lundi 24 décembre 2018

FOOD INSECURITY AND PRE DIABETES .. YET ANOTHER SOCIAL CONNECTION FOR INCREASING INCIDENCE OF DIABETEES

I have always maintained that DIABETES  type 2 i a social disease and its ravenous increase world wide is the confirmation of the social influences on its prevalence.
I am in Fort Cochin on this Noche Buena and it does not seem congruous to talk about this subject but I had been reading on some of the research this morning, while relaxing after an Ayurvedic massage.
Food Insecurity is an universal problem, taking the extreme in places such as Yemen or Bangladesh, to many countries in the world. In the developed countries USA Australia and such, there is a fair amount of Food Insecurity, especially among those who are immigrants, marginalized or oppressed. 
The study quoted below is from the USA and I happened to be associated with some of the marginalized groups in the USA.
While marginalization, oppression and racism and social exclusion may go hand in hand with poverty and other social indicators such as immigration, isolation and unemployment, I have ben observing groups of people who are marginalized but not quite accepted by the society for various reasons including self selection to be separate from the major culture: Mexican Americans, Filipino Americans, South Asian Americans.. and have noticed the higher than normal rate of Diabetes type 2 in all such groups..despite some of them being fairly successful economically. 
This is something to think about..

Here is the article

Published in Diabetes
Journal Scan / Research · December 20, 2018
Associations Between Food Insecurity and Prediabetes
Diabetes Research and Clinical Practice
TAKE-HOME MESSAGE
  • The authors of this cross-sectional research study investigated the association between food insecurity and prediabetes and sought to identify subgroups for early clinical intervention. NHANES data for years 2005–2014 from 25,814 individuals were analyzed. The association between food security status and laboratory-confirmed prediabetes was examined using multivariable logistic regression analysis adjusted for age, gender, race, and BMI. Participants with low/very low food security were 1.35 times more likely to have prediabetes compared with those who had full or marginal food security. Younger individuals (age, 20–34 years) with low/very low food security were 1.5 times more likely to have prediabetes compared with food-secure individuals.
  • Food insecurity is positively associated with prediabetes, and the association is stronger in younger individuals. Food-insecure young adults should be targeted for early clinical intervention to prevent the poor health outcomes associated with diabetes.
Abstract
AIMS
The primary aim of this research was to investigate the association between food insecurity and prediabetes and to identify specific subgroups for early clinical intervention.
METHODS
Cross-sectional data from 25,814 participants were analyzed from the National Health and Nutrition Examination Survey for years 2005-2014. Multivariable logistic regression was used to explore the association between food security status and laboratory-confirmed prediabetes. All models were adjusted for age, sex, race, and body mass index.
RESULTS
When compared to participants with full and marginal food security, participants with low/very food security were 1.35 (95% CI: 1.17-1.55) times more likely to have prediabetes. Younger individuals with low/very low food security had a greater likelihood of prediabetes, 1.50 (95% CI: 1.19-1.81), when compared with their food secure counterparts.
CONCLUSIONS
Food insecurity at any level, whether low or very low, is positively associated with prediabetes in the U.S. general adult population. Food insecure young adults, particularly those aged 20-34 years, should be targeted for early clinical intervention.

WISHING YOU A GOOD NOCHE BUENA IN WHATEVER PART OF THE WORLD YOU ARE 
MERRY CHRISTMAS OR WHATEVER ELSE YOU ARE CELEBRATING TODAY 
FROM THE FESTIVE ATMOSPHERE OF FORT COCHIN WITH ITS LARGE CHRISTIAN POPULATION AND THE OLDEST CATHEDRAL IN INDIA 
HAPPY NEW YEAR TO ALL OF YOU 2019


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