Ali O, Tan T T, Sakinah O, Khalid B A, Wu L L, Ng M L
Department of Community Health, Medical Faculty, Kebangsaan University of Malaysia.
Diabetes Care. 1993 Jan;16(1):68-75. doi: 10.2337/diacare.16.1.68.
To determine the prevalence of diabetes mellitus and IGT in different ethnic groups living in the same physical environment and to find their relationship to nutritional status and dietary intake.
The study was conducted among Malays and Orang Asli in six rural and urban locations in Malaysia. OGTTs were performed on 706 adult subjects > or = 18 yr of age. WHO criteria were used for diagnosing diabetes mellitus and IGT.
The overall prevalence of diabetes mellitus and IGT among Orang Asli was 0.3 and 4.4% compared with 4.7 and 11.3%, respectively, among Malays. This increased prevalence of glucose intolerance among Malays was associated with higher levels of social development. Among rural Malays, the crude prevalence of diabetes in a traditional village was 2.8% and in the land scheme was 6.7%, whereas urban Malays had a prevalence of 8.2%. In contrast, the prevalence of IGT (10.5-14.8%) was higher among rural Malays, compared with 9.6% among urban Malays. Ethnic group, > or = 40 yr of age, an income > M$250, fewer daily activity, and obesity were associated with a higher prevalence of diabetes.
Diabetes mellitus and IGT, which were more common among Malays than Orang Asli, were associated with more affluent life-styles and modernization.
确定生活在相同自然环境中的不同种族群体中糖尿病和糖耐量受损（IGT）的患病率，并找出它们与营养状况和饮食摄入的关系。
该研究在马来西亚六个城乡地区的马来人和原住民中进行。对706名年龄≥18岁的成年受试者进行了口服葡萄糖耐量试验（OGTT）。采用世界卫生组织标准诊断糖尿病和IGT。
原住民中糖尿病和IGT的总体患病率分别为0.3%和4.4%，而马来人分别为4.7%和11.3%。马来人糖耐量不耐受患病率的增加与社会发展水平较高有关。在农村马来人中，传统村庄的糖尿病粗患病率为2.8%，土地开发计划地区为6.7%，而城市马来人的患病率为8.2%。相比之下，农村马来人中IGT的患病率（10.5 - 14.8%）高于城市马来人（9.6%）。种族、年龄≥40岁、收入＞250马来西亚元、日常活动较少以及肥胖与糖尿病患病率较高有关。
糖尿病和IGT在马来人中比在原住民中更常见，与更富裕的生活方式和现代化有关。
