TY - JOUR
T1 - Prediabetes, undiagnosed diabetes, and diabetes among Mexican adults
T2 - Findings from the Mexican Health and Aging Study
AU - Kumar, Amit
AU - Wong, Rebeca
AU - Ottenbacher, Kenneth J.
AU - Al Snih, Soham
N1 - Funding Information:
This study was supported by the National Institutes of Health ( R01-AG018016 , R.W. [PI]; R24HD065702 , K.J.O. [PI]) and by the UTMB Claude D. Pepper Older Americans Independence Center ( P30 AG024832 ). The study sponsors had no role in the study design, analysis, or interpretation of the data. Study sponsors did not have any role in the writing of the article or the submission to a journal. Preliminary results of the study were presented as a poster at the Annual Meeting of the Gerontological Society of America in November 2014. The authors acknowledge the assistance of Sarah Toombs Smith, PhD, ELS, in article preparation.
Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Purpose: The purpose of the study was to examine the prevalence and determinants of prediabetes, undiagnosed diabetes, and diabetes among Mexican adults from a subsample of the Mexican Health and Aging Study. Methods: We examined 2012 participants from a subsample of the Mexican Health and Aging Study. Measures included sociodemographic characteristics, body mass index, central obesity, medical conditions, cholesterol, high-density lipoprotein cholesterol, hemoglobin A1c, and vitamin D. Logistic regression was performed to identify factors associated with prediabetes, undiagnosed diabetes, and self-reported diabetes. Results: Prevalence of prediabetes, undiagnosed, and self-reported diabetes in this cohort was 44.2%, 18.0%, and 21.4%, respectively. Participants with high waist-hip ratio (1.61, 95% confidence interval [CI] = 1.05-2.45) and high cholesterol (1.85, 95% CI = 1.36-2.51) had higher odds of prediabetes. Overweight (1.68, 95% CI = 1.07-2.64), obesity (2.38, 95% CI = 1.41-4.02), and high waist circumference (1.60, 95% CI = 1.06-2.40) were significantly associated with higher odds of having undiagnosed diabetes. Those residing in a Mexican state with high U.S. migration had lower odds of prediabetes (0.61, 95% CI = 0.45-0.82) and undiagnosed diabetes (0.53, 95% CI = 0.41-0.70). Those engaged in regular physical activity had lower odds of undiagnosed diabetes (0.74, 95% CI = 0.57-0.97). Conclusions: There is a high prevalence of prediabetes and undiagnosed diabetes among Mexican adults in this subsample. Findings suggest the need for resources to prevent, identify, and treat persons with prediabetes and undiagnosed diabetes.
AB - Purpose: The purpose of the study was to examine the prevalence and determinants of prediabetes, undiagnosed diabetes, and diabetes among Mexican adults from a subsample of the Mexican Health and Aging Study. Methods: We examined 2012 participants from a subsample of the Mexican Health and Aging Study. Measures included sociodemographic characteristics, body mass index, central obesity, medical conditions, cholesterol, high-density lipoprotein cholesterol, hemoglobin A1c, and vitamin D. Logistic regression was performed to identify factors associated with prediabetes, undiagnosed diabetes, and self-reported diabetes. Results: Prevalence of prediabetes, undiagnosed, and self-reported diabetes in this cohort was 44.2%, 18.0%, and 21.4%, respectively. Participants with high waist-hip ratio (1.61, 95% confidence interval [CI] = 1.05-2.45) and high cholesterol (1.85, 95% CI = 1.36-2.51) had higher odds of prediabetes. Overweight (1.68, 95% CI = 1.07-2.64), obesity (2.38, 95% CI = 1.41-4.02), and high waist circumference (1.60, 95% CI = 1.06-2.40) were significantly associated with higher odds of having undiagnosed diabetes. Those residing in a Mexican state with high U.S. migration had lower odds of prediabetes (0.61, 95% CI = 0.45-0.82) and undiagnosed diabetes (0.53, 95% CI = 0.41-0.70). Those engaged in regular physical activity had lower odds of undiagnosed diabetes (0.74, 95% CI = 0.57-0.97). Conclusions: There is a high prevalence of prediabetes and undiagnosed diabetes among Mexican adults in this subsample. Findings suggest the need for resources to prevent, identify, and treat persons with prediabetes and undiagnosed diabetes.
KW - BMI
KW - Central obesity
KW - HbA1c
KW - MHAS
KW - Mexico
KW - Migration
KW - Older adults
KW - Physical activity
KW - Prediabetes
KW - Undiagnosed diabetes
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U2 - 10.1016/j.annepidem.2015.12.006
DO - 10.1016/j.annepidem.2015.12.006
M3 - Article
C2 - 26872919
AN - SCOPUS:84960376951
SN - 1047-2797
VL - 26
SP - 163
EP - 170
JO - Annals of Epidemiology
JF - Annals of Epidemiology
IS - 3
ER -