Prevalence and trends of the diabetes epidemic in South Asia: a systematic review and meta-analysis
نویسندگان
چکیده
BACKGROUND Diabetes mellitus has reached epidemic proportions worldwide. South Asians are known to have an increased predisposition for diabetes which has become an important health concern in the region. We discuss the prevalence of pre-diabetes and diabetes in South Asia and explore the differential risk factors reported. METHODS Prevalence data were obtained by searching the Medline® database with; 'prediabetes' and 'diabetes mellitus' (MeSH major topic) and 'Epidemology/EP' (MeSH subheading). Search limits were articles in English, between 01/01/1980-31/12/2011, on human adults (≥19 years). The conjunction of the above results was narrowed down with country names. RESULTS The most recent reported prevalence of pre-diabetes:diabetes in regional countries were; Bangladesh-4.7%:8.5% (2004-2005;Rural), India-4.6%:12.5% (2007;Rural); Maldives-3.0%:3.7% (2004;National), Nepal-19.5%:9.5% (2007;Urban), Pakistan-3.0%:7.2% (2002;Rural), Sri Lanka-11.5%:10.3% (2005-2006;National). Urban populations demonstrated a higher prevalence of diabetes. An increasing trend in prevalence of diabetes was observed in urban/rural India and rural Sri Lanka. The diabetes epidemicity index decreased with the increasing prevalence of diabetes in respective countries. A high epidemicity index was seen in Sri Lanka (2005/2006-52.8%), while for other countries, the epidemicity index was comparatively low (rural India 2007-26.9%; urban India 2002/2005-31.3%, and urban Bangladesh-33.1%). Family history, urban residency, age, higher BMI, sedentary lifestyle, hypertension and waist-hip ratio were associated with an increased risks of diabetes. CONCLUSION A significant epidemic of diabetes is present in the South Asian region with a rapid increase in prevalence over the last two decades. Hence there is a need for urgent preventive and curative strategies.
منابع مشابه
Association of Iron Deficiency Anemia and Febrile Seizure in Asia: A Systematic Review and Meta-Analysis
Background: Current findings suggest that iron deficiency anemia (IDA) may be a predisposing factor for febrile seizure (FS), while some studies show the lower prevalence of IDA in the children with FS.The present systematic review and meta-analysis aimed to elucidate the association between IDA and FS. Methods: A comprehensive search was performed using MeSH keywords in databases such as PubM...
متن کاملPrevalence of Anxiety and Depression in Iranian Health Care Workers during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
Introduction: Covid-19 pandemic has imposed a significant effect on mental health of the health care workers. The present systematic review and meta-analysis aimed at determining the pooled prevalence of anxiety and depression among Iranian health care workers during the Covid-19 pandemic. Material and Methods: To conduct this systematic review and meta-analysis, Web of Science, Scopus, Medlin...
متن کاملPrevalence of Echinococcus Granulosus in Carnivores of Iran: Systematic Review and Meta-Analysis Study
Abstract In this study, the prevalence of Echinococcus granulosus was surveyed by meta-analysis and systematic review. Using main keywords of Echinococcus granulosus, dog and carnivores, we searched standard sites such as Google scholar, SID, Pubmed, Iranmedex, Irandoc, Science direct and magiran. Fifteen reliable articles were reviewed and analyzed by STATA software, Ver 11. From obtained arti...
متن کاملعنوان : Prevalence of Metabolic Syndrome in Iran: A systematic review and meta-analysis
چکیده: Background: Metabolic syndrome is a set of metabolic disorders, including abdominal obesity, hypertension, increased fasting blood sugar, increased serum triglyceride level, and decreased high-density lipoprotein (HDL) cholesterol level. This condition elevates the risk of cardiovascular diseases and diabetes. Regarding this, the present study aimed to evaluate the prevalence of metaboli...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 12 شماره
صفحات -
تاریخ انتشار 2012