Castro-Sánchez H, Escobedo-de la Peña J
División de Epidemiología, Instituto Mexicano del Seguro Social, D.F. México.
Gac Med Mex. 1997 Nov-Dec;133(6):527-34.
The occurrence non-insulin dependent diabetes mellitus has increased during the second half of this century in Mexico as well as in other countries. American Indians have one of the highest prevalences in the world, but there are few studies that have estimated the occurrence of diabetes in Mexican Indians. The authors conducted a cross-sectional study in Huautla, Oaxaca, Mexico, to estimate the prevalence of diabetes in Mexican Mazatecos Indians, as well as its related risk factors. A total of 798 subjects were interviewed, and 16 diabetics were found, the prevalence of diabetes was 2.01%. The prevalence increased with age, but declined in those 65 years of age or older, mainly in women. The prevalence was slightly higher in women (2.2%) than in men (1.6%). There was a relation of diabetes with obesity, central body fat distribution, a family history of diabetes and hypertension. The prevalence is low if compared with the notified prevalence in the country, but there are certain age groups where its occurrence is similar to those living in an urban area. There is a need of intervention measures to prevent an epidemic such as the one seen nowadays among American Indians.
在本世纪下半叶,墨西哥以及其他国家非胰岛素依赖型糖尿病的发病率有所上升。美洲印第安人的患病率在世界上位居前列,但针对墨西哥印第安人糖尿病发病率进行估算的研究却很少。作者在墨西哥瓦哈卡州的瓦特拉开展了一项横断面研究,以估算墨西哥马萨特克印第安人中糖尿病的患病率及其相关风险因素。共对798名受试者进行了访谈,发现16名糖尿病患者,糖尿病患病率为2.01%。患病率随年龄增长而上升,但在65岁及以上人群中有所下降,主要是女性。女性患病率(2.2%)略高于男性(1.6%)。糖尿病与肥胖、中心性体脂分布、糖尿病家族史和高血压有关。与该国报告的患病率相比,该患病率较低,但在某些年龄组中,其发病率与城市地区人群相似。需要采取干预措施来预防像如今在美洲印第安人中出现的那种流行病。