Affiliation:
1. From the National Office of Public Health Genomics, Coordinating Center for Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Abstract
OBJECTIVE—We sought to test the association between stratified levels of familial risk of diabetes and the prevalence of the disease in the U.S. population.
RESEARCH DESIGN AND METHODS—This study includes 16,388 adults interviewed for the National Health and Nutrition Examination Survey between 1999 and 2004. Fasting glucose was available for a subsample of 6,004 participants. Familial risk of diabetes was classified as average, moderate, or high. The prevalence and the odds of having diabetes were estimated for each risk class after accounting for other risk factors.
RESULTS—Overall, 69.8% of the U.S. adults were in the average, 22.7% in the moderate, and 7.5% in the high familial risk for diabetes. The crude prevalence of diabetes for each risk class was 5.9, 14.8, and 30%, respectively. The graded association between familial risk and prevalence of diabetes remained even after accounting for sex, race/ethnicity, age, BMI, hypertension, income, and education. Versus people in the average risk class, independently of other risk factors considered, the odds of having diabetes for people in the moderate and high familial risk categories were, respectively, 2.3 and 5.5 times higher.
CONCLUSIONS—In the U.S. population, family history of diabetes has a significant, independent, and graded association with the prevalence of diabetes. This association not only highlights the importance of shared genes and environment in diabetes but also opens the possibility of formally adding family history to public health strategies aimed at detecting and preventing the disease.
Publisher
American Diabetes Association
Subject
Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine
Reference22 articles.
1. American Diabetes Association: Diagnosis and classification of diabetes mellitus. Diabetes Care 30: S42–S47, 2007
2. Centers for Disease Control and Prevention: National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2005. Atlanta, GA, U.S. Department of Health and Human Services, 2005
3. Reusch JEB: Diabetes, microvascular complications, and cardiovascular complications: what is it about glucose? J Clin Invest 112:986–988, 2003
4. American Diabetes Association: Economic costs of diabetes in the U.S. in 2002. Diabetes Care 26:917–932, 2003
5. Permutt MA, Wasson J, Cox N: Genetic epidemiology of diabetes. J Clin Invest 115:1431–1439, 2005
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