A Cross-sectional Study on Assessment of Risk for Type 2 Diabetes Mellitus among Adults in Rural Field Practice Area of Mysore Medical College
Background: Diabetes is a syndrome of metabolic disorders characterized by hyperglycemia. There is a steady rise in the incidence of diabetes, with changing lifestyle and changing food habits. Diabetes is increasing to epidemic proportions across the globe. In 2017, there were an estimated 72 million people with diabetes in India. This study was taken with the objective to estimate the risk of type 2 diabetes mellitus using Indian Diabetes Risk Score (IDRS) among the adult population in the rural field practice area of MMCRI, Mysore, and to determine the association of IDRS components with risk status. Materials and Methods: A community-based cross-sectional study was conducted in a rural field practice area of Mysore Medical College and Research Institute (Hoskote). This study was conducted from April 2019 to June 2019 using a simple random sampling method involving 180 people above the age of 18 years. Direct interview method was used for data collection. Risk level for diabetes was assessed using Indian Diabetic Risk Score (IDRS) and sociodemographic and anthropometric measurements were assessed through a semi-structured pre-tested questionnaire. Chi-square test was used as a test of significance. P < 0.05 was considered statistically significant. Results: Out of 180 participants, 124 were male and 56 were female. Majority of subjects had moderate-to-low IDRS risk. On the whole, around 7.8% of adults had a high-risk score (score > 60) for diabetes, 51.1% had moderate scores (30–60), and 41.1 % had low risk scores. (<30) on IDRS. Statistically significant association was found between IDRS and physical activity, that is, most of the participants were belonging to either sedentary or mild physical activity group. About 79% of participants with high risk were aged more than 50 years. About 57% of subjects with high risk had high waist circumference and 61% of the subjects with mild risk had no family history. Conclusion: Nearly half of the participants in the study had moderate risk for developing diabetes. IDRS can be used for routine screening of people aged over 18 years for early identification of subjects at high risk for the development of diabetes so that proper intervention can be carried out at the earliest by lifestyle modification to reduce the burden of diabetes.
Key words: Diabetes, IDRS, rural area, sociodemographic factors
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