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Diabetes mellitus and risk factors in a French West Indian island - abstract
West Indian med. j ; 38(Suppl. 1): 62, Apr. 1989.
Article en En | MedCarib | ID: med-5643
Biblioteca responsable: JM3.1
Ubicación: JM3.1; R18.W4
ABSTRACT
Diabetes mellitus is an important cause of morbidity and mortality in the Caribbean. In order to design and implement specific prevention programmes, it is necessary to estimate the prevalence of glycaemic disorders and study the risk factors involved. This paper presents the results of such a study from a representative sample of the adult population in Guadeloupe. The estimated total prevalence of glycaemic disorders was 13.2 per cent of the adult population over 18 years of age. Impaired glucose tolerance (IGT) appeared in 7.4 per cent of subjects. The prevalence of diabetes mellitus was 5.8 per cent (95 per cent confidence interval 4.4-7.2). Insulin-dependent patients represent 14 per cent of all diabetics. The associated factors studied were sex, age, obesity, parental diabetes status and ethnicity. The relative risk (RR) for age in non-obese non-diabetic parent patients was 5.1. In older subjects, RR for diabetic parent without obesity was 3.2 and for obesity alone 1.8. For obesity and diabetic parent, RR was 5.0. In this case, there was additivity of these two factors. Except age, the individual predominant factor of Diabetes mellitus was the presence of a diabetic parent; this was more evident in the small and closed Indian group. In the Public Health approach, i.e. taking into account the prevalence of each risk factor in the population, obesity was the most important. It is also the one and only factor which could be reached directly by a prevention programme (AU)
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Colección: 01-internacional Base de datos: MedCarib Asunto principal: Diabetes Mellitus Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: West Indian med. j Año: 1989 Tipo del documento: Article / Congress and conference
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Colección: 01-internacional Base de datos: MedCarib Asunto principal: Diabetes Mellitus Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: West Indian med. j Año: 1989 Tipo del documento: Article / Congress and conference