Family History of Diabetes, Acculturation, and the Metabolic Syndrome among Mexican Americans: Proyecto SALSA.

Abstract:

BACKGROUND:The purpose of this study was to examine effect modifiers of the relationship between family history of diabetes, a proxy for genetic predisposition, and the metabolic syndrome. METHODS:Subjects were a cross-sectional sample of 205 Mexican-Americans patients of the San Ysidro Health Center in San Diego County. Self-reported parental history of diabetes was examined as a risk factor for individual metabolic syndrome traits (hyperglycemia, hypertension, abdominal obesity, hypertriglyceridemia and low HDL-cholesterol) and a composite phenotype, defined both by standard modified National Cholesterol Education Program- Adult Treatment Panel III (NCEP-ATPIII) criteria and using principal components analysis, in age and sex-adjusted multiple logistic and linear regression models. RESULTS:Family history of diabetes was most strongly associated with individual traits of hyperglycemia (P = .0002) and low HDL-C (P = .001) and conferred a significant increased odds of metabolic syndrome defined by both NCEP-ATPIII criteria (odds ratio 3.57, 95% confidence interval 1.82, 7.01; P = .0002) and by principal components analysis (P = 0.003). Moreover, the family history association with metabolic syndrome was modified by number of years living in the United States (interaction P = .04). This same effect was not seen for diabetes (P = .19). CONCLUSIONS:The results of our study support a common etiology for at least some components of the metabolic syndrome, especially hyperglycemia and low HDL-cholesterol, the basis of which may be genetic. Moreover, the effect of genes on these traits may be modified by longer duration in the United States, supporting the concept of gene-environment interaction in the development of the metabolic syndrome.

authors

Nelson T,Perez A,Alcaraz J,Talavera G,McCarthy JJ

doi

10.1089/met.2006.0035

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

262-9

issue

3

eissn

1540-4196

issn

1557-8518

journal_volume

5

pub_type

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