Energetic determinants of glucose tolerance status in Jamaican adults.

Abstract:

:As type 2 diabetes mellitus (DM2), obesity and sedentary lifestyles are increasing in developing countries, this observational study investigated the role of physical activity on DM2 in Jamaica. Anthropometry, body composition (by bioelectrical impedance analysis) and glucose tolerance status was assessed in 722 adults in 1993 and 1997. Energy expenditure was estimated in a subset using measured resting energy expenditure in combination with self-reported activity recalls. The rates of impaired glucose tolerance (IGT) were 23.7 and 27.3%, and DM2 were 16.3 and 23.7% among men and women, respectively. After adjusting for body composition, a one-unit increase in physical activity significantly reduced the odds of having diabetes (OR = 0.05; 95% CI: 0.004, 0.66), but not IGT. Hence, decreased physical activity is a significant independent contributor to the high rates of glucose intolerance in Jamaica. Efforts must be directed at minimizing obesity and increasing physical activity in developing countries.

journal_name

Eur J Clin Nutr

authors

Boyne MS,Gaskin P,Luke A,Wilks RJ,Bennett FI,Younger N,Sargeant LA,Adeyemo AA,Cooper RS,Forrester TE

doi

10.1038/sj.ejcn.1602011

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

1666-8

issue

12

eissn

0954-3007

issn

1476-5640

pii

1602011

journal_volume

58

pub_type

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