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People who live in poor neighborhoods may be at higher risk for Insulin Resistance Syndrome (IRS), regardless of income or education levels, according to results from the Coronary Artery Risk Development in Young Adults (CARDIA) study.
The exception? Young black men with a higher education and more money living in poor neighborhoods were less likely to develop IRS than those with lower incomes and education levels. That relationship also held true for black women, albeit to a lesser degree.
The study involved 3,093 subjects ages 28 to 40 who did not have diabetes. Measures of body mass index, HDL ("good") cholesterol, triglycerides, insulin levels, fasting blood glucose and systolic blood pressure were combined into an IRS score.
The researchers speculate that neighborhood behavioral influences regarding diet and exercise may have an effect on insulin resistance. Also, because chronic stress has been shown to contribute to insulin resistance, they argue that sources of chronic stress such as noise, violence, and poverty itself may be factors.
If residential environments do play a role in the recent increase in IRS, which is associated with cardiovascular disease and diabetes, researchers note that new attention to various strategies for disease prevention—ranging from medical care delivery to urban planning—may be necessary.
—Diabetes Care, November 2002
0 comments - Jan 1, 2003
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