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Racial/ethnic variation in prevalence estimates for United States prediabetes under alternative 2010 American Diabetes Association criteria: 1988-2008.
Ethn Dis. 2012 Autumn; 22(4):451-8.ED

Abstract

OBJECTIVE

To compare the racial/ethnic variation in United States prediabetes prevalence estimates for alternative prediabetes definitions currently approved by the American Diabetes Association (ADA) across 20 years and in detailed multivariate comparisons.

DESIGN

Using nationally representative National Health and Nutrition Examination Survey (NHANES) data from 1988-2008, we compared trends in the prevalence of impaired fasting glucose (IFG) and impaired glycated hemoglobin (IGH) for non-Hispanic Black, non-Hispanic White, and Mexican American/other Hispanic adults. Using NHANES 2005-2008, we compared prevalence by race/ethnicity in more detail for the three current ADA prediabetes definitions--IFG, IGH, and impaired glucose tolerance (IGT)--controlling for associated factors (education, income, weight, age, sex).

RESULTS

Prediabetes prevalence during the last 20 years was consistently significantly lower among non-Hispanic Blacks compared to non-Hispanic Whites when measured by IFG, but was significantly higher among non-Hispanic Blacks when measured by IGH. In adjusted models, non-Hispanic Blacks were significantly more likely than non-Hispanic Whites to have IGH (OR: 2.22; 95% CI: 1.33-3.70) and less likely to have IFG (OR: 0.46; 0.30-0.73) or IGT (OR: 0.35; 0.24-0.50), but Mexican American/other Hispanic rates did not differ significantly from non-Hispanic White rates. However, rates of prediabetes, when defined by any of three individual diagnostic criteria, were not statistically significantly different across groups (36.8% for non-Hispanic Whites, 36.0% AA, 37.3% Mexican American/other Hispanics).

CONCLUSIONS

National prediabetes prevalence estimates vary dramatically across racial/ethnic groups according to diagnostic method, though over 35% in all three racial/ethnic groups met at least one ADA diagnostic criteria for prediabetes.

Authors+Show Affiliations

Office of Public Health Studies, University of Hawaii at Manoa, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

23140076

Citation

Sentell, Tetine L., et al. "Racial/ethnic Variation in Prevalence Estimates for United States Prediabetes Under Alternative 2010 American Diabetes Association Criteria: 1988-2008." Ethnicity & Disease, vol. 22, no. 4, 2012, pp. 451-8.
Sentell TL, He G, Gregg EW, et al. Racial/ethnic variation in prevalence estimates for United States prediabetes under alternative 2010 American Diabetes Association criteria: 1988-2008. Ethn Dis. 2012;22(4):451-8.
Sentell, T. L., He, G., Gregg, E. W., & Schillinger, D. (2012). Racial/ethnic variation in prevalence estimates for United States prediabetes under alternative 2010 American Diabetes Association criteria: 1988-2008. Ethnicity & Disease, 22(4), 451-8.
Sentell TL, et al. Racial/ethnic Variation in Prevalence Estimates for United States Prediabetes Under Alternative 2010 American Diabetes Association Criteria: 1988-2008. Ethn Dis. 2012;22(4):451-8. PubMed PMID: 23140076.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial/ethnic variation in prevalence estimates for United States prediabetes under alternative 2010 American Diabetes Association criteria: 1988-2008. AU - Sentell,Tetine L, AU - He,Guozhong, AU - Gregg,Edward W, AU - Schillinger,Dean, PY - 2012/11/13/entrez PY - 2012/11/13/pubmed PY - 2012/12/10/medline SP - 451 EP - 8 JF - Ethnicity & disease JO - Ethn Dis VL - 22 IS - 4 N2 - OBJECTIVE: To compare the racial/ethnic variation in United States prediabetes prevalence estimates for alternative prediabetes definitions currently approved by the American Diabetes Association (ADA) across 20 years and in detailed multivariate comparisons. DESIGN: Using nationally representative National Health and Nutrition Examination Survey (NHANES) data from 1988-2008, we compared trends in the prevalence of impaired fasting glucose (IFG) and impaired glycated hemoglobin (IGH) for non-Hispanic Black, non-Hispanic White, and Mexican American/other Hispanic adults. Using NHANES 2005-2008, we compared prevalence by race/ethnicity in more detail for the three current ADA prediabetes definitions--IFG, IGH, and impaired glucose tolerance (IGT)--controlling for associated factors (education, income, weight, age, sex). RESULTS: Prediabetes prevalence during the last 20 years was consistently significantly lower among non-Hispanic Blacks compared to non-Hispanic Whites when measured by IFG, but was significantly higher among non-Hispanic Blacks when measured by IGH. In adjusted models, non-Hispanic Blacks were significantly more likely than non-Hispanic Whites to have IGH (OR: 2.22; 95% CI: 1.33-3.70) and less likely to have IFG (OR: 0.46; 0.30-0.73) or IGT (OR: 0.35; 0.24-0.50), but Mexican American/other Hispanic rates did not differ significantly from non-Hispanic White rates. However, rates of prediabetes, when defined by any of three individual diagnostic criteria, were not statistically significantly different across groups (36.8% for non-Hispanic Whites, 36.0% AA, 37.3% Mexican American/other Hispanics). CONCLUSIONS: National prediabetes prevalence estimates vary dramatically across racial/ethnic groups according to diagnostic method, though over 35% in all three racial/ethnic groups met at least one ADA diagnostic criteria for prediabetes. SN - 1049-510X UR - https://www.unboundmedicine.com/medline/citation/23140076/Racial/ethnic_variation_in_prevalence_estimates_for_United_States_prediabetes_under_alternative_2010_American_Diabetes_Association_criteria:_1988_2008_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23140076/ DB - PRIME DP - Unbound Medicine ER -