Characterization of type 2 diabetes mellitus in first generation Italian migrants to Belgium

Acta Clinica Belgica
P L Selvais, M P Hermans

Abstract

Type 2 diabetes mellitus is a major metabolic disease in developed countries, and preferentially affects low-income groups and/or people from Southern extraction. Migrants are especially at risk. In Belgium, a large population of workers emigrated in the 50s and 60s, especially from rural areas of Southern Italy and Sicily. We tested the hypothesis that type 2 diabetes mellitus' phenotype in these Italian migrants could differ from that observed in autochthonous Belgian subjects. We retrospectively compared the clinical files of 485 patients with type 2 diabetes either of Belgian (n=445) or Italian origin (n=40). Italians were younger at diagnosis (46 +/- 14 vs. 52 +/- 13 years, P < 0.01), shorter, had a lower education and a stronger family record of diabetes (89 vs. 47%, P < 0.01). They had similar BMIs (31 +/- 6) and similar or slightly worse degree of sedentarity (>75%). We further compared this Italian group to 115 Belgians subjects matched for age, sex, and education. Known duration of diabetes (16 years), smoking and drinking habits, use of oral hypoglycaemic, antihypertensive and hypolipaemic drugs, complications, CRP, estimated glomerular filtration rate, micro-albuminuria prevalence, blood pressure, insulin sensitivit...Continue Reading

References

Jun 1, 1991·European Journal of Clinical Investigation·E FerranniniJ K Patterson
Jan 1, 1988·Diabetic Medicine : a Journal of the British Diabetic Association·A S RudenskiR C Turner
Aug 1, 1996·Annals of Internal Medicine·J S CarterA Monterrosa

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Citations

Aug 7, 2007·Nutrition·Anoop Misra, Om P Ganda
Aug 23, 2017·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Mary Carolan-Olah, Angie Cassar

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