Please use this identifier to cite or link to this item: http://ds.saudeindigena.icict.fiocruz.br/handle/bvs/1053
Title: High prevalence of type 2 diabetes mellitus in Xavante Indians from Mato Grosso, Brazil
Authors: Dal Fabbro, Amaury L.
Franco, Laércio J.
Silva, Anderson S. da
Sartorelli, Daniela S.
Soares, Luana P.
Franco, Luciana F.
Kuhn, Patricia C.
Moises, Regina S.
Vieira Filho, João Paulo B.
Affilliation: Federal University of São Paulo. School of Medicine of Ribeirão Preto. Department of Social Medicine. Division of Endocrinology. São Paulo, SP, Brazil.
Federal University of São Paulo. School of Medicine of Ribeirão Preto. Department of Social Medicine. Division of Endocrinology. São Paulo, SP, Brazil.
Federal University of São Paulo. School of Medicine of Ribeirão Preto. Department of Social Medicine. Division of Endocrinology. São Paulo, SP, Brazil.
Federal University of São Paulo. School of Medicine of Ribeirão Preto. Department of Social Medicine. Division of Endocrinology. São Paulo, SP, Brazil.
Federal University of São Paulo. School of Medicine of Ribeirão Preto. Department of Social Medicine. Division of Endocrinology. São Paulo, SP, Brazil.
Federal University of São Paulo. School of Medicine of Ribeirão Preto. Department of Social Medicine. Division of Endocrinology. São Paulo, SP, Brazil.
Federal University of São Paulo. School of Medicine of Ribeirão Preto. Department of Social Medicine. Division of Endocrinology. São Paulo, SP, Brazil.
Federal University of São Paulo. School of Medicine of Ribeirão Preto. Department of Social Medicine. Division of Endocrinology. São Paulo, SP, Brazil.
Federal University of São Paulo. School of Medicine of Ribeirão Preto. Department of Social Medicine. Division of Endocrinology. São Paulo, SP, Brazil.
Abstract: OBJECTIVE: To estimate the prevalence of diabetes, hypertension, obesity, and describe demographic, anthropometric and medical characteristics, in a genetically distinct population: the Brazilian Xavante Indians. DESIGN: Population-based survey carried out among 948 Xavante from Mato Grosso, Brazil. Fasting and 2-hour after 75 g glucose capillary glycemia were measured by a portable glucometer (HemoCue Glucose201+). Diabetes was defined according to WHO criteria. Anthropometric data and medical characteristics were measured, and fat mass (%) was evaluated using bioelectrical impedance. Blood pressure was measured by an automated device (OMRON 742INTC), and hypertension was defined according to WHO criteria. RESULTS: Age-adjusted prevalence rates with 95% confidence intervals were diabetes: 28.2% (25.3-31.1) in general, 18.4% (14.9-22.2) in men and 40.6% (36.2-45.1) in women (P<.001); impaired glucose tolerance: 32.3% (20.5-26.0) in general, 29.7% (25.4-33.9) in men and 34.4% (30.2-38.8) in women (P>.05); hypertension: 17.5% (15.1-19.9) in general. Obesity was found in 50.8% of the individuals. Fat mass (%) was associated with diabetes in men (P<.05) and women (P<.05). Thigh circumference and waist/ thigh ratio were lower in those with diabetes, in men and women (P<.001). CONCLUSIONS: The high prevalence of diabetes and obesity in Xavante is likely related to their recent change in food habits and physical activities. Our results should raise awareness about the magnitude of this health problem and also indicate that it could increase dramatically in the future if no preventive actions are adopted.
Keywords: Electric Impedance
Body Mass Index
Epidemiology
Amazonian Ecosystem
Anthropometry
Noncommunicable Diseases
Keywords: Brasil
Índios Sul-Americanos
Saúde de Populações Indígenas
Mato Grosso
Região Amazônica
Epidemiologia
Região Centro-Oeste
Xavante
Antropometria
Diabetes Mellitus Tipo 2
Pressão Arterial
Estudos Epidemiológicos
Índice de Massa Corporal
Estado Nutricional
Avaliação Nutricional
Sobrepeso e Obesidade
Comportamento Alimentar
Doenças Endócrinas, Nutricionais e Metabólicas
Transição Nutricional
Doenças Crônicas não Transmissíveis
Pressão Sanguínea
Bioimpedância
Impedância Elétrica
DeCS: Brasil
Saúde de Populações Indígenas
Índios Sul-Americanos
Epidemiologia
Antropometria
Diabetes Mellitus Tipo 2
Pressão Arterial
Índice de Massa Corporal
Estado Nutricional
Avaliação Nutricional
Comportamento Alimentar
Sobrepeso e Obesidade
Impedância Elétrica
Issue Date: 2014
Publisher: Ethnicity & Disease
Citation: DAL FABBRO, Amaury L. et al. High prevalence of type 2 diabetes mellitus in Xavante Indians from Mato Grosso, Brazil. Ethnicity & Disease, Califórnia, v. 24, n. 1, p. 35-40, 2014.
ISSN: 1049-510X
Copyright: restricted access
Appears in Collections:AN - Artigos de Periódicos

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