The prevalence of glucose metabolism disturbances in Chinese Muslims and possible risk factors: a study from northwest China

Arq Bras Endocrinol Metabol. 2014 Oct;58(7):715-23. doi: 10.1590/0004-2730000002654.

Abstract

Objective: To survey the prevalence of diabetes mellitus (DM) and pre-diabetes mellitus (PDM) in the Muslim population in northwest China, and discuss the risk factor.

Materials and methods: According to the income and the population, we randomly selected 3 villages with stratified and cluster sampling. The subjects were residents ≥ 20 years of age, and were from families which have been local for > 3 generations. The questionnaire and oral glucose tolerance test (OGTT) were completed and analyzed for 660 subjects.

Results: The prevalence of DM and PDM between the Han and Muslim populations were different (P = 0.041). And the prevalence were also different with respect to age in the Han (P < 0.001) and Muslim population (P < 0.001) respectively. Except for the 20-year-old age group the prevalence of DM and PDM within the Muslim population was higher than the Han (P = 0.013), we did not find any significant difference for other age groups (P > 0.05). The intake of salt (P < 0.001) and edible oil (P < 0.001) in the Muslim population was higher than the Han, while cigarette smoking (P < 0.001) and alcohol consumption (P < 0.001) was lower. BMI (P < 0.001), age (P = 0.025), and smoking cigarettes (P = 0.011) were risk factors for DM and PDM, but alcohol consumption (P < 0.001) was a protective factor.

Conclusions: In northwest China, the prevalence of DM was higher in the Muslim population, and it was special higher on the 20-year-old age compared to the Han. This might be explained by the potential genetic differences and poor dietary habits.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Asian People / ethnology
  • Blood Glucose / analysis
  • Blood Glucose / metabolism*
  • Body Mass Index
  • China / epidemiology
  • China / ethnology
  • Cluster Analysis
  • Cohort Effect
  • Diabetes Mellitus / epidemiology*
  • Diabetes Mellitus / metabolism
  • Feeding Behavior*
  • Female
  • Fetal Macrosomia / complications
  • Glucose Tolerance Test
  • Humans
  • Islam*
  • Male
  • Middle Aged
  • Prediabetic State / epidemiology*
  • Prediabetic State / metabolism
  • Prevalence
  • Risk Factors
  • Sodium Chloride, Dietary
  • Surveys and Questionnaires
  • Young Adult

Substances

  • Blood Glucose
  • Sodium Chloride, Dietary