PMID- 38371184
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240220
IS  - 2230-8210 (Print)
IS  - 2230-9500 (Electronic)
IS  - 2230-9500 (Linking)
VI  - 27
IP  - 6
DP  - 2023 Nov-Dec
TI  - Evolving Landscape of Diabetes Epidemic in Southeast Asia: Insights from National 
      Family Health Survey.
PG  - 492-500
LID - 10.4103/ijem.ijem_215_23 [doi]
AB  - BACKGROUND: Limited evidence on diabetes prevalence trends from the Indian 
      subcontinent prompted this study to estimate the trends in diabetes prevalence 
      using the National Family Health Survey (NFHS) data. METHOD: A cross-sectional 
      survey carried out between 2015-2016 (NFHS-4) and 2019-2021 (NFHS-5) in a 
      nationally representative sample of adults (aged 20 to 54 years) was used. 
      Diabetes was defined as the presence of: diagnosed diabetes (self-reported), 
      fasting plasma glucose (FPG) >/= 126 mg/dl, or a random plasma glucose (RPG) >/=200 
      mg/dl. "Fasting" was defined as the last food intake >8 hours and "random" as 
      irrespective of the last meal. Diagnosed diabetes was defined as the presence of 
      "self-reported diabetes" and undiagnosed diabetes was defined as FPG > 126 mg/dl 
      or RPG >/=200 mg/dl. FINDINGS: The crude prevalence of total diabetes increased 
      from 3.5% (95% confidence interval (CI): 3.46-3.55) in 2015-2016 to 3.99% (95% 
      CI: 3.94-4.04) in 2019-2021, a relative change of 14%. The increase was more in 
      the poorest (1.77% vs 2.48%; P < 0.001) as compared to the rich (5.35%% vs. 
      5.43%; P = 0.847), rural areas (2.71% vs 3.38%; P < 0.001) as compared to urban 
      (4.95% vs. 5.26%; P = 0.051), in normal weight individuals (1.87% vs. 2.16%; P < 
      0.001) as compared to obese (7.12% vs. 7.03%; P = 0.384). INTERPRETATION: While 
      the absolute prevalence of diabetes is highest amongst individuals residing in 
      urban areas belonging to the rich wealth centile, the relative increase in the 
      prevalence is disproportionately higher in those residing in rural areas, 
      belonging to the poorest wealth centiles and having normal weight.
CI  - Copyright: (c) 2024 Indian Journal of Endocrinology and Metabolism.
FAU - Gupta, Rahul
AU  - Gupta R
AD  - Department of Endocrinology and Metabolism, Clinical Research Unit, All India 
      Institute of Medical Sciences, New Delhi, India.
FAU - Upadhyay, Aashish
AU  - Upadhyay A
AD  - Scientist II (Biostatistics), Clinical Research Unit, All India Institute of 
      Medical Sciences, New Delhi, India.
FAU - Kohli, Shweta
AU  - Kohli S
AD  - Department of Endocrinology and Metabolism, Clinical Research Unit, All India 
      Institute of Medical Sciences, New Delhi, India.
FAU - Khadgwat, Rajesh
AU  - Khadgwat R
AD  - Department of Endocrinology and Metabolism, Clinical Research Unit, All India 
      Institute of Medical Sciences, New Delhi, India.
LA  - eng
PT  - Journal Article
DEP - 20240111
PL  - India
TA  - Indian J Endocrinol Metab
JT  - Indian journal of endocrinology and metabolism
JID - 101555690
PMC - PMC10871016
OTO - NOTNLM
OT  - Diabetes
OT  - India
OT  - Southeast Asia
OT  - prevalence
OT  - trends
COIS- There are no conflicts of interest.
EDAT- 2024/02/19 06:43
MHDA- 2024/02/19 06:44
PMCR- 2023/11/01
CRDT- 2024/02/19 04:21
PHST- 2023/05/25 00:00 [received]
PHST- 2023/07/25 00:00 [revised]
PHST- 2023/10/25 00:00 [accepted]
PHST- 2024/02/19 06:44 [medline]
PHST- 2024/02/19 06:43 [pubmed]
PHST- 2024/02/19 04:21 [entrez]
PHST- 2023/11/01 00:00 [pmc-release]
AID - IJEM-27-492 [pii]
AID - 10.4103/ijem.ijem_215_23 [doi]
PST - ppublish
SO  - Indian J Endocrinol Metab. 2023 Nov-Dec;27(6):492-500. doi: 
      10.4103/ijem.ijem_215_23. Epub 2024 Jan 11.