Format

Send to

Choose Destination
Ann Epidemiol. 2016 Mar;26(3):163-70. doi: 10.1016/j.annepidem.2015.12.006. Epub 2016 Jan 12.

Prediabetes, undiagnosed diabetes, and diabetes among Mexican adults: findings from the Mexican Health and Aging Study.

Author information

1
Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston; Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston. Electronic address: amkumar@utmb.edu.
2
Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston; Sealy Center on Aging, University of Texas Medical Branch, Galveston.
3
Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston; Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston; Sealy Center on Aging, University of Texas Medical Branch, Galveston.
4
Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston; Sealy Center on Aging, University of Texas Medical Branch, Galveston; Division of Geriatrics, Department of Internal Medicine, University of Texas Medical Branch, Galveston.

Abstract

PURPOSE:

The purpose of the study was to examine the prevalence and determinants of prediabetes, undiagnosed diabetes, and diabetes among Mexican adults from a subsample of the Mexican Health and Aging Study.

METHODS:

We examined 2012 participants from a subsample of the Mexican Health and Aging Study. Measures included sociodemographic characteristics, body mass index, central obesity, medical conditions, cholesterol, high-density lipoprotein cholesterol, hemoglobin A1c, and vitamin D. Logistic regression was performed to identify factors associated with prediabetes, undiagnosed diabetes, and self-reported diabetes.

RESULTS:

Prevalence of prediabetes, undiagnosed, and self-reported diabetes in this cohort was 44.2%, 18.0%, and 21.4%, respectively. Participants with high waist-hip ratio (1.61, 95% confidence interval [CI] = 1.05-2.45) and high cholesterol (1.85, 95% CI = 1.36-2.51) had higher odds of prediabetes. Overweight (1.68, 95% CI = 1.07-2.64), obesity (2.38, 95% CI = 1.41-4.02), and high waist circumference (1.60, 95% CI = 1.06-2.40) were significantly associated with higher odds of having undiagnosed diabetes. Those residing in a Mexican state with high U.S. migration had lower odds of prediabetes (0.61, 95% CI = 0.45-0.82) and undiagnosed diabetes (0.53, 95% CI = 0.41-0.70). Those engaged in regular physical activity had lower odds of undiagnosed diabetes (0.74, 95% CI = 0.57-0.97).

CONCLUSIONS:

There is a high prevalence of prediabetes and undiagnosed diabetes among Mexican adults in this subsample. Findings suggest the need for resources to prevent, identify, and treat persons with prediabetes and undiagnosed diabetes.

KEYWORDS:

BMI; Central obesity; HbA1c; MHAS; Mexico; Migration; Older adults; Physical activity; Prediabetes; Undiagnosed diabetes

PMID:
26872919
PMCID:
PMC4863452
[Available on 2017-03-01]
DOI:
10.1016/j.annepidem.2015.12.006
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center