Featured Research

from universities, journals, and other organizations

New insight into reducing racial, ethnic disparities in diabetes

Date:
September 17, 2013
Source:
University of Massachusetts Medical School
Summary:
Despite higher rates of diabetes in black and Hispanic women, the rate at which women die of diabetes-related diseases such as cardiovascular disease and cancer is the same for all postmenopausal women, regardless of race or ethnicity, according to a new study.

Despite higher rates of diabetes in black and Hispanic women, the rate at which women die of diabetes-related diseases such as cardiovascular disease and cancer is the same for all postmenopausal women, regardless of race or ethnicity, according to a new UMass Medical School study.

Related Articles


Lead author Yunsheng Ma, MD, PhD, MPH, associate professor of medicine, concludes that the way to reduce high diabetes-related death rates among all postmenopausal women -- including black and Hispanic women -- is through prevention of diabetes. This is particularly important, since much remains unknown concerning the total balance of risks and benefits of the antihyperglycemic medications in aging women, particularly those who are either in poor health or of advanced age( older than 75). The research will be published online in the American Journal of Epidemiology on Sept. 16.

"Although the probability of dying conditioned upon diabetes did not differ significantly by racial/ethnic group, the percentages of women with prevalent or incident diabetes were significantly different by race," said Dr. Ma. The disparity in diabetes rates is stark: 27.1 percent for blacks, 20.8 percent for Hispanics, 15.9 percent for Asians and 11.7 percent for whites.

The study analyzed data from the Women's Health Initiative (WHI), a landmark research endeavor that enrolled 161,808 women in clinical trials and 93,676 in an observational study between 1993 and 1998, with ongoing follow up through 2009. The WHI is funded by the National Heart, Lung, and Blood Institute. Ma and colleagues compared all-cause, cardiovascular and cancer mortality in white, black, Hispanic and Asian postmenopausal women with and without diabetes. Regardless of race or ethnicity, all the women with diabetes had a two-to-three times higher mortality risk for these diseases compared to women without diabetes. It is important to note that WHI is not a representative sample of all postmenopausal women across the U.S., but rather women interested in participating in a study and, as such, represents a more educated sample of women with high rates of access to health care.

This study is the first to show that mortality risk is not significantly different between racial or ethnic subgroups according to diabetes status. However, since rates of diabetes for minorities, especially black and Hispanic women, are considerably higher than for whites and Asians, more minority women die as a result of diabetes.

"Because of the 'amplifying' effect of diabetes prevalence, efforts to eliminate racial and ethnic disparities in diabetes mortality should focus on prevention of type 2 diabetes," added Ma.

"We and other researchers have shown that 80 to 90 percent of diabetes cases may be preventable by lifestyle modifications, such as being physically active, maintaining a healthy weight and having a healthful diet," said JoAnn Manson, MD, of Harvard-affiliated Brigham and Women's Hospital, a WHI investigator and a co-author of the study. "This seems to be true across all racial/ethnic groups."

Of 158,833 women included in the analyses, the average age was 63 years; 84.1 percent were white; 9.2 percent were black; 4.1 percent were Hispanic; and 2.6 percent were Asian. In general, the women with diabetes had higher body mass index, worse dietary habits, were less active and had more medical conditions, including hypertension and high cholesterol, compared to women not reporting diabetes.

"Rather than emphasizing aggressive use of anti-diabetic medications in postmenopausal minority women, we should focus on educating them about preventing diabetes," Ma concluded.


Story Source:

The above story is based on materials provided by University of Massachusetts Medical School. Note: Materials may be edited for content and length.


Journal Reference:

  1. Yunsheng Ma, James R. Hιbert, Raji Balasubramanian, Nicole M. Wedick, Barbara V. Howard, Milagros C. Rosal, Simin Liu, Chloe E. Bird, Barbara C. Olendzki, Judith K. Ockene, Jean Wactawski-Wende, Lawrence S. Phillips, Michael J. Lamonte, Kristin L. Schneider, Lorena Garcia, Ira S. Ockene, Philip A. Merriam, Deidre M. Sepavich, Rachel H. Mackey, Karen C. Johnson, and Joann E. Manson. All-Cause, Cardiovascular, and Cancer Mortality Rates in Postmenopausal White, Black, Hispanic, and Asian Women With and Without Diabetes in the United States: The Women's Health Initiative, 1993–2009. American Journal of Epidemiology, September 2013 DOI: 10.1093/aje/kwt177

Cite This Page:

University of Massachusetts Medical School. "New insight into reducing racial, ethnic disparities in diabetes." ScienceDaily. ScienceDaily, 17 September 2013. <www.sciencedaily.com/releases/2013/09/130917125020.htm>.
University of Massachusetts Medical School. (2013, September 17). New insight into reducing racial, ethnic disparities in diabetes. ScienceDaily. Retrieved November 27, 2014 from www.sciencedaily.com/releases/2013/09/130917125020.htm
University of Massachusetts Medical School. "New insight into reducing racial, ethnic disparities in diabetes." ScienceDaily. www.sciencedaily.com/releases/2013/09/130917125020.htm (accessed November 27, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Thursday, November 27, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Pet Dogs to Be Used in Anti-Ageing Trial

Pet Dogs to Be Used in Anti-Ageing Trial

Reuters - Innovations Video Online (Nov. 26, 2014) — Researchers in the United States are preparing to discover whether a drug commonly used in human organ transplants can extend the lifespan and health quality of pet dogs. Video provided by Reuters
Powered by NewsLook.com
Today's Prostheses Are More Capable Than Ever

Today's Prostheses Are More Capable Than Ever

Newsy (Nov. 26, 2014) — Advances in prosthetics are making replacement body parts stronger and more lifelike than they’ve ever been. Video provided by Newsy
Powered by NewsLook.com
From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

Newsy (Nov. 25, 2014) — The US FDA is announcing new calorie rules on Tuesday that will require everywhere from theaters to vending machines to include calorie counts. Video provided by Newsy
Powered by NewsLook.com
Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Newsy (Nov. 25, 2014) — Need another reason to eat yogurt every day? Researchers now say it could reduce a person's risk of developing type 2 diabetes. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins