domingo, 7 de diciembre de 2014

Preventing Chronic Disease | Trends in Diabetes and Cardiometabolic Conditions in a Canadian First Nation Community, 2002–2003 to 2011–2012 - CDC

FULL-TEXT ►

Preventing Chronic Disease | Trends in Diabetes and Cardiometabolic Conditions in a Canadian First Nation Community, 2002–2003 to 2011–2012 - CDC



Preventing Chronic Disease Logo



Image of eCard



Trends in Diabetes and Cardiometabolic Conditions in a Canadian First Nation Community, 2002–2003 to 2011–2012

Natalie D. Riediger, MSc; Lisa M. Lix, PhD; Virginia Lukianchuk, RN; Sharon Bruce, PhD

Suggested citation for this article: Riediger ND, Lix LM, Lukianchuk V, Bruce S. Trends in Diabetes and Cardiometabolic Conditions in a Canadian First Nation Community, 2002–2003 to 2011–2012. Prev Chronic Dis 2014;11:140334. DOI:http://dx.doi.org/10.5888/pcd11.140334External Web Site Icon.
PEER REVIEWED

Abstract

Introduction
The burden of diabetes and cardiovascular disease among the Canadian First Nation population is disproportionately high compared with the general Canadian population. Continuous monitoring of the diabetes epidemic among the Canadian First Nations population is necessary to inform public health practice. The purpose of the study was to compare the prevalence of diabetes and cardiometabolic conditions in a Manitoba First Nation between 2 periods.
Methods
Study data were from 2 diabetes screening studies in Sandy Bay Ojibway First Nation in Manitoba, collected in 2002–2003 and 2011–2012. All adults aged 18 years or older were invited to participate in both studies. Crude and sex- and age-standardized prevalence of diabetes and cardiometabolic conditions for each period were estimated and compared with each other by using χ2tests.
Results
Sex- and age-standardized prevalence of diabetes was estimated at 39.4% (95% confidence interval [CI], 35.1–43.8) in 2002–2003 and was not significantly different (P = .99) in 2011–2012. Sex- and age-standardized obesity prevalence was significantly lower in 2011–2012, at 48.7% (95% CI, 44.6–52.7), compared with 60.8% (95% CI, 56.4–65.2) in 2002–2003 (P < .001). However, this finding was accounted for by a lower prevalence of obesity among men aged 40 to 49 and aged 50 years or older in 2011–2012 compared with 2002–2003. Sex- and age-standardized prevalence of hypertension (P = .97), abdominal obesity (P = .26), dyslipidemia (P = .73), and metabolic syndrome (P = .67) were not significantly different between periods. Significantly higher crude prevalence of obesity, abdominal obesity, dyslipidemia, and metabolic syndrome among women compared with men persisted from 2002–2003 to 2011–2012.
Conclusion
The diabetes epidemic remains a serious problem in this First Nation community. The gap in cardiometabolic burden between men and women has also persisted.


Acknowledgments

This study was funded by the Canadian Institutes of Health Research (CIHR) and the Manitoba Health Research Council (MHRC). Natalie D. Riediger is the recipient of a CIHR Frederick Banting and Charles Best Canada Graduate Scholarship Doctoral Award (2009–2012), an MHRC Studentship (2012–2014), a Manitoba Network Environment for Aboriginal Health Research Award (2011–2013), and top-up funding from the University of Manitoba, Faculty of Medicine, Faculty of Graduate Studies, and Department of Community Health Sciences. We also acknowledge the support of the study community, research participants, and all those involved in data collection.

Author Information

Corresponding Author: Sharon Bruce, PhD, Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, S113-750 Bannatyne Ave, Winnipeg, MB R3E 0W3 Canada. Telephone: 204-975-7745. E-mail: Sharon.bruce@med.umanitoba.ca.
Author Affiliations: Natalie D. Riediger, Department of Community Health Sciences and Manitoba First Nations Centre for Aboriginal Health Research, University of Manitoba, Winnipeg, Manitoba, Canada; Lisa M. Lix, Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada; Virginia Lukianchuk, Sandy Bay Health Centre, Sandy Bay Ojibway First Nation, Manitoba, Canada.

References

  1. Dyck R, Osgood N, Lin TH, Gao A, Stang MR. Epidemiology of diabetes mellitus among First Nations and non-First Nations adults. CMAJ 2010;182(3):249–56. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  2. Green C, Blanchard JF, Young TK, Griffith J. The epidemiology of diabetes in the Manitoba-Registered First Nation population: current patterns and comparative trends. Diabetes Care 2003;26(7):1993–8. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  3. Johnson JA, Vermeulen SU, Toth EL, Hemmelgarn BR, Ralph-Campbell K, Hugel G, et al. Increasing incidence and prevalence of diabetes among the Status Aboriginal population in urban and rural Alberta, 1995–2006. Can J Public Health 2009;100(3):231–6. PubMedExternal Web Site Icon
  4. Martens PJ, Martin BD, O'Neil JD, MacKinnon M. Diabetes and adverse outcomes in a First Nations population: associations with healthcare access, and socioeconomic and geographic factors. Can J Diab 2007;31(3):223–32. CrossRefExternal Web Site Icon
  5. Bruce SG, Young TK. Prevalence and risk factors for neuropathy in a Canadian First Nation community. Diabetes Care 2008;31(9):1837–41. CrossRefExternal Web Site IconPubMedExternal Web Site Icon
  6. Pelletier C, Dai S, Roberts KC, Bienek A, Onysko J, Pelletier L. Report summary: diabetes in Canada: facts and figures from a public health perspective. Chronic Dis Inj Can 2012;33(1):53–4. PubMedExternal Web Site Icon
  7. Horn OK, Jacobs-Whyte H, Ing A, Bruegl A, Paradis G, Macaulay AC. Incidence and prevalence of type 2 diabetes in the First Nation Community of Kahnawáke, Quebec, Canada, 1986-2003. Can J Public Health 2007;98(6):438–43. PubMedExternal Web Site Icon
  8. Minkler M, Wallerstein N, editors. Community-based participatory research for health: from process to outcomes. 2nd edition. San Francisco (CA): John Wiley and Sons; 2008.
  9. Canadian Society for Exercise Physiology. The Canadian physical activity, fitness and lifestyle appraisal. Ottawa (ON): Canadian Society for Exercise Physiology; 1996.
  10. American Diabetes Association. Executive summary: standards of medical care in diabetes — 2013. Diabetes Care 2013;36(Suppl 1):S4–10. CrossRefExternal Web Site IconPubMedExternal Web Site Icon
  11. Clinical Guidelines Task Force Global Guideline for Type 2 Diabetes. Brussels (BE): International Diabetes Federation; 2012. http://www.idf.org/sites/default/files/IDF-Guideline-for-Type-2-Diabetes.pdf
  12. Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia. Report of a WHO/IDF consultation. Geneva (CH): World Health Organization, International Diabetes Federation; 2006.
  13. Obesity and overweight. Fact sheet number 311; Geneva (CH): World Health Organization; 2014. http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed October 4, 2013.
  14. Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome. A joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009;120(16):1640–5. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  15. Annual demographic estimates: Canada, provinces and territories. Ottawa (ON): Statistics Canada; 2011. http://www.statcan.gc.ca/pub/91-209-x/2011001/article/11511/figures/desc/desc01-eng.htm.
  16. Young TK, Mustard C. Undiagnosed diabetes: does it matter? CMAJ 2001;164(1):24–8. PubMedExternal Web Site Icon
  17. Dart AB, Martens PJ, Rigatto C, Brownell MD, Dean HJ, Sellers EA. Earlier onset of complications in youth with type 2 diabetes. Diabetes Care 2014;37(2):436–43. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  18. Natarajan S, Liao Y, Cao G, Lipsitz SR, McGee DL. Sex differences in risk for coronary heart disease mortality associated with diabetes and established coronary heart disease. Arch Intern Med 2003;163(14):1735–40. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  19. Howard BV, Cowan LD, Go O, Welty TK, Robbins DC, Lee ET. Adverse effects of diabetes on multiple cardiovascular disease risk factors in women: the Strong Heart Study. Diabetes Care 1998;21(8):1258–65. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  20. Bittner V. Lipoprotein abnormalities related to women’s health. Am J Cardiol 2002;90(8 Suppl):77–84. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  21. Tjepkema M, Wilkens R, Goedhuis N, Pennock J. Cardiovascular disease mortality among First Nations people in Canada, 1991–2001. Chronic Dis Inj Can 2012;32(4):200–7. PubMedExternal Web Site Icon

No hay comentarios: