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A Case Control Study on Risk Factors of Type-2 Diabetes Mellitus in a Primary Health Centre Area of Karnataka
- Author Details:
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Kotresh M
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Prashant Kumar
Introduction: The developing country like India is often called “Diabetic capital of the world”. According to the Diabetes Atlas 2012, the number of people with diabetes in India currently around 63.0 million and prevalence was 9.01%.
Objectives: To identify the risk factors of type2 diabetes mellitus and to study the association of risk factors with the development of the disease.
Methods: A case control study was undertaken at Yalagodu PHC area among 100 known cases of type-2 Diabetes Mellitus & 100 controls, between February and March, 2014 using a predesigned pretested pro-forma. Chi Square test was applied as test of significance and Odds ratio was used to measure the strength of association.
Results: Increased risk of development of Diabetes Mellitus as age advances and males were predominant sufferers. Majority of cases of type 2 diabetes mellitus were either overweight or obese. The odds ratio for stress was 3.95 indicating that the cases have 4 times more risk of occurrence of diabetes when compared to controls. About 60% of the cases and 27% of the controls had family history of type 2 DM. The odds ratio was 4.06 indicating that the risk of occurrence of type 2 DM is 4 times more in cases compared to controls. The odds ratio was 1.83 indicating that the risk of diabetes is 2 times in hypertensive compared to controls. About 72% of them were cases had ADA score of more than 30 and about 49% of the controls had ADA scores of more than 30.
Conclusions: Diabetes mellitus is associated with positive family history, occupation, education, religion, diet, marital status, stress, hypertension, sedentary life style, smoking and alcohol consumption. People with a higher ADA score tend to develop diabetes mellitus more frequently.
Key words: Type-2Diabetes Mellitus, Risk factors, ADA score.
References
- International Diabetes federation. IDF Diabetes Atlas. 6 th Edition. 2014 Update. Available from http://www.idf.org/diabetesatlas/update-2014 [Accessed on
- 2015].
- WHO. Global status report on non-communicable diseases
- Geneva. World Health Organization. 2014. Pl.
- World Health Organization. Global Health Estimates: Deaths by Cause, Age, Sex and Country, 2000-2012. Geneva.WHO.2014.p2.
- Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 2006;3(11):442.
- Chan JC, Malik C, Kadowaki T, Yajnik CS, Yoon K, Hu FB.Diabetes in Asia: Epidemiology, risk factors, and pathophysiology, JAMA 2009;301: 2129.
- Kaveeshwar SA, Cornwall J. The current state of diabetes mellitus in India. Australas Med J 2014; 7(1): 45–48.
- Ramaiya KL, Kodali VR, Alberti KG Epidemiology of diabetes in Asians of the Indian subcontinent - Int J Diab Dev Countr 1991;11:15-36.
- Ramachandran A, Jali MV, Mohan V, Snehalatha C, Viswanathan M. High prevalence of diabetes in an urban Kotresh M et al. A Case Control Study on Risk Factors of Type-2 Diabetes Mellitus…… Journal of Preventive Medicine and Holistic Health, July-December 2015;1(2):53-58 58 population in south India. BMJ. 1988 Sep 3; 297(6648):587–590.
- Wild S; Roglic G; Green A; Sicree R; King H Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes care, 2004:27:5:1047 – 53.
- C Y Pan, J M Lu, H Tian, X T Kong, X P Lu, C Yao, C E Jiang, X X Deng, S Y Wang, X L Zhang, Z S Wang, L Cui,Study of the prevalence of type-2 Diabetes Mellitus in adults in the Shougang Corporation in Beijing, Diabet Med, 1996: Jul: 13: 7: 663 – 8.
- Pan XR, Yang WY, Li GW, Liu J. Prevalence of diabetes and its risk factors in China, 1994. National Diabetes Prevention and Control Cooperative Group, Diabetes Care, 1997:Nov:20:11:1664 – 9.
- Montonen J, Knekt P, Härkänen T, Järvinen R, Heliövaara M, Aromaa A, Reunanen A. Dietary patterns and the incidence of type 2 diabetes, Am J Epidemiol 2005;161(3):219–227.
- Björntorp P. Sjöström L: Number and size of adipose tissue fat cells in relation to metabolism in human obesity. Metabolism. 1971 Jul; 20(7):703–713.
- Lester SB, Jerome KL, Jules H,. The role of adipose cell size and adipose tissue insulin sensitivity in the carbohydrate intolerance of human obesity. J Clin Invest. 1968 Jan; 47(1):153–165.
- Helmrich SP; Ragland DR; Leung RW; Paffenbarger RS Jr Physical activity and reduced occurrence of non-insulin- dependent type-2 Diabetes Mellitus. N Engl J Med 1991 Jul 18;325(3):147- 49.
- Banerjee P; Ghosh MM; Biswas R; Bhattacharya SK, Study of risk factors of type-2 Diabetes Mellitus, Indian Journal of Community Medicine. 1993 Jan-Mar; 18(1): 48-50.
- Hammar CN, Grill V, Alcohol consumption and type 2 diabetes Published online: 30 April 2005.
- Rimm EB, Chan J, Stampfer MJ, Colditz GA, Willett WC, Prospective study of cigarette smoking, alcohol use, and the risk of diabetes in men BMJ 1995 310: 555-559.
How to Cite This Article
Vancouver
M K, Kumar P. A Case Control Study on Risk Factors of Type-2 Diabetes Mellitus in a Primary Health Centre Area of Karnataka [Internet]. J Prev Med Holist Health. 2015 [cited 2025 Nov 01];1(2):53-58. Available from: https://doi.org/
APA
M, K., Kumar, P. (2015). A Case Control Study on Risk Factors of Type-2 Diabetes Mellitus in a Primary Health Centre Area of Karnataka. J Prev Med Holist Health, 1(2), 53-58. https://doi.org/
MLA
M, Kotresh, Kumar, Prashant. "A Case Control Study on Risk Factors of Type-2 Diabetes Mellitus in a Primary Health Centre Area of Karnataka." J Prev Med Holist Health, vol. 1, no. 2, 2015, pp. 53-58. https://doi.org/
Chicago
M, K., Kumar, P.. "A Case Control Study on Risk Factors of Type-2 Diabetes Mellitus in a Primary Health Centre Area of Karnataka." J Prev Med Holist Health 1, no. 2 (2015): 53-58. https://doi.org/