Diabetes, Heart and Cardiovascular Diseases News Chronicle.  Diabetes, Cardiovascular and Heart Diseases
 Article 314
    Published on March 27, 2018

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Obesity, poverty are the factors for higher type 2 diabetes risk for American Blacks

Earlier studies show higher type 2 diabetic events among Black race adults when compared with White race adults. A current study result shows the increased type 2 diabetes (T2D) risk or risk disparities among Black race adults is largely due to following factors.

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  • Biological factors (such as fasting glucose or sugar levels, body mass index BMI).
  • Neighborhood factors (such as racial segregation and tract-level poverty).
  • Psychosocial factors (such as depressive symptoms).
  • Socioeconomic factors (such as current employment, personal and parental educational attainment).
  • Behavioral factors (such as regular alcohol consumption, smoking).

Researchers have conducted a 24-year follow-up study among 4,251 non-diabetic Black and White adults, both men and women, aged between 18 and 30 years. About 49 percent of them were Black, and about 54 percent of them were women. Researchers used multivariable-adjusted Cox proportional hazards models in their studies. The follow-up study has observed following.

  • Development of type II diabetes in 504 participants.
  • Three times likely higher risk to the development of type II diabetes among Black women compared to White women.
  • 67 percent likely higher risk to the development of type 2 diabetes among Black men compared to White men.
  • The study has observed the development of type 2 diabetes in 315 Black people (152 for every 1,000 people) and in 189 White people (86 for every 1,000 people).
  • The study found biological factors such as fasting blood sugar or glucose levels and obesity or overweight has played the biggest role in the development of type 2 diabetes among Black people compared with White people.
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Researchers have found that the race is not a factor to the development of type 2 diabetes when they accounted traditional risk factors which contribute to the development of type 2 diabetes among American Blacks such as neighborhood segregation and poverty levels, obesity (overweight or higher body mass index BMI), depression, education and employment.

Researchers say their study suggests risk to the development of type 2 diabetes associated with race can be reduced by eliminating differences in traditional risk factors between Whites and Blacks. But the researchers say it is not an easy fix as everybody should receive the equal economic opportunity, should have enough money to eat healthy food and they should get space for physical activity.

An earlier study shows neighborhoods of Black people are with fewer places for physical activity, fewer grocery stores and people living in those areas are with higher rates of poverty. This study has found these factors contribute to the development of obesity and diabetes among Black people living in those areas.

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Black race people should understand risk disparities in the development of type 2 diabetes. Diabetes and heart disease risks can be reduced successfully by keeping their blood pressure and blood sugar levels within limits, avoiding smoking, performing regular exercise or workout, eating the healthy diet and taking medication regularly.

Type 2 diabetes risks among Blacks due to high blood glucose sugar levels and obesity body mass index BMI.
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Lead author of the study was Michael P. Bancks, PhD, a Postdoctoral Fellow at the Northwestern University Feinberg School of Medicine, Chicago, Illinois, the United States. The study findings were published December 26, 2017, in the Journal of the American Medical Association. Title of the article was "Association of Modifiable Risk Factors in Young Adulthood With Racial Disparity in Incident Type 2 Diabetes During Middle Adulthood." DOI : doi.org/10.1001/jama.2017.19546

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