Age, body mass index and Type 2 diabetes?associations modified by ethnicity
Open accessAbstract
Aims/hypothesis The aim of this study was to assess the effect of ethnicity on the association between age and body mass index as well as the prevalence of diabetes. Methods We selected population-based studies carried out after 1980 in the DECODE/A studies representing different ethnic groups: 11 European, 1 Maltese, 3 Indian, 2 Chinese and 3 Japanese surveys. The total numbers of subjects were 14,240 men and 15,129 women who were 30 to 89 years of age. Diabetes was diagnosed according to the 1999 World Health Organization criteria based on a standard 75 g OGTT. Sex-specific prevalence of diabetes by age and BMI was stratified by ethnic group, in particular the interaction of ethnicity on the associations between age/BMI and the prevalence of diabetes. Results The prevalence of diabetes was higher in studies from India and Malta compared to Japan, China, and the rest of Europe. The association between BMI and diabetes, adjusted for age, showed noticeable differences between the ethnic groups with an increase in prevalence starting at a BMI between 15 and 20 kg/m(2) in the Maltese and Indian populations compared to 25 kg/m(2 )in Europeans. Conclusion/interpretation The effect of BMI on the age-adjusted prevalence of Type 2 diabetes was modified by ethnicity with considerably lower thresholds in Indian and Maltese subjects compared to those from the rest of Europe. This difference should be reflected in national and international recommendations regarding "optimal" BMI.
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The likelihood that an older adult with low BMI has type 2 diabetes is even higher when the person's ethnicity is associated with high type 2 diabetes risk.
“The majority of older adults with low BMI will have type 2 diabetes (9,12,13), even more so when a person's ethnicity is associated with high type 2 diabetes risk (14).”
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References 42 · Cited by 215
Research works printed but not linked: 1
- Nagai M, Sakata K, Yanagawa H, Sueta H, Tanaka T, Shirahama S (1992) The prevalence of diabetes mellitus and impaired glucose tolerance studies by 75-gram oral glucose tolerance test in a rural island population. Japanese Journal of Public Health 39:907-912
- Authors
- Group, T. D.-D. S.
- Affiliations
- Steno Diabetes Centers (DK)
- Corresponding author
- Group, The DECODE-DECODA Study
- Venue
- Diabetologia
- Published
- 2003-08-01
- Volume
- 46
- Issue
- 8
- Pages
- 1063-1070
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- OpenAlex
- W2112729355
- Cited by
- 215
- References
- 42
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 5 · 2023: 5 · 2022: 11 · 2021: 11 · 2020: 9 · 2019: 7 · 2018: 11 · 2017: 12 · 2016: 7 · 2015: 12 · 2014: 10 · 2013: 11 · 2012: 12
- FWCI
- 6.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Diabetologia (publishedVersion)
- PubMed (publishedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Funders
- Novo Nordisk
- Japan Diabetes Foundation
- Novartis Pharma
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- type 2 diabetes, body mass index, age, ethnicity, diabetes prevalence, sex differences, Indian population, Maltese population, European populations
- MeSH terms
- Adult, Age Factors, Aged, Aged, 80 and over, Asia, Diabetes Mellitus, Type 2, Ethnicity, Europe, Female, Geography, Glucose Tolerance Test, Humans, Male, Middle Aged, Body Mass Index, Prevalence, Age Distribution
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