[논문]Environmentally Driven Increases in Type 2 Diabetes and Obesity in Pima Indians and Non-Pimas in Mexico Over a 15-Year Period: The Maycoba Project

Esparza-Romero, Julian; Valencia, Mauro E.; Urquidez-Romero, Rene; Chaudhari, Lisa S.; Hanson, Robert L.; Knowler, William C.; Ravussin, Eric; Bennett, Peter H.; Schulz, Leslie O.

doi:10.2337/dc15-0089

Environmentally Driven Increases in Type 2 Diabetes and Obesity in Pima Indians and Non-Pimas in Mexico Over a 15-Year Period: The Maycoba Project 원문보기

Diabetes care, v.38 no.11, 2015년, pp.2075 - 2082

Esparza-Romero, Julian (Departamento de Nutrició) , Valencia, Mauro E. (n Pú) , Urquidez-Romero, Rene (blica y Salud, Coordinació) , Chaudhari, Lisa S. (n de Nutrició) , Hanson, Robert L. (n, Centro de Investigació) , Knowler, William C. (n en Alimentació) , Ravussin, Eric (n y Desarrollo A.C., Hermosillo, Sonora, Mé) , Bennett, Peter H. (xico) , Schulz, Leslie O. (Departamento de Nutrició)

Abstract ▼ AI-Helper

OBJECTIVEThe global epidemics of type 2 diabetes and obesity have been attributed to the interaction between lifestyle changes and genetic predisposition to these diseases. We compared the prevalences of type 2 diabetes and obesity in Mexican Pima Indians, presumed to have a high genetic predisposition to these diseases, to those in their non-Pima neighbors, both of whom over a 15-year period experienced a transition from a traditional to a more modern lifestyle.RESEARCH DESIGN AND METHODSPrevalence of diabetes, impaired fasting glucose, impaired glucose tolerance, and obesity in Mexican Pimas (n = 359) and non-Pima Mexicans (n = 251) were determined in 2010 using methods identical to those used in 1995.RESULTSDuring this 15-year period, age-adjusted diabetes prevalence was unchanged in Pima men (5.8% in 1995 vs. 6.1% in 2010) yet increased in non-Pima men from 0.0 to 8.6% (P < 0.05). Diabetes prevalence tended to increase in both Pima women (9.4 vs. 13.4%) and non-Pima women (4.8 vs. 9.5%). Age-adjusted prevalence of obesity increased significantly in all groups (6.6 vs. 15.7% in Pima men; 8.5 vs. 20.5% in non-Pima men; 18.9. vs 36.3% in Pima women; 29.5 vs. 42.9% in non-Pima women).CONCLUSIONSType 2 diabetes prevalence increased between 1995 and 2010 in non-Pima men, and to a lesser degree in women of both groups, but it did not increase in Pima men. Prevalence of obesity increased among Pimas and non-Pimas of both sexes. These changes occurred concomitantly with an environmental transition from a traditional to a more modernized lifestyle.

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Environmentally Driven Increases in Type 2 Diabetes and Obesity in Pima Indians and Non-Pimas in Mexico Over a 15-Year Period: The Maycoba Project 원문보기

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