TOPIC:
Epidemiological study of Diabetes in the Marshall Islands.
PURPOSE:
To aid in the development of a comprehensive Diabetes Health Care
System in the Marshall Islands.
GOAL :
To determine lifestyle factors associarced with Diabetes in the
Marshall Islanders.
GIVEN:
The prevalence of Diabetes in the Marshall Islands Grom initial
health and medical history questionnaird.
CASE CONTROL STUDY:
C
Cases = ALL known cases diagnosed by a positive answer to question:
“are you taking Diabetes medication?” ie eicher pills or insulin.
Options
l.
2.
The case group may consistof a random sample of 1000 instead
of all cases.
The case group may consist of 2 subgroups of Diabetics
indigenous and westernized.
Controls = Sex, age, race, matched controls without Diabetes diagnosed
by a negative answer to above question.
Variables Measured
Life Style
;
1. Diet (measured by 24 hour diecary recall or by daily log)
a. Simple Carbohydrate Intake
.
b.
2.
3.
Unrefined Complex Carbohydrate Intake
c.. Dietary Fat Intake
Regular cardiovascular exercise.
Biochemical data e.g. Urin & Blood Sugar
Food Sources
wacer Sources
\
.
Geographic residence local
Ll. Island of longest residence
2. Island of birth
3. Urban or rural