4.7 Review

Type 2 diabetes burden among migrants in Europe: unravelling the causal pathways

期刊

DIABETOLOGIA
卷 64, 期 12, 页码 2665-2675

出版社

SPRINGER
DOI: 10.1007/s00125-021-05586-1

关键词

Ethnic minority groups; Europe; Migrants; Review; Type 2 diabetes

资金

  1. European Research Council [772244]
  2. Swedish Research Council [LUDC 349-2006-237, Exodiab 2009-1039]
  3. Swedish Foundation Strategic Research [IRC15-0068]
  4. Swedish Foundation for Strategic Research (SSF) [IRC15-0068] Funding Source: Swedish Foundation for Strategic Research (SSF)
  5. European Research Council (ERC) [772244] Funding Source: European Research Council (ERC)

向作者/读者索取更多资源

European populations are ethnically and culturally diverse due to international migration, leading to large ethnic inequalities in the prevalence of type 2 diabetes. Migrant groups in Europe have a higher rate of type 2 diabetes and develop the disease at a younger age than the host European populations. Despite high diabetes awareness among migrants, glycemic control is suboptimal. Current efforts to prevent and treat type 2 diabetes among migrants mainly focus on South Asian adults in Europe.
European populations are ethnically and culturally diverse due to international migration. Evidence indicates large ethnic inequalities in the prevalence of type 2 diabetes. This review discusses the burden of type 2 diabetes and its related complications, and the potential explanatory mechanisms among migrants in Europe. The current available data suggest that the rate of type 2 diabetes is higher in all migrant groups and that they develop this disease at an earlier age than the host European populations. The level of diabetes awareness among migrant populations is high, but glycaemic control remains suboptimal compared with Europeans. The culturally adapted lifestyle modification intervention trials to prevent type 2 diabetes mainly focus on South Asian adults in Europe. Diabetes-related microvascular and macrovascular complications remain a major burden among migrant populations in Europe. Earlier studies found higher mortality rates among migrants, but recent studies seem to suggest a shifting trend in favour of first-generation migrants. However, the extent of the burden of type 2 diabetes varies across migrant groups and European countries. Despite the higher burden of type 2 diabetes among migrants, the key underlying factors are not well understood mainly due to limited investment in basic science research and development of prospective cohort studies. We hypothesise that the underlying risk factors for the high burden of type 2 diabetes and its related complications in migrants are multifaceted and include pre-migration factors, post-migration factors and genetic predispositions. Given the multi-ethnic nature of the current European population, there is a clear need for investment in research among migrant populations to gain insight into factors driving the high burden of type 2 diabetes and related complications to facilitate prevention and treatment efforts in Europe.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据