Diabetes in the Hispanic or Latino population: genes, environment, culture, and more.

Diabetes in the Hispanic or Latino population: genes, environment, culture, and more.
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DOI:
10.1007/s11892-005-0012-5
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发表时间:
2005-06-01
影响因子:
4.2
通讯作者:
Caballero, A Enrique
Caballero, A Enrique
中科院分区:
医学2区
文献类型:
--
作者:
Caballero, A Enrique

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拉美裔或拉丁裔人口是美国最大的少数群体,目前占美国总人口的13.7%。拉美裔或拉丁裔通常患有较高的2型糖尿病、肥胖症、代谢综合征和他们的多种血管并发症。在2型糖尿病遗传易感性增加的背景下,营养不足和体力活动减少是导致美国拉美裔新陈代谢异常不可避免地增加的原因之一,这些异常现在影响着许多儿童和青少年。很明显,多种医疗、文化和社会经济因素影响糖尿病的发展、病程和后果。我们的医疗保健系统几乎没有准备好面对这一高危群体中管理糖尿病的挑战。需要以文化为导向的临床护理、教育、外联和研究计划,以更好地识别挑战,创造机会改善患有糖尿病或有糖尿病风险的拉美裔美国人的生活。
The Hispanic or Latino population is the largest minority group in the United States, currently representing 13.7% of the total U.S. population. Hispanics or Latinos usually suffer from higher rates of type 2 diabetes, obesity, metabolic syndrome, and their multiple vascular complications. Inadequate nutrition and reduced physical activity in the setting of an increased genetic predisposition to type 2 diabetes have contributed to the inexorable rise in metabolic abnormalities in Hispanics in the United States, which now affect many children and adolescents. It is evident that multiple medical, cultural, and socioeconomic factors influence the development of diabetes, its course, and its consequences. Our health care system is barely prepared to face the challenge of managing diabetes in this high-risk group. Culturally oriented clinical care, education, outreach and research programs are needed to better identify the challenges to create opportunities to improve the lives of Hispanics or Latinos with diabetes or at risk for the disease.