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Correlates of prediabetes and type II diabetes in US South Asians: findings from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study.
Ann Epidemiol. 2015 Feb; 25(2):77-83.AE

Abstract

PURPOSE

In this study, we aim to elucidate the role of sociodemographic, lifestyle, and cultural factors in prediabetes and diabetes in South Asian immigrants to the United States, a population at high risk of type II diabetes.

METHODS

We performed a cross-sectional analysis of a community-based cohort of 899 South Asians without known cardiovascular disease from the Mediators of Atherosclerosis in South Asians Living in America study. Glycemic status was determined by fasting glucose, 2-hour postchallenge glucose, and use of diabetes medication. We used multinomial logistic regression models to estimate the independent associations of sociodemographic, lifestyle, and cultural factors with prediabetes and diabetes, adjusting for confounders identified using directed acyclic graphs.

RESULTS

Approximately 33% of participants had prediabetes and 25% had diabetes. In multivariate analyses, an independent correlate of prediabetes was low exercise. Additional covariates associated with diabetes included lower family income, less education, high chronic psychological burden score, and greater time spent watching television; and fasting monthly or annually was inversely associated with diabetes prevalence.

CONCLUSIONS

We found several modifiable risk factors associated with prediabetes and diabetes that may help guide diabetes prevention interventions for South Asian immigrants to the United States.

Authors+Show Affiliations

Division of Endocrinology and Metabolism, Department of Medicine, University of California, San Francisco, San Francisco. Electronic address: Arti.Shah@ucsf.edu.Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco.Division of General Internal Medicine and Geriatrics, Department of Medicine, Northwestern University, Chicago, IL.Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco.Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco; Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

25459085

Citation

Shah, Arti D., et al. "Correlates of Prediabetes and Type II Diabetes in US South Asians: Findings From the Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study." Annals of Epidemiology, vol. 25, no. 2, 2015, pp. 77-83.
Shah AD, Vittinghoff E, Kandula NR, et al. Correlates of prediabetes and type II diabetes in US South Asians: findings from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study. Ann Epidemiol. 2015;25(2):77-83.
Shah, A. D., Vittinghoff, E., Kandula, N. R., Srivastava, S., & Kanaya, A. M. (2015). Correlates of prediabetes and type II diabetes in US South Asians: findings from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study. Annals of Epidemiology, 25(2), 77-83. https://doi.org/10.1016/j.annepidem.2014.10.013
Shah AD, et al. Correlates of Prediabetes and Type II Diabetes in US South Asians: Findings From the Mediators of Atherosclerosis in South Asians Living in America (MASALA) Study. Ann Epidemiol. 2015;25(2):77-83. PubMed PMID: 25459085.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlates of prediabetes and type II diabetes in US South Asians: findings from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study. AU - Shah,Arti D, AU - Vittinghoff,Eric, AU - Kandula,Namratha R, AU - Srivastava,Shweta, AU - Kanaya,Alka M, Y1 - 2014/10/22/ PY - 2014/07/24/received PY - 2014/10/14/revised PY - 2014/10/16/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2015/10/2/medline KW - Diabetes risk factors KW - Dietary factors KW - Lifestyle factors KW - Prediabetes risk factors KW - Socioeconomic status KW - South Asian immigrants SP - 77 EP - 83 JF - Annals of epidemiology JO - Ann Epidemiol VL - 25 IS - 2 N2 - PURPOSE: In this study, we aim to elucidate the role of sociodemographic, lifestyle, and cultural factors in prediabetes and diabetes in South Asian immigrants to the United States, a population at high risk of type II diabetes. METHODS: We performed a cross-sectional analysis of a community-based cohort of 899 South Asians without known cardiovascular disease from the Mediators of Atherosclerosis in South Asians Living in America study. Glycemic status was determined by fasting glucose, 2-hour postchallenge glucose, and use of diabetes medication. We used multinomial logistic regression models to estimate the independent associations of sociodemographic, lifestyle, and cultural factors with prediabetes and diabetes, adjusting for confounders identified using directed acyclic graphs. RESULTS: Approximately 33% of participants had prediabetes and 25% had diabetes. In multivariate analyses, an independent correlate of prediabetes was low exercise. Additional covariates associated with diabetes included lower family income, less education, high chronic psychological burden score, and greater time spent watching television; and fasting monthly or annually was inversely associated with diabetes prevalence. CONCLUSIONS: We found several modifiable risk factors associated with prediabetes and diabetes that may help guide diabetes prevention interventions for South Asian immigrants to the United States. SN - 1873-2585 UR - https://www.unboundmedicine.com/medline/citation/25459085/Correlates_of_prediabetes_and_type_II_diabetes_in_US_South_Asians:_findings_from_the_Mediators_of_Atherosclerosis_in_South_Asians_Living_in_America__MASALA__study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1047-2797(14)00455-4 DB - PRIME DP - Unbound Medicine ER -