Diabetes-related weight change in a Canadian First Nation cohort

The Canadian First Nations population is disproportionately burdened by diabetes and diabetes complications. Body weight management is purported to be important in the prevention and management of diabetes. In this study, we sought to describe weight change in a First Nation cohort according to diab...

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Main Authors: ND Riediger, V Lukianchuk, J Roulette, LM Lix, L Elliott, SG Bruce
Format: Article
Language:English
Published: Taylor & Francis Group 2017-01-01
Series:International Journal of Circumpolar Health
Subjects:
Online Access:http://dx.doi.org/10.1080/22423982.2017.1340548
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author ND Riediger
V Lukianchuk
J Roulette
LM Lix
L Elliott
SG Bruce
author_facet ND Riediger
V Lukianchuk
J Roulette
LM Lix
L Elliott
SG Bruce
author_sort ND Riediger
collection DOAJ
description The Canadian First Nations population is disproportionately burdened by diabetes and diabetes complications. Body weight management is purported to be important in the prevention and management of diabetes. In this study, we sought to describe weight change in a First Nation cohort according to diabetes status and management. Study data were from two diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 (baseline) and 2011/2012 (follow-up). The cohort was composed of respondents to both screening studies (n=171). Fasting blood samples, anthropometric, health and demographic data were collected. At baseline, 24.8% (n=41) of the cohort members had diabetes. At follow-up, an additional 20.6% (n=34) developed diabetes. Among all participants with diabetes (long-term and incident cases), 66.6% lost weight between the two study periods. Among only participants with long-term diabetes (>8 years), 31.7% lost >10 kg. HbA1c at baseline, positive change in HbA1c over time, and use of metformin were significantly associated with weight loss ≥5%, independent of age, sex, and BMI at baseline. Further research is needed to better understand if and how diabetes-related weight loss contributes to morbidity and mortality in this First Nation population.
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spelling doaj.art-b0d12bdcae3d4ff0af93218d2d2d5d0d2022-12-22T03:45:17ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822017-01-0176110.1080/22423982.2017.13405481340548Diabetes-related weight change in a Canadian First Nation cohortND Riediger0V Lukianchuk1J Roulette2LM Lix3L Elliott4SG Bruce5University of ManitobaSandy Bay Ojibway First NationSandy Bay Ojibway First NationUniversity of ManitobaUniversity of ManitobaUniversity of ManitobaThe Canadian First Nations population is disproportionately burdened by diabetes and diabetes complications. Body weight management is purported to be important in the prevention and management of diabetes. In this study, we sought to describe weight change in a First Nation cohort according to diabetes status and management. Study data were from two diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 (baseline) and 2011/2012 (follow-up). The cohort was composed of respondents to both screening studies (n=171). Fasting blood samples, anthropometric, health and demographic data were collected. At baseline, 24.8% (n=41) of the cohort members had diabetes. At follow-up, an additional 20.6% (n=34) developed diabetes. Among all participants with diabetes (long-term and incident cases), 66.6% lost weight between the two study periods. Among only participants with long-term diabetes (>8 years), 31.7% lost >10 kg. HbA1c at baseline, positive change in HbA1c over time, and use of metformin were significantly associated with weight loss ≥5%, independent of age, sex, and BMI at baseline. Further research is needed to better understand if and how diabetes-related weight loss contributes to morbidity and mortality in this First Nation population.http://dx.doi.org/10.1080/22423982.2017.1340548Diabetesweight gainweight lossobesityFirst Nationmetformin
spellingShingle ND Riediger
V Lukianchuk
J Roulette
LM Lix
L Elliott
SG Bruce
Diabetes-related weight change in a Canadian First Nation cohort
International Journal of Circumpolar Health
Diabetes
weight gain
weight loss
obesity
First Nation
metformin
title Diabetes-related weight change in a Canadian First Nation cohort
title_full Diabetes-related weight change in a Canadian First Nation cohort
title_fullStr Diabetes-related weight change in a Canadian First Nation cohort
title_full_unstemmed Diabetes-related weight change in a Canadian First Nation cohort
title_short Diabetes-related weight change in a Canadian First Nation cohort
title_sort diabetes related weight change in a canadian first nation cohort
topic Diabetes
weight gain
weight loss
obesity
First Nation
metformin
url http://dx.doi.org/10.1080/22423982.2017.1340548
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