1. bookVolume 63 (2009): Issue 4-5 (October 2009)
    The National Research Programme On Main Diseases Threatening The Life Expectancy and Life Quality of The Latvian Population: Scientific papers
Journal Details
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Journal
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14 Sep 2008
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6 times per year
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English
access type Open Access

Glucose Metabolism Disorders and Risk Factors of Type 2 Diabetes in 45-74-Years-old Population in Rīga, Latvia

Journal Details
License
Format
Journal
First Published
14 Sep 2008
Publication timeframe
6 times per year
Languages
English

The aims of this study were to investigate the current prevalence of abnormal glucose tolerance (AGT), compare the risk factor profile between persons with and without AGT among 45-74 years-old Latvian men and women, and to validate the Finnish diabetes risk score (FINDRISC) questionnaire in detecting AGT in the middle-aged Latvian population. A cross-sectional survey among the 45-74-years old population randomly selected from the registers of general practitioners in Rīga, Latvia was carried out between April 2008 and March 2009. The survey consisted of a questionnaire, measurements such as height, weight, waist circumference, and blood pressure as well as blood oral glucose tolerance test (OGTT), cholesterol and its fractions. Prevalence of obesity, central obesity and physical inactivity were high in the Latvian population. Women with AGT had a worse risk factor profile for T2D and cardiovascular diseases compared to those with normal glucose tolerance. No differences were found in the risk factor profile between men with and without AGT. A high proportion of men and women with more than 11 FINDRISC points had undetected AGT. The FINDRISC questionnaire can be used in clinical practice to detect persons with AGT in the Latvian population.

Keywords

Anonīms (2008). Sociālā sistēma un veselības aprūpe Rīgā 2007. gadā: Rīgas Domes Labklājības departamenta gadagrāmata [Social system and health care in Rīga in 2007]. Rīga, 7. lpp.Search in Google Scholar

Anonymous (1999a). Is fasting glucose sufficient to define diabetes? Epidemiological data from 20 European studies. The DECODE Study Group. Diabetologia, 42, 647-654.Search in Google Scholar

Anonymous (1999b). WHO Consultation: Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus.Search in Google Scholar

http://whqlibdoc.who.int/hq/1999/WHO_NCD_NCS_99.2.pdfSearch in Google Scholar

Anonymous (2000). World Health Organization Report No. 99.2. Report of WHO Consultation: Obesity: Preventing and managing the global epidemic. Geneva, WHO Technical Report Series, 894.Search in Google Scholar

Anonymous (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. Diabetes Prevention Program Research Group. New Engl. J. Med., 346, 393-403.Search in Google Scholar

Anonymous (2003). Age- and sex-specific prevalences of diabetes and impaired glucose regulation in 13 European cohorts. The DECODE Study Group. Diabetes Care, 26, 61-69.Search in Google Scholar

Anonymous (2005). IDF consensus worldwide definition of the metabolic syndrome. International Diabetes Federation.Search in Google Scholar

http://www.idf.org/webdata/docs/MetSyndrome_FINAL.pdfSearch in Google Scholar

Baan, C.A., Ruige, J.B. & Stolk, R.P. (1999). Performance of a predictive model to identify undiagnosed diabetes in a health care setting. Diabetes Care, 22, 213-19.Search in Google Scholar

Colditz, G.A., Willett, W.C., Rotnitzky, A., Manson J.E. (1995). Weight gain as a risk factor for clinical diabetes mellitus in women. Ann. Intern. Med., 122, 481-486.Search in Google Scholar

Glumer, C., Carstensen, B., Sandbaek, A., Lauritzen, T., Jorgensen, T., Borch-Johnsen, K.A. (2004). Danish diabetes risk score for targeted screening: The Inter99 study. Diabetes Care, 27, 727-733.Search in Google Scholar

Griffin, S.J., Little, P.S., Hales, C.N., Kinmonth, A.L., Wareham, N.J. (2000). Diabetes risk score: Towards earlier detection of type 2 diabetes in general practice. Diabetes Metab. Res. Rev., 16, 164-171.Search in Google Scholar

Harris, M.I. (1996). Impaired glucose tolerance: Prevalence and conversion to NIDDM. Diabet Med., 13(Suppl), 9-11.Search in Google Scholar

Hunt, K., Williams, K., Haffner, S., Stern, M. (2002). Predicting impaired glucose tolerance among individuals with non-diabetic fasting glucose value: The San Antonio Heart Study. Diabetes, 2, SA229.Search in Google Scholar

Hu, F.B., Manson, J.E., Stampfer, M.J., Colditz, G., Liu, S., Solomon, C.G., Willet W.C. (2001). Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. New Engl. J. Med., 345, 790-797.Search in Google Scholar

King, H., Aubert, R.E., Herman W.H. (1998). Global burden of diabetes, 1995-2025: Prevalence, numerical estimates, and projections. Diabetes Care, 21, 1414-1431.Search in Google Scholar

Knowler, W.C., Barrett-Connor, E., Fowler, S.E. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New Engl. J. Med., 346, 393-403.Search in Google Scholar

Kosaka, K., Noda, M., Kuzuya, T. (2005). Prevention of type 2 diabetes by lifestyle intervention: A Japanese trial in IGT males. Diabetes Res. Clin. Pract., 67, 152-162.Search in Google Scholar

Lindström,. J., Tuomilehto, J. (2003). The diabetes risk score: A practical tool to predict type 2 diabetes risk. Diabetes Care, 26, 725-731.Search in Google Scholar

Lindstrom, J., Ilanne-Parikka, P., Peltonen, M., Aunola, S., Eriksson, J.G., Hemiö, K., Hämäläinen, Härkönen, P., Keinänen-Kiukaanniemi, S., Laakso, M., Louheranta, A., Mannelin, M., Paturi, M., Sundvall, J., Valle, TT., Uusitupa, M., Tuomilehto, J. (2006). Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: Follow-up of the Finnish Diabetes Prevention Study. Lancet, 368, 1673-1679.Search in Google Scholar

Lorenzo, C., Okoloise, M., Williams, K., Stern, M.P., Haffner, S.M. (2003). The metabolic syndrome as predictor of type 2 diabetes: The San Antonio heart study. Diabetes Care, 26, 3153-3159.Search in Google Scholar

Kumanyika, S., Jeffery R.W., Morabia, A., Ritenbaugh C., Antipatis V.J. (2002). Obesity prevention: The case for action. Public Health Approaches to the Prevention of Obesity (PHAPO) Working Group of the International Obesity Task Force (IOTF). Int. J. Obes. Relat. Metab. Disord., 26, 425-436.Search in Google Scholar

Must, A., Spadano, J., Coakley, E.H., Field, A.E., Colditz, G., Dietz, W.H. (2007). The disease burden associated with overweight and obesity. JAMA, 282, 1523-1529.Search in Google Scholar

Nathan, D.M., Davidson, M.B., DeFronzo, R.A., Heine, R.J., Henry, R.R., Pratley, R., Zinman, B. (2007). ADA Consensus Statement. Impaired fasting glucose and impaired glucose tolerance: Implications for care. Diabetes Care, 30, 753-759.Search in Google Scholar

Pan, X.R., Li, G.W., Hu, Y.H. (1997). Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care, 20, 537-544.Search in Google Scholar

Park, P.J., Griffin, S.J., Sargeant, L., Wareham, N.J. (2002). The performance of a risk score in predicting undiagnosed hyperglycemia. Diabetes Care, 25, 984-988.Search in Google Scholar

Pīrāgs, V., Bricina, N., Dzērve, V. & Eisaka, I. (2005). Pirmās nacionālās cukura diabēta skrīninga programmas DIA-screen rezultāti [The results of the first diabetes screening programme DIA-screen]. In: Latvijas Universitātes Raksti, Vol. 694, Medicīna, IV, 85.-91. lpp.Search in Google Scholar

Pudule, I. (2007). Latvijas iedzīvotāju veselību ietekmējošo paradumu pētījums, 2006. [Health Behaviour among Latvian Adult Population, 2006]. Rīga: V/a Sabiedrības veselības agentūra. 165 lpp.Search in Google Scholar

Ramachandran, A., Snehalatha, C., Mary, S., Mukesh, B., Bhaskar, A.D., Vijay, V. Indian Diabetes Prevention Programme (IDPP). (2006). The Indian Diabetes Prevention Programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1). Diabetologia, 49, 289-297.Search in Google Scholar

Rathmann, W., Haastert, B., Icks, A., Löwel, H., Meisinger, C., Holle, R., Giani, G. (2000). High prevalence of undiagnosed diabetes mellitus in Southern Germany: Target populations for efficient screening. The KORA survey 2000. Diabetologia, 46, 182-189.Search in Google Scholar

Saaristo, T., Peltonen, M., Linström, J., Saarikoski, L., Sundvall, J., Eriksson, J. G., Tuomilehto, J. (2005). Cross-sectional evaluation of the Finnish Diabetes Risk Score: A tool to identify undetected type diabetes, abnormal glucose tolerance and metabolic syndrome. Diabetes Vasc. Dis. Res., 2, 67-72.Search in Google Scholar

Saaristo, T., Barengo, N. C., Korpi-Hyövälti, E., Oksa, H., Puolijoki, H., Saltevo, J. T., Vanhala, M., Sundvall, J., Saarikoski, L., Peltonen, M., Tuomilehto, J. (2008). High prevalence of obesity, central obesity and abnormal glucose tolerance in the middle-aged Finnish population. BMC Public Health, 8, 423-431.Search in Google Scholar

Schmidt, M.I., Duncan, B.B., Vigo, A., Pankow, J., Ballantyne, C.M., Couper, D., Brancati, F., Folsom, A.R. for the ARIC investigators (2003). Detection of undiagnosed diabetes and other hyperglycemia states: The Atherosclerosis Risk in Communities Study. Diabetes Care, 26, 1338-1343.Search in Google Scholar

Swinburn, B.A., Metcalf, P.A., Ley, S.J. (2001). Long-term (5-year) effects of a reduced-fat diet intervention in individuals with glucose intolerance. Diabetes Care, 24, 619-624.Search in Google Scholar

Tuomilehto, J., Lindström, J., Eriksson, J.G. (2001). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New Engl. J. Med., 344, 1343-1350.Search in Google Scholar

Wild, S.G., Roglic, A., Green, R., Sicree, H., King, F. (2004). Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care, 27, 1047-1053.Search in Google Scholar

Zargar, A.H., Khan, A.K., Masoodi, S.R., Laway, B.A., Wani, A.I., Bashir, M.I., Dar, F.A. (2000). Prevalence of type 2 diabetes mellitus and impaired glucose tolerance in the Kashmir Valley of the Indian subcontinent. Diabetes Res. Clin. Pract., 47, 135-146.Search in Google Scholar

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