WHO/IDF consultation, , Geneva: WHOConwell, L.J., Boult, C., The effects of complications and comorbidities on the quality of preventive diabetes care: A literature review (2008) Popul Health Manag., 11 (4), pp. 217-228(2013) IDF Diabetes Atlas, , http://www.idf.org/diabetesatlas, 6th ed. Brussels: International Diabetes Federation[cited 2014 Jun 10]. Available from:Ministério da Saúde. Secretaria de Vigilância em Saúde (2012) Vigitel Brasil 2011: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico, , Brasília: Ministério da SaúdeHu, F.B., Globalization of diabetes: The role of diet, lifestyle and genes (2011) Diabetes Care., 34 (6), pp. 1249-1257Kuk, J.L., Saunders, T.J., Davidson, L.E., Ross, R., Agerelated changes in total and regional fat distribution (2009) Ageing Res Rev., 8 (4), pp. 339-348Kaur, J., A comprehensive review on metabolic syndrome (2014) Cardiol Res Pract., 2014Vazquez, G., Duval, S., Jacobs Jr., D.R., Silventoinen, K., Comparison of body mass index, waist circumference and waist/hip ratio in predicting incident diabetes: A meta-analysis (2007) Epidemiol Rev., 29, pp. 115-128Cheng, C.H., Ho, C.C., Yang, C.F., Huang, Y.C., Lai, C.H., Liaw, Y.P., Waist-to-hip ratio is a better anthropometric index than body mass index for predicting the risk of type 2 diabetes in Taiwanese population (2010) Nutr Res., 30 (9), pp. 585-593Cervi, A., Franceschini, C.C., Priore, E., Federal, U., Regional, U., Grande, R., Critical analysis of the use of the body mass index for the elderly (2005) Rev Nutr., 18 (6), pp. 765-775Características étnico-raciais da população: um estudo das categorias de classificação de cor ou raça (2013) Rio de Janeiro: IBGE, , http://www.ibge.gov.br/home/estatistica/populacao/caracteristicas_raciais/PCERP2008.pdf, [cited 2013 Oct 11]. Available from:Ferrucci, L., Guralnik, J.M., Studenski, S., Fried, L.P., Cutler Jr., G.B., Walston, J.D., Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: A consensus report (2004) J Am Geriatr Soc., 52 (4), pp. 625-634Neri, A.L., Yassuda, M.S., Araújo, L.F., Eulálio, M.C., Cabral, B.E., Siqueira, M.E.C., Methodology and social, demographic, cognitive, and frailty profiles of community-dwelling elderly from seven Brazilian cities: The FIBRA study (2013) Cad Saúde Pública., 29 (4), pp. 778-792Physical status: The use and interpretation of anthropometry (1995) Report of a WHO Expert Committee. Geneva: World Health Organization, , http://whqlibdoc.who.int/trs/WHO_TRS_854.pdf?ua=1, [cited 2012 Jun 5]. Available from:(2001) 36a Reunión del Comitê Asesor de Investigaciones en Salud - Encuesta Multicêntrica - Salud Bienestar y Envejecimiento (SABE) en América Latina y el Caribe: Informe preliminar, , http://www.opas.org/program/sabe.htm, Jul 9-11, Kingston, Jamaica. Washington (DC): Pan-American Health Organization [acceso 2012 Jan 15]. Disponible en:Lohman, T.G., Roche, A.F., Martorell, R., (1988) Anthropometric standardization reference manual, , Illinois: Human Kinetics BooksLebrão, M.L., Laurenti, R., Health, well-being and aging: the SABE Study in São Paulo, Brazil (2005) Rev Bras Epidemiol., 8 (2), pp. 127-141Campino, A.C.C., Cyrillo, D.C., Situação de ocupação e renda (2003) O Projeto SABE no Município de São Paulo: uma abordagem inicial, pp. 241-255. , In: Lebrão ML, Duarte YAO. Brasília: OPASFrancisco, P.M.S.B., Belon, A.P., Barros, M.B.A., Carandina, L., Alves, M.C.G.P., Goldbaum, M., Self-reported diabetes in the elderly: Prevalence, associated factors and control practices (2010) Cad Saúde Pública., 26 (1), pp. 175-184Wennberg, A.M.V., Gottesman, R.F., Kaufmann, C.N., Albert, M.S., Chen-Edinboro, L.P., Rebok, G.W., Diabetes and cognitive outcomes in a nationally representative sample: The National Health and Aging Trends Study (2014) Int Psychogeriatr., 30, pp. 1-7Aurichio, T.R., Rebelatto, J.R., Castro, A.P., Obesity among older people of the City of São Carlos, SP, Brazil, and its association with diabetes Mellitus and joint pain (2010) Fisioter Pesq., 17 (2), pp. 114-117Barros, M.B.A., Francisco, P.M.S.B., Zanchetta, L.M., César, C.L.G., Trends in social and demographic inequalities in the prevalence of chronic diseases in Brazi. PNAD: 2003-2008 (2011) Cienc Saúde Colet., 16 (9), pp. 3755-3768Agardh, E., Allebeck, P., Hallqvist, J., Moradi, T., Sidorchuk, A., Type 2 diabetes incidence and socioeconomic position: A systematic review and metaanalysis (2011) Int J Epidemiol., 40 (3), pp. 804-818Marin, M.J.S., Cecílio, L.C.O., Perez, A.E.W.U.F., Santella, F., Silva, C.B.A., Gonçalves Filho, J.R., Use of medicines by the elderly in a Family Health Program unit in Brazil (2008) Cad Saúde Pública., 24 (7), pp. 1545-1555Munshi, M.N., Maguchi, M., Segal, A.R., Treatment of type 2 diabetes in the elderly (2012) Curr Diab Rep., 12 (3), pp. 139-145Nascimento, C.M., Ribeiro, A.Q., Cotta, R.M.M., Acurcio, F.A., Peixoto, S.V., Priore, S.E., Nutritional status and associated factors among the elderly in Viçosa, Minas Gerais State, Brazil (2011) Cad Saúde Pública., 27 (12), pp. 2409-2418Marucci, M.F.N., Barbosa, A.R., Estado nutricional e capacidade física (2003) O Projeto SABE no Município de São Paulo: uma abordagem inicial, pp. 95-117. , In: Lebrão ML, Duarte YAO. Brasília: OPASMunaretti, D.B., Barbosa, A.R., Marucci, M.F.N., Lebrão, M.L., Self-rated hypertension and anthropometric indicators of body fat in elderly (2011) Rev Assoc Med Bras., 57 (1), pp. 25-30Benedetti, T.R.B., Meurer, S.T., Morini, S., Anthropometric indices related to cardiovascular and metabolic diseases in older adults (2012) Rev Educ Fis UEM., 23 (1), pp. 123-130Rodbard, H.W., Bays, H.E., Gavin, J.R., Green, A.J., Bazata, D.D., Lewis, S.J., Rate and risk predictors for development of self-reported type-2 diabetes mellitus over a 5-year period: The SHIELD Study (2012) Int J Clin Pract., 66 (7), pp. 684-691Barzilay, J.I., Blaum, C., Moore, T., Xue, Q.L., Hirsch, C.H., Walston, J.D., Insulin resistance and inflammation as precursors of frailty: The cardiovascular health study (2007) Arch Intern Med., 167 (7), pp. 635-641Goulet, E.D., Hassaine, A., Dionne, I.J., Gaudreau, P., Khalil, A., Fulop, T., Frailty in the elderly is associated with insulin resistance of glucose metabolism in the postabsorptive state only in the presence of increased abdominal fat (2009) Exp Gerontol., 44 (11), pp. 740-744Ahmed, T., Haboubi, N., Assessment and management of nutrition in older people and its importance to health (2010) Clin Interv Aging., 5, pp. 207-216Murphy, R.A., Patel, K.V., Kritchevsky, S.B., Houston, D.K., Newman, A.B., Koster, A., Weight change, body composition, and risk of mobility disability and mortality in older adults: A population-based cohort study (2014) J Am Geriatr Soc., 62 (8), pp. 1476-1483Corona, L.P., Nunes, D.P., Alexandre, T.S., Santos, J.L.F., Duarte, Y.A.O., Lebrão, M.L., Weight gain among elderly woman as risk fator for disability: Health, Well-Being and Aging Study (SABE Study) (2013) J Aging Health., 25 (1), pp. 119-135Cricelli, C., Mazzaglia, G., Samani, F., Marchi, M., Sabatini, A., Nardi, R., Prevalence estimates for chronic diseases in Italy: Exploring the differences between self-report and primary care databases (2003) J Public Health Med., 25 (3), pp. 254-257Schneider, A.L.C., Pankow, J.S., Heiss, G., Selvin, E., Validity and reliability of self-reported diabetes in the atherosclerosis risk in communities study (2012) Am J Epidemiol., 176 (8), pp. 738-743