Departments of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Department of Biomedical Sciences and Surgical Specialties, University of Ferrara, Ferrara, Italy.
Endocrine. 2019 Sep;65(3):558-568. doi: 10.1007/s12020-019-02031-7. Epub 2019 Jul 31.
This study aimed to compare immigrants and Italian natives with type 2 diabetes mellitus (DM2) in terms of anthropometric parameters and lifestyle-related characteristics and to investigate the relationship between ethnicity and glycemic control in men and women with DM2 living in Italy. The sample included 100 immigrants (55 Albanians and 45 Africans) and 100 Italians, followed by the Public Health Clinics of Rimini. The association of ethnicity with sex, socioeconomic status, anthropometric and hematological characteristics, and lifestyle were examined. In addition, differences among groups in glycemic control were evaluated. Among males, African participants presented significantly lower values than other groups in adiposity parameters and triglycerides. The highest percentage of obesity and of normal weight was found in Italians and in Africans, respectively. Among females, there were scanty differences, but Italians presented higher WHR values than the other groups. No statistical differences appeared in hematological parameters among groups. There were no significant differences in glycemic control among groups and sexes. Also considering the differences between subjects with optimal (L) or nonoptimal (H) glycemic control, the differences in lifestyle, anthropometric, and hematological variables remained scarce. Among all groups, significantly higher values of glucose were detected in H than in L. A similar condition appeared for triglycerides in males. Immigrant and native Italian diabetics did not present any difference in their clinical characteristics, but Italians generally presented worst lifestyle habits. The percentage of subjects with poor metabolic control of diabetes was not low, but similar in immigrants and natives.
本研究旨在比较意大利移民和意大利本地人 2 型糖尿病（DM2）患者的人体测量参数和生活方式相关特征，并探讨生活在意大利的 DM2 男性和女性中种族与血糖控制之间的关系。该样本包括 100 名移民（55 名阿尔巴尼亚人和 45 名非洲人）和 100 名意大利人，他们都在里米尼的公共卫生诊所接受随访。研究检查了种族与性别、社会经济地位、人体测量和血液特征以及生活方式之间的关联。此外，还评估了不同人群之间血糖控制的差异。在男性中，与其他组相比，非洲参与者的肥胖参数和甘油三酯值明显较低。意大利人和非洲人分别有最高比例的肥胖和正常体重。在女性中，差异很小，但意大利人比其他组的腰臀比（WHR）值更高。各组之间的血液学参数没有统计学差异。各组和各性别之间的血糖控制没有显著差异。即使考虑到血糖控制最佳（L）或非最佳（H）的受试者之间的差异，生活方式、人体测量和血液学变量之间的差异仍然很少。在所有组中，H 组的血糖值明显高于 L 组。男性的甘油三酯也出现了类似的情况。移民和意大利本地糖尿病患者在临床特征方面没有差异，但意大利人通常有更差的生活习惯。糖尿病代谢控制不佳的患者比例不低，但在移民和本地人中相似。
