Crawford Margaret A, Mendoza-Vasconez Andrea S, Larsen Britta A
Department of Family Medicine & Public Health, University of California, San Diego, CA 92093, USA.
Womens Health (Lond). 2015 Nov;11(6):913-27. doi: 10.2217/whe.15.62. Epub 2015 Dec 9.
The rates of diabetes in the USA are rapidly increasing, and vary widely across different racial/ethnic groups. This paper explores the potential contribution of body composition, diet and physical activity in explaining diabetes disparities across women of different racial and ethnic backgrounds. For body composition, racial/ethnic groups differ widely by BMI, distribution of body mass and quantity and type of adipose tissue. Dietary patterns that vary across race/ethnicity include consumption of meat, added sugars, high-glycemic carbohydrates and fast food. Additionally, physical activity patterns of interest include aerobic versus muscle-strengthening exercises, and the purpose of physical activity (leisure, occupation, or transportation). Overall, these variables provide a partial picture of the source of these widening disparities, and could help guide future research in addressing and reducing diabetes disparities.
美国糖尿病发病率正在迅速上升,且在不同种族/族裔群体中差异很大。本文探讨了身体成分、饮食和体育活动在解释不同种族和族裔背景女性之间糖尿病差异方面的潜在作用。在身体成分方面,不同种族/族裔群体在体重指数、身体质量分布以及脂肪组织的数量和类型上存在很大差异。不同种族/族裔的饮食模式包括肉类、添加糖、高血糖碳水化合物和快餐的摄入量。此外,感兴趣的体育活动模式包括有氧运动与肌肉强化运动,以及体育活动的目的(休闲、职业或交通)。总体而言,这些变量部分说明了这些差距不断扩大的原因,并有助于指导未来在解决和减少糖尿病差异方面的研究。