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Study of risk factors of type 2 diabetes mellitus in the field practice area of rural health training centre of IIMSR Medical College, Badnapur, Jalna, Maharashtra
- Author Details:
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Syed Jawwad Ali Hashmi
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Purushottam A. Giri
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Mohd. Shafee
Background: The disease has been recognized as a global epidemic by WHO. According to the International Diabetes Federation (IDF), the number of people globally with type 2 diabetes mellitus (T2DM) will increase to 552 million by 2030, over twice the number in 2000. Nearly 21% of these new cases will be from India, which has the highest number of cases in any country.
Methods: A cross-sectional study was carried out in the field practice area of rural health center (RHTC) Kasturwadi, Department of Community Medicine, Indian Institute of Medical Science & Research, Badnapur, Jalna, Maharashtra. As WHO has given theme for WHO day 7th April 2016 as “Beat Diabetes”, as a part of WHO day 2016 celebration a Diabetes Screening camp was organized at Kasturwadi village on 7th April 2016. Blood sugar level of all participants in camp above 30 years and who were willing to participate was taken for the study.
Results: Prevalence of IGT and diabetes (combined) was 60% in 61-70 yrs age group followed by 36% in 51-60 years, 35% in 41-50 years and 27% in 30-40 years. Prevalence of diabetes is 7.9% in males where as 3.8% in females. Prevalence of IGT is more among Muslims i.e. 31.8% than Hindus i.e. 25.6%. Prevalence of IGT and diabetes is 53.1% and 16.3% respectively in subjects with sedentary life style and difference was statistically significant among sedentary and non-sedentary subjects. There were significant difference in prevalence of IGT and Diabetes among persons with higher BMI (p=0.001). Also there is significant difference in normotensives and hypertensive as prevalence of IGT and diabetes is considered (p=0.039).
Conclusion: The present study found positive association between stress, sedentary lifestyle, family history of diabetes, and hypertension with abnormal glucose tolerance. Primary prevention is possible by modifying the environmental factors influencing diabetogenesis such as obesity, diet and physical activity.
Key words: Impaired Glucose Tolerance (IGT), Body Mass Index (BMI), Rural Health Training Centre (RHTC), World Health Organization (WHO)
References
- International Diabetes Federation. Diabetes atlas. 6th edn. Brussels: IDF, 2011. http://www.idf.org/diabetesatlas - accessed 14 February 2014.
- World Health Organization, Regional Office for South East Asia. Health situation in the South-East Asia Region 1998-2000.New Delhi: WHOSEARO, 2002. Document No. SEA/HS/222.http://209.61.208.233/ Link Files/Health_Situation_toc+forward.pdf - Accessed 14 February 2014.
- Ramachandran A, Snehalatha C, Dharmaraj D, Viswanathan M. Prevalence of glucose intolerance in Asian Indians: urban-rural difference and significance of upper body adiposity. Dia Care. 1992;15(10):1348–55.
- Ramachandran A, Snehalatha C, Baskar ADS, Mary S, Sathish Kumar CK, Selvam S, et al. Temporal changes in prevalence of diabetes and impaired glucose tolerance associated with lifestyle transition occurring in the rural population in India. Diabetologia. 2004;47(5):860–5.
- Ramachandran A, Mary S, Yamuna A, Murugesan N, Snehalatha C. High prevalence of diabetes and cardiovascular risk factors associated with urbanization in India. Diabetes Care. 2008;31(5):893–8.
- Diabetes Fact sheet N°312. World Health Organization. August 2011. Retrieved 2012-01-09. Available from: http://www.who.int/mediacentre/factsheets/fs312/ en/. [Last accessed on 18 June 2015]
- Farooq, Irfan, Asma BB, Jannatbi LI. Analytical study of associated risk factors of type 2 diabetes mellitus among rural population aged 40 years and above. Int J Biomed Adv Res 2015;(2):128-132.
- Wild SH, Sicree R, Roglic G, King H, Green A Global prevalence of diabetes, estimates for the year 2000 and projections for 2030. Diabetes Care 2004;27(5):1047-
- Shoback. Edited by David G Gardner, Dolores Greenspan’s basic & clinical endocrinology (9th ed). New York: McGraw-Hill Medical. 2011; pg. 17.
- King H, Aubertre RE, Herman WH Global burden of diabetes, 1995-2025; prevalence, numerical estimates and projections. Diabetes care1998;21:1414-31. Syed Jawwad Ali Hashmi et al. Study of risk factors of type 2 diabetes mellitus infield practice area…. Indian Journal of Forensic and Community Medicine, January-March 2017;4(1):37-41 41
- Ziv E, Shaffir E Psammomysobesus: nutritionally induced NIDDM-like syndrome on thrifty gene background. In: Shafrir E (edn) Lessons from animal diabetes. London: Smith-Gordon1995;285-300.
- Heimlich SP, Ragland DR, Lecins RQW Physical activity and reduced occurrence of non-insulin dependent diabetes. N Engl J Med1991;325:147-52.
- Mooy JM, DeVries H, Grootenhuis PA, Bouter LM, Hein Major RJ Stressful life events in relation to prevalence and undetected type 2 diabetes. Diabetes Care2002;15(3):197-
- Arunachalam S, Guneshekharan S. Diabetes research in India and China today. From literature based mapping to health care policy. CurrSci2002;82:1086-97.
- Ramachandran A, Snehalatha C, Latha F Rising prevalence of NIDDM in an urban population in India. Diabetologia1997;40:232-37.
- Valliyot B, Sreedharan J, Muttappallymyalil J, Valliyot SB. Risk factors of type 2 diabets mellitus in the rural population of north kerala, India: A case control study. DiabetologiaCroatica2013;42-41.
- Emilie Agardh, Peter Allebeck, Johan Hallqvist, Tahereh Moradi and Anna Sidorchuk Type 2 diabetes incidence and socio-economic position: a systematic review and meta- analysis. Int J Epidemiol. 2011;238-47.
- Mohan V, Shanthirani CS, Deepa R. Glucose intolerance (diabetes and IGT) in a selected South Indian population with special reference to family history, obesity and lifestyle factors - the Chennai Urban Population Study. J AssocPhysInd2003;51:771-77.
- Gupta SK, Singh Z, Purty AJ, Kar M, Vedapriya DR, Mahajan P, Charian J. Diabetes prevalence and its risk factors in rural area of Tamil Nadu. Ind J Community Med 2010;35:396-99.
- Peer N, Steyn K, Lombard C, Lambert EV, Vythilingum B. Rising diabetes prevalence among urban-dwelling black South Africans. PloSOne2012;7(9): e43336-1.
- Hamit Acemoglu. Risk Factors of type 2 Diabetes Mellitus among inhabitants south east region of Turkey. The Internet Journal of Epidemiology 2006;1:27-32.
- Kokiwar PR. Prevalence of Diabetes in Rural area of Central India. International Journal of Diabetes in developing countries 2007;27:810.
- Dhadwal D. Prevalence of NIDDM in the general population (>40 years) in Shimla. Indian Journal of Medical Science 1997;51:459-64.
How to Cite This Article
Vancouver
Hashmi SJA, Giri PA, Shafee M. Study of risk factors of type 2 diabetes mellitus in the field practice area of rural health training centre of IIMSR Medical College, Badnapur, Jalna, Maharashtra [Internet]. Indian J Forensic Community Med. 2017 [cited 2025 Oct 17];4(1):37-41. Available from: https://doi.org/
APA
Hashmi, S. J. A., Giri, P. A., Shafee, M. (2017). Study of risk factors of type 2 diabetes mellitus in the field practice area of rural health training centre of IIMSR Medical College, Badnapur, Jalna, Maharashtra. Indian J Forensic Community Med, 4(1), 37-41. https://doi.org/
MLA
Hashmi, Syed Jawwad Ali, Giri, Purushottam A., Shafee, Mohd.. "Study of risk factors of type 2 diabetes mellitus in the field practice area of rural health training centre of IIMSR Medical College, Badnapur, Jalna, Maharashtra." Indian J Forensic Community Med, vol. 4, no. 1, 2017, pp. 37-41. https://doi.org/
Chicago
Hashmi, S. J. A., Giri, P. A., Shafee, M.. "Study of risk factors of type 2 diabetes mellitus in the field practice area of rural health training centre of IIMSR Medical College, Badnapur, Jalna, Maharashtra." Indian J Forensic Community Med 4, no. 1 (2017): 37-41. https://doi.org/