期刊
JOURNAL OF IMMIGRANT AND MINORITY HEALTH
卷 17, 期 4, 页码 1002-1009出版社
SPRINGER
DOI: 10.1007/s10903-014-0025-8
关键词
Diabetes; Prediabetes; Undiagnosed diabetes; Cardiovascular risk factors; Puerto Rico
资金
- Merck Sharp and Dohme Corporation
- National Center for Research Resources [U54 RR 026139]
- National Institute on Minority Health and Health Disparities [8U54 MD 007587-03]
- National Cancer Institute from the National Cancer Institute [U54CA96300, U54CA96297]
- NATIONAL CANCER INSTITUTE [U54CA096300, U54CA096297] Funding Source: NIH RePORTER
- NATIONAL CENTER FOR RESEARCH RESOURCES [U54RR026139] Funding Source: NIH RePORTER
- National Institute on Minority Health and Health Disparities [U54MD007587] Funding Source: NIH RePORTER
This study examined the prevalence and association of diabetes mellitus (DM) and prediabetes with cardiovascular risk factors among Puerto Ricans adults. Data from a household survey of 857 adults aged 21-79 years who underwent interviews, physical exams, and blood draws were analyzed. Prevalence of total DM and prediabetes was estimated using American Diabetes Association diagnostic criteria of fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c). Poisson regression models were used to estimate the prevalence ratio for each cardiovascular risk factor under study. Age-standardized prevalence of total DM and prediabetes, detected by FPG and/or HbA1c, was 25.5 and 47.4 %, respectively. Compared with participants with normoglycemia, those with previously diagnosed DM, undiagnosed DM, and prediabetes had more adverse cardiovascular risk factor profiles, characterized by a higher prevalence of general and abdominal obesity, hypertension, low HDL cholesterol, elevated LDL cholesterol, elevated triglycerides, and elevated plasminogen activator inhibitor 1 (p < 0.05). The high prevalence of DM and prediabetes calls for public health actions to plan and implement lifestyle interventions to prevent or delay the onset of DM and cardiovascular disease.
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