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Epidemiology and determinants of type 2 diabetes in south Asia

Citation

Hills, AP and Arena, R and Khunti, K and Yajnik, CS and Jayawardena, R and Henry, CJ and Street, SJ and Soares, MJ and Misra, A, Epidemiology and determinants of type 2 diabetes in south Asia, The Lancet Diabetes & Endocrinology, 6, (12) pp. 966-978. ISSN 2213-8587 (2018) [Refereed Article]

Copyright Statement

Copyright 2018 Elsevier Ltd.

DOI: doi:10.1016/S2213-8587(18)30204-3

Abstract

Type 2 diabetes has rapidly developed into a major public health problem in south Asia (defined here as Bangladesh, Bhutan, India, Nepal, Pakistan, and Sri Lanka) in recent decades. During this period, major lifestyle changes associated with economic transition, industrialisation, urbanisation, and globalisation have been key determinants in the increasing burden of non-communicable diseases. A decline in nutrition quality, reduced physical activity, and increased sedentary behaviours are reflected in the increasing prevalence of type 2 diabetes and related risk factors in the region. The International Diabetes Federation 2017 estimates of the prevalence of diabetes in adults in the region range from 4.0% in Nepal to 8.8% in India. The prevalence of overweight ranges from 16.7% in Nepal to 26.1% in Sri Lanka, and the prevalence of obesity ranges from 2.9% in Nepal to 6.8% in Sri Lanka. An increasing proportion of children, adolescents, and women are overweight or obese, leading to a heightened risk of type 2 diabetes. Ethnic south Asians present with greater metabolic risk at lower levels of BMI compared with other ethnic groups (referred to as the south Asian phenotype), with type 2 diabetes often developing at a younger age, and with rapid progression of diabetic complications. Because of the presence of multiple risk factors and a body composition conducive to the development of type 2 diabetes, south Asians should be aggressively targeted for prevention. In this Series paper, we detail trends in the prevalence of diabetes in the region and address major determinants of the disease in the context of nutrition and physical activity transitions and the south Asian phenotype.

Item Details

Item Type:Refereed Article
Keywords:type 2 diabetes, south Asia, epidemiology, determinants
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Epidemiology
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Social Structure and Health
UTAS Author:Hills, AP (Professor Andrew Hills)
UTAS Author:Street, SJ (Dr Steven Street)
ID Code:129253
Year Published:2018
Web of Science® Times Cited:36
Deposited By:Health Sciences
Deposited On:2018-11-19
Last Modified:2019-05-01
Downloads:0

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