Prediabetes, undiagnosed diabetes, and diabetes among Mexican adults: Findings from the Mexican Health and Aging Study

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Abstract

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.

Original languageEnglish (US)
Pages (from-to)163-170
Number of pages8
JournalAnnals of Epidemiology
Volume26
Issue number3
DOIs
StatePublished - Mar 1 2016

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Prediabetic State
Confidence Intervals
Health
Cholesterol
Waist-Hip Ratio
Abdominal Obesity
Waist Circumference
Vitamin D
HDL Cholesterol
Body Mass Index
Obesity
Logistic Models
Exercise

Keywords

  • BMI
  • Central obesity
  • HbA1c
  • Mexico
  • MHAS
  • Migration
  • Older adults
  • Physical activity
  • Prediabetes
  • Undiagnosed diabetes

ASJC Scopus subject areas

  • Epidemiology

Cite this

@article{2f46c626ab554224902e234ca6640490,
title = "Prediabetes, undiagnosed diabetes, and diabetes among Mexican adults: Findings from the Mexican Health and Aging Study",
abstract = "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.",
keywords = "BMI, Central obesity, HbA1c, Mexico, MHAS, Migration, Older adults, Physical activity, Prediabetes, Undiagnosed diabetes",
author = "Amit Kumar and Rebeca Wong and Kenneth Ottenbacher and {Al Snih al snih}, Soham",
year = "2016",
month = "3",
day = "1",
doi = "10.1016/j.annepidem.2015.12.006",
language = "English (US)",
volume = "26",
pages = "163--170",
journal = "Annals of Epidemiology",
issn = "1047-2797",
publisher = "Elsevier Inc.",
number = "3",

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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

AU - Al Snih al snih, Soham

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 - Mexico

KW - MHAS

KW - Migration

KW - Older adults

KW - Physical activity

KW - Prediabetes

KW - Undiagnosed diabetes

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DO - 10.1016/j.annepidem.2015.12.006

M3 - Article

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VL - 26

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JO - Annals of Epidemiology

JF - Annals of Epidemiology

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