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Erschienen in: Diabetologia 5/2012

01.05.2012 | Article

Relationship between diabetes risk and admixture in postmenopausal African-American and Hispanic-American women

verfasst von: L. Qi, R. Nassir, R. Kosoy, L. Garcia, J. D. Curb, L. Tinker, B. V. Howard, J. Robbins, M. F. Seldin

Erschienen in: Diabetologia | Ausgabe 5/2012

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Abstract

Aims/hypothesis

Type 2 diabetes is more prevalent in African-Americans (AFAs) and Hispanic-Americans (HAs) than in European-Americans. We assessed whether continental admixture was correlated with diabetes risk in these high-risk groups.

Methods

We estimated the proportion of sub-Saharan African (AFR), Amerindian (AMI) and European admixture using 92 ancestry-informative marker genotypes in 16,476 AFA and HA women from the Women’s Health Initiative. Cox regression models were used to examine the association between admixture and diabetes risk, with and without accounting for socioeconomic status (SES) and adiposity measurements.

Results

AFR admixture was significantly associated with diabetes risk in AFA women when adjusting for entry age, neighbourhood SES and BMI or waist/hip ratio (WHR) (all p < 0.0001). In HA women, AMI admixture had significant associations with diabetes risk that remained significant after adjustment for SES and BMI (all p < 0.0005). In both AFAs and HAs, SES showed significant negative associations while BMI or WHR had significant positive associations with diabetes risk, with and without adjustment for genetic admixture.

Conclusions/interpretation

In AFAs, admixture, SES and BMI/WHR each independently contribute to diabetes risk after accounting for each of the other factors; in HAs, admixture, SES and BMI each independently contribute to diabetes risk after accounting for each of the other factors, whereas admixture is not significantly associated with diabetes risk after accounting for SES and WHR. The findings emphasise the importance of considering both genetic and environmental causes in the aetiology of type 2 diabetes.
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Literatur
1.
Zurück zum Zitat Maskarinec G, Grandinetti A, Matsuura G et al (2009) Diabetes prevalence and body mass index differ by ethnicity: the multiethnic cohort. Ethn Dis 19:49–55PubMed Maskarinec G, Grandinetti A, Matsuura G et al (2009) Diabetes prevalence and body mass index differ by ethnicity: the multiethnic cohort. Ethn Dis 19:49–55PubMed
2.
Zurück zum Zitat Zimmet P, Alberti KG, Shaw J (2001) Global and societal implications of the diabetes epidemic. Nature 414:782–787PubMedCrossRef Zimmet P, Alberti KG, Shaw J (2001) Global and societal implications of the diabetes epidemic. Nature 414:782–787PubMedCrossRef
5.
Zurück zum Zitat Fernandez JR, Shriver MD, Beasley TM et al (2003) Association of African genetic admixture with resting metabolic rate and obesity among women. Obes Res 11:904–911PubMedCrossRef Fernandez JR, Shriver MD, Beasley TM et al (2003) Association of African genetic admixture with resting metabolic rate and obesity among women. Obes Res 11:904–911PubMedCrossRef
6.
Zurück zum Zitat Parra EJ, Marcini A, Akey J et al (1998) Estimating African American admixture proportions by use of population-specific alleles. Am J Hum Genet 63:1839–1851PubMedCrossRef Parra EJ, Marcini A, Akey J et al (1998) Estimating African American admixture proportions by use of population-specific alleles. Am J Hum Genet 63:1839–1851PubMedCrossRef
7.
Zurück zum Zitat Reiner AP, Carlson CS, Ziv E, Iribarren C, Jaquish CE, Nickerson DA (2007) Genetic ancestry, population sub-structure, and cardiovascular disease-related traits among African-American participants in the CARDIA Study. Hum Genet 121:565–575PubMedCrossRef Reiner AP, Carlson CS, Ziv E, Iribarren C, Jaquish CE, Nickerson DA (2007) Genetic ancestry, population sub-structure, and cardiovascular disease-related traits among African-American participants in the CARDIA Study. Hum Genet 121:565–575PubMedCrossRef
8.
Zurück zum Zitat Shaffer JR, Kammerer CM, Reich D et al (2007) Genetic markers for ancestry are correlated with body composition traits in older African Americans. Osteoporos Int 18:733–741PubMedCrossRef Shaffer JR, Kammerer CM, Reich D et al (2007) Genetic markers for ancestry are correlated with body composition traits in older African Americans. Osteoporos Int 18:733–741PubMedCrossRef
9.
Zurück zum Zitat Tang H, Jorgenson E, Gadde M et al (2006) Racial admixture and its impact on BMI and blood pressure in African and Mexican Americans. Hum Genet 119:624–633PubMedCrossRef Tang H, Jorgenson E, Gadde M et al (2006) Racial admixture and its impact on BMI and blood pressure in African and Mexican Americans. Hum Genet 119:624–633PubMedCrossRef
10.
Zurück zum Zitat Bedoya G, Montoya P, Garcia J et al (2006) Admixture dynamics in Hispanics: a shift in the nuclear genetic ancestry of a South American population isolate. Proc Natl Acad Sci USA 103:7234–7239PubMedCrossRef Bedoya G, Montoya P, Garcia J et al (2006) Admixture dynamics in Hispanics: a shift in the nuclear genetic ancestry of a South American population isolate. Proc Natl Acad Sci USA 103:7234–7239PubMedCrossRef
11.
Zurück zum Zitat Bertoni B, Budowle B, Sans M, Barton SA, Chakraborty R (2003) Admixture in Hispanics: distribution of ancestral population contributions in the Continental United States. Hum Biol 75:1–11PubMedCrossRef Bertoni B, Budowle B, Sans M, Barton SA, Chakraborty R (2003) Admixture in Hispanics: distribution of ancestral population contributions in the Continental United States. Hum Biol 75:1–11PubMedCrossRef
12.
Zurück zum Zitat Bonilla C, Parra EJ, Pfaff CL et al (2004) Admixture in the Hispanics of the San Luis Valley, Colorado, and its implications for complex trait gene mapping. Ann Hum Genet 68:139–153PubMedCrossRef Bonilla C, Parra EJ, Pfaff CL et al (2004) Admixture in the Hispanics of the San Luis Valley, Colorado, and its implications for complex trait gene mapping. Ann Hum Genet 68:139–153PubMedCrossRef
13.
Zurück zum Zitat Klimentidis YC, Miller GF, Shriver MD (2009) The relationship between European genetic admixture and body composition among Hispanics and Native Americans. Am J Hum Biol 21:377–382PubMedCrossRef Klimentidis YC, Miller GF, Shriver MD (2009) The relationship between European genetic admixture and body composition among Hispanics and Native Americans. Am J Hum Biol 21:377–382PubMedCrossRef
14.
Zurück zum Zitat Chakraborty R, Ferrell RE, Stern MP, Haffner SM, Hazuda HP, Rosenthal M (1986) Relationship of prevalence of non-insulin-dependent diabetes mellitus to Amerindian admixture in the Mexican Americans of San Antonio, Texas. Genet Epidemiol 3:435–454PubMedCrossRef Chakraborty R, Ferrell RE, Stern MP, Haffner SM, Hazuda HP, Rosenthal M (1986) Relationship of prevalence of non-insulin-dependent diabetes mellitus to Amerindian admixture in the Mexican Americans of San Antonio, Texas. Genet Epidemiol 3:435–454PubMedCrossRef
15.
Zurück zum Zitat Florez JC, Price AL, Campbell D et al (2009) Strong association of socioeconomic status with genetic ancestry in Latinos: implications for admixture studies of type 2 diabetes. Diabetologia 52:1528–1536PubMedCrossRef Florez JC, Price AL, Campbell D et al (2009) Strong association of socioeconomic status with genetic ancestry in Latinos: implications for admixture studies of type 2 diabetes. Diabetologia 52:1528–1536PubMedCrossRef
16.
Zurück zum Zitat Martinez-Marignac VL, Valladares A, Cameron E et al (2007) Admixture in Mexico City: implications for admixture mapping of type 2 diabetes genetic risk factors. Hum Genet 120:807–819PubMedCrossRef Martinez-Marignac VL, Valladares A, Cameron E et al (2007) Admixture in Mexico City: implications for admixture mapping of type 2 diabetes genetic risk factors. Hum Genet 120:807–819PubMedCrossRef
17.
Zurück zum Zitat Parra EJ, Hoggart CJ, Bonilla C et al (2004) Relation of type 2 diabetes to individual admixture and candidate gene polymorphisms in the Hispanic American population of San Luis Valley, Colorado. J Med Genet 41:e116PubMedCrossRef Parra EJ, Hoggart CJ, Bonilla C et al (2004) Relation of type 2 diabetes to individual admixture and candidate gene polymorphisms in the Hispanic American population of San Luis Valley, Colorado. J Med Genet 41:e116PubMedCrossRef
18.
Zurück zum Zitat Cheng CY, Reich D, Coresh J et al (2010) Admixture mapping of obesity-related traits in African Americans: the Atherosclerosis Risk in Communities (ARIC) Study. Obesity (Silver Spring) 18:563–572CrossRef Cheng CY, Reich D, Coresh J et al (2010) Admixture mapping of obesity-related traits in African Americans: the Atherosclerosis Risk in Communities (ARIC) Study. Obesity (Silver Spring) 18:563–572CrossRef
19.
Zurück zum Zitat Nassir R, Qi L, Kosoy R et al (2011) Relationship between adiposity and admixture in African-American and Hispanic-American women. Int J Obes. doi:10.1038/ijo.2011.84 Nassir R, Qi L, Kosoy R et al (2011) Relationship between adiposity and admixture in African-American and Hispanic-American women. Int J Obes. doi:10.​1038/​ijo.​2011.​84
20.
Zurück zum Zitat Keene KL, Mychaleckyj JC, Leak TS et al (2008) Exploration of the utility of ancestry informative markers for genetic association studies of African Americans with type 2 diabetes and end stage renal disease. Hum Genet 124:147–154PubMedCrossRef Keene KL, Mychaleckyj JC, Leak TS et al (2008) Exploration of the utility of ancestry informative markers for genetic association studies of African Americans with type 2 diabetes and end stage renal disease. Hum Genet 124:147–154PubMedCrossRef
21.
Zurück zum Zitat LaVeist TA, Thorpe RJ Jr, Galarraga JE, Bower KM, Gary-Webb TL (2009) Environmental and socio-economic factors as contributors to racial disparities in diabetes prevalence. J Gen Intern Med 24:1144–1148PubMedCrossRef LaVeist TA, Thorpe RJ Jr, Galarraga JE, Bower KM, Gary-Webb TL (2009) Environmental and socio-economic factors as contributors to racial disparities in diabetes prevalence. J Gen Intern Med 24:1144–1148PubMedCrossRef
22.
Zurück zum Zitat Link CL, McKinlay JB (2009) Disparities in the prevalence of diabetes: is it race/ethnicity or socioeconomic status? Results from the Boston Area Community Health (BACH) survey. Ethn Dis 19:288–292PubMed Link CL, McKinlay JB (2009) Disparities in the prevalence of diabetes: is it race/ethnicity or socioeconomic status? Results from the Boston Area Community Health (BACH) survey. Ethn Dis 19:288–292PubMed
23.
Zurück zum Zitat Robbins JM, Vaccarino V, Zhang H, Kasl SV (2005) Socioeconomic status and diagnosed diabetes incidence. Diabetes Res Clin Pract 68:230–236PubMedCrossRef Robbins JM, Vaccarino V, Zhang H, Kasl SV (2005) Socioeconomic status and diagnosed diabetes incidence. Diabetes Res Clin Pract 68:230–236PubMedCrossRef
24.
Zurück zum Zitat Signorello LB, Schlundt DG, Cohen SS et al (2007) Comparing diabetes prevalence between African Americans and Whites of similar socioeconomic status. Am J Public Health 97:2260–2267PubMedCrossRef Signorello LB, Schlundt DG, Cohen SS et al (2007) Comparing diabetes prevalence between African Americans and Whites of similar socioeconomic status. Am J Public Health 97:2260–2267PubMedCrossRef
25.
Zurück zum Zitat Krishnan S, Cozier YC, Rosenberg L, Palmer JR (2010) Socioeconomic status and incidence of type 2 diabetes: results from the Black Women's Health Study. Am J Epidemiol 171:564–570PubMedCrossRef Krishnan S, Cozier YC, Rosenberg L, Palmer JR (2010) Socioeconomic status and incidence of type 2 diabetes: results from the Black Women's Health Study. Am J Epidemiol 171:564–570PubMedCrossRef
26.
Zurück zum Zitat Robbins JM, Vaccarino V, Zhang H, Kasl SV (2000) Excess type 2 diabetes in African- American women and men aged 40–74 and socioeconomic status: evidence from the Third National Health and Nutrition Examination Survey. J Epidemiol Community Health 54:839–845PubMedCrossRef Robbins JM, Vaccarino V, Zhang H, Kasl SV (2000) Excess type 2 diabetes in African- American women and men aged 40–74 and socioeconomic status: evidence from the Third National Health and Nutrition Examination Survey. J Epidemiol Community Health 54:839–845PubMedCrossRef
27.
Zurück zum Zitat Robbins JM, Vaccarino V, Zhang H, Kasl SV (2001) Socioeconomic status and type 2 diabetes in African American and non-Hispanic white women and men: evidence from the Third National Health and Nutrition Examination Survey. Am J Public Health 91:76–83PubMedCrossRef Robbins JM, Vaccarino V, Zhang H, Kasl SV (2001) Socioeconomic status and type 2 diabetes in African American and non-Hispanic white women and men: evidence from the Third National Health and Nutrition Examination Survey. Am J Public Health 91:76–83PubMedCrossRef
28.
Zurück zum Zitat de Koning L, Merchant AT, Pogue J, Anand SS (2007) Waist circumference and waist-to-hip ratio as predictors of cardiovascular events: meta-regression analysis of prospective studies. Eur Heart J 28:850–856PubMedCrossRef de Koning L, Merchant AT, Pogue J, Anand SS (2007) Waist circumference and waist-to-hip ratio as predictors of cardiovascular events: meta-regression analysis of prospective studies. Eur Heart J 28:850–856PubMedCrossRef
29.
Zurück zum Zitat Escobedo J, Buitron LV, Velasco MF et al (2009) High prevalence of diabetes and impaired fasting glucose in urban Latin America: the CARMELA Study. Diabet Med 26:864–871PubMedCrossRef Escobedo J, Buitron LV, Velasco MF et al (2009) High prevalence of diabetes and impaired fasting glucose in urban Latin America: the CARMELA Study. Diabet Med 26:864–871PubMedCrossRef
30.
Zurück zum Zitat Zhang Q, Wang Y, Huang ES (2009) Changes in racial/ethnic disparities in the prevalence of type 2 diabetes by obesity level among US adults. Ethn Health 14:439–457PubMedCrossRef Zhang Q, Wang Y, Huang ES (2009) Changes in racial/ethnic disparities in the prevalence of type 2 diabetes by obesity level among US adults. Ethn Health 14:439–457PubMedCrossRef
31.
Zurück zum Zitat Zhu X, Luke A, Cooper RS et al (2005) Admixture mapping for hypertension loci with genome-scan markers. Nat Genet 37:177–181PubMedCrossRef Zhu X, Luke A, Cooper RS et al (2005) Admixture mapping for hypertension loci with genome-scan markers. Nat Genet 37:177–181PubMedCrossRef
32.
Zurück zum Zitat Kosoy R, Nassir R, Tian C et al (2009) Ancestry informative marker sets for determining continental origin and admixture proportions in common populations in America. Hum Mutat 30:69–78PubMedCrossRef Kosoy R, Nassir R, Tian C et al (2009) Ancestry informative marker sets for determining continental origin and admixture proportions in common populations in America. Hum Mutat 30:69–78PubMedCrossRef
33.
Zurück zum Zitat Nassir R, Kosoy R, Tian C et al (2009) An ancestry informative marker set for determining continental origin: validation and extension using human genome diversity panels. BMC Genet 10:39PubMedCrossRef Nassir R, Kosoy R, Tian C et al (2009) An ancestry informative marker set for determining continental origin: validation and extension using human genome diversity panels. BMC Genet 10:39PubMedCrossRef
34.
Zurück zum Zitat The Women's Health Initiative Study Group (1998) Design of the Women's Health Initiative clinical trial and observational study. Control Clin Trials 19:61–109CrossRef The Women's Health Initiative Study Group (1998) Design of the Women's Health Initiative clinical trial and observational study. Control Clin Trials 19:61–109CrossRef
35.
Zurück zum Zitat Hays J, Hunt JR, Hubbell FA et al (2003) The Women's Health Initiative recruitment methods and results. Ann Epidemiol 13:S18–S77PubMedCrossRef Hays J, Hunt JR, Hubbell FA et al (2003) The Women's Health Initiative recruitment methods and results. Ann Epidemiol 13:S18–S77PubMedCrossRef
36.
Zurück zum Zitat Langer RD, White E, Lewis CE, Kotchen JM, Hendrix SL, Trevisan M (2003) The Women's Health Initiative Observational Study: baseline characteristics of participants and reliability of baseline measures. Ann Epidemiol 13:S107–S121PubMedCrossRef Langer RD, White E, Lewis CE, Kotchen JM, Hendrix SL, Trevisan M (2003) The Women's Health Initiative Observational Study: baseline characteristics of participants and reliability of baseline measures. Ann Epidemiol 13:S107–S121PubMedCrossRef
37.
Zurück zum Zitat Falush D, Stephens M, Pritchard JK (2003) Inference of population structure using multilocus genotype data: linked loci and correlated allele frequencies. Genetics 164:1567–1587PubMed Falush D, Stephens M, Pritchard JK (2003) Inference of population structure using multilocus genotype data: linked loci and correlated allele frequencies. Genetics 164:1567–1587PubMed
38.
Zurück zum Zitat Pritchard JK, Stephens M, Donnelly P (2000) Inference of population structure using multilocus genotype data. Genetics 155:945–959PubMed Pritchard JK, Stephens M, Donnelly P (2000) Inference of population structure using multilocus genotype data. Genetics 155:945–959PubMed
39.
Zurück zum Zitat Whitsel EA, Quibrera PM, Smith RL et al (2006) Accuracy of commercial geocoding: assessment and implications. Epidemiol Perspect Innov 3:8PubMedCrossRef Whitsel EA, Quibrera PM, Smith RL et al (2006) Accuracy of commercial geocoding: assessment and implications. Epidemiol Perspect Innov 3:8PubMedCrossRef
40.
Zurück zum Zitat Whitsel EA, Rose KM, Wood JL, Henley AC, Liao D, Heiss G (2004) Accuracy and repeatability of commercial geocoding. Am J Epidemiol 160:1023–1029PubMedCrossRef Whitsel EA, Rose KM, Wood JL, Henley AC, Liao D, Heiss G (2004) Accuracy and repeatability of commercial geocoding. Am J Epidemiol 160:1023–1029PubMedCrossRef
41.
Zurück zum Zitat Cox DR (1973) Regression models and life tables (with discussion). J Royal Statist Soc B 34:187–220 Cox DR (1973) Regression models and life tables (with discussion). J Royal Statist Soc B 34:187–220
42.
Zurück zum Zitat O'Quigley J, Xu R, Stare J (2005) Explained randomness in proportional hazards models. Stat Med 24:479–489PubMedCrossRef O'Quigley J, Xu R, Stare J (2005) Explained randomness in proportional hazards models. Stat Med 24:479–489PubMedCrossRef
43.
Zurück zum Zitat Margolis KL, Lihong Q, Brzyski R et al (2008) Validity of diabetes self-reports in the Women's Health Initiative: comparison with medication inventories and fasting glucose measurements. Clin Trials 5:240–247PubMedCrossRef Margolis KL, Lihong Q, Brzyski R et al (2008) Validity of diabetes self-reports in the Women's Health Initiative: comparison with medication inventories and fasting glucose measurements. Clin Trials 5:240–247PubMedCrossRef
44.
Zurück zum Zitat Shai I, Jiang R, Manson JE et al (2006) Ethnicity, obesity, and risk of type 2 diabetes in women: a 20-year follow-up study. Diabetes Care 29:1585–1590PubMedCrossRef Shai I, Jiang R, Manson JE et al (2006) Ethnicity, obesity, and risk of type 2 diabetes in women: a 20-year follow-up study. Diabetes Care 29:1585–1590PubMedCrossRef
45.
Zurück zum Zitat Bermudez OI, Tucker KL (2001) Total and central obesity among elderly Hispanics and the association with type 2 diabetes. Obes Res 9:443–451PubMedCrossRef Bermudez OI, Tucker KL (2001) Total and central obesity among elderly Hispanics and the association with type 2 diabetes. Obes Res 9:443–451PubMedCrossRef
46.
Zurück zum Zitat Stern MP, Gaskill SP, Hazuda HP, Gardner LI, Haffner SM (1983) Does obesity explain excess prevalence of diabetes among Mexican Americans? Results of the San Antonio Heart Study. Diabetologia 24:272–277PubMedCrossRef Stern MP, Gaskill SP, Hazuda HP, Gardner LI, Haffner SM (1983) Does obesity explain excess prevalence of diabetes among Mexican Americans? Results of the San Antonio Heart Study. Diabetologia 24:272–277PubMedCrossRef
47.
Zurück zum Zitat Araneta MR, Barrett-Connor E (2005) Ethnic differences in visceral adipose tissue and type 2 diabetes: Filipino, African-American, and white women. Obes Res 13:1458–1465PubMedCrossRef Araneta MR, Barrett-Connor E (2005) Ethnic differences in visceral adipose tissue and type 2 diabetes: Filipino, African-American, and white women. Obes Res 13:1458–1465PubMedCrossRef
Metadaten
Titel
Relationship between diabetes risk and admixture in postmenopausal African-American and Hispanic-American women
verfasst von
L. Qi
R. Nassir
R. Kosoy
L. Garcia
J. D. Curb
L. Tinker
B. V. Howard
J. Robbins
M. F. Seldin
Publikationsdatum
01.05.2012
Verlag
Springer-Verlag
Erschienen in
Diabetologia / Ausgabe 5/2012
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-012-2486-4

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