AustralieFrV1, Main, Exploration, bibRecord, 007711

Mortality, All-Cause and Cardiovascular Disease, Over 15 Years in Multiethnic Mauritius: Impact of diabetes and intermediate forms of glucose tolerance

Identifieur interne : 007711 ( Main/Exploration ); précédent : 007710; suivant : 007712

Mortality, All-Cause and Cardiovascular Disease, Over 15 Years in Multiethnic Mauritius: Impact of diabetes and intermediate forms of glucose tolerance

Auteurs : Dianna J. Magliano [Australie] ; Stefan Söderberg [Australie, Suède] ; Paul Z. Zimmet [Australie] ; Bendix Cartensen [Danemark] ; Beverly Balkau [Australie, France] ; Vassen Pauvaday [Finlande] ; Sudhir Kowlessur [Finlande] ; Jaakko Tuomilehto [Finlande, Autriche] ; K. George M. M. Alberti [Royaume-Uni] ; Jonathan E. Shaw [Australie]

Source :

Diabetes care [ 0149-5992 ] ; 2010.

RBID : Pascal:10-0447564

Descripteurs français

Pascal (Inist)
- Diabète, Mortalité, Epidémiologie, Cause, Pathologie de l'appareil circulatoire, Ethnie, Etude transculturelle, Ile Maurice, Glucose, Tolérance, Endocrinologie, Maladie métabolique, Nutrition, Homme, Maladie cardiovasculaire, Maurice.
Wicri :
- topic : Diabète, Mortalité, Glucose, Nutrition, Homme.

English descriptors

KwdEn :
- Cardiovascular disease, Cause, Crosscultural study, Diabetes mellitus, Endocrinology, Epidemiology, Ethnic group, Glucose, Human, Mauritius, Mauritius island, Metabolic diseases, Mortality, Nutrition, Tolerance.

Abstract

OBJECTIVE - Little information is available on the impact of abnormal glucose tolerance on mortality in South Asian and African populations in the developing world. We explored this issue in a large, multiethnic cohort from the developing nation of Mauritius. RESEARCH DESIGN AND METHODS - Population-based surveys were undertaken in 1987, 1992, and 1998. The 9,559 participants (20-82 years old) comprised 66% South Asian (Indian), 27% Creole (African), and 7% Chinese descent. Mortality was ascertained in 2007. RESULTS- Over a median 15.1-year follow-up, 1,557 participants died. Compared with those with normal glucose tolerance, the all-cause mortality hazard ratios (HR) for known diabetes, newly diagnosed diabetes, and impaired glucose tolerance were 3.35 (95% CI 2.77-4.04), 2.11 (1.73-2.57), and 1.53 (1.26-1.87) in South Asians and 2.14 (1.65-2.79), 1.41 (1.06-1.88), and 1.08 (0.83-1.40) in Africans, respectively. Those with impaired fasting glucose were not at increased risk in either ethnicity. In the Chinese, only those with known diabetes were at increased risk of mortality with HR 3.68 (1.87-7.25). CONCLUSIONS - This is the first study in a developing country of the impact of glucose intolerance on mortality in an African population, and one of the first studies of a South Asian population. It shows that the impact on mortality in these populations in Mauritius is comparable to that seen in developed countries. These results are important in a global context for future health policy in light of the impact of the rapid increase in prevalence of diabetes, especially in developing nations.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2928348

Affiliations:

Australie, Autriche, Danemark, Finlande, France, Royaume-Uni, Suède
Angleterre, Grand Londres, Hovedstaden, Uusimaa
Copenhague, Helsinki, Londres
Université d'Helsinki

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cardiovascular disease</term>
<term>Cause</term>
<term>Crosscultural study</term>
<term>Diabetes mellitus</term>
<term>Endocrinology</term>
<term>Epidemiology</term>
<term>Ethnic group</term>
<term>Glucose</term>
<term>Human</term>
<term>Mauritius</term>
<term>Mauritius island</term>
<term>Metabolic diseases</term>
<term>Mortality</term>
<term>Nutrition</term>
<term>Tolerance</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Diabète</term>
<term>Mortalité</term>
<term>Epidémiologie</term>
<term>Cause</term>
<term>Pathologie de l'appareil circulatoire</term>
<term>Ethnie</term>
<term>Etude transculturelle</term>
<term>Ile Maurice</term>
<term>Glucose</term>
<term>Tolérance</term>
<term>Endocrinologie</term>
<term>Maladie métabolique</term>
<term>Nutrition</term>
<term>Homme</term>
<term>Maladie cardiovasculaire</term>
<term>Maurice</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Diabète</term>
<term>Mortalité</term>
<term>Glucose</term>
<term>Nutrition</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">OBJECTIVE - Little information is available on the impact of abnormal glucose tolerance on mortality in South Asian and African populations in the developing world. We explored this issue in a large, multiethnic cohort from the developing nation of Mauritius. RESEARCH DESIGN AND METHODS - Population-based surveys were undertaken in 1987, 1992, and 1998. The 9,559 participants (20-82 years old) comprised 66% South Asian (Indian), 27% Creole (African), and 7% Chinese descent. Mortality was ascertained in 2007. RESULTS- Over a median 15.1-year follow-up, 1,557 participants died. Compared with those with normal glucose tolerance, the all-cause mortality hazard ratios (HR) for known diabetes, newly diagnosed diabetes, and impaired glucose tolerance were 3.35 (95% CI 2.77-4.04), 2.11 (1.73-2.57), and 1.53 (1.26-1.87) in South Asians and 2.14 (1.65-2.79), 1.41 (1.06-1.88), and 1.08 (0.83-1.40) in Africans, respectively. Those with impaired fasting glucose were not at increased risk in either ethnicity. In the Chinese, only those with known diabetes were at increased risk of mortality with HR 3.68 (1.87-7.25). CONCLUSIONS - This is the first study in a developing country of the impact of glucose intolerance on mortality in an African population, and one of the first studies of a South Asian population. It shows that the impact on mortality in these populations in Mauritius is comparable to that seen in developed countries. These results are important in a global context for future health policy in light of the impact of the rapid increase in prevalence of diabetes, especially in developing nations.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>Autriche</li>
<li>Danemark</li>
<li>Finlande</li>
<li>France</li>
<li>Royaume-Uni</li>
<li>Suède</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
<li>Hovedstaden</li>
<li>Uusimaa</li>
</region>
<settlement><li>Copenhague</li>
<li>Helsinki</li>
<li>Londres</li>
</settlement>
<orgName><li>Université d'Helsinki</li>
</orgName>
</list>
<tree><country name="Australie"><noRegion><name sortKey="Magliano, Dianna J" sort="Magliano, Dianna J" uniqKey="Magliano D" first="Dianna J." last="Magliano">Dianna J. Magliano</name>
</noRegion>
<name sortKey="Balkau, Beverly" sort="Balkau, Beverly" uniqKey="Balkau B" first="Beverly" last="Balkau">Beverly Balkau</name>
<name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E." last="Shaw">Jonathan E. Shaw</name>
<name sortKey="Soderberg, Stefan" sort="Soderberg, Stefan" uniqKey="Soderberg S" first="Stefan" last="Söderberg">Stefan Söderberg</name>
<name sortKey="Zimmet, Paul Z" sort="Zimmet, Paul Z" uniqKey="Zimmet P" first="Paul Z." last="Zimmet">Paul Z. Zimmet</name>
</country>
<country name="Suède"><noRegion><name sortKey="Soderberg, Stefan" sort="Soderberg, Stefan" uniqKey="Soderberg S" first="Stefan" last="Söderberg">Stefan Söderberg</name>
</noRegion>
</country>
<country name="Danemark"><region name="Hovedstaden"><name sortKey="Cartensen, Bendix" sort="Cartensen, Bendix" uniqKey="Cartensen B" first="Bendix" last="Cartensen">Bendix Cartensen</name>
</region>
</country>
<country name="France"><noRegion><name sortKey="Balkau, Beverly" sort="Balkau, Beverly" uniqKey="Balkau B" first="Beverly" last="Balkau">Beverly Balkau</name>
</noRegion>
<name sortKey="Balkau, Beverly" sort="Balkau, Beverly" uniqKey="Balkau B" first="Beverly" last="Balkau">Beverly Balkau</name>
</country>
<country name="Finlande"><noRegion><name sortKey="Pauvaday, Vassen" sort="Pauvaday, Vassen" uniqKey="Pauvaday V" first="Vassen" last="Pauvaday">Vassen Pauvaday</name>
</noRegion>
<name sortKey="Kowlessur, Sudhir" sort="Kowlessur, Sudhir" uniqKey="Kowlessur S" first="Sudhir" last="Kowlessur">Sudhir Kowlessur</name>
<name sortKey="Tuomilehto, Jaakko" sort="Tuomilehto, Jaakko" uniqKey="Tuomilehto J" first="Jaakko" last="Tuomilehto">Jaakko Tuomilehto</name>
<name sortKey="Tuomilehto, Jaakko" sort="Tuomilehto, Jaakko" uniqKey="Tuomilehto J" first="Jaakko" last="Tuomilehto">Jaakko Tuomilehto</name>
</country>
<country name="Autriche"><noRegion><name sortKey="Tuomilehto, Jaakko" sort="Tuomilehto, Jaakko" uniqKey="Tuomilehto J" first="Jaakko" last="Tuomilehto">Jaakko Tuomilehto</name>
</noRegion>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Alberti, K George M M" sort="Alberti, K George M M" uniqKey="Alberti K" first="K. George M. M." last="Alberti">K. George M. M. Alberti</name>
</region>
</country>
</tree>
</affiliations>
</record>

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Mortality, All-Cause and Cardiovascular Disease, Over 15 Years in Multiethnic Mauritius: Impact of diabetes and intermediate forms of glucose tolerance

Mortality, All-Cause and Cardiovascular Disease, Over 15 Years in Multiethnic Mauritius: Impact of diabetes and intermediate forms of glucose tolerance

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