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  • Assessment of risk of type 2 diabetes using the Indian Diabetes Risk Score in an urban slum of Pune, Maharashtra, India: a cross-sectional study / Reshma S Patil;Jayashree S Gothankar
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Assessment of risk of type 2 diabetes using the Indian Diabetes Risk Score in an urban slum of Pune, Maharashtra, India: a cross-sectional study / Reshma S Patil;Jayashree S Gothankar

Tác giả : Reshma S Patil;Jayashree S Gothankar

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2016

Chủ đề : 1. diabetes. 2. high-risk cases. 3. prevalence. 4. risk score. 5. urban. 6. Journal / periodical articles.

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Background: The urban poor is a group that is known to be vulnerable to adoptionof a more urbanized lifestyle that places them at a higher risk for diabetes.Individuals who are unaware of their disease status are more prone to micro- andmacrovascular complications. Hence, it is necessary to detect this large pool ofundiagnosed participants with diabetes and offer them early therapy. The aim ofthis study was to use the Indian Diabetes Risk Score, developed by the MadrasDiabetes Research Foundation (MDRF-IDRS), to assess the prevalence of peopleat high risk for developing diabetes, and the correlation with known risk factors.Methods: A cross-sectional study was conducted in the field practice area of theurban health training centre of a private medical college in Pune, Maharashtra. Atotal of 425 participants aged 20 years and above were screened for risk factors,including age, waist circumference, family history of diabetes and physical activity.Random testing of the blood glucose level of participants with a high risk scorewas carried out using a glucometer. Statistical analysis of the data was performedby using the chi-squared test and logistic regression analysis.Results: The prevalence of people at high risk of diabetes was 36.55%. Amonghigh-risk participants on univariate analysis, primary education (P = 0.004), lowersocioeconomic class (P = 0.002), less physical activity (P < 0.001) and highwaist circumference (P < 0.001) were major contributing factors, while in themoderate-risk group, lower socioeconomic class and high waist circumferencewere the prominent risk factors for diabetes. Multivariate analysis showed thathigher education, moderate to vigorous activity and high waist circumference weresignificantly associated with risk status. Out of 140 high-risk participants, 68 (49%)had a random capillary blood glucose level of 110 mg/dL or above.Conclusion: As the prevalence of people at high risk for diabetes was high,lifestyle changes and awareness regarding risk factors is needed to take control ofthe diabetes in the study population.
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https://iris.who.int/handle/10665/329635