Amyotrophic lateral sclerosis and diabetes on Guam: changing patterns of chronic disease in an island community.

Southeast Asian J Trop Med Public Health

Guam Department of Public Health and Social Services, Hagatna, Guam, USA.

Published: September 2003

AI Article Synopsis

  • ALS had a high occurrence rate on Guam for years but started to decline after WWII due to westernization.
  • The authors of the study link these cultural changes to the decrease in ALS cases.
  • They also suggest that these changes may be connected to a rise in diabetes prevalence on the island.

Article Abstract

Amyotrophic lateral sclerosis (ALS) occurred on the island of Guam with unusually high incidence rates for many years but began to disappear with the island's westernization after WW II. The authors document these changes and suggest that they support a hypothesis that cultural changes could be responsible for both the virtual disappearance of this chronic degenerative neurologic disease as well as a concurrent surge in the prevalence of diabetes.

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