Display options
Cite
Barik A, Mazumdar S, Chowdhury A, et al. Physiological and behavioral risk factors of type 2 diabetes mellitus in rural India. BMJ Open Diabetes Res Care. 2016;4(1):e000255doi: 10.1136/bmjdrc-2016-000255.
Barik, A., Mazumdar, S., Chowdhury, A., & Rai, R. K. (2016). Physiological and behavioral risk factors of type 2 diabetes mellitus in rural India. BMJ open diabetes research & care, 4(1), e000255. https://doi.org/10.1136/bmjdrc-2016-000255
Barik, Anamitra, et al. "Physiological and behavioral risk factors of type 2 diabetes mellitus in rural India." BMJ open diabetes research & care vol. 4,1 (2016): e000255. doi: https://doi.org/10.1136/bmjdrc-2016-000255
Barik A, Mazumdar S, Chowdhury A, Rai RK. Physiological and behavioral risk factors of type 2 diabetes mellitus in rural India. BMJ Open Diabetes Res Care. 2016 Aug 02;4(1):e000255. doi: 10.1136/bmjdrc-2016-000255. eCollection 2016. PMID: 27547420; PMCID: PMC4985975.
Copy Download .nbib Format: NLM
Share it on

BMJ Open Diabetes Res Care. 2016 Aug 02;4(1):e000255. doi: 10.1136/bmjdrc-2016-000255. eCollection 2016.

Physiological and behavioral risk factors of type 2 diabetes mellitus in rural India.

BMJ open diabetes research & care

Anamitra Barik, Sumit Mazumdar, Abhijit Chowdhury, Rajesh Kumar Rai

Affiliations

  1. Society for Health and Demographic Surveillance, Suri, West Bengal, India; Niramay TB Sanatorium and Chest Clinic, District Hospital, Suri, Birbhum, West Bengal, India.
  2. Institute of Public Health Kalyani, Society for Health and Demographic Surveillance, Netaji Subhas Sanatorium (T.B. Hospital) , Kalyani, West Bengal , India.
  3. Society for Health and Demographic Surveillance, Suri, West Bengal, India; Department of Hepatology, School of Digestive and Liver Diseases, Institute of Post Graduate Medical Education and Research (IPGMER), Kolkata, West Bengal, India.
  4. Society for Health and Demographic Surveillance , Suri, West Bengal , India.

PMID: 27547420 PMCID: PMC4985975 DOI: 10.1136/bmjdrc-2016-000255

Abstract

BACKGROUND: The dynamics of physiological and behavioral risk factors of diabetes in rural India is poorly understood. Using data from a health and demographic surveillance site of Birbhum district in West Bengal, India, this study aims to assess the risk factors associated with type 2 diabetes mellitus.

RESEARCH DESIGN AND METHODS: A total of 7674 individuals aged ≥18 years participated in a cross-sectional study. Venous plasma glucose method was used for measuring and reporting glucose concentrations in blood, categorized as individuals with diabetes, pre-diabetes or impaired, and normoglycemic. Aside from a set of physiological and behavioral risk factors, a range of socioeconomic confounders of diabetes was computed. Bivariate analysis with χ(2) test, and multivariate ordered logit regression methods were deployed to attain the study's objective.

RESULTS: Overall 2.95% and 3.34% of study participants were diagnosed as individuals with diabetes and pre-diabetes or impaired, respectively. Compared to the poorest, the richest have higher probability (β: 0.730; 95% CI 0.378 to 1.083) of being diagnosed with diabetes. As compared to people with normal body mass index, overweight/obese people are more prone to being diagnosed with diabetes (β: 0.388; 95% CI 0.147 to 0.628). With a decreasing level of physical activity, people are more likely to be diagnosed with diabetes.

CONCLUSIONS: To curb the level of diabetes, this study recommends a culturally sensitive, focused intervention for the adoption of physical activity with more traditional dietary practices, to control the level of overweight/obesity. Attention should be paid to relatively older patients with diabetes or adults with pre-diabetes.

Keywords: Body Mass Index; Diet; Physical Activity; Type 2 Diabetes

References

  1. JAMA. 2009 May 27;301(20):2129-40 - PubMed
  2. Diabetes Res Clin Pract. 2010 Mar;87(3):293-301 - PubMed
  3. Diabetologia. 2006 Feb;49(2):289-97 - PubMed
  4. Diabetes Care. 2005 Mar;28(3):719-25 - PubMed
  5. Lancet. 2006 Nov 11;368(9548):1681-8 - PubMed
  6. Diabetologia. 2001 Sep;44(9):1094-101 - PubMed
  7. J Nutr. 2001 Mar;131(3):871S-873S - PubMed
  8. BMC Public Health. 2016 Jan 19;16:48 - PubMed
  9. Diabetes Care. 2011 Jun;34(6):1249-57 - PubMed
  10. Health Aff (Millwood). 2008 Jul-Aug;27(4):1077-90 - PubMed
  11. Lancet. 2004 Jan 10;363(9403):157-63 - PubMed
  12. Am J Clin Nutr. 2009 May;89(5):1453-8 - PubMed
  13. Int J Epidemiol. 2015 Feb;44(1):98-107 - PubMed
  14. Obes Rev. 2008 Mar;9 Suppl 1:53-61 - PubMed
  15. Diabetes Care. 2006 Jul;29(7):1717-8 - PubMed
  16. JAMA. 2007 Dec 12;298(22):2654-64 - PubMed
  17. N Engl J Med. 2012 Oct 4;367(14):1332-40 - PubMed
  18. JAMA. 2015 Jun 16;313(23):2319-20 - PubMed

Publication Types