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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Explaining the increase of diabetes prevalence and plasma glucose in mauritius
Diabetes Care, Volume 35, No. 1, Year 2012
Notification
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Description
OBJECTIVE: Secular trends in the epidemiology of diabetes are best described by studying the same population over time, but few such studies exist. Using surveys from Mauritius in 1987 and 2009, we examined 1) the change in the prevalence of diabetes, 2) the extent to which changes in traditional diabetes risk factors explained the increase, and 3) the change in the distribution of plasma glucose levels over time. RESEARCH DESIGN AND METHODS: Independent population-based surveys were undertaken in Mauritius in 1987 and 2009 using similar methodology in adults aged 20-74 years. Physical measurements and fasting blood samples were taken, and an oral glucose tolerance test was performed at both surveys. RESULTS: The age-standardized prevalence of diabetes in 2009 was 22.3% (95% CI 20.0-24.6) among men and 20.2%(18.3-22.3) among women, representing an increase since 1987 of 64 and 62% among men and women, respectively. Concurrent changes in the distribution of age, ethnicity, waist circumference, BMI, physical activity, smoking, family history of diabetes, and hypertension explained more of the increase in the prevalence of diabetes in men than in women. Increases in plasma glucose (especially fasting glucose) were seen across the population but were greater at the upper levels. CONCLUSIONS: In Mauritius, there has been a marked increase in diabetes prevalence over 22 years. This mainly results from changes in traditional risk factors, leading to population-wide increases in plasma glucose levels. Interventions to control this escalation of diabetes should focus on population-wide strategies. © 2012 by the American Diabetes Association.
Authors & Co-Authors
Magliano, Dianna J.
Australia, Melbourne
Baker Heart and Diabetes Institute
Söderberg, Stefan
Australia, Melbourne
Baker Heart and Diabetes Institute
Sweden, Umea
Umeå Universitet
Zimmet, Paul Z.
Australia, Melbourne
Baker Heart and Diabetes Institute
Chen, Lei
Australia, Melbourne
Baker Heart and Diabetes Institute
Joonas, Noorjehan I.
Mauritius, Port Louis
Ministry of Health and Quality of Life
Kowlessur, Sudhir
Mauritius, Port Louis
Ministry of Health and Quality of Life
Larhubarbe, Jose
Mauritius, Port Louis
Ministry of Health and Quality of Life
Gaoneadry, Dhanunjaye
Mauritius, Port Louis
Ministry of Health and Quality of Life
Pauvaday, Vassen K.
Mauritius, Port Louis
Ministry of Health and Quality of Life
Tuomilehto, Jaakko O.I.
Finland, Helsinki
Helsingin Yliopisto
Finland, Seinajoki
South Ostrobothnia Central Hospital
Austria, Krems an Der Donau
Donau-universität Krems
Alberti, K. George M.M.
United Kingdom, London
St Mary's Hospital
Shaw, Jonathan E.
Australia, Melbourne
Baker Heart and Diabetes Institute
Statistics
Citations: 42
Authors: 12
Affiliations: 7
Identifiers
Doi:
10.2337/dc11-0886
ISSN:
01495992
e-ISSN:
19355548
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Locations
Mauritius
Participants Gender
Male
Female