Prevalence and trends of the diabetes epidemic in urban and rural India: A pooled systematic review and meta-analysis of 1.7 million adults

Ranasinghe, Priyanga; Jayawardena, Ranil; Gamage, Nishadi; Sivanandam, Nilani; Misra, Anoop

doi:10.1016/j.annepidem.2021.02.016

Cited by 74 publications

(59 citation statements)

References 82 publications

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“…16 The prevalence of prediabetes, diabetes, and metabolic syndrome among adults in India is 19-22%, 15-19%, and 30%, respectively, and is increasing in both urban and rural areas. 17,18 With the increasing prevalence of diabetes, obesity, and metabolic syndrome, NAFLD prevalence is expected to increase and cause an increased burden on health resources. In order to plan strategies for the future and be ready to address this public health problem, it is important to know the burden of the disease and its health impact.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Non-alcoholic Fatty Liver Disease in India: A Systematic Review and Meta-analysis

Shalimar

Elhence

Bansal

et al. 2022

Journal of Clinical and Experimental Hepatology

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Introductionmentioning

confidence: 99%

Prevalence of Non-alcoholic Fatty Liver Disease in India: A Systematic Review and Meta-analysis

Shalimar

Elhence

Bansal

et al. 2022

Journal of Clinical and Experimental Hepatology

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“…Swaminathan [18] 2020 GDM prevalence across India Review Ranasinghe et al [21] 2021 Trends of diabetes in rural and urban India Review Archita et al [22] 2021 GDM perception of healthcare workers Study…”

Section: Study (Reference)mentioning

confidence: 99%

“…A recent study pooling 69 studies from 1,778,706 adults in India showed that between 1972 and 2019, the prevalence of T2DM increased in rural and urban India from 2.4% to 15% and from 3.3% to 19.0%, respectively [ 21 ]. Since GDM parallels the prevalence of T2DM, any increase in diabetes mellitus prevalence changes the number of women affected with GDM.…”

Section: Challenges Caused By Diabetes Mellitusmentioning

confidence: 99%

Negotiating Gestational Diabetes Mellitus in India: A National Approach

Thanawala¹,

Divakar

Jain

et al. 2021

Medicina

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The worldwide epidemic of diabetes mellitus and hyperglycemia in pregnancy (HIP) presents many challenges, some of which are country-specific. To address these specific problems, parochial resolutions are essential. In India, the government, by working in tandem with (a) national groups such as the Diabetes in Pregnancy Study Group of India, and (b) global organizations such as the International Diabetes Federation, has empowered the medical and paramedical staff throughout the country to manage HIP. Additionally, despite their academic university backgrounds, Indian health planners have provided practical guidelines for caregivers at the ground level, who look up to these experts for guidance. This multipronged process has helped to negotiate some of the multiple problems that are indigenous and exclusive to India. This review traces the Indian journey to manage and prevent HIP with simple, constructive, and pragmatic solutions.

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“…In the most recent decade (2010-2019), Goa (17.4 percent) and Tamil Nadu (24.0 percent) had the highest rural and urban prevalence rates, respectively. As a result, it is critical to develop immediate primary and secondary prevention strategies to limit further spread in high-prevalence areas [4]. Diabetes is putting a strain on India's already strained healthcare system and economy [5].…”

Section: Introductionmentioning

confidence: 99%

“…According to a new study, Indians' bodies are more insulin-resistant, makingthem at risk for T2D. For any given BMI, Joshi [4] found an Asian Indian phenotype, with a more significant percentage of body fat and a higher waist-to-hip ratio, which predisposes to diabetes and metabolic syndrome. As Indians have the highest tendencies to develop DM among all races, several challenges in diabetes management must be addressed, including rising prevalence, micro and macro-vascular complications, lifestyle modifications, delayed diagnosis, insufficient knowledge and soaring treatment costs.…”

Section: Introductionmentioning

confidence: 99%

Social Support, Self-Care Behaviour and Self-Efficacy in Patients with Type 2 Diabetes during the COVID-19 Pandemic: A Cross-Sectional Study

et al. 2021

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Diabetes mellitus is a major public health issue that considerably impacts mortality, morbidity, and healthcare costs worldwide. The COVID-19 pandemic has created havoc in diabetes management, too, like other spectrums of life. A descriptive, cross-sectional study was adopted to determine the effect of Social Support, Self-Care Behaviour and Self-Efficacy in Type 2 Diabetes Mellitus (T2D) during this COVID-19 pandemic. Two hundred T2D patients who satisfied the inclusion criteria were chosen using a convenient sampling procedure. The tool consists of four sections, including socio-demographic characteristics, Multidimensional Scale of Perceived Social Support (MSPSS), revised Summary of Diabetes Self-Care Activities (SDSCA) Scale and modified Diabetes Management Self-Efficacy Scale (DMS). Descriptive and inferential statistics were used to analyze the obtained data. The mean and SD of diabetic management self-efficacy is 5.74 (1.95) and 4.37 (1.4), respectively, for patients with HbA1c < 6.5% and HbA1c ≥ 6.5%. The self-care activities of the patients who had good glycemic control were 4.31 (2.06) compared to 3.50 (1.73) who did not. The social support received by the patients was 6.13 (2.13) vs. 5.31 (1.67) among patients with glycemic control vs. no control. The results show that social support (p = 0.04), self-efficacy (p =0.01) and self-care activities (p = 0.001) were significantly related to the level of glycemic control of the T2D patients. A significant relationship was also identified between gender (p = 0.036), age (p = 0.001) and education status (p = 0.000) with HbA1c control of the participants. This study demonstrates a significant relationship between social support, self-care behaviours, self-efficacy and glycemic management in T2D patients. During this COVID-19 pandemic, interventions to enhance the self-care activities like exercise and social support to boost their self-efficacy; for better diabetes management, reducing diabetes complications or prolonging their onset are the need of the hour.

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Prevalence and trends of the diabetes epidemic in urban and rural India: A pooled systematic review and meta-analysis of 1.7 million adults

Cited by 74 publications

References 82 publications

Prevalence of Non-alcoholic Fatty Liver Disease in India: A Systematic Review and Meta-analysis

Prevalence of Non-alcoholic Fatty Liver Disease in India: A Systematic Review and Meta-analysis

Negotiating Gestational Diabetes Mellitus in India: A National Approach

Social Support, Self-Care Behaviour and Self-Efficacy in Patients with Type 2 Diabetes during the COVID-19 Pandemic: A Cross-Sectional Study

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