The high prevalence of diabetes mellitus and hyperinsulinemia among the Japanese-Americans living in Hawaii and Los Angeles

Hara, Hitoshi; Egusa, Genshi; Yamakido, Michio; Kawate, Ryoso

doi:10.1016/0168-8227(94)90225-9

Cited by 85 publications

(53 citation statements)

References 14 publications

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“…Studies on migrant populations have made important contributions to the understanding of the etiopathogenesis and physiopathology of non-transmissible chronic diseases. The pattern of morbidity-mortality observed in these populations differs from that of the community of origin due to changes in lifestyle and to the incorporation of new cultural and dietary patterns that occured within a short period of time (7,8). This fact was confirmed by Fujimoto and cols.…”

supporting

confidence: 70%

Prevalence of diabetes mellitus in the Japanese-Brazilian community of Mombuca, Guatapará, SP

Andrade

Figueiredo

Foss‐Freitas

et al. 2011

Arq Bras Endocrinol Metab

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Objective: To estimate the prevalence of type 2 diabetes mellitus (DM2) and impaired glucose tolerance (IGT) in the Japanese-Brazilian community of Mombuca in relation to risk factors (FR) for diabetes and cardiovascular disease. Subjects and methods: Cross-sectional study with 131 individuals of Japanese ancestry (69% first generation), aged 20 years or more, submitted to socio-cultural, anthropometric, and biochemistry evaluation. Results: Of the individuals studied (n = 131, age = 55.1 ± 15.9 years), 58.8% were women. The prevalence of DM2 and IGT were 13.7% and 14.5%, respectively. Regarding RF, 76.3% presented dyslipidemia, 52.7% abdominal obesity, 48.1% arterial hypertension, and 42.3% whole body obesity. Conclusions: The prevalence of DM2, IGT, and RF in this Japanese-Brazilian community was higher than in the adult population of the city of Ribeirão Preto-SP, Brazil, suggesting an increase in risk conditions for these morbidities. Arq Bras Endocrinol Metab. 2011;55(2):127-33 Keywords Prevalence; diabetes mellitus; impaired glucose tolerance; Japanese Brazilians; cardiovascular risk factors RESUMO Objetivo: Estimar prevalências de diabetes melito tipo 2 (DM2) e tolerância à glicose diminuída (TGD) na comunidade de Mombuca, Guatapará, SP, relacionando-as com fatores de risco (FR) para diabetes e doenças cardiovasculares. Sujeitos e métodos: Estudo transversal com 131 nipo-brasileiros (69% de 1ª geração), idade ≥ 20 anos, ambos os sexos, com avaliação sociocultural, antropométrica e bioquímica. Resultados: Dos 131 participantes (idade média = 55,1 ± 15,9 anos), a maioria (58,8%) era do sexo feminino. As prevalências de DM2 e TGD foram 13,7% e 14,5%, respectivamente. Em relação aos FR, 76,3% apresentaram dislipidemia, 52,7%, obesidade abdominal (OA), 48,1%, hipertensão arterial (HA) e 42,3%, obesidade geral. Conclusões: As prevalências de DM2, TGD e FR observadas nos nipo-brasileiros foram superiores aos valores da população adulta de Ribeirão Preto, SP, sugerindo acentuação de situações predisponentes dessas morbidades. Arq Bras Endocrinol Metab. 2011;55(2):127-33

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supporting

confidence: 70%

Prevalence of diabetes mellitus in the Japanese-Brazilian community of Mombuca, Guatapará, SP

Andrade

Figueiredo

Foss‐Freitas

et al. 2011

Arq Bras Endocrinol Metab

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“…Similar studies among migrant Japanese and Asian Indian populations in the US, the UK, and Brazil have shown an increased risk of diabetes and obesity among long-term immigrants and first generation progeny, presumably due to adoption of a western diet and lifestyle [6][7][8][9]. Likewise, we observed the highest prevalence of categorically defined obesity (BMI ≥ 30 kg/m 2 ), and hypertension among Filipinas in Hawaii, where one-third were US born, and immigrants resided in the US for a longer period compared to the San Diego sample.…”

Section: Discussionmentioning

confidence: 98%

“…Epidemiologic studies of immigrant populations have shown an increased risk of type 2 diabetes associated with the adoption of a western diet and lifestyle [5][6][7][8][9]. The colonial relationship between the US and the Philippines that began in 1898 resulted in waves of Filipino migration to the US.…”

Section: Introductionmentioning

confidence: 99%

Hyperglycemia and type 2 diabetes among Filipino women in the Philippines, Hawaii, and San Diego

Araneta

Morton

Lantion-Ang

et al. 2006

Diabetes Research and Clinical Practice

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Background-Diabetes risk increases as immigrant populations adopt western lifestyles. We compared the prevalence of fasting hyperglycemia among Filipino women aged 40-79 years in the Philippines, Hawaii, and San Diego.Methods-Data were obtained from the (1) Philippine National Nutrition Survey (1998), (2) Native Hawaiian Health Research Project (1997)(1998)(1999)(2000)(2001), and (3) University of California San Diego Filipino Women's Health Study (1995)(1996)(1997)(1998)(1999). Fasting glucose after an 8 h fast, blood pressure, and body mass index (BMI) were measured in all three regions; a 75 g oral glucose tolerance test was performed in San Diego and Hawaii.Results-The proportion of Filipinas with BMI ≥ 30 kg/m 2 was higher in Hawaii (20%) compared to women in San Diego (9.3%) or the Philippines (5.2%, p < 0.001). Fasting hyperglycemia prevalence (fasting plasma glucose ≥ 126 mg/dl or fasting whole blood glucose ≥ 110 mg/dl) did not differ among Filipinas in the Philippines (11.8%), San Diego (14.1%), and Hawaii (14.7%, p = 0.323). Type 2 diabetes prevalence was similar among Filipinas in San Diego (31.6%) and Hawaii (24.9%, p = 0.79).Conclusions-Despite regional differences in obesity, fasting hyperglycemia was similar among Filipinas in the Philippines, San Diego, and Hawaii and type 2 diabetes prevalence was similar among Filipinas in San Diego and Hawaii.

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“…Another argument, not explored in detail here, which questions the role of insulin resistance as a primary genetic defect in the pathogenesis of NIDDM, is the evidence gathered in over 20 prospective studies. These studies have demonstrated that insulin resistance only predicts NIDDM in individuals with a low acute insulin response [8,9,81,[88][89][90], even in extremely insulin-resistant populations such as the Pima Indians [89]. Furthermore, in prospective studies both insulin resistance [3, 4, 6, 8-10, 79, 81, 89-92], and markers of insulin resistance such as obesity [7,9,10,81,82,[88][89][90][91][92][93][94][95][96][97][98][99][100], abdominal fat distribution [4,6,89,94], physical inactivity [80,81,95,97,99], a low sex-hormone-binding globulin concentration [4,92] and macrovascular disease [81,90], as welt as insulin-secretory defects [5,8,9,81,88,…”

Section: Is There a Familial Or Genetic Defect In Insulin Action In Rmentioning

confidence: 99%

Role of insulin resistance in the pathogenesis of NIDDM

Yki‐Järvinen

1995

Diabetologia

115

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The high prevalence of diabetes mellitus and hyperinsulinemia among the Japanese-Americans living in Hawaii and Los Angeles

Cited by 85 publications

References 14 publications

Prevalence of diabetes mellitus in the Japanese-Brazilian community of Mombuca, Guatapará, SP

Prevalence of diabetes mellitus in the Japanese-Brazilian community of Mombuca, Guatapará, SP

Hyperglycemia and type 2 diabetes among Filipino women in the Philippines, Hawaii, and San Diego

Role of insulin resistance in the pathogenesis of NIDDM

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