A SURVEY OF SOME SALIENT FEATURES IN DIETARY AND LIFE STYLE FACTORS IN CENTRAL KERALA ASSOCIATED WITH TYPE 2 DIABETES MELLITUS
This study is a survey of some salient features in dietary and life style factors of diabetes patients in a rural area of Kottayam district, Kerala. This cross sectional study was conducted in a diabetes outpatient clinic in a rural hospital in Kanjirapally of central Kerala.
A pre tested structured questionnaire to assess demographic, cultural and life style related factors was used. A sample of 300 diabetes patients whose age ranged from 40 to 70 and above showed females being affected more than males. The majority in the sample had basic education only and belonging to middle and high income groups. More than half the sample (60%) had uncontrolled diabetes with an average HA1C of 8.7% and only 36% had normal B.M.I (Body Mass Index), the rest being either overweight or obese. The average duration of diabetes was 12.5 years. Physical activity levels were low. 71.3% had a positive family history of diabetes. Diet was mostly non vegetarian. Consumption of tapioca by majority of the sample is a characteristic feature and ‘fast food culture’ is common. The observations could be utilised to devise preventive strategies incorporating a cultural perspective in high risk groups.
Ahuja MS. (1979). “Epidemiological studies on Diabetes Mellitus in India”, in Ahuja MS, (Editor). (1979). “Epidemiology of Diabetes in developing countries”, Interprint, New Delhi, pp.29-38.
American Diabetes Association. (2007). “Standards of Medical Care in Diabetes”. Diabetes Care, Vol.30(supp1), pp.S1-S41.
American Diabetes Association. (2011). “Standards of Medical Care in Diabetes – 2011”, Diabetes Care 2011, Vol.34(1 Suppl), pp.S11-S61.
Bandura A. (2001). “Social Cognitive Theory: An Agentic Perspective”, Annual Review of Psychology, Vol.52(1), pp.1-26.
CADI. (2004). “Coronary Artery Disease Among Asian Indians”, available online: http://www.cadiresearch.org/
Cloe A. (2015). “The effects of diet on diabetes”, Livestrong.com, available online: http://www.livestrong.com/article/271518-the-effects-of-diet-on-diabetes/
GOI. (2001). “Census of India. 2001”. Government of India. Registrar General of India. Census of India 2001, Ministry of Home Affairs. Government of India, New Delhi, available online: censusindia.gov.in/
Connolly V, Unwin N, Sherriff P, Bilous R, and Kelly W. (2000). “Diabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type 2 diabetes mellitus in deprived areas”, J Epidemiol Community Health, Vol.54, pp.173-177.
Costacou T, and Mayer-Davis EJ. (2003). “Nutrition and Prevention of Type 2 Diabetes”, Annual Review of Nurition, Vol.23, pp.147-170.
Deepa R, Sandeep S, and Mohan V. (2006). “Abdominal obesity, visceral fat and type 2 diabetes-Asian Indian phenotype”, in Mohan V, and Rao GHR. (editors). “Type 2 diabetes in South Asians: Epidemiology, risk factors and prevention”, Jaypee Brothers Medical publishers (P) Ltd, New Delhi, pp.138-152.
Delamater AM, Jacobson AM, Anderson BJ, Cox D, Fisher L, Lustman P, Rubin R, and Wysocki T. (2001). “Psychosocial therapies in diabetes: report of the Psychosocial Therapies Working Group”, Diabetes Care, Vol.24, pp.1286-1292.
Folson AR, Kushi LH, and Hong CP. (2000). “Physical activity and incident diabetes mellitus in post-menopausal women”. Am J Public Health, Vol.90, pp.134-138.
Hawthorne K, Robles Y, Cannings-John R, and Edwards AGK. (2008). “Culturally appropriate health education for type 2 diabetes mellitus in ethnic minority groups”, Cochrane Database of Systematic Reviews, Issue (3), Art no.CD006424, DOI:10.1002/14651858.
Heimlich SP, Ragland DR, and Lecins RQW. (1991). “Physical activity and reduced occurrence of Non insulin dependent diabetes”, JEJM: Med, Vol.325, pp.147-152.
IDF. (2014). “Diabetes Atlas”, 6th edition, International Diabetes Federation, available online: https://www.idf.org/sites/default/files/EN_6E_Atlas_Full_0.pdf
International Expert Committee. (2009). “International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes”, Diabetes Care, Vol.32, pp.1327-1334.
Joshi R. (2003). “Metabolic syndrome-Emerging clusters of the Indian phenotype”, J. ASSOC. Physicians, India Vol.51, pp.445-446.
King H Aubert RE, and Herman WH. (1998). “Global burden of diabetes. 1995-2025. Prevalence, numerical estimate and projections”, Diabetes Care, Vol.21, pp.1414-1431.
Kutty VR, Soman CR, Joseph A, Pisharody R, and Vijayakumar L. (2000). “Type 2 diabetes in southern Kerala: Variation in prevalence among geographic division within a region”, Nat/Med J Ind, Vol.13, pp.287-292.
Lieberman LS. (2003). “Dietary, Evolutionary and Modernizing Influences on the Prevalence of Type 2 Diabetes”, Annual Review of Nutrition. Vol.(23), pp.345-377.
Lynch J, Helmrich SP, Lakka TA, Kaplan GA, Cohen RD, and Salonen R, et al. (1996). “Moderately intense physical activities and high level of cardiorespiratory fitness reduce the risk of non insulin dependent diabetes mellitus in middle aged men”, Arch Intern Med, Vol.156, pp.1307-1314.
Manson JE, Nathan DM, Krolewski AS, Stampfer MJ, Willett WC, and Hennekens CH. (1992). “A prospective study of exercise and incidence of diabetes among US male physicians”, J Am Med Assoc, Vol.268, pp.63-67.
Menon VU, Kumar KV, Gilchrist A, Sugathan TN, Sundaram KR, Nair V, and Kumar H. (2006). “Prevalence of known and undetected Diabetes and associated risk factors in central kerala-ADEPS”, Diabetes Research and clinical practice, Vol.74(3), pp.289-294.
Mitra A. (2008). “Some Salient Points in Dietary and Life- Style Survey of Rural Bengal Particularly Tribal Populace in Relation to Rural Diabetes Prevalence”, Ethno Med., Vol.2(1), pp.51-56.
Mohan V, Mathur P, and Deepa R. (2008). “Urban- Rural differences in prevalence of self reported diabetes in India. The WHO-ICMR Indian NDC risk factor surveillance”, Diabetes Res ClinPract J, Vol.29, available online: http://japi.org/july_2008/o_513.html
Mohan V, Santhirani CS, and Deepa R. (2003). “Prevalence of diabetes and IGT in selected south Indian population with special reference to family history, obesity and lifestyle factor- Chennai Urban Population Study [CUPS-14]”, JAPI, Vol.51, pp.771-777.
Mokad AH, Ford ES, Bowman BA, Nelson DE, Engelgau MM, and Vinicor F, et al. (2000). “Diabetes trends in the US. 1990-1998”, Diabetes Care, Vol.23, pp.1278-1283.
Official Home Page of Harvard School of Public Health. (2007). “Fats and Cholesterol, Fats and Cholesterol - The Good, The Bad, and The Healthy Diet”, retrieved February 12, 2007, available online: http://www.hsph. harvard.edu/nutritionsource/fats.html
Orman A. (1971). “The epidemiological transition: A theory of the epidemiology of population change”, Milbank Q , Vol.49, pp.509-538.
Poulose KP. (2002). “Diabetes Mellitus Kerala Scenario: An analysis of 8200 patients”, Presentation Abstract. Kerala chapter of API, pp.1-8.
Schulze MB, and Hu FB. (2005). “Primary Prevention of Diabetes: What can be done and How much can be prevented?”, Annual Review of Public Health, Vol.26, pp.445-467.
Serrano E, Leiferman J, and Dauber S. (2007). “Self efficacy and Health behaviours towards the prevention of diabetes among high risk individuals living in Appalachia”, Journal of Community Health, Vol.32(2), pp.121-133.
Snehalatha C, Viswanathan V, and Ramachandran A. (2003). “Cutoff Values for Normal Anthropometric Variables in Asian Indian Adults”, Diabetes Care, Vol.26(5), pp.1380–1384.
Thankappan KR, Shah B, Mathur P, Sarma PS, SrinivasG, Mini GK, Daivadanam M, SomanB, and VasanRS. (2010). “Risk factor profile for chronic non-communicable diseases: Results of a community based study in Kerala, India”, Indian J.Med Res, Vol.131, pp.53-63.
Thripathy BK, and Kar BC. (1965). “Observations in clinical patterns of diabetes mellitus in India”, Diabetes, Vol.14, pp.404-412.
Vijayakumar G, Arun R, and Kutty V.R. (2009). “High Prevalence of Type 2 Diabetes Mellitus and other metabolic disorders in rural central Kerala”, Journal of the Association of Physicians, Vol.57, pp.563-567.
Wild S, Roglic G, Green A, Sicree R, and King H. (2004). “Global Prevalence of Diabetes: Estimates for the year 2000 and projection for 2030”, Diabetes Care, Vol.27, pp.1047-1053.
World Health Organization study group. (1994). “Prevention of Diabetes mellitus”, Technical report 844, World Health Organization, Geneva.
World Health Organization. (1995). “Physical status: The use and interpretation of anthropometry: Report of a WHO expert committee”, Technical report series 854, WHO, Geneva.
Zachariah KC. (2001). “The Syrian Christians of Kerala: Demographic and Socioeconomic Transition in the Twentieth Century”, Working Paper No. 322, November, Centre for Development Studies, Thiruvananthapuram.
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