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- Title
Prevalence and determinants of diabetes mellitus in the Indian industrial population.
- Authors
Ajay, V. S.; Prabhakaran, D.; Jeemon, P.; Thankappan, K. R.; Mohan, V.; Ramakrishnan, L.; Joshi, P.; Ahmed, F. U.; Mohan, B. V. M.; Chaturvedi, V.; Mukherjee, R.; Reddy, K. S.
- Abstract
Aim To highlight the regional difference in the prevalence of diabetes mellitus (DM) and to explore determinants in variability in the Indian industrial population. Methods A cross-sectional survey was carried out among the employees and their family members (10 930 individuals, mean age 39.6 years, 6764 male) of eleven medium-to-large industries from diverse sites in India, using a stratified random sampling technique. Information on behavioural, clinical and biochemical risk factors of DM was obtained, through standardized instruments. DM was diagnosed when fasting blood glucose was ≥ 7.0 mmol/l and/or individuals took drug treatment for DM. Multiple logistic regression analysis was carried out to identify the potential predictors of DM. Result In the 20 to 69-year-old age group, the crude prevalence of DM and impaired fasting glucose was 10.1 and 5.3%, respectively. Urban sites had a higher prevalence and awareness of DM status. Individuals in the lower education group had a high prevalence of DM (11.6%). In diabetic subjects, 38.4% were unaware that they had diabetes. Waist-circumference-to-height ratio had a higher DM predictive power than waist circumference and body mass index. The risk factors associated with overall prevalence of DM were: age, sex, low-education level, family history of DM, hypertension and overweight/obesity. Interaction of risk factors was observed only in urban high-prevalence sites. Conclusion There are wide regional variations in the prevalence of DM in India. The high burden of undetected diabetes, even in settings with universal access to on-site health care, highlights the need for innovative prevention and control strategies.
- Subjects
INDIA; DIABETES risk factors; DISEASE prevalence; MULTIVARIATE analysis; BLOOD sugar; MEDICAL research
- Publication
Diabetic Medicine, 2008, Vol 25, Issue 10, p1187
- ISSN
0742-3071
- Publication type
Article
- DOI
10.1111/j.1464-5491.2008.02554.x