Prevalence of known diabetes in an urban Indian environment: the Darya Ganj diabetes survey.

Verma, Nirmal; Mehta, Saroj; Madhu, S V; Mather, H.; Keen, H.

doi:10.1136/bmj.293.6544.423

Cited by 71 publications

(31 citation statements)

References 8 publications

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“…2 Some of the studies done on native Indian people also show high prevalence of diabetes in urban areas. 3,4 Contribution of dietary practices and lifestyle factors are crucial, making incidence and prevalence of obesity and diabetes mellitus significantly more in the urban population. Recently, considerable concern has been caused by the increasing prevalence of diabetes in India, 5 particularly in the urban population.…”

Section: Introductionmentioning

confidence: 99%

High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India

et al. 2001

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BACKGROUND AND AIMS:In this study, a prevalence survey of various atherosclerosis risk factors was carried out on hitherto poorly studied rural -urban migrants settled in urban slums in a large metropolitan city in northern India, with the aim of studying anthropometric and metabolic characteristics of this population in socio-economic transition. DESIGN: A cross-sectional epidemiological descriptive study. SUBJECTS: A total of 532 subjects (170 males and 362 females) were included in the study (response rate approximately 40%). METHODS AND RESULTS:In this study, diabetes mellitus was recorded in 11.2% (95% CI 6.8 -16.9) of males and 9.9% (95% CI 7.0 -13.5) of females, the overall prevalence being 10.3% (95% CI 7.8 -13.2). Based on body mass index (BMI), obesity was more prevalent in females (15.6%; 95% CI 10.7 -22.3) than in males (13.3%; 95% CI 8.5 -19.5). On the other hand, classifying obesity based on percentage body fat (%BF), 10.6% (95% CI 6.4 -16.2) of males and 40.2% (95% CI 34.9 -45.3) of females were obese. High waist -hip ratio (WHR) was observed in 9.4% (95% CI 5.4 -14.8) of males and 51.1% (95% CI 45.8 -56.3) of the females. All individual skinfolds and sum of skinfolds were significantly higher in females (P < 0.001). In both males and females above 30 y of age, there was a steep increase in the prevalence of high WHR, and in females, %BF was very high (particularly in %BF quartile > 30%). Furthermore, total cholesterol and low-density lipoprotein cholesterol were high in both males and females. Stepwise multiple linear regression analysis showed that for both males and females BMI, WHR and %BF were positive predictors of biochemical parameters, except for HDL-c, for which these parameters were negatively associated. CONCLUSIONS: Appreciable prevalence of obesity, dyslipidaemia, diabetes mellitus, substantial increase in body fat, generalised and regional obesity in middle age, particularly in females, need immediate attention in terms of prevention and health education in such economically deprived populations.

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Section: Introductionmentioning

confidence: 99%

High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India

et al. 2001

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“…Several reports suggest, however, that risk factors associated with an urban lifestyle are critical [5,27,29,30]. Indeed, south Asians living in cities in the subcontinent have much higher rates of type 2 diabetes and CHD compared with rural populations [5,27,30], but rates are increasing in both rural and urban areas as lifestyles become more Westernised.…”

Section: Summary Pointsmentioning

confidence: 99%

Type 2 diabetes and cardiovascular risk in the UK south Asian community

et al. 2006

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A popular hypothesis for the greater prevalence of type 2 diabetes and cardiovascular disease in UK south Asians is that they have an increased susceptibility of developing insulin resistance in response to certain environmental factors, including obesity and adoption of a sedentary lifestyle. Insulin resistance is postulated as a central feature of the metabolic syndrome, culminating in type 2 diabetes, atherosclerotic vascular disease and CHD; a pathway potentially accelerated by migration/ urbanisation. We describe and compare the prevalence of type 2 diabetes, cardiovascular disease and their associated risk factors in UK south Asian and white Caucasian populations to determine possible reasons for the increased preponderance of these diseases in south Asians, and highlight key evidence for optimal risk factor management. Finally, we describe a UK communitybased programme that attempts to reduce the morbidity and mortality from type 2 diabetes and cardiovascular disease in south Asians through a new approach to management.

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“…A similar study from Daryagang a locality in the affluent Delhi suggested a prevalence of 3.1% (16) . Another study from a rural village in Andhra Pradesh Eluru suggested a prevalence of 1.5% (17) .…”

Section: The Era Of Fewer Than 5 Percent Prevalencementioning

confidence: 99%

“…But other areas don't share such a rosy view and the prevalence of in excess of 10 is found from even from the rural areas of Andhra Pradesh Chow et al (29) . Another concerning factor is the fact that diabetes in India involving young individuals is on the rise, for example, the Daryaganj study cited above noted no individuals with diabetes in individuals less than 30 years, on the other hand, the NUDS study cited above revealed the prevalence in individuals less than 30 years age being 5.4% (16,24) .…”

Section: Rapid Rise Phase (1990 Onwards)mentioning

confidence: 99%

Patient Profile of Diabetic Individuals, Attending Primary Care Diabetic Clinic, In Karimnagar, Telangana

Khandal¹

2017

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Prevalence of known diabetes in an urban Indian environment: the Darya Ganj diabetes survey.

Cited by 71 publications

References 8 publications

High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India

High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India

Type 2 diabetes and cardiovascular risk in the UK south Asian community

Patient Profile of Diabetic Individuals, Attending Primary Care Diabetic Clinic, In Karimnagar, Telangana

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