Prevalence and determinants of diabetes mellitus in the Indian industrial population.

Ajay, V S and Prabhakaran, D and Jeemon, P and Thankappan, K R and Mohan, V and Ramakrishnan, L and Joshi, P and Ahmed, F U and Mohan, B V M and Chaturvedi, V and Mukherjee, R and Reddy, K S (2008) Prevalence and determinants of diabetes mellitus in the Indian industrial population. Diabetic medicine : a journal of the British Diabetic Association, 25 (10). pp. 1187-94. ISSN 1464-5491

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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 > or = 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.

Item Type:Article
Official URL/DOI:
Uncontrolled Keywords:diabetes mellitus;Indian industrial population
Subjects:Diabetes > Diabetes in India
Diabetes > Diabetes Research
Divisions:Department of Diabetology
ID Code:60
Deposited On:19 Oct 2009 11:06
Last Modified:19 Oct 2009 12:26
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