Diabetes Mellitus in American (Pima) Indians

Bennett, P. H.; Burch, Thomas A.; Miller, Max

doi:10.1016/s0140-6736(71)92303-8

Cited by 314 publications

(184 citation statements)

References 7 publications

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“…The Pima Indians are known to have the highest prevalence of diabetes in the world [17,18]. In male Pima Indians aged 65 to 74 years, this prevalence is about 40%; in the age group 75 to 84 years, it is about 35%, although the number of elderly Pima Indians is very small [18].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of diabetes mellitus in elderly men aged 65 to 84 years in eastern and western Finland

Tuomilehto

Nissinen

Sl³

et al. 1986

Diabetologia

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Summary.We studied the prevalence of diabetes mellitus in men aged 65 to 84 years in Finland. The study sample consisted of 763 men, the survivors of the Finnish cohort of the "Seven Countries Study" first examined in 1959. The participation rate in the present survey was 94%. Blood glucose, fasting and 2 h after a 75-g oral glucose load, was determined from capillary blood. Current WHO criteria for diabetes mellitus were used. The mean fasting blood glucose level, adjusted for age and body mass index, was higher in east than west Finland. It rose with age in both areas. The prevalence of diabetes was 38% in the east and 36% in west Finland. About one-third of the men had impaired glucose tolerance. In the age group 75 to 79 years, the prevalence of diabetes was 65% in the east and 50% in the west. No systematic variation in the prevalence of impaired glucose tolerance with age was found. The mean levels of body mass index decreased with age in the same way in men with diabetes, impaired glucose tolerance and normal glucose tolerance. Body mass index was not higher in men with diabetes or impaired glucose tolerance than in men with normal glucose tolerance.

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Section: Discussionmentioning

confidence: 99%

Prevalence of diabetes mellitus in elderly men aged 65 to 84 years in eastern and western Finland

Tuomilehto

Nissinen

Sl³

et al. 1986

Diabetologia

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“…No Canadá, em um estudo realizado com os indíge-nas Metis com idade superior a 19 anos, a prevalência de diabetes mellitus foi de 11,8% 5 . No Mé-xico, os indígenas Pima de Sonora apresentaram uma prevalência de 6,3% e 10,5%, entre homens e mulheres, respectivamente, enquanto que, nos Estados Unidos, 50% dos indígenas, acima dos 35 anos, dessa mesma etnia, eram diabéticos 6,7 . Indígenas que possuem o estilo de vida tradicional ainda apresentam baixas prevalências de diabetes mellitus, como os Ayamara do Chile, onde apenas 1% da população possui diabetes mellitus 8 .…”

Section: No Modelo Linear Generalizado Permaneceram Associadas No Munclassified

Prevalência de diabetes mellitus e fatores associados em mulheres indígenas do Município de Dourados, Mato Grosso do Sul, Brasil

2016

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Resumo: O objetivo do estudo foi estimar a prevalência de glicemia capilar casual alterada, sugestiva de diabetes mellitus, e sua associação com os fatores socioeconômicos, demográficos, antropométricos e clínicos em mulheres indígenas do Município de Dourados, Mato Grosso do Sul, Brasil. Trata-se de um estudo transversal, com amostra probabilística composta por mulheres de 18-59 anos, residentes nas aldeias Bororó e Jaguapiru. Foi utilizado um questionário padronizado para a coleta das informações, e a análise estatística, realizada por meio dos testes Kruskal Wallis, Mann Whitney e do modelo linear generalizado. Entre as 385 mulheres, 7% apresentaram glicemia capilar casual alterada sugestiva de diabetes mellitus. No modelo linear generalizado, permaneceram associadas, no modelo final, as variáveis idade (p < 0,001), pressão arterial sistólica (p = 0,002) e etnia (p = 0,022). Este estudo demonstra a necessidade de mudanças comportamentais, com o auxílio de intervenções educativas como estratégia de prevenção e controle do diabetes mellitus.

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“…METHODS -The population studied was part of an ongoing epidemiological study of diabetes conducted in Pima Indians since 1965 (9). People from the community are invited to participate in biennial examinations consisting of a focused medical history, physical examination, and laboratory tests.…”

Section: Research Design Andmentioning

confidence: 99%

Do Measures of Body Fat Distribution Provide Information on the Risk of Type 2 Diabetes in Addition to Measures of General Obesity?

et al. 2003

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OBJECTIVE -To investigate which anthropometric measurements of obesity best predict type 2 diabetes in a population of Pima Indians and whether additional information on diabetes risk could be obtained by combining measures of general obesity with measures of body fat distribution.RESEARCH DESIGN AND METHODS -We conducted a prospective study of 624 men and 990 nonpregnant women Ͼ18 years of age without diabetes. Subjects were followed a mean of 5.25 years for the development of type 2 diabetes (using 1997 American Diabetes Association criteria).RESULTS -A total of 322 new cases of type 2 diabetes (107 men and 215 women) were diagnosed during follow-up. Baseline obesity measurements were highly correlated and predicted diabetes in proportional hazards models adjusted for age. BMI had the highest hazard ratio in men and women, with age-adjusted hazard ratios per SD of 1.73 (95% CI 1.44 -2.07) and 1.67 (1.45-1.91), respectively. According to receiver-operating characteristic analysis, BMI and waist-to-height ratio were the best predictors of diabetes in men, while in women BMI, waistto-height ratio, waist circumference, and waist-to-thigh ratio were the best predictors. The predictive abilities of models containing BMI were not significantly improved by including other measures of general obesity or measures of the body fat distribution.CONCLUSIONS -Throughout its range, BMI was an excellent predictor of type 2 diabetes risk in Pima Indians and was not significantly improved by combining it with other measures of general adiposity or body fat distribution. Diabetes Care 26:2556 -2561, 2003G eneral measures of obesity (weight, BMI, and percent body fat) and measures of central fat distribution (waist circumference, waist-to-hip ratio, waist-to-thigh ratio, and waist-to-height ratio) predict the risk of type 2 diabetes in prospective studies regardless of age or ethnicity (1-8).The strong association between the quantity of intra-abdominal fat and metabolic disorders, however, has led some to suggest that anthropometric measurements that describe central fat distribution (such as waist circumference) may be better than general measures of obesity as predictors of diabetes. For example, in the San Antonio Heart Study (5), the waist circumference was the best predictor of diabetes risk in a population of Mexican Americans among the variables BMI, waist-to-hip ratio, hip circumference, and the sum of skinfold thicknesses. In other prospective studies (3,4,7) the risk of diabetes increased with increasing quantities of central fat within a BMI category, suggesting that both measures are important in predicting the risk of diabetes. Two studies have demonstrated that the effect of these measures of body fat distribution depends on the value of BMI (5,6). The San Antonio study showed a stronger effect of body fat distribution on diabetes risk in subjects with a BMI Ͻ27 kg/m 2 (odds ratio per 1-SD difference ϭ 6.0; 95% CI 1.8 -20.1) compared with those with a BMI Ͼ27 kg/m 2 (1.7, 1.1-2.7) (5). However, Ohlson (6) demonstrat...

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Diabetes Mellitus in American (Pima) Indians

Cited by 314 publications

References 7 publications

Prevalence of diabetes mellitus in elderly men aged 65 to 84 years in eastern and western Finland

Prevalence of diabetes mellitus in elderly men aged 65 to 84 years in eastern and western Finland

Prevalência de diabetes mellitus e fatores associados em mulheres indígenas do Município de Dourados, Mato Grosso do Sul, Brasil

Do Measures of Body Fat Distribution Provide Information on the Risk of Type 2 Diabetes in Addition to Measures of General Obesity?

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