Abstract
The authors report the rates of obesity, hypertension, hypercholesterolemia, smoking, and macrovascular and microvascular complications among Mohawks of Kahnawake, PQ, who have non-insulin-dependent diabetes mellitus. The data were derived from a study comparing rates of macrovascular and microvascular complications among the diabetic subjects and a nondiabetic group matched for age and sex. The data for both groups were collected by means of chart review, interview and body measurement. There were no important differences between the male and female diabetic subjects. Both sexes had high levels of obesity, hypertension, hypercholesterolemia and diabetic complications. A total of 86% of the diabetic subjects were obese; the rate was also very high (74%) among the nondiabetic subjects. The mean age at onset of diabetes, 59 years, was 10 years higher than that observed in Oneida Iroquois of Ontario. The rates of macrovascular disease among the diabetic subjects were higher than those found among Cree/Ojibwa in Ontario and Manitoba. Our findings add to the knowledge of non-insulin-dependent diabetes in North American Indians in Canada and show that there are differences between our Mohawk subjects and diabetic people of other native communities.
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- Evers S., McCracken E., Antone I., Deagle G. The prevalence of diabetes in Indians and Caucasians living in southwestern Ontario. Can J Public Health. 1987 Jul-Aug;78(4):240–243. [PubMed] [Google Scholar]
- Ferrell R. E., Hanis C. L., Aguilar L., Tulloch B., Garcia C., Schull W. J. Glycosylated hemoglobin determination from capillary blood samples. Utility in an epidemiologic survey of diabetes. Am J Epidemiol. 1984 Feb;119(2):159–166. doi: 10.1093/oxfordjournals.aje.a113734. [DOI] [PubMed] [Google Scholar]
- Macaulay A. C., Montour L. T., Adelson N. Prevalence of diabetic and atherosclerotic complications among Mohawk Indians of Kahnawake, PQ. CMAJ. 1988 Aug 1;139(3):221–224. [PMC free article] [PubMed] [Google Scholar]
- Montour L. T., Macaulay A. C. Diabetes mellitus and atherosclerosis: returning research results to the Mohawk community. CMAJ. 1988 Aug 1;139(3):201–202. [PMC free article] [PubMed] [Google Scholar]
- Montour L. T., Macaulay A. C. High prevalence rates of diabetes mellitus and hypertension on a North American Indian reservation. Can Med Assoc J. 1985 May 15;132(10):1110–1112. [PMC free article] [PubMed] [Google Scholar]
- West K. M. Diabetes in American Indians and other native populations of the New World. Diabetes. 1974 Oct;23(10):841–855. doi: 10.2337/diab.23.10.841. [DOI] [PubMed] [Google Scholar]
- Young T. K., McIntyre L. L., Dooley J., Rodriguez J. Epidemiologic features of diabetes mellitus among Indians in northwestern Ontario and northeastern Manitoba. Can Med Assoc J. 1985 Apr 1;132(7):793–797. [PMC free article] [PubMed] [Google Scholar]
- Zimmet P. Z., King H. O., Björntorp S. P. Obesity, hypertension, carbohydrate disorders and the risk of chronic diseases. Is there any epidemiological evidence for integrated prevention programmes? Med J Aust. 1986 Sep 15;145(6):256-9, 262. doi: 10.5694/j.1326-5377.1986.tb101119.x. [DOI] [PubMed] [Google Scholar]