Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study
ABSTRACTPre-diabetes (pre-DM) is a strong predictor of diabetes (DM) over time. This study investigated how much of the recent increase in pre-DM identified among Alaska Native (AN) peoples living in urban southcentral Alaska may be due to changes in diagnostic methods. We used clinical and demograp...
Published in: | International Journal of Circumpolar Health |
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Online Access: | https://doi.org/10.1080/22423982.2024.2343143 https://doaj.org/article/f59551bd29cc469e81d786f653bee55a |
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ftdoajarticles:oai:doaj.org/article:f59551bd29cc469e81d786f653bee55a 2024-09-15T18:02:08+00:00 Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study Kathryn R. Koller Sarah H. Nash Julie A. Beans Gretchen M. Day Vanessa Y. Hiratsuka Ai-Ling Lin Meera Narayanan Christi A Patten Sherry A. Hammock Barbara V. Howard Jason G. Umans 2024-12-01T00:00:00Z https://doi.org/10.1080/22423982.2024.2343143 https://doaj.org/article/f59551bd29cc469e81d786f653bee55a EN eng Taylor & Francis Group https://www.tandfonline.com/doi/10.1080/22423982.2024.2343143 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2024.2343143 2242-3982 https://doaj.org/article/f59551bd29cc469e81d786f653bee55a International Journal of Circumpolar Health, Vol 83, Iss 1 (2024) Urban Alaska Native pre-diabetes diabetes haemoglobin A1c fasting glucose metabolic syndrome Arctic medicine. Tropical medicine RC955-962 article 2024 ftdoajarticles https://doi.org/10.1080/22423982.2024.2343143 2024-08-05T17:49:27Z ABSTRACTPre-diabetes (pre-DM) is a strong predictor of diabetes (DM) over time. This study investigated how much of the recent increase in pre-DM identified among Alaska Native (AN) peoples living in urban southcentral Alaska may be due to changes in diagnostic methods. We used clinical and demographic data collected at baseline between 2004 and 2006 and at follow-up collected between 2015 and 2017 from the urban southcentral Alaska Education and Research Towards Health (EARTH) cohort. We used descriptive statistics and logistic regression to explore differences in demographic and clinical variables among the identified pre-DM groups. Of 388 participants in the follow-up study, 243 had A1c levels indicating pre-DM with only 20 demonstrating pre-DM also by fasting blood glucose (FBG). Current smoking was the sole predictor for pre-DM by A1c alone while abdominal obesity and elevated FBG-predicted pre-DM by A1c+FBG. No participants had an elevated FBG without an A1c elevation. A substantial portion of the rise in pre-DM found among urban southcentral AN peoples in the EARTH follow-up study was due to the addition of A1c testing. Pre-DM by A1c alone should be used to motivate behavioural changes that address modifiable risk factors, including smoking cessation, physical activity and weight management. Article in Journal/Newspaper Circumpolar Health International Journal of Circumpolar Health Alaska Directory of Open Access Journals: DOAJ Articles International Journal of Circumpolar Health 83 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Urban Alaska Native pre-diabetes diabetes haemoglobin A1c fasting glucose metabolic syndrome Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Urban Alaska Native pre-diabetes diabetes haemoglobin A1c fasting glucose metabolic syndrome Arctic medicine. Tropical medicine RC955-962 Kathryn R. Koller Sarah H. Nash Julie A. Beans Gretchen M. Day Vanessa Y. Hiratsuka Ai-Ling Lin Meera Narayanan Christi A Patten Sherry A. Hammock Barbara V. Howard Jason G. Umans Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study |
topic_facet |
Urban Alaska Native pre-diabetes diabetes haemoglobin A1c fasting glucose metabolic syndrome Arctic medicine. Tropical medicine RC955-962 |
description |
ABSTRACTPre-diabetes (pre-DM) is a strong predictor of diabetes (DM) over time. This study investigated how much of the recent increase in pre-DM identified among Alaska Native (AN) peoples living in urban southcentral Alaska may be due to changes in diagnostic methods. We used clinical and demographic data collected at baseline between 2004 and 2006 and at follow-up collected between 2015 and 2017 from the urban southcentral Alaska Education and Research Towards Health (EARTH) cohort. We used descriptive statistics and logistic regression to explore differences in demographic and clinical variables among the identified pre-DM groups. Of 388 participants in the follow-up study, 243 had A1c levels indicating pre-DM with only 20 demonstrating pre-DM also by fasting blood glucose (FBG). Current smoking was the sole predictor for pre-DM by A1c alone while abdominal obesity and elevated FBG-predicted pre-DM by A1c+FBG. No participants had an elevated FBG without an A1c elevation. A substantial portion of the rise in pre-DM found among urban southcentral AN peoples in the EARTH follow-up study was due to the addition of A1c testing. Pre-DM by A1c alone should be used to motivate behavioural changes that address modifiable risk factors, including smoking cessation, physical activity and weight management. |
format |
Article in Journal/Newspaper |
author |
Kathryn R. Koller Sarah H. Nash Julie A. Beans Gretchen M. Day Vanessa Y. Hiratsuka Ai-Ling Lin Meera Narayanan Christi A Patten Sherry A. Hammock Barbara V. Howard Jason G. Umans |
author_facet |
Kathryn R. Koller Sarah H. Nash Julie A. Beans Gretchen M. Day Vanessa Y. Hiratsuka Ai-Ling Lin Meera Narayanan Christi A Patten Sherry A. Hammock Barbara V. Howard Jason G. Umans |
author_sort |
Kathryn R. Koller |
title |
Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study |
title_short |
Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study |
title_full |
Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study |
title_fullStr |
Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study |
title_full_unstemmed |
Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study |
title_sort |
evidence-based screening, clinical care and health education recommendations for alaska native peoples with prediabetes living in southcentral alaska: findings from the alaska earth follow-up study |
publisher |
Taylor & Francis Group |
publishDate |
2024 |
url |
https://doi.org/10.1080/22423982.2024.2343143 https://doaj.org/article/f59551bd29cc469e81d786f653bee55a |
genre |
Circumpolar Health International Journal of Circumpolar Health Alaska |
genre_facet |
Circumpolar Health International Journal of Circumpolar Health Alaska |
op_source |
International Journal of Circumpolar Health, Vol 83, Iss 1 (2024) |
op_relation |
https://www.tandfonline.com/doi/10.1080/22423982.2024.2343143 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2024.2343143 2242-3982 https://doaj.org/article/f59551bd29cc469e81d786f653bee55a |
op_doi |
https://doi.org/10.1080/22423982.2024.2343143 |
container_title |
International Journal of Circumpolar Health |
container_volume |
83 |
container_issue |
1 |
_version_ |
1810439379198410752 |