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. 2020:42:e2020065.
doi: 10.4178/epih.e2020065. Epub 2020 Sep 18.

Diabetes and prediabetes prevalence among young and middle-aged adults in India, with an analysis of geographic differences: findings from the National Family Health Survey

Siddardha G Chandrupatla  1 , Isma Khalid  2 , Tejdeep Muthuluri  3 , Satyanarayana Dantala  4 , Mary Tavares  1
Affiliations

Diabetes and prediabetes prevalence among young and middle-aged adults in India, with an analysis of geographic differences: findings from the National Family Health Survey

Siddardha G Chandrupatla et al. Epidemiol Health. 2020.

Abstract

Objectives: This study aimed to approximate the prevalence of hyperglycemia in India.

Methods: The study was conducted using the Demographic and Health Survey 2015-16 (also known as the National Family Health Survey-4), which surveyed 811,808 individuals using a stratified, multistage, cluster sampling design. This cross-sectional survey recorded socio-demographic and anthropometric data, including blood glucose levels, of adults aged 18 years to 54 years.

Results: The final analysis included 718,597 individuals, of whom 49.90% (weighted) were males. The overall prevalence of diabetes was 6.65% and that of prediabetes was 5.57%. A positive association was seen with urban residence, geographic region, sex, age, body mass index, socioeconomic status, and hypertension. Approximately two-thirds of individuals with diabetes lived in urban areas, and about half of the urban population was considered overweight/obese. South India showed a higher prevalence of diabetes (prevalence ratio, 2.01; p<0.001) than northern India.

Conclusions: Hyperglycemia (diabetes and prediabetes) has a high prevalence in India and is a major public health issue. Diabetes is unevenly distributed based on geographic location and urbanization. Prevention, early detection, and treatment strategies should consider this uneven distribution of diabetes.

Keywords: Body mass index; Diabetes prevalence; India; Obesity Demographic and Health Survey.

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Conflict of interest statement

The authors have no conflicts of interest to declare for this study.

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