Major Factors in the Development of Diabetes Mellitus in 10,000 Men

Jack H. Medalie, Cheri M. Papier, Uri Goldbourt, Joseph B. Herman

Research output: Contribution to journalArticlepeer-review


The average annual incidence of diabetes among 8,688 adult men followed up for five years was 8.0/1,000 with Asian, African and Israeli-born having higher rates than European-born. Multivariate analysis of the findings suggested the following: the most significant variables associated with the development of diabetes are overweight and peripheral vascular disease; the high incidence of diabetes in immigrants from Asia and Africa might be an example of Neel's “thrifty genotype” or failure of adaptation to relatively rapid environmental changes; serum cholesterol level, blood pressure, uric acid level, and education were important also; and the probability of developing diabetes within five years rises from 17/1,000 (when the major variables are low or absent) to 450/1,000 (when they are high and present). This has important clinical implications.

Original languageEnglish
Pages (from-to)811-817
Number of pages7
JournalArchives of Internal Medicine
Issue number6
StatePublished - Jun 1975


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