Prevalence and determinants of pre diabetes in 18-40 year old adults in a hospital setting

Garg, Meenakshi and Namboodiri, Sivapriya and Benson, Ninitta and U, Shashikiran and KN, Shivshankar (2016) Prevalence and determinants of pre diabetes in 18-40 year old adults in a hospital setting. In: 8th Apollo International Clinical Nutrition Update 2016 (AICNU 2016), Colombo, Sri Lanka, 13th and 14th August 2016, Colombo, Sri Lanka. (Submitted)

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Rationale: Prediabetes is defined as blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes (ADA, 2015). Nearly one in four adults over the age of 25 years has either diabetes or ‘pre-diabetes’ (Vic, 2012). Our aim is to identify the pre diabetics and understand their risk factors. Methodology: To assess the prevalence of Prediabetes and it’s determinants, an observational study was done at Kasturba Hospital, Manipal & Dr TMA Pai Hospital, Udupi on 18 to 40yr old 400 adults, that met the study criteria, after due approval from the Institutional Ethical Committee. A semi-structured interview schedule & screening questionnaire were used for data collection. Subjects with FBS between 100-125 mg/dl (ADA, 2015) were classified as Pre-Diabetic. T-tests, Odds Ratio, Logistic Regression Analysis were used, as applicable, for data analysis in SPSS v16. Results: The prevalence of Prediabetes in our study population was 17.8%, of which 46.5% were male and 53.5% were female. Mean intake of cereals, pulses, other vegetables, milk, sugar and fats were higher in pre diabetics while mean intake of nuts, GLVs, roots and tubers and fruits was higher in normo-glycemics. The strongest predictors of Pre-diabetes identified in this study population, by a stepwise multiple logistic regression model were being Hypertensive (Adj. OR=2.594; 95% CI=1.194, 5.633); family history of HTN (Adj. OR=1.828; 95% CI=1.045, 3.196); frequent snacking (Adj. OR=2.316; 95% CI=1.267, 4.233), Weight (Adj. OR=1.057; 95% CI=1.015, 1.101) and Waist circumference (Adj. OR=1.091; 95% CI=1.032, 1.154) while keeping other confounding risk factors constant. Conclusion: Over 30% people with pre-diabetes will progress to type 2 diabetes (IDF, 2008). Identifying individuals with Prediabetes offers the opportunity to modify their risk prior to development of significant squeal. Lifestyle modification is the cornerstone of diabetes prevention, with evidence of a 40–70% relative-risk reduction (Abraham & Fox, 2015). Awareness regarding the risks of Prediabetes is important to prevent future associated complications and morbidity risks.

Item Type: Conference or Workshop Item (Paper)
Uncontrolled Keywords: Prediabetes, diet transition, lifestyle, risk factors, prevention
Subjects: Hotel Management > WGSHA Manipal
Depositing User: WGSHA EPrints Administrator
Date Deposited: 19 Sep 2016 16:06
Last Modified: 19 Sep 2016 16:06

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