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| Titel: |
Mortality trends from diabetes mellitus in a high prevalence island population |
| Auteur: |
C. Savona-Ventura |
| Verschenen in: |
International journal of risk & safety in medicine |
| Paginering: | Jaargang 14 (2002) nr. 3-4 pagina's 87-93 |
| Jaar: |
2002-08-30 |
| Inhoud: |
Non-insulin dependent diabetes mellitus appears to be increasing in prevalence in most developing and developed countries. The Maltese population has been identified as having a high prevalence for NIDDM, this high rate apparently becoming of concern during the twentieth century. Objective: The study attempts to analyse the cause-specific mortality trends from diabetes mellitus in the Maltese population during the period 1873-1999. Results: A definite gradual increase in cause-specific mortality rates has been identified throughout the late nineteenth and twentieth century, this rise being offset by the social upheaval of the Second World War. A fall in cause-specific mortality rates appears to have occurred in the last two decades of the period. Conclusions: The rising cause-mortality rates probably reflect a trend in an increasing prevalence rate for NIDDM caused by significant changes in the dietary regimen of the population during the period. A fugal diet predisposed the Maltese population to a Thrifty Genotype that was offset by an increasing abundance of fat and refined carbohydrate diet. In the presence of an abundant diet, individuals with a Thrifty Genotype predispose to obesity, insulin resistance and NIDDM disorders. |
| Uitgever: |
IOS Press |
| Bronbestand: |
Elektronische Wetenschappelijke Tijdschriften |
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