Review of the epidemiology, aetiology, pathogenesis and preventability of diabetes in Aboriginal and Torres Strait Islander populations / International Diabetes Institute ; Maximilian de Courten ... [et al.]
- Bib ID:
- 1996768
- Format:
- Book
- Description:
-
- Canberra : Office for Aboriginal and Torres Strait Islander Health Services, c1998
- vi, 174 p. : ill. ; 30 cm.
- ISBN:
- 0642367418 (paperback)
- Summary:
-
This document reviews the literature relating to the epidemiology, aetiology, pathogenesis and preventability of non-insulin-dependent diabetes mellitus (NIDDM) and critically evaluates and organises the research literature. The aim of the review is to produce an up-to-date synthesis of contemporary knowledge and to define gaps within the evidence framework relating to diabetes in Aboriginal and Torres Strait Islander communities. Non-insulin-dependent diabetes melitus is a significant health problem in Australian Aborigines and Torres Strait Islanders. The heterogeneity of Aboriginal populations prohibits the calculation of a summary prevalence estimate. However, available data in adults suggest that the overall prevalence lies within the range of 10-30% and is therefore likely to be at least 2-4 times that of the non-Aboriginal population of Australia. The microvascular and macrovascular complications associated with the high rate of NIDDM result in significant premature mortality and ill health.
- Full contents:
-
- 1. Executive summary
- 2. Introduction
- 2.1 Issues related to health status assessment in indigenous populations
- 2.2 Key concepts
- 2.3 Classification of diabetes mellitus
- 2.4 Diabetes classification in Aborigines
- 2.5 role of screening
- 3. Aims and methods of this review
- 4. The epidemiology of diabetes and associated conditions in Aborigines and Torres Strait Islander people
- 4.1 Abnormal glucose tolerance
- 4.2 Obesity
- 4.3 Microvascular complications
- 4.4 Cardiovascular disease and its risk factors
- 4.5 Macrovascular complications
- 4.6 Obstetric complications of diabetes
- 4.7 Hospitalisation rates associated with diabetes
- 4.8 Overall mortality in Aboriginal populations
- 4.9 diabetes related mortality in Aboriginal populations
- 5. Aetiology of diabetes in Aborigines
- 5.1 Hyperinsulinaemia and insulin resistance
- 5.2 Thrifty genotype hypothesis
- 5.3 Thrifty phenotype hypothesis and low birth weight
- 5.4 Maternal diabetes during pregnancy and risk of NIDDM in offspring
- 5.5 Obesity and NIDDM
- 5.6 Physical inactivity, obesity and NIDDM
- 5.7 Diet as risk for diabetes
- 5.8 Psychologcial stress as cause of diabetes
- 6. Pathophysiology of diabetes in Aborigines
- 6.1 Stages of development of NIDDM - 6.2 Pathophysiology of diabetes related complications
- 7. Primary preventability of diabetes in Aborigines
- 7.1 Behavioural interventions (exercise and/or diet)
- 7.2 Pharmocological interventions
- 7.3 Prevention studies in the Aboriginal community
- 7.4 Experiences in other populations
- 8. Summary, conclusions and implications for further research. from t
- Notes:
- Includes bibliographic references.
- Subject:
- Other authors/contributors:
- Terms of Use:
- Commonwealth of Australia 1998.
- Copyright:
-
In Copyright
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- Reason for copyright status:
- Until 2048 [Created/Published Date + 50 Years]
Copyright status was determined using the following information:
- Material type:
- Literary Dramatic Musical
- Published status:
- Published
- Publication date:
- 1998
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