Jayawardena, R and Ranasinghe, P and Byrne, NM and Soares, MJ and Katulanda, P and Hills, AP, Prevalence and trends of the diabetes epidemic in South Asia: a systematic review and meta-analysis, BMC public health, 12 Article 380. ISSN 1471-2458 (2012) [Refereed Article]
© 2012 Jayawardena et al. Licensed under Creative Commons Attribution 2.0 Generic (CC BY 2.0) https://creativecommons.org/licenses/by/2.0/
Background: Diabetes mellitus has reached epidemic proportions worldwide. South Asians are known to have an increased predisposition for diabetes which has become an important health concern in the region. We discuss the prevalence of pre-diabetes and diabetes in South Asia and explore the differential risk factors reported.
Methods: Prevalence data were obtained by searching the Medline® database with; 'prediabetes' and 'diabetes mellitus' (MeSH major topic) and 'Epidemology/EP' (MeSH subheading). Search limits were articles in English, between 01/01/1980-31/12/2011, on human adults (≥ 19 years). The conjunction of the above results was narrowed down with country names.
Results: The most recent reported prevalence of pre-diabetes:diabetes in regional countries were; Bangladesh - 4.7%:8.5% (2004-2005; Rural), India - 4.6%:12.5% (2007; Rural); Maldives - 3.0%:3.7% (2004; National), Nepal - 19.5%:9.5% (2007; Urban), Pakistan - 3.0%:7.2% (2002; Rural), Sri Lanka - 11.5%:10.3% (2005-2006; National). Urban populations demonstrated a higher prevalence of diabetes. An increasing trend in prevalence of diabetes was observed in urban/rural India and rural Sri Lanka. The diabetes epidemicity index decreased with the increasing prevalence of diabetes in respective countries. A high epidemicity index was seen in Sri Lanka (2005/2006-52.8%), while for other countries, the epidemicity index was comparatively low (rural India 2007 - 26.9%; urban India 2002/2005-31.3%, and urban Bangladesh - 33.1%). Family history, urban residency, age, higher BMI, sedentary lifestyle, hypertension and waist-hip ratio were associated with an increased risks of diabetes.
Conclusion: A significant epidemic of diabetes is present in the South Asian region with a rapid increase in prevalence over the last two decades. Hence there is a need for urgent preventive and curative strategies.
|Item Type:||Refereed Article|
|Keywords:||diabetes mellitus, South Asia, epidemiology, prevalence, trends, risk factors|
|Research Division:||Medical and Health Sciences|
|Research Group:||Other Medical and Health Sciences|
|Research Field:||Medical and Health Sciences not elsewhere classified|
|Objective Group:||Indigenous Health|
|Objective Field:||Indigenous Health not elsewhere classified|
|Author:||Byrne, NM (Professor Nuala Byrne)|
|Author:||Hills, AP (Professor Andrew Hills)|
|Web of Science® Times Cited:||88|
|Deposited By:||Health Sciences|
|Downloads:||11 View Download Statistics|
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