Background <p>The growing incidence of type 2 diabetes among adult populations of India is particularly troubling considering India’s urbanization, increased sedentary lifestyles, dietary changes, and increasing age of the populations. The increasing prevalence of type 2 diabetes among adults threaten the SDG goal of reducing the number of deaths caused by non-communicable diseases (NCDs) and increasing type 2 diabetes among adults.</p> Objective <p>This study focused on examining how the presence of hypertension, family&#xa0;history of diabetes, and lifestyle(s) of the individual, along with socioeconomic factors, contribute to the incidences of type 2 diabetes among India’s older adult populations.</p> Methods <p>The LASI 2017–2018 was the source of data and information pertaining to individuals 45&#xa0;years of age and older. The reported data was analyzed using descriptive statistics. A choropleth map was utilized to illustrate variations based on each state. A forest plot was used to illustrate adjusted odds ratios (AOR) for significant variables, which included the following: hypertension, family history, socioeconomic status, and lifestyle behaviors.</p> Results <p>Urban populated areas demonstrated an increase in the incidences of diabetes among individuals with hypertension and individuals with a parent who was a diabetic. A higher level of education, increased household wealth, and decreased levels of physical activity, were aligned with increased incidences of diabetes. The choropleth map demonstrated significant geographic inequity in the incidences of diabetes.</p> Conclusion <p>The presence of diabetes is higher among older adult populations with a history of hypertension, and that the incidences are concentrated in urban and affluent populations. Identifying this population and targeting approaches to modify and address lifestyle behaviors to manage the progression of the disease is critical. Addressing the areas of concentrated diabetes cases will help manage the diabetes and assist India in moving towards achieving the SDG-3 goals.</p>

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Unmasking diabetes risk: the role of hypertension and family history among older adults in India

  • Avijit Debnath,
  • Shanku Paul,
  • Dipankar Roy

摘要

Background

The growing incidence of type 2 diabetes among adult populations of India is particularly troubling considering India’s urbanization, increased sedentary lifestyles, dietary changes, and increasing age of the populations. The increasing prevalence of type 2 diabetes among adults threaten the SDG goal of reducing the number of deaths caused by non-communicable diseases (NCDs) and increasing type 2 diabetes among adults.

Objective

This study focused on examining how the presence of hypertension, family history of diabetes, and lifestyle(s) of the individual, along with socioeconomic factors, contribute to the incidences of type 2 diabetes among India’s older adult populations.

Methods

The LASI 2017–2018 was the source of data and information pertaining to individuals 45 years of age and older. The reported data was analyzed using descriptive statistics. A choropleth map was utilized to illustrate variations based on each state. A forest plot was used to illustrate adjusted odds ratios (AOR) for significant variables, which included the following: hypertension, family history, socioeconomic status, and lifestyle behaviors.

Results

Urban populated areas demonstrated an increase in the incidences of diabetes among individuals with hypertension and individuals with a parent who was a diabetic. A higher level of education, increased household wealth, and decreased levels of physical activity, were aligned with increased incidences of diabetes. The choropleth map demonstrated significant geographic inequity in the incidences of diabetes.

Conclusion

The presence of diabetes is higher among older adult populations with a history of hypertension, and that the incidences are concentrated in urban and affluent populations. Identifying this population and targeting approaches to modify and address lifestyle behaviors to manage the progression of the disease is critical. Addressing the areas of concentrated diabetes cases will help manage the diabetes and assist India in moving towards achieving the SDG-3 goals.