2.50
Hdl Handle:
http://hdl.handle.net/10755/157393
Type:
Presentation
Title:
ASSESSING DIABETES RISK AMONG LATINO ADULTS: CURRENT VS NEW RECOMMENDATIONS
Abstract:
ASSESSING DIABETES RISK AMONG LATINO ADULTS: CURRENT VS NEW RECOMMENDATIONS
Conference Sponsor:Western Institute of Nursing
Conference Year:2010
Author:Weiler, Dawn M., PhD, APRN-ANP
P.I. Institution Name:Boise State University
Title:Associate Professor
Contact Address:1910 University Drive, Boise, ID, 83725, USA
Co-Authors:Jonathan Glogowski; Leonie Sutherland; Shawn R. Simonson
PURPOSE: To assess the current biophysical markers of Latino adults with or at risk for type 2 diabetes in two faith communities in southwest Idaho.
BACKGROUND: Diabetes is one of the fastest growing disease classifications within the United States, especially among the Latino population. Nationally 2.5 million or 9.5% of all Latinos, 20 years of age or older, have diabetes. Latino individuals are 1.7 times as likely to have diabetes compared to non-Hispanic white individuals of similar age. These numbers are on a steady increase and only account for diagnosed cases of diabetes. Prevalence rates for the common complications of diabetes imply that developing strategies for early identification of those at high risk of developing diabetes and implementing prevention strategies is a critical need.
METHODS: A descriptive study was carried out to gather baseline assessment data on Latino adults with or at risk for diabetes from two Faith Communities in southwest Idaho. Health behavior, demographic, baseline physiologic data including body composition measures and laboratory blood draws were collected on 148 participants (female n=84, male n=58) ranging in age from 18-75 years. Presence of diabetes was assessed and compared utilizing current fasting glucose guidelines and newly released recommendations based on hemoglobin A1C values.
RESULTS: Based on fasting glucose (FG) criteria, 11 of 143 adults (7.7%) met diabetes diagnosis criteria compared to 17 (11.9%) utilizing hemoglobin A1C criteria. Nine individuals met diabetes diagnosis by both criteria. Using fasting glucose values, 38 of 143 (26.6%) had IFG, while 14 (9.8%) were identified as ôhigh riskö of diabetes using A1C criteria. Diabetes diagnosis based on FG revealed statistically significant (p=.05) associations with systolic and diastolic BP, BMI, waist circumference, and waist-hip ratios. In comparison, diagnosis based on A1C criteria was significantly associated with only systolic BP, BMI, and percent body fat.
IMPLICATIONS: This study revealed the new A1C diagnostic recommendations identify somewhat different individuals as having diabetes or as high risk compared to the current FG criteria. Additionally, it is hypothesized that the A1C criteria identifies individuals earlier in the disease trajectory, based on physiologic associations, than the current FG criteria. Additional research is needed to further explore these findings and to evaluate differences in health outcomes based on diagnostic criteria utilized.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleASSESSING DIABETES RISK AMONG LATINO ADULTS: CURRENT VS NEW RECOMMENDATIONSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157393-
dc.description.abstract<table><tr><td colspan="2" class="item-title">ASSESSING DIABETES RISK AMONG LATINO ADULTS: CURRENT VS NEW RECOMMENDATIONS</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Weiler, Dawn M., PhD, APRN-ANP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Boise State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1910 University Drive, Boise, ID, 83725, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dweiler@boisestate.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jonathan Glogowski; Leonie Sutherland; Shawn R. Simonson</td></tr><tr><td colspan="2" class="item-abstract">PURPOSE: To assess the current biophysical markers of Latino adults with or at risk for type 2 diabetes in two faith communities in southwest Idaho. <br/>BACKGROUND: Diabetes is one of the fastest growing disease classifications within the United States, especially among the Latino population. Nationally 2.5 million or 9.5% of all Latinos, 20 years of age or older, have diabetes. Latino individuals are 1.7 times as likely to have diabetes compared to non-Hispanic white individuals of similar age. These numbers are on a steady increase and only account for diagnosed cases of diabetes. Prevalence rates for the common complications of diabetes imply that developing strategies for early identification of those at high risk of developing diabetes and implementing prevention strategies is a critical need. <br/>METHODS: A descriptive study was carried out to gather baseline assessment data on Latino adults with or at risk for diabetes from two Faith Communities in southwest Idaho. Health behavior, demographic, baseline physiologic data including body composition measures and laboratory blood draws were collected on 148 participants (female n=84, male n=58) ranging in age from 18-75 years. Presence of diabetes was assessed and compared utilizing current fasting glucose guidelines and newly released recommendations based on hemoglobin A1C values. <br/>RESULTS: Based on fasting glucose (FG) criteria, 11 of 143 adults (7.7%) met diabetes diagnosis criteria compared to 17 (11.9%) utilizing hemoglobin A1C criteria. Nine individuals met diabetes diagnosis by both criteria. Using fasting glucose values, 38 of 143 (26.6%) had IFG, while 14 (9.8%) were identified as &ocirc;high risk&ouml; of diabetes using A1C criteria. Diabetes diagnosis based on FG revealed statistically significant (p=.05) associations with systolic and diastolic BP, BMI, waist circumference, and waist-hip ratios. In comparison, diagnosis based on A1C criteria was significantly associated with only systolic BP, BMI, and percent body fat. <br/>IMPLICATIONS: This study revealed the new A1C diagnostic recommendations identify somewhat different individuals as having diabetes or as high risk compared to the current FG criteria. Additionally, it is hypothesized that the A1C criteria identifies individuals earlier in the disease trajectory, based on physiologic associations, than the current FG criteria. Additional research is needed to further explore these findings and to evaluate differences in health outcomes based on diagnostic criteria utilized.<br/></td></tr></table>en_GB
dc.date.available2011-10-26T19:49:56Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:49:56Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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