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    Prevalence and trends of the diabetes epidemic in South Asia: a systematic review and meta-analysis

    186665_64006_Prevalence_and_trends_of_the_diabetes_epidemic_in_south_Asia.pdf (414.5Kb)
    Access Status
    Open access
    Authors
    Jayawardena, Ranil
    Ranasinghe, Priyanga
    Byrne, Nuala M.
    Soares, Mario
    Katulanda, P
    Hills, Andrew
    Date
    2012
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Jayawardena, Ranil and Ranasinghe, Priyanga and Byrne, Nuala M. and Soares, Mario J. and Katulanda, Prasad and Hills, Andrew P. 2012. Prevalence and trends of the diabetes epidemic in South Asia: a systematic review and meta-analysis. BMC Public Health. 12: 380.
    Source Title
    BMC Public Health
    DOI
    10.1186/1471-2458-12-380
    ISSN
    1471-2458
    Remarks

    This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0/ Please refer to the licence to obtain terms for any further reuse or distribution of this work.

    URI
    http://hdl.handle.net/20.500.11937/29790
    Collection
    • Curtin Research Publications
    Abstract

    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 risk 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.

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