Type 2 diabetes in the Hispanic or Latino population: challenges and opportunities.
Type 2 diabetes in the Hispanic or Latino population: challenges and opportunities.
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DOI：
10.1097/med.0b013e32809f9531
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发表时间：
2007-04-01
期刊：
影响因子：
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通讯作者：
Caballero, A Enrique
中科院分区：
文献类型：
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作者：
Caballero, A Enrique
审查目的：描述2型糖尿病如何影响美国的拉丁裔或西班牙裔人口，并确定在这个快速增长的群体中改善糖尿病护理的多重挑战和机遇。首先，这一群体已成为该国最大的少数民族，占总人口的13.7%。根据目前的增长率，到2050年，每四个人中就有一个是西班牙裔。其次，这一人群患有2型糖尿病、肥胖症、代谢综合征及其多种血管并发症的比率非常高。遗传倾向发展胰岛素抵抗和腹部肥胖，沿着多种营养，生活方式，社会经济和文化因素，影响拉丁美洲人2型糖尿病的发展和进程。第三，西班牙裔已经落后于他们的糖尿病护理时，与占主导地位的非西班牙裔白色population.SUMMARY：了解拉丁美洲人与糖尿病的挑战和机遇是必要的，以制定和实施全面的文化为导向的糖尿病护理，教育，推广和研究计划。其中一些战略也可能有益于其他群体，有助于更好地融合我们的社会。
PURPOSE OF REVIEW: To describe how type 2 diabetes affects the Latino or Hispanic population in the United States, and identify the multiple challenges and opportunities to improve diabetes care in this rapidly growing group.RECENT FINDINGS: Three compelling reasons justify the work in this area. First, this group has become the largest minority in the country, representing 13.7% of the total population. Based on current growth rates, one in four individuals will be of Hispanic origin by the year 2050. Second, this population suffers from very high rates of type 2 diabetes, obesity, the metabolic syndrome and their multiple vascular complications. A genetic tendency to develop insulin resistance and abdominal obesity, along with multiple nutritional, lifestyle, socio-economic and cultural factors, influence the development and course of type 2 diabetes among Latinos. Third, Hispanics have lagged behind in their diabetes care when compared with the predominant non-Hispanic White population.SUMMARY: Understanding the challenges and opportunities in Latinos with diabetes is necessary to develop and implement comprehensive culturally oriented diabetes care, education, outreach and research programs. Some of these strategies may also be beneficial for other groups and can contribute to better integrate our societies.