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Hoge prevalentie van diabetes mellitus type 2 bij Turken en Marokkanen

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Kriegsman DMW, Van Langen J, Valk GD, Stalman WAB, Boeke AJP. Hoge prevalentie van diabetes mellitus type 2 bij Turken en Marokkanen. Huisarts Wet 2003;46(7):363-8.

Doelstelling Beschrijving van verschillen tussen Nederlanders, Turken en Marokkanen in de prevalentie van bij de huisarts bekende diabetes mellitus type 2, proces van diabeteszorg en patiëntuitkomsten.

Methoden Gegevens werden verzameld uit de medische dossiers van 5252 personen van 40-75 jaar afkomstig uit huisartsenpraktijken in Amsterdam Oud-West: 85,7% Nederlanders, 5,4% Turken, 8,9% Marokkanen. Uitkomstmaten waren: prevalentie van bij de huisarts bekende diabetes mellitus type 2, proces van diabeteszorg, glykemische instelling en risicofactoren voor harten vaatziekten.

Resultaten De prevalentie van bij de huisarts bekende gevallen van diabetes mellitus type 2 was 4,8% bij Nederlanders, 9,9% bij Turken (gecorrigeerde odds-ratio (OR) 2,81) en 12,1% bij Marokkanen (gecorrigeerde OR 3,21). Er werden geen verschillen gevonden in het proces van diabeteszorg. Nederlandse diabetespatiënten waren ouder, hadden een betere glykemische instelling en hadden vaker hypertensie dan Turkse of Marokkaanse diabetespatiënten. Turkse patiënten hadden lagere cholesterolwaarden en Marokkaanse patiënten hadden een lagere bloeddruk dan diabetespatiënten in de andere groepen. Geen verschillen werden gevonden wat betreft de body-mass index.

Conclusies Huisartsen zien twee tot drie keer zo vaak gevallen van diabetes mellitus type 2 bij Turken en Marokkanen als bij Nederlanders. Er zijn verschillen in risicofactoren voor hart- en vaatziekten tussen deze subgroepen.

Abstract

Kriegsman DMW, Van Langen J, Valk GD, Stalman WAB, Boeke AJP.

High prevalence of known type 2 diabetes mellitus in Amsterdam citizens of Turkish or Moroccan descent. Huisarts Wet 2003;46(7):363-8.

Aim To examine the differences between Caucasian subgroups with regard to the prevalence of known type 2 diabetes, diabetes care and patient outcomes.

Methods A cross-sectional study was designed using retrospective data registered by general practitioners. The setting was Dutch general practice.

Data were collected on 5252 subjects aged 40-75 years of Dutch (85.7%), Turkish (5.4%) or Moroccan (8.9%) origin. Main outcome measures were the prevalence of known type 2 diabetes, adequacy of diabetes care, glycaemic control and cardiovascular risk factors.

Results Prevalence of known type 2 diabetes was 4.8% in Dutch, 9.9% in Turkish (adjusted OR 2.81) and 12.1% in Moroccan (adjusted OR 3.21) patients. No differences were observed regarding adequacy of diabetes care between ethnic subgroups. Dutch diabetes patients were older, had better glycaemic control and had hypertension more often than Turkish or Moroccan patients. Turkish patients had lower total cholesterol levels and Moroccan patients had lower blood pressure than the other groups.

There were no differences in BMI.

Conclusion There are considerable differences in prevalence of known type 2 diabetes between different subgroups of the Caucasian race. In addition, there appear to be differences in cardiovascular risk factors between these subgroups. Further research is warranted into the origins of these differences, and this should include studies on the heterogeneity of type 2 diabetes as well as studies into socio-culturally determined factors.

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    Didi Kriegsman

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  1. Didi Kriegsman
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  2. Johan van Langen
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  3. Gerlof Valk
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  4. Wim Stalman
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  5. Joan Boeke
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Correspondence to Didi Kriegsman.

Additional information

VU medisch centrum, Onderzoeksgroep Huisartsgeneeskunde EMGOInstituut, Van der Boechorststraat 7, 1081 BT Amsterdam: dr. D.M.W. Kriegsman, arts-epidemioloog; drs. J. van Langen, destijds huisarts-inopleiding; dr. G.D. Valk, destijds huisarts-onderzoeker; prof.dr. W.A.B. Stalman, hoogleraar huisartsgeneeskunde; dr. A.J.P. Boeke, huisartsonderzoeker.

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Kriegsman, D., van Langen, J., Valk, G. et al. Hoge prevalentie van diabetes mellitus type 2 bij Turken en Marokkanen. HUWE 46, 498–504 (2003). https://doi.org/10.1007/BF03083393

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