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First Nations and diabetes : ウィキペディア英語版 | First Nations and diabetes
There are high rates of diabetes in First Nation people compared to the general Canadian population. Statistics from 2011 showed that 17.2% of First Nations people living on reserves had Type 2 Diabetes.〔Population Health Agency Canada PHAC (2011). Diabetes in Canada: Facts and figures from a public health perspective. Retrieved February 4, 2012: http://www.phac-aspc.gc.ca/cd-mc/publications/diabetes-diabete/facts-figures-faits-chiffres-2011/highlights-saillants-eng.php#chp6.〕 Contributing factors to the high prevalence of Type 2 Diabetes between First Nation and the general population include a combination of environmental (lifestyle, diet, poverty), and genetic and biological factors (e.g. thrifty genotype hypothesis, thrifty phenotype).〔Pollard, T. M. 2008. Western Diseases: An Evolutionary Perspective. Chapter 4: The thrifty genotype versus thrifty phenotype debate: efforts to explain between population variation in rates of type 2 diabetes and cardiovascular disease. Cambridge: Cambridge University Press.〕 To what extent each factor plays a role is not clear.〔Dyck R, Osgood N, Lin TH, Gao A, and Stang MR (2010) Epidemiology of diabetes mellitus among First Nations and non-First Nations adults. Canadian Medical Association Journal 182:249-256; published ahead of print January 18, 2010, doi:(10.1503/cmaj.090846 )〕 ==Diabetes mellitus Type 2==
Rates of obesity and Type 2 Diabetes in First Nation communities were non-existent 20 years ago, but increased steeply.〔Shubair, MM, & Tobin, PK (2010) Type 2 diabetes in the First Nations population: a case example of clinical practice guidelines. Rural and Remote Health; 10, 1505 - 1511.〕 Age-standardized rates of T2D show 17.2% prevalence of Type 2 Diabetes among First Nations individuals living on reserves, compared to 5.0% in the non-Aboriginal population;〔 Statistics indicate that the Type 2 Diabetes prevalence rate in First Nations people is 3 to 5 times higher than the general Canadian population.〔Ontario Aboriginal Diabetes Strategy from the Ministry of Health and Long Term Care (2011) Retrieved February 6, 2012: www.health.gov.on.ca/english/public/pub/ministry_reports/oads_06/oads_06.pdf〕 As well as having a higher rate of Type 2 Diabetes than the general population, there are also differences in the disease pattern in First Nations Type 2 Diabetes sufferers compared to the general population, especially in terms of age of onset and gestational diabetes.〔Sellers, E, Moore, K, Dean, H (2009) Clinical Management of type 2 diabetes in indigenous youth. In Pedriatric Clinic of North America 56: 1141-1459.〕
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