This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in JAMA  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: Dr Brancati and colleagues¹ found that even after adjustment for potentially modifiable factors, the relative risk (RR) for diabetes was higher for African American women vs white women than it was for African American men vs white men. We wish to suggest 2 possible explanations for this finding.

First, among white women, high parity might² or might not³ be a risk factor for type 2 diabetes. A study of older white women has shown that the association between parity and increased insulin resistance is discernible at ages 50 to 89 years,⁴ many years after childbearing. African American women may experience an even greater increase in insulin resistance than white women in association with multiparity as is suggested by evidence from a longitudinal study.⁵ African American women with multiple pregnancies had waist-to-hip ratio increases twice as great as African American women with no pregnancies, whereas white women with . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Incident Type 2 Diabetes Mellitus in African American and White Adults: The Atherosclerosis Risk in Communities Study
Frederick L. Brancati, W. H. Linda Kao, Aaron R. Folsom, Robert L. Watson, and Moyses Szklo
JAMA. 2000;283(17):2253-2259.
ABSTRACT | FULL TEXT