Prevalence of diabetes mellitus and the performance of a risk score among Hindustani Surinamese, African Surinamese and ethnic Dutch: a cross-sectional population-based study

Bindraban, Navin R.; van Valkengoed, Irene G. M.; Mairuhu, Gideon; Holleman, Frits; Hoekstra, Joost B. L.; Michels, Bob P. J.; Koopmans, Richard P.; Stronks, Karien
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p271
Academic Journal
Background: While the prevalence of type 2 diabetes mellitus (DM) is high, tailored risk scores for screening among South Asian and African origin populations are lacking. The aim of this study was, first, to compare the prevalence of (known and newly detected) DM among Hindustani Surinamese, African Surinamese and ethnic Dutch (Dutch). Second, to develop a new risk score for DM. Third, to evaluate the performance of the risk score and to compare it to criteria derived from current guidelines. Methods: We conducted a cross-sectional population based study among 336 Hindustani Surinamese, 593 African Surinamese and 486 Dutch, aged 35-60 years, in Amsterdam. Logistic regressing analyses were used to derive a risk score based on non-invasively determined characteristics. The diagnostic accuracy was assessed by the area under the Receiver-Operator Characteristic curve (AUC). Results: Hindustani Surinamese had the highest prevalence of DM, followed by African Surinamese and Dutch: 16.7, 8.1, 4.2% (age 35-44) and 35.0, 19.0, 8.2% (age 45-60), respectively. The risk score included ethnicity, body mass index, waist circumference, resting heart rate, first-degree relative with DM, hypertension and history of cardiovascular disease. Selection based on age alone showed the lowest AUC: between 0.57-0.62. The AUC of our score (0.74-0.80) was higher than that of criteria from guidelines based solely on age and BMI and as high as criteria that required invasive specimen collection. Conclusion: In Hindustani Surinamese and African Surinamese populations, screening for DM should not be limited to those over 45 years, as is advocated in several guidelines. If selective screening is indicated, our ethnicity based risk score performs well as a screening test for DM among these groups, particularly compared to the criteria based on age and/or body mass index derived from current guidelines.


Related Articles

  • Impact of Prehypertension on Left Ventricular Structure, Function and Geometry. BAJPAI, JUGAL KISHORE; SAHAY, A. P.; AGARWAL, A. K.; DE, A. K.; GARG, BINDU; GOEL, ASHISH // Journal of Clinical & Diagnostic Research;Apr2014, Vol. 8 Issue 4, p7 

    Background: Awareness of prevalence, determinants, and prognosis of asymptomatic untreated prehypertension is still lacking especially in India and subcontinent. The present study was to assess the effects of prehypertension on structure, function and geometrical pattern of left ventricle on the...

  • Relationship of Microalbuminuria with Ischaemic Heart Disease in Non-Diabetic Subjects. Sapna; Singh, Jaswant; Singh, Tarsempal; Mahajan, Mridula; Verma, Nikhil; Garg, Parveen // Indian Journal of Public Health Research & Development;Oct-Dec2015, Vol. 6 Issue 4, p119 

    Ischaemic heart disease is the leading cause of morbidity and mortality world-wide. There are various classical risk factors for Ischaemic heart disease like age, gender, diabetes, hypertension, smoking, increased BMI and abnormal lipid profiles. To reduce the burden of Ischaemic heart disease,...

  • Heart rate recovery and right ventricular systolic dysfunction in patients with obesity. Baysan, Oben // Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi;Dec2009, Vol. 9 Issue 6, p480 

    The article discusses heart rate recovery and right ventricular systolic dysfunction in patients with obesity. A study by "Anatolian Journal of Cardiology" reveals that heart rate recovery and tricuspid annulus systolic velocity values were lower in patients having higher body mass index. Also...

  • Early Signs of Heart Disease.  // Pediatrics for Parents;2007, Vol. 23 Issue 12, p2 

    The article presents a study which determined that obese children are at increased risk of developing heart disease. When these children's rate of motion of heart muscles was measured, it found that their body mass index for age (BMIA) increases and changes in both relaxation and contraction...

  • Heart rate variability and endothelial function after sleep deprivation and recovery sleep among male shift and non-shift workers. Wehrens, Sophie M. T.; Hampton, Shelagh M.; Skene, Debra J. // Scandinavian Journal of Work, Environment & Health;Mar2012, Vol. 38 Issue 2, p171 

    Objectives Endothelial dysfunction and alterations in heart rate variability (HRV) as well as sleep deprivation and shift work have been associated with cardiovascular disease. The aim of this study was to compare HRV and endothelial function among shift and matched non-shift workers in response...

  • Evaluation of cardiac autonomic functions in patients with systemic lupus erythematosus. Yorgun, H; Canpolat, U; Aytemir, K; Ateş, AH; Kaya, EB; Akdoğan, A; Sunman, H; Canpolat, A Gökçay; Çalgüneri, M; Kabakçı, G; Tokgözoğlu, L; Oto, A // Lupus;Apr2012, Vol. 21 Issue 4, p373 

    Background: Cardiovascular involvement is one of the leading causes of death among patients with systemic lupus erythematosus (SLE). In this study, we aimed to investigate cardiac autonomic functions in SLE patients. Methods: We enrolled 36 patients (25 female; mean age...

  • The utility of heart rate recovery to predict right ventricular systolic dysfunction in patients with obesity. Tigen, Kürşat; Karaahmet, Tansu; Gürel, Emre; Çevik, Cihan; Yılmaz, Fatih; Avcı, Anıl; Pala, Selçuk; Mutlu, Bülent; Başaran, Yelda // Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi;Dec2009, Vol. 9 Issue 6, p473 

    Objective: Obesity is a nutritional disorder, which is associated with impaired left and right ventricular function. Impaired heart rate recovery (HRR) following a treadmill exercise test is an indicator of cardiovascular mortality. We investigated the utility of impaired HRR on the tissue...

  • CHANGES IN THE LIPID PROFILE OF BLOOD SERUM IN WOMEN TAKING SAUNA BATHS OF VARIOUS DURATION. Pilch, Wanda; Szyguła, Zbigniew; Klimek, Andrzej T.; Pałka, Tmasz; Cisoń, Tomasz; Pilch, Paweł; Torii, Masafumi // International Journal of Occupational Medicine & Environmental H;Apr2010, Vol. 23 Issue 2, p167 

    Objectives: There is little information on lipid metabolism after sauna treatment in the literature. The present research is aimed to determine the influence of sauna baths on fat metabolism in young women. Materials and Methods: Twenty healthy, eumenhorreic, female volunteers (19-21 yr old)...

  • Precisión de la tomografía de 64 cortes en el diagnóstico de la cardiopatía isquémica. Mendoza-Rodríguez, Vladimir; Llerena, Luis Roberto; Milián-Sierra, Verónica; Linares-Machado, Romualdo; Hernández-Cañero, Alberto; Llerena, Lorenzo D.; Rodríguez- Nande, Lidia; López-Ferrero, Leonardo // Archivos de Cardiología de México;abr-jun2008, Vol. 78 Issue 2, p162 

    Introduction and objectives: Multislice computed tomography coronary angiography (MSCT-CA) has been developed in the last years. One of the advantages is to supply information of the lumen and wall of the vessels. The aim was to assess the diagnostic accuracy of MSCT -- CA to detect significant...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics