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Prevalence of impaired glucose tolerance and the components of metabolic syndrome in Canadian Tsimshian Nation youth

https://arctichealth.org/en/permalink/ahliterature101168
Source
Canadian Journal of Rural Medicine. 2009 Spring;14(2):61-67
Publication Type
Article
Date
Spring-2009
  1 website  
Author
Zorzi, A
Wahi, G
Macnab, AJ
Panagiotopoulos, C
Author Affiliation
Department of Pediatrics, Endocrinology & Diabetes Unit, University of British Columbia and British Columbia Children's Hospital, Vancouver, BC
Source
Canadian Journal of Rural Medicine. 2009 Spring;14(2):61-67
Date
Spring-2009
Language
English
Geographic Location
Canada
Publication Type
Article
Keywords
Body mass index (BMI)
Childhood obesity
Canadian Aboriginal people
Glucose Intolerance
Metabolic syndrome (MetS)
Obesity
Plasma glucose
Tsimshian Nation youth
Type 2 diabetes
Abstract
INTRODUCTION: Canadian Aboriginal people have been disproportionately affected by obesity and type 2 diabetes (T2D). Our objective was to determine the prevalence of obesity, glucose intolerance and the components of metabolic syndrome (MetS) in Tsimshian Nation youth living in 3 remote coastal communities. METHODS: A medical history, anthropometric measurements and an oral glucose tolerance test were performed in youth aged 6-18 years. We defined "overweight" by a body mass index (BMI) at the 85th percentile or higher and "obese" by a BMI at the 95th percentile or higher, by age and sex. We used the International Diabetes Federation criteria for MetS. RESULTS: Of the 224 eligible youth, 192 (85%) participated in the study. Nineteen percent were overweight, 26% were obese and 36% had central obesity (waist circumference ¡Ý 90th percentile for age and sex). No new cases of T2D were identified. The prevalence of impaired fasting glucose (IFG 5.6¨C6.9 mmol/L) and impaired glucose tolerance (IGT 2-hr glucose 7.8¨C11.0 mmol/L) were 19.3% and 5.2%, respectively. Five of the 10 youth with IGT had a fasting glucose less than 5.6 mmol/L. The prevalence of MetS was 4.7% and increased to 8.3% when pediatric hypertension norms were applied. CONCLUSION: Tsimshian Nation youth have a high prevalence of central obesity, impaired glucose homeostasis and other components of MetS. The oral glucose tolerance test may be a more appropriate screening test to identify IGT in Aboriginal youth.
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Traditional healing among Alaska Natives

https://arctichealth.org/en/permalink/ahliterature76511
Date
March 2006
.................................................................................................3 Shamans vs. Traditional Healers............................................................................3 Overview of Alaskan Natives.............................................................................................7 Tlingit, Haida, Tsimshian (Southeast
  1 document  
Author
Kramer, M.R.
Author Affiliation
Saybrook Graduate School and Research Center
Date
March 2006
Language
English
Digital File Format
Text - PDF
Physical Holding
Alaska Medical Library
Keywords
Alaska Native
Aleut
Traditional healing
Traditional healer
Yup'ik
Haida
Allopathic Medicine
Tsimshian
Inuit
Tlingit
Shamans
Athabascan
Notes
Graduate candidate essay, author did much of her research in Alaska
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TRADITIONAL HEALING AMONG ALASKA NATIVES.PDF

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