TITLE

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

AUTHOR(S)
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
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8, p271
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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.
ACCESSION #
51486054

 

Related Articles

  • 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...

  • The effect of various forms of exercise in patients with obesity and type II mellitus diabetes. Stavrou, V.; Stavrou, S. // Interscientific Health Care;2012, Vol. 4 Issue 1, p18 

    Obesity is defined as excess weight for a given height, taking the concept of body mass index. Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body can not effectively use the insulin it produces, which regulates blood glucose...

  • Cigarette Smoking Is Associated with Prolongation of the QTc Interval Duration in Patients with Type 2 Diabetes Mellitus. Thomakos, Petros; Liatis, Stavros; Kalopita, Stavroula; Vlahodimitris, Ioannis; Stathi, Chryssoula; Katsilambros, Nicholas; Tentolouris, Nicholas; Makrilakis, Konstantinos // International Journal of Endocrinology;2013, p1 

    Aims. Aim of the study was to evaluate the effect of smoking on autonomic nervous system(ANS) activity andQTc interval duration in patients with Type 2 diabetesmellitus (T2DM). Methods. A total of 70 patients with T2DM(35 chronic smokers, 35 nonsmokers) treated with oral antidiabetic medications...

  • Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children. Evans, Subhadra; Seidman, Laura C.; Tsao, Jennie CI.; Lung, Kirsten C.; Zeltzer, Lonnie K.; Naliboff, Bruce D. // Journal of Pain Research;2013, Vol. 6, p449 

    Studies in adults have demonstrated a relationship between lowered heart rate variability (HRV) and poor health. However, less is known about the role of autonomic arousal in children's well-being. The aim of the current study was to examine resting HRV in children with chronic pain compared to...

  • Cardiac Strain between Normal Weight and Overweight Workers in Hot/Humid Weather in the Persian Gulf. Dehghan, Habibollah; Mortazavi, Seyed Bagher; Jafari, Mohammad Javad; Maracy, Mohammad Reza // International Journal of Preventive Medicine;Oct2013, Vol. 4 Issue 10, p1147 

    Background: In hot weather, overweight and obesity are considered as significant risk factors for the incidence of cardiac strain in workers. This study was aimed to compare cardiac strain among overweight and normal weight workers in hot, humid conditions in the south of Iran. Methods: This...

  • Associations of birth size and duration of breast feeding with cardiorespiratory fitness in childhood: findings from the Avon Longitudinal Study of Parents and Children (ALSPAC). Debbie Lawlor; Ashley Cooper; George Davey Smith; Amanda Irwin; Chris Riddoch; Andy Ness // European Journal of Epidemiology;Jun2008, Vol. 23 Issue 6, p411 

    Abstract   Objectives: To explore the developmental origins of cardiorespiratory fitness. Methods: We examined the associations of birth size and duration of breast feeding with cardiorespiratory fitness assessed at the 9 year follow-up examination in 3612 participants of the Avon...

  • Associations between being overweight, variability in heart rate, and well-being in the young men. Schmid, Klaus; Schönlebe, Jana; Drexler, Hans; Mueck-Weymann, Michael // Cardiology in the Young;Feb2010, Vol. 20 Issue 1, p54 

    Abnormalities of the autonomic nervous system have been repeatedly shown in hypertension. We studied the associations between being overweight, blood pressure, cardiac vagal tone as measured by variability in heart rate, and well-being in a large cohort of young men. We hypothesised an inverse...

  • Ian McKenna: Is wearable tech the future of healthcare? McKenna, Ian // Money Marketing (Online Edition);6/27/2014, p7 

    The article presents author's views regarding the aspects of wearable technology and its role in medical field. He mentions that software of wearable technology offers capability to measure several clinical parameters including body mass index, heart rate and blood oxygen levels. He also...

  • Hydration assessment using the cardiovascular response to standing. Cheuvront, Samuel; Ely, Brett; Kenefick, Robert; Buller, Mark; Charkoudian, Nisha; Sawka, Michael // European Journal of Applied Physiology;Dec2012, Vol. 112 Issue 12, p4081 

    The cardiovascular response to standing (sit-to-stand change in heart rate; SSΔHR) is commonly employed as a screening tool to detect hypohydration (body water deficit). No study has systematically evaluated SSΔHR cut points using different magnitudes or different types of controlled...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

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

Try another library?
Sign out of this library

Other Topics