The Effect of Indian or Anglo Dietary Preference on the Incidence of Diabetes in Pima Indians

Williams, Desmond E.; Knowler, William C.; Smith, Cynthia; Hanson, Robert L.; Roumain, Janine; Saremi, Aramesh; Kriska, Andrea M.; Bennett, Peter H.; Nelson, Robert G.

doi:10.2337/diacare.24.5.811

Cited by 56 publications

(38 citation statements)

References 26 publications

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“…These foods may have contributed to the dietary evolution of Hawaii toward the Western diet with a high fat intake. Similar dietary cultural modification was observed among Pima Indians (25). On the Island of Hawaii, especially in the region of North Kohala, those with native Hawaiian ancestry seemed to retain their traditional Hawaiian foods such as Laulau (steamed pork and fish wrapped by spinach and tee leaves), Kalua pig and Poi, as well as other ethnic foods such as Pinacbet, Tinola and Sinigang.…”

Section: Discussionsupporting

confidence: 57%

Major dietary patterns, ethnicity, and prevalence of type 2 diabetes in rural Hawaii

et al. 2008

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Objective-The association of type 2 diabetes (T2DM) with the overall dietary pattern and its relation with ethnicity were examined.Methods-A cross-sectional study with 1257 participants with four ethnicities (Caucasian, Filipino, Native Hawaiian and Japanese) in the North Kohala region of Hawaii was conducted. Participants aged 18-95 years were surveyed for their ethnic and demographic backgrounds, dietary intakes and biochemical indexes of glucose intolerance between 1997 and 2000.Results-Three dietary patterns from the food frequency questionnaire were identified by factor analysis. Factor 1 was characterized by a healthy diet with a frequent intake of vegetables and fruits, and factor 2 was dominated by animal foods and local ethnic dishes. Factor 3 was characterized by a Western diet, which was dominated by French fries, fast-food hamburgers, pizza, and chips. Multivariate logistic regression model for the T2DM prevalence included ethnicity and 3 dietary factors after adjustment for age, sex, BMI, income, physical activity, smoking status and energy intake. Ethnicity was significantly associated with T2DM showing odds ratios (OR's) for Native Hawaiians and Filipinos compared to Caucasians are 1.83 (95% CI 1.12-3.00) and 1.92 (95% CI 1.12-3.29), respectively. Among the three dietary factors, factor 2 HSK prepared the draft of the manuscript; HSK and CW contributed to the conception and design of the study; AG and CW contributed to the generation, collection and assembly of data; SYP, AG and PSH contributed to analysis and interpretation of data; All coauthors contributed to the revision of the manuscript and approved the final version of the manuscript.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. HHS Public Access Author ManuscriptAuthor Manuscript Author ManuscriptAuthor Manuscript was positively associated with T2DM (OR=1.30, 95% CI of 1.03-1.68), but the significance disappeared after adjustment for energy intake.Conclusions-The findings show that ethnicity is a stronger risk factor for T2DM than dietary patterns when energy intake is adjusted for. Reducing energy intake to prevent T2DM deserves more attention during health promotion for the multiethnic population of Hawaii.

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Section: Discussionsupporting

confidence: 57%

Major dietary patterns, ethnicity, and prevalence of type 2 diabetes in rural Hawaii

et al. 2008

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“…This issue, however, has been largely unsolvable because energy intake cannot be measured accurately in unconfined humans. 27 Our measure of cTEI (ie, TEE þ ENBAL) in adult Pimas was several hundred calories higher than previously estimated in this population from self-administered questionnaires 28,29 and exceeded TEE by more than 600 kcal/day. More importantly, we show that a positive short-term energy balance and the resulting estimates of cTEI were associated with weight gain in this population.…”

Section: Discussionmentioning

confidence: 78%

Body weight gain in free-living Pima Indians: effect of energy intake vs expenditure

et al. 2003

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BACKGROUND:Obesity results from a chronic imbalance between energy intake and energy expenditure. However, experimental evidence of the relative contribution of interindividual differences in energy intake and expenditure (resting or due to physical activity) to weight gain is limited. OBJECTIVE: To assess prospectively the association between baseline measurements of daily energy metabolism and weight changes by studying free-living adult Pima Indians, one of the most obese populations in the world. DESIGN: A study of the pathogenesis of obesity in the Pima Indians living in Southwestern Arizona. The participants were 92 nondiabetic Pima Indians (64M/28F, 35712 y, 3579% body fat; mean7s.d.). At baseline, free-living daily energy metabolism was assessed by doubly labeled water and resting metabolic rate (RMR) by indirect calorimetry. Data on changes in body weight (5.876.5 kg) over a follow-up period of 473 y were available in 74 (49M/25F) of the 92 subjects. RESULTS: The baseline calculated total energy intake (r ¼ 0.25, P ¼ 0.028) and RMR (r ¼ À0.28, P ¼ 0.016) were significantly associated with changes in body weight. The baseline energy expenditure due to physical activity was not associated with changes in body weight. CONCLUSION: Using state-of-the-art methods to assess energy intake and expenditure in free-living conditions, we show for the first time that the baseline calculated total energy intake is a determinant of changes in body weight in Pima Indians. These data also confirm that a low RMR is a risk factor for weight gain in this population.

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“…The study undertaken 28 years previously would not have accounted for the newer range of foods currently available 38 . Studies undertaken in Alaskans 12,39 were not so relevant to dietary assessment methodology in Arizona because of large differences in food availability due to seasonality.…”

Section: Discussionmentioning

confidence: 99%

Dietary intake and a food-frequency instrument to evaluate a nutrition intervention for the Apache in Arizona

Sharma

Cao

Gittelsohn

et al. 2007

Public Health Nutr.

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Objective: To demonstrate how dietary data collected from 24-hour dietary recalls were incorporated into the development of a quantitative food-frequency questionnaire (QFFQ) for the Apache in Arizona. Design: A cross-sectional study was first conducted using 24-hour dietary recalls to identify foods for inclusion on a QFFQ that would be used to evaluate a nutrition intervention. Setting: The White Mountain and San Carlos Apache reservations in East-central Arizona. Subjects: The 24-hour dietary recalls were collected from a random sample of 53 adults (34 women and 19 men). Results: A QFFQ was developed that included all foods reported by two or more respondents, plus traditional and seasonal foods. Portion size was assessed using familiar household units and culturally appropriate food models. The final instrument contains 155 foods. Frequency of consumption is assessed using eight categories ranking from 'never or less than once a month' to '2 or more times a day'. Nutrient intakes and the five major food sources of energy, fat and sugar are presented. Conclusion:The QFFQ developed is complete and up-to-date for assessing usual food and nutrient intake for the Apache in Arizona. The instrument will be used to evaluate a food store-based nutrition intervention to reduce risk of chronic diseases.

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The Effect of Indian or Anglo Dietary Preference on the Incidence of Diabetes in Pima Indians

Cited by 56 publications

References 26 publications

Major dietary patterns, ethnicity, and prevalence of type 2 diabetes in rural Hawaii

Major dietary patterns, ethnicity, and prevalence of type 2 diabetes in rural Hawaii

Body weight gain in free-living Pima Indians: effect of energy intake vs expenditure

Dietary intake and a food-frequency instrument to evaluate a nutrition intervention for the Apache in Arizona

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