aut.relation.issue	1288	en_NZ
aut.relation.journal	New Zealand Medical Journal	en_NZ
aut.relation.volume	122	en_NZ
dc.contributor.author	Simmons, D
dc.contributor.author	Rush, E
dc.contributor.author	Crook, N
dc.date.accessioned	2021-06-03T23:16:08Z
dc.date.available	2021-06-03T23:16:08Z
dc.date.copyright	2009	en_NZ
dc.date.issued	2009	en_NZ
dc.description.abstract	Aims To describe the prevalence of undiagnosed diabetes, impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) (“dysglycaemia”) among Māori. Methods Te Wai o Rona: Diabetes Prevention Strategy was a trial of lifestyle change among Māori families in the Waikato/Lakes areas of New Zealand. All Māori family household members aged ≥28 years, without known diabetes, were invited to participate through primary care, community, and media approaches. Participants were invited to have an oral glucose tolerance test (OGTT). Results Of the 3817 eligible Māori, mean BMI was 32.9±7.8 kg/m2 (women) and 33.1±6.7 kg/m2 (men). The age standardised prevalence of undiagnosed diabetes was higher among men than women (6.5[5.8–7.4]% vs 4.2[3.6–4.8]%), as was that for IFG (5.4[4.7–6.1]% vs 3.0[2.3–3.5]%), but not IGT (8.5[7.6–9.4]% vs 9.7[8.7–10.6]%) with no rural-urban differences. The prevalence of dysglycaemia increased with increasing BMI with no clear inflection point and was 1.33(1.11–1.60) greater among those with a community services card after adjusting for age, sex and BMI. Conclusions Undiagnosed diabetes, IGT, and IFG remain common among Māori, particularly men, the very obese, and those with greater socioeconomic disadvantage. There remains significant opportunity to reduce Māori morbidity and premature mortality through diabetes case-finding and intervention.
dc.identifier.citation	New Zealand Medical Journal, 23 January 2009, Vol 122 No 1288; URL: http://www.nzma.org.nz/journal/122-1288/3432/
dc.identifier.roid	10467	en_NZ
dc.identifier.uri	https://hdl.handle.net/10292/14239
dc.publisher	New Zealand Medical Association
dc.relation.uri	http://journal.nzma.org.nz/journal/122-1288/3432/content.pdf	en_NZ
dc.rights	Copyright © New Zealand Medical Association, 2009. All Rights Reserved. Authors retain the right to place his/her publication version of the work on a personal website or institutional repository for non commercial purposes. The definitive version was published in (see Citation). The original publication is available at (see Publisher’s Version).
dc.rights.accessrights	OpenAccess	en_NZ
dc.title	Prevalence of Undiagnosed Diabetes, Impaired Glucose Tolerance, and Impaired Fasting Glucose Among Māori in Te Wai o Rona: Diabetes Prevention Strategy	en_NZ
dc.type	Journal Article
pubs.elements-id	14951
pubs.organisational-data	/AUT
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Physical Activity, Nutrition & the Outdoors Department
pubs.organisational-data	/AUT/PBRF
pubs.organisational-data	/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data	/AUT/PBRF/PBRF Health and Environmental Sciences/HS Sports & Recreation 2018 PBRF

Prevalence of Undiagnosed Diabetes, Impaired Glucose Tolerance, and Impaired Fasting Glucose Among Māori in Te Wai o Rona: Diabetes Prevention Strategy

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