An epidemiological cross sectional study for screening of risk factors of diabetes using WHO STEPS guidelines in an urban slum of metropolitan city
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20222574Keywords:
Diabetes, Risk Factors, Screening, Steps approachAbstract
Background: Diabetes is rapidly becoming one of the most common non communicable disease worldwide and its prevalence has increased. The risk factors associated with diabetes needs to be studied for its prevention and control.
Methods: Study participants between the age group 25-64, at the community level were interviewed using the WHO steps questionnaire, which included their sociodemographic profile, history about their addiction, diet and physical activity. Their physical and biochemical measurements were also taken.
Results: A total of 400 participants participated in the study. Out of this, 62.8% (251) were seen to be diabetic. Factors seen to be significantly associated with having the disease were age group 35-44 years, having education level above secondary, being unemployed, from nuclear family. Risk factors seen to be associated were being a smoker, having less than 5 servings of fruits, not doing physical activity, being obese and having hypercholesterolemia and hypertriglyceridemia.
Conclusions: Prevention and control of diabetes needs to adopt an approach which aims at changing the lifestyle of individual. Healthier food choices, encouraging regular physical activity right from school level would definitely shape and influence long term behaviour.
References
Aynalem SB, Zeleke AJ. Prevalence of diabetes mellitus and its risk factors among individuals aged 15 years and above in Mizan-Aman Town, Southwest Ethiopia, 2016: a cross sectional study. Int J Endocrinol. 2018;2018:9317987.
Global Report on Diabetes. WHO. 2016. Available from: https://www.who.int/publications/i/item/9789241565257. Accessed on 15 May 2019.
Solanki N, Virk A, Gupta BP, Singh J. Prevalence and risk factors of diabetes mellitus among adults residing in field practice area of a teaching hospital in Punjab. Healthline J. 2015;6(1):57-62.
World Health Organization; Non-communicable diseases- Fact sheet. 2011. Available from: https://www.who.int/newsroom/factsheets/detail/noncommunicable-diseases. Accessed on 15 May 2019.
WHO STEPS surveillance manual: The WHO STEP wise approach to chronic disease risk factor surveillance/Non communicable Diseases and Mental Health. World Health Organization; 2005. Available from: https://apps.who.int/iris/handle/10665. Accessed on 29 September 2017.
Ramchandra A, Snehlatha C. Current scenario of diabetes in India. J Diabetes. 2009;1:18-28.
Global Physical Activity Questionnaire (GPAQ) Analysis Guide. Pg. 14. Available from: file:///C:/Users/the%20medicine%20planet/Downloads/GPAQ_Analysis_Guide.pdf. Accessed on 15 October 2017.
Park K. Body Mass Index. In: Park’s Textbook of Preventive and Social Medicine. 26th Edn. Banarasidas Bhanot Publication; 2021:445.
Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Lascalzo J. Diabetes Mellitus. In: Harrison’s Manual of Medicine. 18th edn. The MAcGraw Hill Companies Inc: United States of America; 2012:2968.
Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS, et al. ACC/AHA2002 Guideline Update for the management of patients with chronic stable angina- summary article. Circulation. 2003;107(1):149-58.
Sociology and Health. Modified B.G. Prasad classification for the year 2017. In: Kadri AM, ed. IAPSM’s textbook of Community Medicine. 1st Edn. Jaypee Brothers Medical Publishers (P) Ltd; 2019:71.
Al Mansour MA. The Prevalence and risk factors of type 2 diabetes mellitus (DMT2) in a semi-urban Saudi population. Int J of Environ Res Public Health. 2019;17(1):7.
Garg A, Anand T, Sharma U, Kishore J, Chakraborty M, Ray PC, et al. Prevalence of risk factors for chronic Non-communicable diseases using WHO Steps approach in an adult population in Delhi. J Family Med Prim Care. 2014;3(2):112-8.
Srivastav S, Mahajan H, Goel S, Mukherjee S. Prevalence of risk factors of non communicable diseases in a rural population of district Gautam-Budh Nagar, Uttar Pradesh using the World Health Organization STEPS approach. J Fam Med Prim Care. 2017;6(3):491-7.
Abdussattar, Itrat M. Risk factor profile for non-communicable diseases: findings of a STEPS survey from urban settlement of Bangalore. Int J Community Med Public Health. 2019;6(1):234-42.
Talukdar A, Hossain MZ. Prevalence of diabetes mellitus and its associated factors in Bangladesh: application of two-level logistic regression model. Sci Rep 2020;10:10237.
Thankappan KR, Shah B, Mathur P, Sarma PS, Srinivas G, Mini GK, et al. Risk factor profile for chronic non-communicable diseases: results of a community-based study in Kerala, India. Indian J Med Res. 2010;131:53-63.
Aryal KK, Mehata S, Neupane S, Vaidya A, Dhirnal M, Dhakal P, et al. The burden and determinants of non communicable diseases risk factors in Nepal: findings from a nationwide STEPS survey. PLoS One. 2015;10(8):E0134834.
Annadurai K, Balan N, Ranaganathan K. Non-communicable disease risk factor profile among Fishermen community of Kancheepuram district, Tamil Nadu: a cross sectional study. Int J Community Med Public Health. 2018;5(2):708-13.
Tripathy JP, Thakur JS, Jeet G, Chawla S, Jain S, Pal A, et al. Prevalence and risk factors of diabetes in a large community-based study in North India: results from a STEPS survey in Punjab, India. Diabetol Metab Syndr. 2017;9:8.
Thakur JS, Jeet G, Pal A, Singh S, Singh A, Deepti SS, et al. Profile of risk factors for non-communicable diseases in Punjab, Northern India: results of a state-wide STEPS survey. PLoS One. 2016;11(7):e0157705.
Zhang H, Ni J, Yu C, Wu Y, Li J, Liu J, et al. Sex-based differences in diabetes prevalence and risk factors: a population-based cross-sectional study among low-income adults in China. Front Endocrinol. 2019;10:658.
Al-Mawali A, Al-Harrasi A, Jayapal SK, Morsi M, Pinto AD, Al-Shekaili W, et al. Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017. BMC Endocr Disord. 2021;21(1):42.
