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International journal of circumpolar health
2017;76 (1): 1310444.

Fasting triglycerides as a predictor of incident diabetes, insulin resistance and β-cell function in a Canadian First Nation.

Natalie D Riediger, Kirsten Clark, Virginia Lukianchuk, Joanne Roulette, Sharon Bruce
Author Information
  1. Natalie D Riediger: a Department of Community Health Sciences, Rady Faculty of Health Sciences , University of Manitoba , Winnipeg , Canada.
  2. Kirsten Clark: d Northern Remote Family Medicine Residency , University of Manitoba , Winnipeg , Canada.
  3. Virginia Lukianchuk: e Sandy Bay First Nation Health Centre , Sandy Bay First Nation , Canada.
  4. Joanne Roulette: e Sandy Bay First Nation Health Centre , Sandy Bay First Nation , Canada.
  5. Sharon Bruce: a Department of Community Health Sciences, Rady Faculty of Health Sciences , University of Manitoba , Winnipeg , Canada.
PMID: 28406758 DOI: 10.1080/22423982.2017.1310444

Abstract

BACKGROUND: Diabetes prevalence is substantially higher among Canadian First Nations populations than the non-First Nation population. Fasting serum triglycerides have been found to be an important predictor of incident diabetes among non-indigenous populations. However, there is a great need to understand diabetes progression within specific ethnic groups, particularly First Nations populations.
OBJECTIVE: The purpose of this study was to test for an association between fasting serum triglycerides and incident diabetes, changes in insulin resistance and changes in β-cell function in a Manitoba First Nation cohort.
METHODS: Study data were from two diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 and 2011/2012. The cohort was composed of respondents to both screening studies (n=171). Fasting blood samples and anthropometric, health and demographic data were collected. A generalised linear model with Poisson distribution was used to test for an association between fasting triglycerides and incident diabetes.
RESULTS: There were 35 incident cases of diabetes among 128 persons without diabetes at baseline. Participants who developed incident type 2 diabetes were significantly older and had significantly higher body mass index (BMI; p=0.012), total cholesterol (p=0.007), fasting triglycerides (p<0.001), and Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) (p<0.001). Fasting triglyceride level was found to be a statistically significant positive predictor of incident diabetes independent of age, sex and waist circumference at baseline. Participants with triglycerides in the highest tertile (≥2.11 mmol/l) had a 4.0-times higher risk of developing incident diabetes compared to those in the lowest tertile (p=0.03). Notably, neither waist circumference nor BMI were significant predictors of incident diabetes independent of age, sex and triglycerides.
CONCLUSION: Fasting triglycerides may be useful as a clinical predictor of insulin resistance and diabetes development among First Nations populations. Unlike other ethnic groups, BMI and waist circumference may be less important factors in diabetes development.

Keywords

First Nation cohort study diabetes hypertriglyceridaemic waist insulin resistance obesity triglycerides

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Grants

  1. /CIHR

MeSH Term

Adult
Age Factors
Body Mass Index
Body Weights and Measures
Diabetes Mellitus, Type 2
Female
Humans
Indians, North American
Insulin Resistance
Insulin-Secreting Cells
Lipids
Male
Manitoba
Middle Aged
Sex Factors
Triglycerides

Chemicals

Lipids
Triglycerides
Journal Article Research Support, Non-U.S. Gov't
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