Prevalence of pre-diabetes and its associated risk factors among people in rural field practice area of Vydehi Institute of Medical Sciences and Research Centre, Bangalore
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240910Keywords:
Prediabetes, Obesity, Diabetes, RuralAbstract
Background: India harbours a significant diabetic population, with over 60 million adults affected, a substantial proportion of whom remain undiagnosed or untreated, elevating the risk of complications and premature mortality. Identifying prediabetes and advocating lifestyle modifications become imperative in such a scenario. This research aimed to gauge the prevalence of prediabetes and associated factors among adults in the rural field practice area of Vydehi institute of medical sciences and research centre, Bengaluru.
Methods: A cross-sectional study targeted individuals above 30 years in Vydehi institute of medical sciences and research centre's rural field practice area. A house-to-house survey screened for prediabetes.
Results: Among 895 subjects, 128 (14.3%) exhibited prediabetic conditions. Prediabetes was notably prevalent in the 36-40 age group (18.8%), with 52.3% being males. A majority (77.4%) lacked a family history of diabetes, and 62.5% belonged to the lower-middle class. Sedentary lifestyles were prevalent (83.6%), with 83.6% consuming mixed diets. Elevated BMI was common, and a statistically significant association existed between BMI, waist circumference, and prediabetes (p<0.05). Similarly, education level significantly correlated with blood glucose control (p<0.01). Merely 7.0% of subjects were aware of prediabetes, mainly through health personnel.
Conclusions: The study highlights a high prediabetes prevalence, coupled with low awareness and knowledge of blood sugar control. It underscores the necessity for strategic screening and intervention programs in the community to forestall prediabetes progression to diabetes.
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References
International Diabetes Federation. IDF Diabetes Atlas, 9th ed. 2014. Available at: https://www.diabetesatlas.org/upload/resources/material/20200106_152211_IDFATLAS9e-final-web.pdf. Accessed on 18 January, 2024.
Viswanathan V, Clementina M, Nair BM, Satyavani K. Risk of future diabetes is as high with abnormal intermediate post-glucose response as with impaired glucose tolerance. J Assoc Physicians India. 2007;55:833-7.
Ramachandran A, Snehalatha C, Mary S, Mukesh B, Bhaskar AD, Vijay V, et al. The Indian Diabetes Prevention Programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1). Diabetologia. 2006;49(2):289-97.
Anjana RM, Deepa M, Pradeepa R, Mahanta J, Narain K, Das HK, et al. Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR–INDIAB population-based cross-sectional study. Lancet Diabetes Endocrinol. 2017;5(8):585-96.
Tian H, Song G, Xie H, Zhang H, Tuomilehto J, Hu G. Prevalence of diabetes and impaired fasting glucose among 769,792 rural Chinese adults. Diabetes Res Clin Pract. 2009;84(3):273-8.
Pham NM, Eggleston K. Prevalence and determinants of diabetes and prediabetes among Vietnamese adults. Diabetes Res Clin Pract. 2016;113:116-24.
Muthunarayanan L, Ramraj B, Russel JK. Prevalence of prediabetes and its associated risk factors among rural adults in Tamil Nadu. Arch Med Health Sci. 2015;3(2):178-84.
Jose J, Thomas N. How should one tackle prediabetes in India? Indian J Med Res. 2018;148(6):675-6.
Ahmad J, Masoodi MA, Mohd A, Rashid R, Ahmad R, Ahmad A, et al. Prevalence of diabetes mellitus and its associated risk factor in age group of 20 years and above in Kashmir, India. AI Ameen J Med Sci. 2011;4(1):38-44
Balagopal P, Kamalamma N, Patel TG, Misra R. A community-based diabetes prevention and management education program in a rural village in India. Diabetes Care. 2008;31(6):1097-104.
Akter S, Rahman MM, Abe SK, Sultana P. Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: a nationwide survey. Bull World Health Organ. 2014;92(3):204-13A.
Al-Shafaee MA, Bhargava K, Al-Farsi YM, McIlvenny S, Al-Mandhari A, Al-Adawi S, et al. Prevalence of pre-diabetes and associated risk factors in an adult Omani population. Int J Diabetes Dev Ctries. 2011;31:166-73.
Williams JW, Zimmet PZ, Shaw JE, Courten MPD, Cameron AJ, Chitson P, et al. Gender differences in the prevalence of impaired fasting glycaemia and impaired glucose tolerance in Mauritius. Does sex matter? Diabet Med. 2003;20(11):915-20.
Snehalatha C, Ramachandran A, Satyavani K, Sivasankari S, Vijay V. Clustering of cardiovascular risk factors in impaired fasting glucose and impaired glucose tolerance. Diabetes Care. 2003;23:58-60.
Ohlson LO, Larsson B, Björntorp P, Eriksson H, Svärdsudd K, Welin L, et al. Risk factors for type 2 (non-insulin-dependent) diabetes mellitus. Thirteen and one-half years of follow-up of the participants in a study of Swedish men born in 1913. Diabetologia. 1988;31(11):798-805.
Mukhopadhyay P, Paul B, Das D, Sengupta N, Majumder R. Perceptions and practices of type 2 diabetics: A cross-sectional study in a tertiary care hospital in Kolkata. Int J Diabetes Dev Ctries. 2010;30(3):143.
Ravikumar P, Bhansali A, Ravikiran M, Bhansali S, Walia R, Shanmugasundar G, et al. Prevalence and risk factors of diabetes in a community-based study in North India: The Chandigarh Urban Diabetes Study (CUDS). Diabetes Metab. 2011;37(3):216-21.
Ghorpade AG, Majgi SM, Sarkar S, Kar SS, Roy G, Ananthanarayanan PH, et al. Diabetes in rural Pondicherry, India: a population-based studyof the incidence and risk factors. WHO South-East Asia J Public Heal. 2013;2(3):149-55.
Joji I, Joseph SE, Thomas PG. Abstract 5146: Pre-diabetes is Associated with Masked Hypertension. Circulation. 2009;120(18):S1060-60.
Soewondo P, Pramono LA. Prevalence, characteristics, and predictors of pre-diabetes in Indonesia. Med J Indones. 2011;20(4):283-94.
Anjana RM, Deepa M, Pradeepa R, Jagadish M, Kanwar N, Hiranya KD, et al. ICMR–INDIAB Collaborative Study Group. Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR-INDIAB population-based cross-sectional study. Lancet Diabetes Endocrinol. 2017;5(8):585-96.