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 |
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Causes |
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Diabetes |
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Diagnostic services |
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Diet |
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Federal issue |
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Health services |
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Non-insulin-dependent diabetes |
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Reviews of research |
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Risk management |
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Torres Strait Islanders |
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Treatment |
Notes |
"July 1998" |
Bibliography |
Includes bibliographic references |
Notes |
Commonwealth of Australia 1998 |
Subject |
Aboriginal Australians -- Health and hygiene.
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Non-insulin-dependent diabetes -- Australia.
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Non-insulin-dependent diabetes.
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Torres Strait Island
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Torres Strait Islanders -- Health and hygiene.
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Diabetes Mellitus.
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Epidemiology.
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Etiology
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Health Services, Indigenous.
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Australian Aboriginal and Torres Strait Islander Peoples.
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Prevention and Control
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SUBJECT |
Australia. https://id.nlm.nih.gov/mesh/D001315 |
Author |
De Courten, Maximilian
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Australia. Office for Aboriginal and Torres Strait Islander Health.
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International Diabetes Institute.
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LC no. |
00001406 |
ISBN |
0642367418 |
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