High prevalence of type 2 diabetes mellitus in Xavante Indians from Mato Grosso, Brazil

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dc.contributor.authorDal Fabbro, Amaury L.
dc.contributor.authorFranco, Laercio Joel [UNIFESP]
dc.contributor.authorSilva, Anderson Soares
dc.contributor.authorSartorelli, Daniela Saes
dc.contributor.authorSoares, Luana P.
dc.contributor.authorFranco, Luciana Ferreira [UNIFESP]
dc.contributor.authorKuhn, Patricia Chamadoira [UNIFESP]
dc.contributor.authorMoises, Regina Celia Mello Santiago [UNIFESP]
dc.contributor.authorVieira Filho, João Paulo Botelho [UNIFESP]
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-15T17:17:33Z
dc.date.available2018-06-15T17:17:33Z
dc.date.issued2014-12-01
dc.description.abstractObjective: 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.en
dc.description.affiliationUniv Sao Paulo, Sch Med Ribeirao Preto, Dept Social Med, BR-14049900 Ribeirao Preto, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Sao Paulo Med Sch, Div Endocrinol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Sao Paulo Med Sch, Div Endocrinol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipIDFAPESP: 2010/05634-0
dc.description.sponsorshipIDCNPq: 476347/2007-6
dc.format.extent35-40
dc.identifierhttps://www.ethndis.org/edonline/index.php/ethndis/article/view/10
dc.identifier.citationEthnicity & Disease. Atlanta: Int Soc Hypertension Blacks-ishib, v. 24, n. 1, p. 35-40, 2014.
dc.identifier.issn1049-510X
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/43578
dc.identifier.wosWOS:000331683300006
dc.language.isoeng
dc.publisherInt Soc Hypertension Blacks-ishib
dc.relation.ispartofEthnicity & Disease
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDiabetes Mellitusen
dc.subjectHypertensionen
dc.subjectObesityen
dc.subjectXavanteen
dc.titleHigh prevalence of type 2 diabetes mellitus in Xavante Indians from Mato Grosso, Brazilen
dc.typeinfo:eu-repo/semantics/article
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