Prevalence of Diabetes Mellitus among Roma Populations-A Systematic Review

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hypertriglyceridemia 2 endocrinologydiseases
metabolic syndrome 9 endocrinologydiseases
obesity 9 endocrinologydiseases
type 2 diabetes mellitus 4 endocrinologydiseases
diabetes mellitus 9 endocrinologydiseases
hyperinsulinemia 1 endocrinologydiseases

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diabetes mellitus 674 11/2018Publication date (ppub): 11/2018AbstractBackground: The aim of this study was to estimate the prevalence of diabetes mellitus in the Roma population and compare it to the prevalence in the Caucasian population. Methods: Using
diabetes mellitus 1085 the MEDLINE, Pubmed and Scopus databases for articles in English that focused on the prevalence of diabetes mellitus among Roma populations published until December 2017. Results: Five studies met the inclusion criteria.
diabetes mellitus 1820 design and number of participants to draw any conclusions.1. IntroductionThe number of people with diabetes mellitus is increasing worldwide [[1]]. Diabetes prevalence differs among countries, but also among different
diabetes mellitus 4767 diabetes were included in this analysis. Studies conducted since 1999 had to follow the definition of diabetes mellitus according to the 1999 WHO diagnostic criteria (fasting plasma glucose (FPG) ≥7.0 mmoL/L, random plasma
diabetes mellitus 7860 years (5.6%). Of the participants with previously diagnosed diabetes (5.9%), all but two had type 2 diabetes mellitus . The study also revealed 5.2% of participants had newly diagnosed cases of type 2 diabetes with the
diabetes mellitus 10089 hypertension. Additionally, a higher insulin resistance and obesity prevalence was found in Roma people without diabetes mellitus compared to Caucasians. The study’s limitation is the low response rate of 53% for non-Roma (230 male/271
diabetes mellitus 11438 individuals (35 men, 42 women; age: 46.9 ± 10.6 years) and revealed 14 cases of newly diagnosed type 2 diabetes mellitus (18.2%) with a higher frequency than that of the representative population in Hungary (7.47%). An additional
diabetes mellitus 11821 group [[23]].4. DiscussionOut of all the studies we found, only two looked at the prevalence of type 2 diabetes mellitus (T2DM) separately, with the remaining three articles not specifying any particular type of diabetes.
diabetes mellitus 12059 it is possible that the prevalence of diabetes presented in the results consists not only of type 2 diabetes mellitus but of other specific types, such as those based on diseases of the exocrine pancreas, liver or even
hyperinsulinemia 9827 prevalence of obesity as well as higher prevalence rates of hypercholesterolemia, hypertriglyceridemia, hyperinsulinemia , insulin resistance, elevated microalbuminuria, metabolic syndrome and cardiovascular disease. There
hypertriglyceridemia 9805 more than twice the prevalence of obesity as well as higher prevalence rates of hypercholesterolemia, hypertriglyceridemia , hyperinsulinemia, insulin resistance, elevated microalbuminuria, metabolic syndrome and cardiovascular
hypertriglyceridemia 10478 between 16 and 72 years and found the presence of diabetes in 46% of individuals, hypertension in 73%, hypertriglyceridemia in 80%, hypercholesterolemia in 67%, occlusive vascular disease in 39%, and chronic renal insufficiency
metabolic syndrome 898 words “Roma”, “Gypsies”, “Romani”, and ”traveler” in combination with “diabetes, “ metabolic syndrome ”, “cardiovascular disease” and “health status” we searched the MEDLINE, Pubmed and Scopus
metabolic syndrome 2981 non-communicable diseases [[4],[14]]. Several studies have suggested a significantly higher prevalence of metabolic syndrome among Roma populations [[8],[15],[16]].With the aforementioned status of public health and especially
metabolic syndrome 3145 the aforementioned status of public health and especially regarding the suspected high prevalence of metabolic syndrome , it is appropriate to consider their impact also on the prevalence of diabetes in the Roma population.This
metabolic syndrome 3777 keywords: “Roma”, “Gypsies”, “Romani”, and ”traveler”, in combination with “diabetes, “ metabolic syndrome ”, “cardiovascular disease” and “health status”. This search revealed a variety of publications
metabolic syndrome 5528 focused primarily on diabetes prevalence, and one article was identified that focused primarily on metabolic syndrome prevalence and also on the prevalence of diabetes in the Roma population (Figure 1).Enache et al. analyzed
metabolic syndrome 9892 hypercholesterolemia, hypertriglyceridemia, hyperinsulinemia, insulin resistance, elevated microalbuminuria, metabolic syndrome and cardiovascular disease. There were, however, similar rates of hypertension. Additionally, a higher
metabolic syndrome 13882 populations.In addition, some supporting evidence for these findings is provided by several studies focusing on metabolic syndrome [[15],[16],[27]], which, although also limited by the low numbers of participants, suggest its higher
metabolic syndrome 14067 of participants, suggest its higher prevalence among Roma populations. As diabetes is a part of the metabolic syndrome , we may therefore infer that the prevalence of diabetes could also be higher.There are several known
metabolic syndrome 14451 factors contribute to a higher degree of obesity with higher insulin resistance (usually in the form of metabolic syndrome ), which together with an inadequate beta cell response (due to β-cell dysfunction), results in loss
obesity 6087 difference was not statistically significant. Additionally, the study focused on the evaluation of obesity prevalence. A high prevalence of obesity in Roma people but also in the non-Roma population (31.7% vs.
obesity 6128 significant. Additionally, the study focused on the evaluation of obesity prevalence. A high prevalence of obesity in Roma people but also in the non-Roma population (31.7% vs. 32.3%) and overweight subjects (26.7%
obesity 6429 found that 72.8% (n = 131) of Roma persons and 80.5% (n = 132) of Romanian Caucasians presented central obesity based on waist circumference measurement. Hypertension was significantly more prevalent in Romanian
obesity 6767 the Finnish Diabetes Risk Score questionnaire [[27]]. Based on these results, the risk factors for obesity in the Roma population were: lower socio-educational level, smoking, and physical inactivity (active
obesity 8440 interval (CI), p < 0.01), and the evaluated risk of developing diabetes in participants with abdominal obesity was twice as high (95% CI, p < 0.01). Diabetes was 3.65 times more present in urban populations as compared
obesity 9737 statistically significant prevalence of Type 2 diabetes accompanied by more than twice the prevalence of obesity as well as higher prevalence rates of hypercholesterolemia, hypertriglyceridemia, hyperinsulinemia,
obesity 10037 disease. There were, however, similar rates of hypertension. Additionally, a higher insulin resistance and obesity prevalence was found in Roma people without diabetes mellitus compared to Caucasians. The study’s
obesity 14388 socio-economic status, smoking, and alcohol consumption [[32]]. These factors contribute to a higher degree of obesity with higher insulin resistance (usually in the form of metabolic syndrome), which together with an inadequate
obesity 15028 socio-economic status [[6],[25]] and alcohol consumption [[40],[37]], associated also with a higher incidence of obesity in many of them. However, all of these studies were again conducted on a rather small number of subjects.It
type 2 diabetes mellitus 7853 than 65 years (5.6%). Of the participants with previously diagnosed diabetes (5.9%), all but two had type 2 diabetes mellitus . The study also revealed 5.2% of participants had newly diagnosed cases of type 2 diabetes with the
type 2 diabetes mellitus 11431 Gypsy individuals (35 men, 42 women; age: 46.9 ± 10.6 years) and revealed 14 cases of newly diagnosed type 2 diabetes mellitus (18.2%) with a higher frequency than that of the representative population in Hungary (7.47%). An additional
type 2 diabetes mellitus 11814 population group [[23]].4. DiscussionOut of all the studies we found, only two looked at the prevalence of type 2 diabetes mellitus (T2DM) separately, with the remaining three articles not specifying any particular type of diabetes.
type 2 diabetes mellitus 12052 mind, it is possible that the prevalence of diabetes presented in the results consists not only of type 2 diabetes mellitus but of other specific types, such as those based on diseases of the exocrine pancreas, liver or even

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