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Diabetologia
Published in: Diabetologia 8/2003

01-08-2003 | Article

Age, body mass index and Type 2 diabetes—associations modified by ethnicity

Authors: The DECODE-DECODA Study Group, on behalf of the European Diabetes Epidemiology Group, and the International Diabetes Epidemiology Group

Published in: Diabetologia | Issue 8/2003

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Abstract

Aims/hypothesis

The aim of this study was to assess the effect of ethnicity on the association between age and body mass index as well as the prevalence of diabetes.

Methods

We selected population-based studies carried out after 1980 in the DECODE/A studies representing different ethnic groups: 11 European, 1 Maltese, 3 Indian, 2 Chinese and 3 Japanese surveys. The total numbers of subjects were 14,240 men and 15,129 women who were 30 to 89 years of age. Diabetes was diagnosed according to the 1999 World Health Organization criteria based on a standard 75 g OGTT. Sex-specific prevalence of diabetes by age and BMI was stratified by ethnic group, in particular the interaction of ethnicity on the associations between age/BMI and the prevalence of diabetes.

Results

The prevalence of diabetes was higher in studies from India and Malta compared to Japan, China, and the rest of Europe. The association between BMI and diabetes, adjusted for age, showed noticeable differences between the ethnic groups with an increase in prevalence starting at a BMI between 15 and 20 kg/m2 in the Maltese and Indian populations compared to 25 kg/m2 in Europeans.

Conclusion/interpretation

The effect of BMI on the age-adjusted prevalence of Type 2 diabetes was modified by ethnicity with considerably lower thresholds in Indian and Maltese subjects compared to those from the rest of Europe. This difference should be reflected in national and international recommendations regarding "optimal" BMI.
Appendix
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Metadata
Title
Age, body mass index and Type 2 diabetes—associations modified by ethnicity
Authors
The DECODE-DECODA Study Group
on behalf of the European Diabetes Epidemiology Group
and the International Diabetes Epidemiology Group
Publication date
01-08-2003
Publisher
Springer-Verlag
Published in
Diabetologia / Issue 8/2003
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-003-1158-9

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