美国印第安人是糖尿病高发人群,现有的调查显示印第安人心血管死亡率明显低于整个美国人口的死亡率。但心血管疾病已成为印第安人首位死亡原因,而且某些部落心血管疾病死亡率和发病率在逐渐增加,因心脏病死亡的印第安人年龄也趋轻。由于美国印第安人分布较分散,形成的社区较小, American Indians are predominantly diabetic, and existing surveys show that the Indian cardiovascular mortality rate is significantly lower than the overall U.S. population. However, cardiovascular disease has become the first cause of death among Indians, and the mortality and morbidity of cardiovascular disease in some tribal communities are gradually increasing. Indians died of heart disease also tend to be younger. Due to the relatively scattered distribution of American Indians and the formation of smaller communities,