Increasing rates of diabetes and cardiovascular risk in Métis settlements in northern Alberta

Ralph-Campbell, Kelli; Oster, Richard T.; Connor, Tracy; Pick, Mary E.; Pohar, Sheri L.; Thompson, Pauline; Daniels, Margaret J.; Deschambeau, Lorraine; Werner-Leonard, Andrea; Cardinal-Lamouche, Susan

doi:10.3402/ijch.v68i5.17382

Cited by 13 publications

(13 citation statements)

References 9 publications

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“…The lack of association in this study could be justified by small participation of smaller proportion of smokers in the study [49]. *= P<0.05 [54]. It has been postulated that expanded abdominal fat stores affect insulin metabolism by releasing free fatty acids (FFA).…”

Section: Discussionmentioning

confidence: 79%

Prevalence of Undiagnosed Diabetes Mellitus and its Risk Factors in Selected Institutions at Bishoftu Town, East Shoa, Ethiopia

Megerssa¹,

Gebre²,

Birru³

et al. 2013

J Diabetes Metab

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Section: Discussionmentioning

confidence: 79%

Prevalence of Undiagnosed Diabetes Mellitus and its Risk Factors in Selected Institutions at Bishoftu Town, East Shoa, Ethiopia

Megerssa¹,

Gebre²,

Birru³

et al. 2013

J Diabetes Metab

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“…Recent statistics estimate that this condition affects 29.2% of men and 24.8% of women worldwide [7]. Although early detection and treatment of hypertension is paramount to the attenuation of risks and costs associated with hypertension and related comorbidities, many Indigenous populations in North America have more limited access to healthcare and healthcare screening [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The blood pressure and hypertension experience among North American Indigenous populations

Foulds

2014

Journal of Hypertension

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Hypertension is becoming increasingly prevalent among western societies. However, different ethnic groups appear to be affected unequally. This systematic review sought to evaluate blood pressure and hypertension among North American Indigenous populations. Electronic databases (e.g. MEDLINE and EMBASE) were searched and citations cross-referenced. Articles including blood pressure or hypertension among Indigenous populations specifically were included. A total of 1213 unique articles were identified, with 141 included in the final review. Hypertension rates ranged from 19.2% among Inuit/Alaskan natives to 33.9% among First Nations/American Indians, and have increased since pre1980. Overall, hypertension rates were lower among Indigenous populations compared with general populations (23.5 vs. 31.2%), although average blood pressures were similar (123.3/75.1 vs. 124.9/75.2 mmHg). Limited information regarding Indigenous children/youth identified 11.4% hypertension rates, with average blood pressures of 106.7/60.2 mmHg. These findings indicate that current rates of hypertension may actually be lower among Indigenous populations than the general population.

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“…Although rates of type 2 diabetes are increasing among Inuit and Métis populations (2,3), First Nations in particular suffer rates that are at least 2 times higher than the population at large (1,4,5). Compared to urban populations, the prevalence of diabetes appears to be higher among rural Aboriginal populations (6), and approximately 50% of Aboriginal individuals still reside in rural areas (7).…”

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confidence: 99%

Increasing rates of diabetes amongst status Aboriginal youth in Alberta, Canada

Oster

Johnson

Balko

et al. 2012

International Journal of Circumpolar Health

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ObjectivesTo track and compare trends in diabetes rates from 1995 to 2007 for Status Aboriginal and general population youth.Study designLongitudinal observational research study (quantitative) using provincial administrative data.MethodsDe-identified data was obtained from Alberta Health and Wellness administrative databases for Status Aboriginal (First Nations and Inuit people with Treaty status) and general population youth (<20 years). Diabetes cases were identified using the National Diabetes Surveillance System algorithm. Crude annual diabetes prevalence and incidence rates were calculated. The likelihood of being a prevalent case and incident case of diabetes for the 2 populations was compared for the year 2007. Average Annual Percent Changes (AAPC) in prevalence and incidence from 1995 to 2007 were determined and compared between the 2 groups to examine trends over time.ResultsWhile the prevalence of diabetes was higher in the general population in 1995, by 2007 there were no between group differences, reflected in the significantly higher AAPC of 6.98 for Status Aboriginal youth. Status Aboriginal males had a lower diabetes risk in 1995 compared with females, and experienced a greater increase in prevalence over the 13 years (AAPC 9.18) so that by 2007 their rates were equivalent to those of the females. Differences in diabetes incidence trends were only observed among male youth, where increases in incidence were greater for Status Aboriginal (AAPC 11.65) compared to general population males (AAPC 4.62) (p = 0.03).ConclusionYouth-onset diabetes is an increasing problem in Alberta, especially among young Status Aboriginal males.

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Increasing rates of diabetes and cardiovascular risk in Métis settlements in northern Alberta

Abstract: Our results indicate high rates of diabetes, undiagnosed diabetes, pre-diabetes and metabolic syndrome among adult Alberta Métis Settlement dwellers.

Cited by 13 publications

References 9 publications

Prevalence of Undiagnosed Diabetes Mellitus and its Risk Factors in Selected Institutions at Bishoftu Town, East Shoa, Ethiopia

Prevalence of Undiagnosed Diabetes Mellitus and its Risk Factors in Selected Institutions at Bishoftu Town, East Shoa, Ethiopia

The blood pressure and hypertension experience among North American Indigenous populations

Increasing rates of diabetes amongst status Aboriginal youth in Alberta, Canada

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