Prediabetes, undiagnosed diabetes, and diabetes among Mexican adults: findings from the Mexican Health and Aging Study

Abstract Purpose The purpose of the study was to examine the prevalence and determinants of prediabetes, undiagnosed diabetes, and diabetes among Mexican adults from a subsample of the Mexican Health and Aging Study. Methods We examined 2012 participants from a subsample of the Mexican Health and Ag...

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Bibliographic Details
Published in:Annals of epidemiology 2016-03, Vol.26 (3), p.163-170
Main Authors: Kumar, Amit, PT, MPH, PhD, Wong, Rebeca, PhD, Ottenbacher, Kenneth J., PhD, OTR, Al Snih, Soham, MD, PhD
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
BMI
Central obesity
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - etiology
Female
HbA1c
Health Surveys
Humans
Internal Medicine
Logistic Models
Longitudinal Studies
Male
Mexico
Mexico - epidemiology
MHAS
Middle Aged
Migration
Older adults
Physical activity
Prediabetes
Prediabetic State - diagnosis
Prediabetic State - epidemiology
Prediabetic State - etiology
Prevalence
Risk Factors
Self Report
Undiagnosed diabetes
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Summary:Abstract Purpose The purpose of the study was to examine the prevalence and determinants of prediabetes, undiagnosed diabetes, and diabetes among Mexican adults from a subsample of the Mexican Health and Aging Study. Methods We examined 2012 participants from a subsample of the Mexican Health and Aging Study. Measures included sociodemographic characteristics, body mass index, central obesity, medical conditions, cholesterol, high-density lipoprotein cholesterol, hemoglobin A1c, and vitamin D. Logistic regression was performed to identify factors associated with prediabetes, undiagnosed diabetes, and self-reported diabetes. Results Prevalence of prediabetes, undiagnosed, and self-reported diabetes in this cohort was 44.2%, 18.0%, and 21.4%, respectively. Participants with high waist-hip ratio (1.61, 95% confidence interval [CI] = 1.05–2.45) and high cholesterol (1.85, 95% CI = 1.36–2.51) had higher odds of prediabetes. Overweight (1.68, 95% CI = 1.07–2.64), obesity (2.38, 95% CI = 1.41–4.02), and high waist circumference (1.60, 95% CI = 1.06–2.40) were significantly associated with higher odds of having undiagnosed diabetes. Those residing in a Mexican state with high U.S. migration had lower odds of prediabetes (0.61, 95% CI = 0.45–0.82) and undiagnosed diabetes (0.53, 95% CI = 0.41–0.70). Those engaged in regular physical activity had lower odds of undiagnosed diabetes (0.74, 95% CI = 0.57–0.97). Conclusions There is a high prevalence of prediabetes and undiagnosed diabetes among Mexican adults in this subsample. Findings suggest the need for resources to prevent, identify, and treat persons with prediabetes and undiagnosed diabetes.
ISSN:1047-2797
1873-2585
DOI:10.1016/j.annepidem.2015.12.006