J Natl Med Assoc
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Compared with the US white, non-Hispanic population, the African-American population has a nearly two-fold higher prevalence of noninsulin-dependent diabetes mellitus (NIDDM). Obesity, which usually precedes NIDDM, is associated with the skin lesion acanthosis nigricans in African Americans. This study was undertaken to determine what the relationship of acanthosis nigricans was to hyperinsulinemia, a major risk factor for NIDDM. ⋯ Fasting plasma insulin concentration was in direct proportion to the severity of the acanthosis nigricans involvement of the neck. These data suggest that among African Americans, this skin lesion is a marker for hyperinsulinemia and insulin resistance. Furthermore, the presence of acanthosis nigricans identifies a subset with a much higher prevalence of NIDDM than is present in African Americans in the general population.
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This study was designed to determine the prevalence of hypertension and obesity in a population of African-American patients scheduled to undergo surgery. Weight and blood pressure were measured in 431 randomly selected patients. This included 282 women (65%) and 149 men (35%). ⋯ Fifteen percent of all patients met the criteria for having both hypertension and obesity. This study confirms the high incidence of hypertension and obesity in the African-American population. The high morbidity and mortality associated with these conditions suggest that a renewed community-wide effort and public education program on the part of health-care providers is needed to inform this patient population of these dangers.