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Q J Med 1990; 74: 75-81
© 1990 Association of Physicians

other

Rural/Urban Differences of Diabetes — Impaired Glucose Tolerance, Hypertension, Obesity, Glycosolated Haemoglobin, Nutritional Proteins, Fasting Cholesterol and Apolipoproteins in Fijian Melanesians over 40

D. L. RUSSELL-JONES, P. HOSKINS*, E. KEARNEY{dagger}, R. MORRIS{dagger}, S. KATOAGA{ddagger}, B. SLAVIN{dagger} and J. R. TURTLE*

St Thomas' Hospital Medical School London *Royal Prince Alfred Hospital Sydney, Australia {ddagger}Department of Health Fiji; Suva {dagger}Department of Chemical Pathology and Department of Community Medicine, St Thomas' Hospital London

Accepted for publication 5 June 1989.

Two populations of Fijian Melanesians over 40 years of age were compared. The first population was located in a remote rural area and the other in an urban environment. There was no significant difference between the two populations in age, height and diastolic blood pressure. Highly significant differences were observed in mean weight, body mass index, prevalence of impaired glucose tolerance, prevalence of diabetes, mean glycosolated haemoglobin, mean systolic blood pressure, fasting cholesterol, immunological albumin, immunological transferrin, and Al and B apolipoproteins. The higher value was associated with urban living. Thus urban living is associated with obesity, impaired glucose tolerance, diabetes, higher systolic blood pressure, higher levels of fasting lipids and increased risk factors for cardiovascular disease.


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