Cited by 148Diabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and ResearchGestational Diabetes Research and Management

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Gender differences in the prevalence of impaired fasting glycaemia and impaired glucose tolerance in Mauritius. Does sex matter?

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Williams, J. W., Zimmet, P. Z., Shaw, J. E., De Courten, M. P., Cameron, A. J., Chitson, P., Tuomilehto, J., Alberti, K. G. M. M.·2003·Diabetic Medicine

DOI 10.1046/j.1464-5491.2003.01059.x

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Abstract

Objective To examine gender differences in the characteristics and prevalence of various categories of glucose tolerance in a population study in Mauritius. Research design and methods In 1998, a community‐based cross‐sectional survey was conducted in Mauritius. Categories of glucose metabolism were determined in 5388 adults, with an oral glucose tolerance test given to those who did not have previously diagnosed diabetes (n = 4036). Other cardiovascular risk factors were assessed among those without known diabetes. Results For men and women the prevalence of diabetes (22.0 vs. 21.8%, respectively) and the prevalence of coexisting impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) (3.2 vs. 2.9%) were similar. However, men were twice as likely as women to have isolated IFG [5.1% (4.2–6.0) vs. 2.9% (2.3–3.5)], despite being younger, thinner and with lower plasma insulin but higher lipids. Conversely, the prevalence of isolated IGT was lower in men [9.0% (7.9–10.2) vs. 13.9% (12.6–15.1)]. Among non‐diabetic individuals, fasting glucose was higher in men than women, whereas 2‐h glucose was higher in women. In people without diabetes, women had significantly higher body mass index, beta cell function (HOMA‐B), fasting and 2‐h insulin than men and significantly lower waist‐hip ratios, waist circumference, insulin sensitivity (HOMA‐S) and triglycerides. Conclusion In Mauritius, the distribution of impaired glucose metabolism differs by sex. The observation that IFG is more prevalent in men and IGT more prevalent in women raises important questions about their underlying aetiology and the ability of the current glucose thresholds to equally identify men and women at high‐risk of developing diabetes. IFG should be seen as a complimentary category of abnormal glucose tolerance, rather than a replacement for IGT.

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Authors: Williams, J. W., Zimmet, P. Z., Shaw, J. E., De Courten, M. P., Cameron, A. J., Chitson, P., Tuomilehto, J., & Alberti, K. G. M. M.
Affiliations: Ministry of Health and Quality of Life (MU)
Newcastle University (GB)
Corresponding author: Cameron, A. J.
ORCID: Williams, J. W.
Zimmet, P. Z.
Shaw, J. E.
Cameron, A. J.
Venue: Diabetic Medicine
Publisher: Wiley
Published: 2003-10-22
Volume: 20
Issue: 11
Pages: 915-920
ISSN: 0742-3071 (ISSN-L)
1464-5491
DOI: 10.1046/j.1464-5491.2003.01059.x
OpenAlex: W2015552976
Cited by: 148
References: 30
Citations by year: 2026: 1 · 2025: 7 · 2024: 5 · 2023: 11 · 2022: 12 · 2021: 10 · 2020: 3 · 2019: 6 · 2018: 6 · 2017: 6 · 2016: 6 · 2015: 4 · 2014: 4 · 2013: 13 · 2012: 6
FWCI: 1.83
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Diabetic Medicine (publishedVersion)
PubMed (publishedVersion)
Victoria University Research Repository (Victoria University) (submittedVersion)
Figshare (submittedVersion)
Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Newcastle University ePrints (Newcastle Univesity)
Funders: World Health Organization
National Institutes of Health (2r01dk025446-18)
National Institute of Diabetes and Digestive and Kidney Diseases (DK-25446)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
Keywords: gender differences, impaired fasting glucose, impaired glucose tolerance, diabetes prevalence, glucose metabolism, insulin sensitivity, beta-cell function, waist-to-hip ratio, cardiovascular risk factors, Mauritius
MeSH terms: Adult, Blood Glucose, Body Constitution, Cross-Sectional Studies, Diabetes Mellitus, Fasting, Female, Glucose Tolerance Test, Health Surveys, Humans, Male, Mauritius, Middle Aged, Body Mass Index, Prevalence, Sex Distribution

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Gender differences in the prevalence of impaired fasting glycaemia and impaired glucose tolerance in Mauritius. Does sex matter?

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