HIGH PREVALENCE OF TYPE 2 DIABETES MELLITUS IN XAVANTE INDIANS FROM MATO GROSSO, BRAZIL

HIGH PREVALENCE OF TYPE 2 DIABETES MELLITUS IN XAVANTE INDIANS FROM MATO GROSSO, BRAZIL

Author Dal Fabbro, Amaury L. Google Scholar
Franco, Laercio Joel Autor UNIFESP Google Scholar
Silva, Anderson S. da Google Scholar
Sartorelli, Daniela Saes Google Scholar
Soares, Luana P. Google Scholar
Franco, Luciana F. Autor UNIFESP Google Scholar
Kuhn, Patricia C. Autor UNIFESP Google Scholar
Moises, Regina S. Autor UNIFESP Google Scholar
Institution Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: To estimate the prevalence of diabetes, hypertension, obesity, and describe demographic, anthropometric and medical characteristics, in a genetically distinct population: the Brazilian Xavante Indians.Design: Population-based survey carried out among 948 Xavante from Mato Grosso, Brazil. Fasting and 2-hour after 75 g glucose capillary glycemia were measured by a portable glucometer (HemoCue (R) Glucose201(+)). Diabetes was defined according to WHO criteria. Anthropometric data and medical characteristics were measured, and fat mass (%) was evaluated using bioelectrical impedance. Blood pressure was measured by an automated device (OMRON 742INTC (R)), and hypertension was defined according to WHO criteria.Results: Age-adjusted prevalence rates with 95% confidence intervals were diabetes: 28.2% (25.3-31.1) in general, 18.4% (14.9-22.2) in men and 40.6% (36.2-45.1) in women (P<.001); impaired glucose tolerance: 32.3% (20.5-26.0) in general, 29.7% (25.4-33.9) in men and 34.4% (30.2-38.8) in women (P>.05); hypertension: 17.5% (15.1-19.9) in general. Obesity was found in 50.8% of the individuals. Fat mass (%) was associated with diabetes in men (P<.05) and women (P<.05). Thigh circumference and waist/thigh ratio were lower in those with diabetes, in men and women (P<.001).Conclusions: The high prevalence of diabetes and obesity in Xavante is likely related to their recent change in food habits and physical activities. Our results should raise awareness about the magnitude of this health problem and also indicate that it could increase dramatically in the future if no preventive actions are adopted.
Keywords Diabetes Mellitus
Hypertension
Obesity
Xavante
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Grant number FAPESP: 2010/05634-0
CNPq: 476347/2007-6
Date 2014-12-01
Published in Ethnicity & Disease. Atlanta: Int Soc Hypertension Blacks-ishib, v. 24, n. 1, p. 35-40, 2014.
ISSN 1049-510X (Sherpa/Romeo, impact factor)
Publisher Int Soc Hypertension Blacks-ishib
Extent 35-40
Origin https://www.ethndis.org/edonline/index.php/ethndis/article/view/10
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000331683300006
URI http://repositorio.unifesp.br/11600/43578

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