The High Prevalence of Abnormal Glucose Tolerance in the Cherokee Indians of North Carolina

Stein, Janice Gross; West, Kelly M.; Robey, James M.; Tirador, Dean F.; McDonald, Glen W.

doi:10.1001/archinte.1965.03870060040009

Cited by 47 publications

(12 citation statements)

References 5 publications

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“…Quando comparado com os indígenas norte-americanos Cocopah (34%) e Cherokee (10%), a prevalência de glicemia capilar casual alterada foi inferior. Além das características étnicas e ambientais, os norte-americanos tiveram um contato intenso e precoce com os povos não indígenas, o que contribuiu para a modificação dos hábitos tradicionais 26,27 .…”

Section: Discussionunclassified

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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Section: Discussionunclassified

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

2016

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“…Prevalence rates are also quite high in a number of other American Indian populations [10,25,26], other Pacific island populations -Western Samoa [14], Tonga [27], Australian aboriginals [28], Fiji Indians [30] , certain groups in Papua New Guinea [29], and other migrant Indian communities in Singapore [22], Malaysia [31] and South Africa [32], and in the Maltese population [33]. There are also reports of high diabetes prevalence rates in certain Central American countries [34].…”

Section: Prevalence Of Type 2 Diabetesmentioning

confidence: 99%

Type 2 (non-insulin-dependent) diabetes ? An epidemiological overview

1982

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Summary.Despite the use of a wide range of different methodologies and diagnostic criteria, epidemiological studies have shown that Type 2 (non-insulindependent) diabetes has a global distribution and its prevalence varies from country to country, in different ethnic groups in the same country, and between the same ethnic group undergoing internal or external migration. Rural-urban and migration studies indicate that change towards a 'Westernized' lifestyle is associated with a dramatic increase in the prevalence rates for Type 2 diabetes. Between populations, comparisons are confounded by a wide range of different ascertainment rates, survey methodologies, and diagnostic criteria for diabetes. However, low prevalence rates for Type 2 diabetes are seen in Eskimos and populations of the Far East, while the highest are seen in American Indians, urbanized Pacific Island populations, and migrant Asian Indians. Available evidence suggests that these latter groups have a genetic susceptibility to Type 2 diabetes ('diabetes genotype') and that the disease is unmasked by environmental factors. There appears to be a spectrum of interaction between genetic and environmental factors -in certain populations the genetic role may be more important than environmental, or vice versa. Epidemiological studies, apart from their value in population screenings and case-finding, have contributed to the new classification and diagnostic criteria for diabetes and our understanding of risk factors and host characteristics in the aetiology of Type 2 diabetes.

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“…Evidence has accumulated th a t some North American Indian popula tions have a disproportionate number of sufferers from diabetes mellitus [Johnson and McN utt, 1964;Stein et al, 1965;Miller et al, 1968;H enry et al, 1969]. A t least one Indian group [Mouratoff et al, 1969] does not show the susceptibility, however, nor do the other aboriginal inhabitants of the continent, the Eskimos [Mouratoff et al, 1967].…”

Section: Introductionmentioning

confidence: 99%