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Title Review of the epidemiology, aetiology, pathogenesis and preventability of diabetes in Aboriginal and Torres Strait Islander populations / International Diabetes Institute ; Maximilian de Courten ... [and others]
Published Canberra, ACT : Office for Aboriginal and Torres Strait Islander Health Services, 1998

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Location Call no. Vol. Availability
 W'PONDS  616.462 Dec/Rot  AVAILABLE
Description vi, 174 pages : illustrations ; 30 cm
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
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
Analysis Aborigines
Causes
Diabetes
Diagnostic services
Diet
Federal issue
Health services
Non-insulin-dependent diabetes
Reviews of research
Risk management
Torres Strait Islanders
Treatment
Notes "July 1998"
Bibliography Includes bibliographic references
Notes Commonwealth of Australia 1998
Subject Aboriginal Australians -- Health and hygiene.
Non-insulin-dependent diabetes -- Australia.
Non-insulin-dependent diabetes.
Torres Strait Island
Torres Strait Islanders -- Health and hygiene.
Diabetes Mellitus.
Epidemiology.
Etiology
Health Services, Indigenous.
Australian Aboriginal and Torres Strait Islander Peoples.
Prevention and Control
SUBJECT Australia. https://id.nlm.nih.gov/mesh/D001315
Author De Courten, Maximilian
Australia. Office for Aboriginal and Torres Strait Islander Health.
International Diabetes Institute.
LC no. 00001406
ISBN 0642367418