Diabetes-Related Risk Factors Across Hispanic Subgroups in the Hispanic Health and Nutritional Examination Survey (1982-1984)
Diabetes-Related Risk Factors Across Hispanic Subgroups in the Hispanic Health and Nutritional Examination Survey (1982-1984)
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DOI：
10.1111/j.1525-1446.2008.00741.x
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发表时间：
2009-01-01
影响因子：
2.1
通讯作者：
Aponte, Judith
中科院分区：
文献类型：
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作者：
Aponte, Judith
西班牙裔健康和营养检查调查（HHANES）用于检查3个西班牙裔亚组之间和之间的糖尿病相关危险因素变量。采用HHANES二级数据集进行描述性研究设计。样本包括年龄在20到74岁之间的个体，他们自我认定为墨西哥裔美国人、波多黎各人和/或古巴裔美国人，并被医生告知他们患有糖尿病。糖尿病相关的5个危险因素变量是：体重指数（BMI）测量的肥胖、收缩压（SBP）和舒张压（DBP）测量的高血压、胆固醇和甘油三酯水平测量的高脂血症、尿素氮（BUN）测量的肾功能不全、肌酐和空腹血糖。本研究通过卡方验证了特定亚组之间的显著差异。古巴裔美国人的收缩压明显高于波多黎各人（28.39 mmHg）和墨西哥裔美国人（25.94 mmHg）。古巴裔美国人的胆固醇值也明显高于墨西哥裔美国人（88.49 mg/dL）和波多黎各人（84.49 mg/dL）。甘油三酯的唯一显著差异是在墨西哥裔美国人和波多黎各人之间（37.25 mg/dL）。古巴裔美国人（9.06 mg/dL）和墨西哥裔美国人（2.20 mg/dL）与波多黎各人相比有显著差异，古巴裔美国人的肌酐值显著高于波多黎各人（0.38 mg/dL）和墨西哥裔美国人（0.25 mg/dL）。通过线性回归，计算各亚组中各糖尿病相关危险因素与糖尿病并发症风险的相关性的显著差异。墨西哥裔美国人和波多黎各人在超重BMI （25.0-29.9 kg/m(2)）和肥胖（>= 30.0 kg/m(2)）方面存在显著差异；对于收缩压升高（130-139 mmHg）或舒张压升高（80-89 mmHg）的墨西哥裔美国人、波多黎各人和古巴裔美国人、高收缩压（>= 140 mmHg）或高舒张压（>= 90 mmHg）和高血糖（>= 126 mg/dL）；墨西哥裔美国人甘油三酯升高（>= 150 mg/dL）， BUN升高（>= 21 mg/dL），肌酐升高（>= 1.5 mg/dL）。本研究的发现将增加糖尿病和西班牙文献，强调在未来的健康行为和结果研究中评估西班牙裔亚群的必要性。
The Hispanic Health and Nutritional Examination Survey (HHANES) was utilized to examine diabetes-related risk factor variables between and among 3 Hispanic subgroups.The study design that was conducted was descriptive using the HHANES secondary data set.The sample included individuals between 20 and 74 years of age, self-identified as Mexican American, Puerto Rican, and/or Cuban American and had been told by a doctor that they had diabetes.The 5 diabetes-related risk factor variables were obesity measured by body mass index (BMI), hypertension by systolic blood pressure (SBP) and diastolic blood pressure (DBP), hyperlipidemia by cholesterol and triglyceride levels, renal insufficiency by blood urea nitrogen (BUN), and creatinine and fasting plasma glucose.This study demonstrates significant differences between specific subgroups through chi-square. SBP in Cuban Americans was significantly higher than that of Puerto Ricans (28.39 mmHg) and of Mexican Americans (25.94 mmHg). Cuban Americans also had significantly higher cholesterol values than Mexican Americans (88.49 mg/dL) and Puerto Ricans (84.49 mg/dL). The only significant difference for triglyceride was between Mexican Americans and Puerto Ricans (37.25 mg/dL). For BUN, there were significant differences when Cuban Americans (9.06 mg/dL) and Mexican Americans (2.20 mg/dL) were separately compared from Puerto Ricans, and Cuban Americans had significantly higher creatinine values than Puerto Ricans (0.38 mg/dL) and Mexican Americans (0.25 mg/dL). Through linear regression, significant differences for the association of each diabetes-related risk factor and the risk for diabetes complications were computed for each subgroup. For Mexican Americans and Puerto Ricans there were significant differences in overweight BMI (25.0-29.9 kg/m(2)) and obesity (>= 30.0 kg/m(2)); for Mexican Americans, Puerto Ricans and Cuban Americans in elevated SBP (130-139 mmHg) or elevated DBP (80-89 mmHg), for high SBP (>= 140 mmHg) or high DBP (>= 90 mmHg), and for high glucose (>= 126 mg/dL); and for Mexican Americans in elevated triglyceride (>= 150 mg/dL), elevated BUN (>= 21 mg/dL), and elevated creatinine (>= 1.5 mg/dL).The findings of this study will add to the diabetes and Hispanic literature highlighting the need to evaluate Hispanic subgroups in future health behavior and outcomes research.