Assessment of risk of type 2 diabetes mellitus among rural population in Karnataka by using Indian diabetes risk score
Keywords:Indian diabetes risk score, Diabetes, Rural adults
Background: Diabetes has emerged not only as a major public health problem, but also as a global societal catastrophe. Governments worldwide are struggling to meet the cost of the diabetic care. The proportion of people with diabetes is rapidly increasing in many countries, with the documented increase in low and middle income countries. With this background a study was planned with the objective of assessing the risk of diabetes among adults in a rural area using a simple diagnostic tool.
Methods: A community based, cross-sectional study was done among 485 adults aged 20 years and above residing in a rural area of Karnataka. Data collection was done by household survey by direct interview using a pretested, structured questionnaire. The questionnaire had 2 parts with part one of socio-demographic variables and part two made up of Indian diabetes risk score (IDRS) questionnaire. IDRS was developed by Mohan et al and its parameters comprise of 2 modifiable (waist circumference, physical activity) and 2 non-modifiable risk factors (age, family history) for diabetes. Analysis was done with open Epi and Microsoft excel.
Results: In the present study, according to IDRS, 14.84% of the study subjects had high risk of diabetes, 73.19% had moderate risk and 11.95% had no/low risk of diabetes.
Conclusions: The risk of diabetes among adults is on rise in rural areas. Physical activity likes regular exercises, diet and lifestyle modification are some of the interventions that can reduce the risk of diabetes.
International Diabetes Federation. Diabetes Atlas: 7th edition, 2016. Available at http://www.idf.org/diabetesatlas Accessed on 2 Aug 2016.
Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projection for 2030. Diabetes Care. 2004;27(5):1047-53.
Ahuja MM, Sivaji L, Garg VK, Mitroo P. Prevalence of diabetes in northern India. Horn Metab Res. 1974;4:321.
Gupta OP, Joshi MH, Dave SK. Prevalence of diabetes in India. Adv Metab Disord. 1978;9:147-65.
Vaz NC, Ferreira AM, Kulkarni MS, Vaz FS, Pinto NR. Prevalence of diabetic complications in rural Goa, India. Indian J Community Med. 2011;36:283-6.
Pradeep R, Mohan V. The Changing scenario of the diabetes epidemic: implications for India. Indian J Med Res. 2002;116:121-32.
Chow CK, Raju PK, Raju R, Reddy KS, Cardona M, Calermajer DS et al. The prevalence and management of diabetes in rural India. Diabetes Care. 2006;29:1717-8.
Mohan V, Deepa R, Deepa M, Somannavar S, Datta M. A simplified Indian Diabetes Risk Score for screening for undiagnosed diabetic subjects. J Asso Physicians India. 2005;53:759-63.
Chaurasia H, Chaurasia RS. To find out the diabetic risk in study population by subjecting them to Indian diabetic risk scale. Int J Med Sci Res Pract. 2015;2(1):37-40.
Taksande B. Ambade M, Joshi R. External validation of Indian diabetes risk score in a rural community of central India. J Diabet Mellitus. 2012;2:109-13.
Patel DN, Shah MC, Ahir GN, Amin DV, Singh MP. A study on validity of Indian diabetes risk score for screening of diabetes mellitus among the high risk group of Bhavnagar city. Innovative J Med Health Sci. 2012;2:109-11.
Stanley L, Elantamilan D, Mohansundaram K, Kumaravel TS. Evaluation of indian diabetic risk score for screening undiagnosed diabetes subjects in the community. Indian J Sci Technol. 2012;5(6):2798-9.
Wild SH, Smith FB, Lee AJ, Fowker FG. Criteria for previously undiagnosed diabetes and risk of mortality: 15 year following up of the Edinburgh Artery Study cohort. Diabet Med. 2005;22:490-6.
Subramani R, Devi U, Shankar V, Stephen Karthik, Seshadri. Assessment of risk of type 2 Diabetes Mellitus among rural population in Tamil Nadu by using Indian Diabetic Risk Score. Middle –East J Sci Res. 2014;21(1):223-5.
Gupta SK, Singh Z, Purty AJ, Vishwanathan M. Diabetes prevalence and its risk factors in urban Pondicherry. Int J Diabetes Dev Ctries. 2009;29(4);166-9.
Chowdhury R, Mukherjee A, Saibendu KL. A study on distribution and determinants of Indian diabetic risk score among rural population of West Bengal. Natl J Med Res. 2012;2(3)282-6.