Type 2 & other diabetes

Diabetes in South Asians: Uncovering Novel Risk Factors With Longitudinal Epidemiologic Data: Kelly West Award Lecture 2023

Diabetes CarePublished Award lecture review of a prospective cohort study

An erratum to this article was published (Diabetes Care, 1 Apr 2024 ↗)

Authors' conclusion

Longitudinal data with repeat cardiometabolic measures that are supplemented with qualitative and mixed-method approaches enable a deeper understanding of disease risk and resilience factors.

Study context

Population
South Asians living in America; original cohort 83% Asian Indian immigrants, expansion to Bangladeshi and Pakistani originoriginal cohort
Participants
1,164 participants
Exposure
South Asian Americans vs four other U.S. race and ethnic groups
  • Mediators of Atherosclerosis in South Asians Living in America (MASALA)n = 1,164
Outcome
Cardiometabolic risk profile vs four other U.S. race and ethnic groups
Methodological detailsMASALA, longitudinal, community-based cohort, MASALA study established in 2010
  • MASALA
  • Longitudinal
  • Community-based cohort
  • MASALA study established in 2010

Main finding

As reported in the abstract

  • Higher T2D prevalence, lower insulin secretion, more insulin resistance and adverse body composition (higher liver and intermuscular fat, lower lean muscle mass) in South Asian Americans

Observational data: associations, not effects.

Further findings

Diabetes subtypes

Participants with diabetes more likely to have severe hyperglycemia subtype (β-cell dysfunction, lower body weight), associated with higher incidence of subclinical atherosclerosis

Modifiable factors

Several modifiable factors incl. diet and physical activity, influenceable via social network members and cultural adaptations

Original publication

Diabetes in South Asians: Uncovering Novel Risk Factors With Longitudinal Epidemiologic Data: Kelly West Award Lecture 2023. Diabetes Care. Published 20 December 2023. doi:10.2337/dci23-0068

Composed by AI from the published abstract and checked against it. How Briefs are made →

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