Abstract
India is termed “The Diabetic capital of the world” as it is projected to have more diabetic patients than any other country in the world by 2025. The dramatic rise in the prevalence of diabetes and related disorders is due to rapid changes in life style. WHO has urged all countries to conduct regular epidemiological surveys to assess the prevalence and risk factors of diabetes. Within India, inter-regional disparities in burden of diabetes are due to varying lifestyles and demographic patterns. Since there is paucity of data on diabetes in rural India, this study was conducted to determine the prevalence and risk factors of diabetes among adults in rural Kerala, where a community-based cross-sectional study was undertaken among 454 resident adults aged 30 years and above, during December 2012 to 2013. The study subjects were randomly selected via a house-to-house survey after obtaining their informed verbal consent. Data was collected via an interview using a pre-designed pre-tested questionnaire on socio-demography, personal history, family history of diabetes, habits and lifestyle. Anthropometric measurements were recorded and the data was analysed by Chi-square tests and p-value. In this study, the overall prevalence of type 2 diabetes mellitus was 18.7%. The significant risk factors associated with diabetes were age, family history of diabetes and sedentary lifestyle. The prevalence of type 2 Diabetes mellitus among adults in rural Thrissur is high (18.7%) in this study. The risk of developing type 2 diabetes is higher among older persons, those with family history of diabetes and those who are sedentary. Lifestyle modification is important to prevent and control diabetes.
Keywords: Diabetes, Prevalence, Risk factors, Adults, Thrissur, Kerala
References
- Mathers CD, Loncar D. PLoS Med, 2006, 3(11):e44
- Global Status Report on Non-Commun-icable Diseases. Geneva:WHO; 2010
- World Health Organization. Diabetes Action Now: an initiative of the World Health Organization and International Diabetes Foundation. Geneva:WHO; 2004.
- WHO Global Report on Diabetes: World Health Organization; Geneva: 2000.
- International Diabetic Federation. Annual Report (20th).World Diabetes Congress. October, 2009. Montreal, Canada.
- Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, et al. High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia 2001; 44:1094–101.
- Ramachandran A. Epidemiology of diab-etes in India: Three decades of research. J Assoc Physicians India. 2005;53:34–8.
- Menon VU, Kumar KV, Gilchrist A, Sugathan TN, Sundaram KR, Nair V, Kumar H. Prevalence of known and undetected diabetes and associated risk factors in central Kerala – ADEPS. Diabetes Research and Clinical Practice 2006;74: 289-94.
- Chamukuttan S., Viswanathan V., Ramachandran A., Cut-off Values for Normal Anthropometric Variables in Asian Indian Adults: Diabetes Care 2003May; 26(5): 1380-1384 https://doi.org/10.2337/diacare.26.5.1380
- Dongfeng Gu et al, Cigarette Smoking and Exposure to Environmental Tobacco Smoke in China: The International Collaborative Study of Cardiovascular Disease in Asia: Am J Public Health. 2004 November; 94(11): 1972–1976.
- Siwen Z. et al, The Relatioship between alcohol consumption and incidence of glycometabolic activity in middle-aged and elderly Chinese men; Int J Endocrinol. 2016: 1983702.Published online 2016 Feb 14. doi: 10.1155/2016/198370
- Sutapta A, Shah E.,Prevalenceand risk factors for self-reported diabetes among adult men and women in India: findings from a national cross-sectional survey. Public Health Nutri 2012 Jun; 15(6): 1065–1077
- Mohan V et al, Epidemiologyof type 2 diabetes: Indian scenario, Indian J Med Res 2007;125:217-30
- Vijayakumar G, Arun R, Kutty VR. High prevalence of type 2 diabetes mellitus and other metabolic disorders in rural Central Kerala. J Assoc Physicians India. 2009August;57:563-7.
- Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res. Mar 2007;125(3):217-230.
- Reddy KS, Prabhakaran D, Chaturvedi V, et al. Methods for establishing a surveill-ance system for cardiovascular diseases in Indian industrial populations. Bull World Health Organ. Jun 2006;84(6):461-469
- Kutty VR, Soman CR, Joseph A, Pisharody R, Vijayakumar K. Type 2 diabetes in southern Kerala: variation in prevalence among geographic divisions within a region. Natl Med J India. 2000;13 (6):287-292.
- Kurien B,LeelamoniK, A community-based study on knowledge of diabetes mellitus among adults in a rural population of Kerala. 2016 (2): 59-64.
- Chythra R. Rao, Veena G. Kamath, Avinash Shetty, and Asha Kamath A study on prevalenceof type 2 diabetes in coastal Karnataka. 2010 Apr-Jun; 30(2): 80–85.
- Arye Lev-Ran: Human obesity: an evolutionary approach to understanding our bulging waistline. Diabetes Meta Res Rev 2001;17:347–362.
Corresponding Author
Dr Catherine Simon
Assistant Professor, Department of Community Medicine,
Azeezia Institute of Medical Sciences and Research, Kollam, Kerala 691537
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mob: 9048357767