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Energetic determinants of glucose tolerance status in Jamaican adults

European Journal of Clinical Nutrition volume 58, pages 1666–1668 (2004)Cite this article

Abstract

As type 2 diabetes mellitus (DM2), obesity and sedentary lifestyles are increasing in developing countries, this observational study investigated the role of physical activity on DM2 in Jamaica. Anthropometry, body composition (by bioelectrical impedance analysis) and glucose tolerance status was assessed in 722 adults in 1993 and 1997. Energy expenditure was estimated in a subset using measured resting energy expenditure in combination with self-reported activity recalls. The rates of impaired glucose tolerance (IGT) were 23.7 and 27.3%, and DM2 were 16.3 and 23.7% among men and women, respectively. After adjusting for body composition, a one-unit increase in physical activity significantly reduced the odds of having diabetes (OR = 0.05; 95% CI: 0.004, 0.66), but not IGT. Hence, decreased physical activity is a significant independent contributor to the high rates of glucose intolerance in Jamaica. Efforts must be directed at minimizing obesity and increasing physical activity in developing countries.

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References

  • Ainsworth BE, Haskell WL, Leon AS, Jacobs Jr DR, Montoye HJ, Sallis JF & Paffenbarger Jr RS (1993): Compendium of physical activities: classification of energy costs of human physical activities. Med. Sci. Sports. Exerc. 25, 71–80.

    Article  CAS  Google Scholar 

  • Ataman SL, Cooper R, Rotimi C, McGee D, Osotimehin B, Kadiri S, Kingue S, Muna W, Fraser H, Forrester T & Wilks R (1996): Standardization of blood pressure measurement in an international comparative study. J. Clin. Epidemiol. 49, 869–877.

    Article  CAS  Google Scholar 

  • Basu R, Breda E, Oberg AL, Powell CC, Dalla Man C, Basu A, Vittone JL, Klee GG, Arora P, Jensen MD, Toffolo G, Cobelli C & Rizza RA (2003): Mechanisms of the age-associated deterioration in glucose tolerance: contribution of alterations in insulin secretion, action, and clearance. Diabetes 52, 1738–1748.

    Article  CAS  Google Scholar 

  • Cooper R, Rotimi C, Ataman S, McGee D, Osotimehin B, Kadiri S, Muna W, Kingue S, Fraser H, Forrester T, Bennett F & Wilks R (1997): The prevalence of hypertension in seven populations of west African origin. Am. J. Public Health 87, 160–168.

    Article  CAS  Google Scholar 

  • Eriksson KF & Lindgarde F (1991): Prevention of type 2 (non-insulin-dependent) diabetes mellitus by diet and physical exercise. The 6-year Malmo feasibility study. Diabetologia 34, 891–898.

    Article  CAS  Google Scholar 

  • Figueroa JP (2001): Health trends in Jamaica. Significant progress and a vision for the 21st century. West Indian Med. J. 50 (Suppl 4), 15–22.

    PubMed  Google Scholar 

  • Imbeault P, Prins JB, Stolic M, Russell AW, O'Moore-Sullivan T, Despres JP, Bouchard C & Tremblay A (2003): Aging per se does not influence glucose homeostasis: in vivo and in vitro evidence. Diabetes Care 26, 480–484.

    Article  Google Scholar 

  • Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA & Nathan DM (2002): Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N. Engl. J. Med. 346, 393–403.

    Article  CAS  Google Scholar 

  • Luke A, Durazo-Arvizu R, Rotimi C, Prewitt TE, Forrester T, Wilks R, Ogunbiyi OJ, Schoeller DA, McGee D & Cooper RS (1997): Relation between body mass index and body fat in black population samples from Nigeria, Jamaica, and the United States. Am. J. Epidemiol. 145, 620–628.

    Article  CAS  Google Scholar 

  • Luke A, Rotimi CN, Adeyemo AA, Durazo-Arvizu RA, Prewitt TE, Moragne-Kayser L, Harders R & Cooper RS (2000): Comparability of resting energy expenditure in Nigerians and US blacks. Obes. Res. 8, 351–359.

    Article  CAS  Google Scholar 

  • Manson JE, Nathan DM, Krolewski AS, Stampfer MJ, Willett WC & Hennekens CH (1992): A prospective study of exercise and incidence of diabetes among US male physicians. JAMA 268, 63–67.

    Article  CAS  Google Scholar 

  • Manson JE, Rimm EB, Stampfer MJ, Colditz GA, Willett WC, Krolewski AS, Rosner B, Hennekens CH & Speizer FE (1991): Physical activity and incidence of non-insulin-dependent diabetes mellitus in women. Lancet 338, 774–778.

    Article  CAS  Google Scholar 

  • Mayer-Davis EJ, D'Agostino Jr R, Karter AJ, Haffner SM, Rewers MJ, Saad M & Bergman RN (1998): Intensity and amount of physical activity in relation to insulin sensitivity: the Insulin Resistance Atherosclerosis Study. JAMA 279, 669–674.

    Article  CAS  Google Scholar 

  • Pan XR, Li GW, Hu YH, Wang JX, Yang WY, An ZX, Hu ZX, Lin J, Xiao JZ, Cao HB, Liu PA, Jiang XG, Jiang YY, Wang JP, Zheng H, Zhang H, Bennett PH & Howard BV (1997): Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care 20, 537–544.

    Article  CAS  Google Scholar 

  • Sargeant LA, Bennett FI, Forrester TE, Cooper RS & Wilks RJ (2002): Predicting incident diabetes in Jamaica: the role of anthropometry. Obes. Res. 10, 792–798.

    Article  Google Scholar 

  • Stevens J, Cai J, Evenson KR & Thomas R (2002): Fitness and fatness as predictors of mortality from all causes and from cardiovascular disease in men and women in the lipid research clinics study. Am. J. Epidemiol. 156, 832–841.

    Article  Google Scholar 

  • Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V & Uusitupa M (2001): Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N. Engl. J. Med. 344, 1343–1350.

    Article  CAS  Google Scholar 

  • Wilks R, Rotimi C, Bennett F, McFarlane-Anderson N, Kaufman JS, Anderson SG, Cooper RS, Cruickshank JK & Forrester T (1999): Diabetes in the Caribbean: results of a population survey from Spanish Town, Jamaica. Diabet. Med. 16, 875–883.

    Article  CAS  Google Scholar 

  • World Health Organisation (1999): Report of a WHO Consultation. Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications: Part 1. Geneva: WHO/NCD/NCS 1999, 1–66.

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Acknowledgements

This research was supported by grants from the National Institutes of Health (HL45508) and the International Atomic Energy Agency (CRP E4.30.11).

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Authors and Affiliations

  1. Tropical Medicine Research Institute, University of the West Indies, Jamaica

    M S Boyne, P Gaskin, R J Wilks, F I Bennett, N Younger, L A Sargeant & T E Forrester

  2. Department of Preventive Medicine and Epidemiology, Loyola University Stritch School of Medicine, Maywood, Il, USA

    A Luke & R S Cooper

  3. Department of Paediatrics/Institute of Child Health, University College Hospital, University of Ibadan, Ibadan, Nigeria

    A A Adeyemo

Authors
  1. M S Boyne
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  2. P Gaskin
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  3. A Luke
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  4. R J Wilks
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  5. F I Bennett
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  6. N Younger
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  7. L A Sargeant
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  8. A A Adeyemo
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  9. R S Cooper
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  10. T E Forrester
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Contributions

Guarantor: TE Forrester.

Contributors: TEF, RSC, RJW, FIB, AAA and AL, designed and supervised the study. PG and AL collected data and coordinated. FIB carried out laboratory analyses. PG, NY, AL, MSB, RJW, LAS, FIB and TEF analysed and interpreted the data. MSB and TEF helped in preparation of the Manuscript. The final approval of manuscript was done by all authors.

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Correspondence to T E Forrester.

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Boyne, M., Gaskin, P., Luke, A. et al. Energetic determinants of glucose tolerance status in Jamaican adults. Eur J Clin Nutr 58, 1666–1668 (2004). https://doi.org/10.1038/sj.ejcn.1602011

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  • DOI: https://doi.org/10.1038/sj.ejcn.1602011

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