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Prevalence and risk factors for self-reported diabetes among adult men and women in India: findings from a national cross-sectional survey

  • Sutapa Agrawal (a1) and Shah Ebrahim (a1) (a2)
Abstract
AbstractObjective

We examined the distribution of diabetes and modifiable risk factors to provide data to aid diabetes prevention programmes in India.

Design

Population-based cross-sectional survey of men and women included in India's third National Family Health Survey (NFHS-3, 2005–2006).

Setting

The sample is a multistage cluster sample with an overall response rate of 98 %. All states of India are represented in the sample (except the small Union Territories), covering more than 99 % of the country's population.

Subjects

Women (n 99 574) and men (n 56 742) aged 20–49 years residing in the sample households.

Results

Prevalence of diabetes was 1598/100 000 (95 % CI 1462, 1735) among men and 1054/100 000 (95 % CI 974, 1134) among women in India. Rural–urban and marked geographic variation were found with higher rates in south and north-eastern India. Weekly and daily fish intake contributed to a significantly higher risk of diabetes among both women and men. Risks of diabetes increased with increased BMI, age and wealth status of both women and men, but no effects of the consumption of milk/curd, vegetables, eggs, television watching, alcohol consumption or smoking were found. Daily consumption of pulse/beans or fruits was associated with a significantly reduced risk of diabetes among women, whereas non-significant inverse associations were observed in the case of men.

Conclusions

Prevalence was underestimated using self-reports. The wide variation in self-reported diabetes is unlikely to be due entirely to reporting biases or access to health care, and indicates that modifiable risk factors exist. Prevention of diabetes should focus on obesity and target specific socio-economic groups in India.

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The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution-NonCommercial-ShareAlike licence <http://creativecommons.org/licenses/by-nc-sa/3.0/>. The written permission of Cambridge University Press must be obtained for commercial re-use.
Corresponding author
*Corresponding author: Email sutapa.agrawal@phfi.org
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.H King , RE Aubert & WH Herman (1998) Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. Diabetes Care 21, 14141431.

2.JE Shaw , RA Sicree & PZ Zimmet (2010) Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 87, 414.

3.S Wild , G Roglic , A Green (2004) Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 27, 10471053.

4.JED Diamond (2011) Diabetes in India. Nature 469, 479.

5.A Ramachandran & C Snehalatha (2009) Current scenario of diabetes in India. J Diabetes 1, 1828.

6.RR Tiwari , PK Deb , A Debbarma (2008) Risk factor analysis in self-reported diabetes in a rural Kerala population. Int J Diabetes Dev Ctries 28, 9194.

8.A Ramachandran , C Snehalatha , A Kapur (2001) Diabetes Epidemiology Study Group in India (DESI): high prevalence of diabetes and impaired glucose tolerance in India: national urban diabetes survey. Diabetologia 44, 10941101.

10.A Ramachandran , MV Jali , V Mohan (1986) High prevalence of diabetes in an urban population in South India. BMJ 297, 587590.

12.TM Knight , Z Smith , A Whittles (1992) Insulin resistance, diabetes and risk markers for ischaemic heart disease in Asian men and non-Asian men in Bradford. Br Heart J 67, 343350.

13.K Ramaiya , VRR Kodali & KGMM Alberti (1990) Epidemiology of diabetes in Asians of the Indian subcontinent. Diabetes Metab Rev 6, 125146.

14.R Gupta & A Misra (2007) Type 2 diabetes in India: regional disparities. Br J Diabetes Vasc Dis 7, 1216.

15.V Mohan , M Deepa , R Deepa (2006) Secular trends in the prevalence of diabetes and glucose tolerance in urban South India – the Chennai Urban Rural Epidemiology Study (CURES-17). Diabetologia 49, 11751178.

16.A Misra , RM Pandey , JR Devi (2001) High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India. Int J Obes Relat Metab Disord 25, 17221729.

17.A Ramachandran , C Snehalatha , E Latha (1997) Rising prevalence of NIDDM in an urban population in India. Diabetologia 40, 232237.

19.A Ramachandran , C Snehalatha & V Vijay (2004) Low risk threshold for acquired diabetogenic factors in Asian Indians. Diabetes Res Clin Pract 65, 185195.

21.R Pradeepa , RM Anjana , R Unnikrishnan (2010) Risk factors for microvascular complications of diabetes among south Indian subjects with type 2 diabetes – the Chennai Urban Rural Epidemiology Study (CURES) Eye Study-5. Diabetes Technol Ther 12, 755761.

22.A Ramachandran , RCW Ma & C Snehalatha (2010) Diabetes in Asia. Lancet 375, 408418.

23.JCN Chan , V Malik , W Jia (2009) Diabetes in Asia: epidemiology, risk factors, and pathophysiology. JAMA 301, 21292140.

26.FB Hu , MF Leitzmann , MJ Stampfer (2001) Physical activity and television watching in relation to risk for type 2 diabetes mellitus in men. Arch Intern Med 161, 15421548.

28.BM Popkin , S Horton , S Kim (2001) Trends in diet, nutritional status, and diet-related non-communicable diseases in China and India: the economic costs of the nutrition transition. Nutr Rev 59, 379390.

31.GA Colditz , WC Willett , A Rotnitzky (1995) Weight gain as a risk factor for clinical diabetes mellitus in women. Ann Intern Med 122, 481486.

33.FB Hu , RJ Sigal , JW Rich-Edwards (1999) Walking compared with vigorous physical activity and risk of type 2 diabetes in women: a prospective study. JAMA 282, 14331439.

34.J Lynch , SP Helmrich , TA Lakka (1996) Moderately intense physical activities and high levels of cardiorespiratory fitness reduce risk of non-insulin-dependent diabetes mellitus in middle-aged men. Arch Intern Med 156, 13071314.

35.SP Helmrich , DR Ragland , RW Leung (1991) Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med 325, 147152.

36.JE Manson , EB Rimm , MJ Stampfer (1991) Physical activity and incidence of non-insulin-dependent diabetes mellitus in women. Lancet 338, 774778.

37.FB Hu , JE Manson & MJ Stampfer (2001) Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. N Engl J Med 345, 790797.

38.JE Manson , UA Ajani , S Liu (2000) A prospective study of cigarette smoking and the incidence of diabetes mellitus among US male physicians. Am J Med 109, 538542.

40.M Wei , LW Gibbons , TL Mitchell (2000) Alcohol intake and incidence of type 2 diabetes in men. Diabetes Care 23, 1822.

41.UA Ajani , CH Hennekens , A Spelsberg (2000) Alcohol consumption and risk of type 2 diabetes mellitus among US male physicians. Arch Intern Med 160, 10251030.

42.L Djoussé , JM Gaziano , JE Buring (2009) Egg consumption and risk of type 2 diabetes in men and women. Diabetes Care 32, 295300.

43.D Aune , G Ursin & MB Veierød (2009) Meat consumption and the risk of type 2 diabetes: a systematic review and meta-analysis of cohort studies. Diabetologia 52, 22772287.

45.TT Fung , M Schulze , JE Manson (2004) Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Arch Intern Med 164, 22352240.

46.RM van Dam , WC Willet , EB Rimm (2002) Dietary fat and meat intake in relation to risk of type 2 diabetes in men. Diabetes Care 25, 417424.

47.GJV Woudenbergh , AJV Ballegooijen , A Kuijsten (2009) Eating fish and risk of type 2 diabetes a population-based, prospective follow-up study. Diabetes Care 32, 20212026.

49.LA Bazzano , TY Li , KJ Joshipura (2008) Intake of fruit, vegetables, and fruit juices and risk of diabetes in women. Diabetes Care 31, 13111317.

51.BJ Venn & JI Mann (2004) Cereal grains, legumes and diabetes. Eur J Clin Nutr 58, 14431461.

54.S Ebrahim , S Kinra , L Bowen (2010) The effect of rural to urban migration on obesity and diabetes in India: cross sectional study. PLoS Med 7, e10000268.

55.PC Elwood , DI Givens , D Andrew (2008) The survival advantage of milk and dairy consumption: an overview of evidence from cohort studies of vascular diseases, diabetes and cancer. J Am Coll Nutr 27, issue 6, 723S734S.

56.RM van Dam , FB Hu , L Rosenberg (2006) Dietary calcium and magnesium, major food sources, and risk of type 2 diabetes in US black women. Diabetes Care 29, 22382243.

57.S Liu , HK Choi , E Ford (2006) A prospective study of dairy intake and the risk of type 2 diabetes in women. Diabetes Care 29, 15791584.

58.HK Choi , WC Willett , MJ Stampfer (2005) Dairy consumption and risk of type 2 diabetes mellitus in men: a prospective study. Arch Intern Med 165, 9971003.

59.R Villegas , YT Gao , Q Dai (2009) Dietary calcium and magnesium intakes and the risk of type 2 diabetes: the Shanghai Women's Health Study. Am J Clin Nutr 89, 10591067.

60.A Vang , PN Singh , JW Lee (2008) Meats, processed meats, obesity, weight gain and occurrence of diabetes among adults: findings from Adventist Health Studies. Ann Nutr Metab 52, 96104.

61.DA Snowdon & RL Phillips (1985) Does a vegetarian diet reduce the occurrence of diabetes? Am J Public Health 75, 507512.

62.Y Song , JAE Manson , JE Buring (2004) A prospective study of red meat consumption and type 2 diabetes in middle-aged and elderly women: the women's health study. Diabetes Care 27, 21082115.

63.EJ Feskens , SM Virtanen , L Rasanen (1995) Dietary factors determining diabetes and impaired glucose tolerance. A 20-year follow-up of the Finnish and Dutch cohorts of the Seven Countries Study. Diabetes Care 18, 11041112.

64.EJ Feskens , CH Bowles & D Kromhout (1991) Inverse association between fish intake and risk of glucose intolerance in normoglycemic elderly men and women. Diabetes Care 14, 935941.

65.A Nkondjock & O Receveur (2003) Fish-seafood consumption, obesity, and risk of type 2 diabetes: an ecological study. Diabetes Metab 29, 635642.

67.JB Ruidavets , V Bongard , J Dallongeville (2007) High consumptions of grain, fish, dairy products and combinations of these are associated with a low prevalence of metabolic syndrome. J Epidemiol Community Health 61, 810817.

68.AI Adler , EJ Boyko , CD Schraer (1994) Lower prevalence of impaired glucose tolerance and diabetes associated with daily seal oil or salmon consumption among Alaska Natives. Diabetes Care 17, 14981501.

69.AH Harding , NE Day , KT Khaw (2004) Habitual fish consumption and glycated haemoglobin: the EPIC-Norfolk study. Eur J Clin Nutr 58, 277284.

70.P Bjerregaard , HS Pedersen & G Mulvad (2000) The associations of a marine diet with plasma lipids, blood glucose, blood pressure and obesity among the Inuit in Greenland. Eur J Clin Nutr 54, 732737.

71.M Kaushik , D Mozaffarian , D Spiegelman (2009) Long-chain omega-3 fatty acids, fish intake, and the risk of type 2 diabetes mellitus. Am J Clin Nutr 90, 613620.

72.PS Patel , SJ Sharp , N Robert (2009) Association between type of dietary fish and seafood intake and the risk of incident type 2 diabetes: the European Prospective Investigation of Cancer (EPIC)-Norfolk cohort study. Diabetes Care 32, 18571863.

73.MB Schulze , JE Manson , WC Willett (2003) Processed meat intake and incidence of type 2 diabetes in younger and middle aged women. Diabetologia 46, 14651473.

75.JN Hall , S Moore , SB Harper (2009) Global variability in fruit and vegetable consumption. Am J Prev Med 36, 402409.e5.

77.U Kanungsukkasem , N Ng , HV Minh (2009) Fruit and vegetable consumption in rural adults population in INDEPTH HDSS sites in Asia. Global Health Action Supplement 1 , DOI: 10.3402/gha.v2i0.1988.

81.IJ Perry , SG Wannamethee & MK Walker (1995) Prospective study of risk factors for development of non-insulin dependent diabetes in middle aged British men. BMJ 310, 560564.

82.EB Rimm , J Chan & MJ Stampfer (1995) Prospective study for cigarette smoking, alcohol use, and the risk of diabetes in men. BMJ 310, 555559.

84.FB Hu , TY Li , GA Colditz (2003) Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA 289, 17851791.

85.SC Maty , SA James & GA Kaplan (2010) Life-course socioeconomic position and incidence of diabetes mellitus among blacks and whites: The Alameda County Study, 1965–1999. Am J Public Health 100, 137145.

86.KS Reddy , D Prabhakaran & P Jeemon (2007) Educational status and cardiovascular risk profile in Indians. Proc Natl Acad Sci USA 104, 1626316268.

87.R Bhopal , L Hayes & M White (2002) Ethnic and socio-economic inequalities in coronary heart disease, diabetes and risk factors in Europeans and South Asians. J Public Health Med 24, 95105.

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