ArticleDiabetes care1998
Comparison of glucose tolerance categories according to World Health Organization and American Diabetes Association diagnostic criteria in a population-based study in Brazil. The Japanese-Brazilian Diabetes Study Group.
Article in Diabetes care, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 62 citations in OpenAlex.
- Efficacy of primary prevention interventions when fasting and postglucose dysglycemia coexist: analysis of the Indian Diabetes Prevention Programmes (IDPP-1 and IDPP-2).Diabetes care · 2010Trial
- Prevalence and incidence of prediabetes in Latin America. A systematic review and meta-analysis.Journal of diabetes and metabolic disorders · 2025Article
- Time to glucose peak during an oral glucose tolerance test identifies prediabetes risk.Clinical endocrinology · 2017Article
- Insulin Secretory Defect and Insulin Resistance in Isolated Impaired Fasting Glucose and Isolated Impaired Glucose Tolerance.Journal of diabetes research · 2016Article
- Prevalence of prediabetes in patients with metabolic risk.Sao Paulo medical journal = Revista paulista de medicina · 2011Article
- Progression from newly acquired impaired fasting glusose to type 2 diabetes.Diabetes care · 2007Article
- Type 2 diabetes: prevalence and associated factors in a Brazilian community--the Bambuí health and aging study.Sao Paulo medical journal = Revista paulista de medicina · 2005Article
- Prevalence of diabetes mellitus in the elderly of Namwon County, South Korea.The Korean journal of internal medicine · 2002Article
- New ADA criteria in the Korean population: fasting blood glucose is not enough for diagnosis of mild diabetes especially in the elderly.The Korean journal of internal medicine · 2000Article
- Comparison of glucose tolerance categories in the Korean population according to World Health Organization and American Diabetes Association diagnostic criteria.The Korean journal of internal medicine · 2000Article
- Predicting glucose intolerance with normal fasting plasma glucose by the components of the metabolic syndrome.Annals of Saudi medicineArticle
- Diagnostic accuracy of the American Diabetes Association criteria in the diagnosis of glucose intolerance among high-risk Omani subjects.Annals of Saudi medicineArticle
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4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the prevalence of different categories of glucose tolerance in a Japanese-Brazihan population using World Health Organization (WHO) and American Diabetes Association (ADA) diagnostic criteria. RESEARCH DIVISION AND
methodsThe analyses were based on the data obtained from a study conducted in a representative sample of the Japanese-Brazilian population composed of 647 subjects (40-79 years) who were submitted to a 2-h oral glucose tolerance test. Prevalence of glucose tolerance categories and the level of agreement (K statistics) were obtained using WHO and ADA criteria. Cardiovascular risk profile of the subjects with different diagnostic categories were compared.
resultsSimilar prevalences of diabetes were found considering both criteria (WHO, 20.3%; ADA, 19.2%). The prevalence of impaired glucose tolerance (IGT) by WHO criteria was 14.7%, contrasting with 7.4% of impaired fasting glucose (IFG) by ADA criteria. Subjects with discordant diagnostic categories by the criteria, considered at risk for diabetes (IGT/IFG), showed a worse metabolic profile than the concordant normal subjects. However, subjects with discordant diagnoses who had IGT or diabetes by WHO criteria but who were normal by ADA criteria exhibited a higher number of cardiovascular risk factors (higher blood pressure and triglyceride and low HDL cholesterol) than those who were discordant (IFG/diabetes) by ADA criteria but normal by WHO criteria.
conclusionsAlthough the number of diabetic subjects was similar between the criteria, those identified as being at risk for diabetes were quite distinct. Fewer subjects were classified as having IFG by ADA criteria than as having IGT by WHO criteria. Abnormal glucose tolerance based on WHO criteria seems to identify a worse cardiovascular profile than abnormal tolerance based on ADA criteria. Follow-up studies are necessary to know the prognostic significance of IFG to predict subsequent diabetes.
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