Impact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in Indians living in a newly urbanised society.

<h4>Background</h4>Health of migrants is a major public health challenge faced by governments and policy makers. Asian Indians are among the fastest growing migration groups across Asia and the world, but the impact of migration and acculturation on diabetes and diabetes-related eye comp...

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Autores principales:	Yingfeng Zheng, Ecosse L Lamoureux, M Kamran Ikram, Paul Mitchell, Jie Jin Wang, Christine Younan, Ainur Rahman Anuar, E-Shyong Tai, Tien Y Wong
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c6cabd7bdd0f453f82e88832de0286f4
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spelling	oai:doaj.org-article:c6cabd7bdd0f453f82e88832de0286f42021-11-18T07:22:45ZImpact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in Indians living in a newly urbanised society.1932-620310.1371/journal.pone.0034829https://doaj.org/article/c6cabd7bdd0f453f82e88832de0286f42012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22506053/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Health of migrants is a major public health challenge faced by governments and policy makers. Asian Indians are among the fastest growing migration groups across Asia and the world, but the impact of migration and acculturation on diabetes and diabetes-related eye complications among Indians living in urban Asia remains unclear.<h4>Methodologies/principal findings</h4>We evaluated the influence of migration and acculturation (i.e., migration status and length of residence) on the prevalence of type-2 diabetes mellitus (T2DM) and diabetes-related eye complications (diabetic retinopathy (DR) and cataract), among first-generation (defined as participant born in India with both parents born in India, n = 781) and second-generation (participants born in Singapore with both parents born in India, n = 1,112) Indian immigrants from a population-based study of Adult Indians in Singapore. Diabetes was defined as HbA1c≥6.5%, use of diabetic medication or a physician diagnosis of diabetes. Retinal and lens photographs were graded for the presence of DR and cataract. Compared to first generation immigrants, second generation immigrants had a higher age- and gender-standardized prevalence of T2DM (34.4% versus 29.0%, p<0.001), and, in those with T2DM, higher age- and gender-standardized prevalence of DR (31.7% versus 24.8%, p<0.001), nuclear cataract (13.6% versus 11.6%, p<0.001), and posterior sub-capsular cataract (6.4% versus 4.6%, p<0.001). Among first generation migrants, longer length of residence was associated with significantly younger age of diagnosis of diabetes and greater likelihood of having T2DM and diabetes-related eye complications.<h4>Conclusion</h4>Second generation immigrant Indians and longer length of residence are associated with higher prevalence of diabetes and diabetes-related complications (i.e., DR and cataract) among migrant Indians living in Singapore. These data highlight potential worldwide impacts of migration patterns on the risk and burden of diabetes.Yingfeng ZhengEcosse L LamoureuxM Kamran IkramPaul MitchellJie Jin WangChristine YounanAinur Rahman AnuarE-Shyong TaiTien Y WongPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 4, p e34829 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yingfeng Zheng Ecosse L Lamoureux M Kamran Ikram Paul Mitchell Jie Jin Wang Christine Younan Ainur Rahman Anuar E-Shyong Tai Tien Y Wong Impact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in Indians living in a newly urbanised society.
description	<h4>Background</h4>Health of migrants is a major public health challenge faced by governments and policy makers. Asian Indians are among the fastest growing migration groups across Asia and the world, but the impact of migration and acculturation on diabetes and diabetes-related eye complications among Indians living in urban Asia remains unclear.<h4>Methodologies/principal findings</h4>We evaluated the influence of migration and acculturation (i.e., migration status and length of residence) on the prevalence of type-2 diabetes mellitus (T2DM) and diabetes-related eye complications (diabetic retinopathy (DR) and cataract), among first-generation (defined as participant born in India with both parents born in India, n = 781) and second-generation (participants born in Singapore with both parents born in India, n = 1,112) Indian immigrants from a population-based study of Adult Indians in Singapore. Diabetes was defined as HbA1c≥6.5%, use of diabetic medication or a physician diagnosis of diabetes. Retinal and lens photographs were graded for the presence of DR and cataract. Compared to first generation immigrants, second generation immigrants had a higher age- and gender-standardized prevalence of T2DM (34.4% versus 29.0%, p<0.001), and, in those with T2DM, higher age- and gender-standardized prevalence of DR (31.7% versus 24.8%, p<0.001), nuclear cataract (13.6% versus 11.6%, p<0.001), and posterior sub-capsular cataract (6.4% versus 4.6%, p<0.001). Among first generation migrants, longer length of residence was associated with significantly younger age of diagnosis of diabetes and greater likelihood of having T2DM and diabetes-related eye complications.<h4>Conclusion</h4>Second generation immigrant Indians and longer length of residence are associated with higher prevalence of diabetes and diabetes-related complications (i.e., DR and cataract) among migrant Indians living in Singapore. These data highlight potential worldwide impacts of migration patterns on the risk and burden of diabetes.
format	article
author	Yingfeng Zheng Ecosse L Lamoureux M Kamran Ikram Paul Mitchell Jie Jin Wang Christine Younan Ainur Rahman Anuar E-Shyong Tai Tien Y Wong
author_facet	Yingfeng Zheng Ecosse L Lamoureux M Kamran Ikram Paul Mitchell Jie Jin Wang Christine Younan Ainur Rahman Anuar E-Shyong Tai Tien Y Wong
author_sort	Yingfeng Zheng
title	Impact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in Indians living in a newly urbanised society.
title_short	Impact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in Indians living in a newly urbanised society.
title_full	Impact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in Indians living in a newly urbanised society.
title_fullStr	Impact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in Indians living in a newly urbanised society.
title_full_unstemmed	Impact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in Indians living in a newly urbanised society.
title_sort	impact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in indians living in a newly urbanised society.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/c6cabd7bdd0f453f82e88832de0286f4
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Impact of migration and acculturation on prevalence of type 2 diabetes and related eye complications in Indians living in a newly urbanised society.

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