IJCRR - 6(8), April, 2014
Pages: 18-27
A CROSS SECTIONAL STUDY ON RISK FACTORS OF TYPE 2 DIABETES AMONG SEDENTARY MALE OFFICE WORKERS
Author: Muhil S.
Category: Healthcare
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Abstract:
Introduction: Although many studies have focused on studying risk factors of diabetes, this study has highlighted the presence of modifiable risk factors of type 2 diabetes (T2DM) among young adults whose age range from 30 and so on. In addition to other possible risk factors, the current study has thrown a light on unhealthy waist stature ratio among office workers who spend more time as couch potatoes.
Objectives
• To describe the proportion of various modifiable and non-modifiable risk factors of T2DM among sedentary male office workers
• To explore the distribution of diabetic risk factors with respect to HbA1c categories
Material and Methods: After considering the non-modifiable risk factors such as age, gender, ethnicity and family history, the current study has addressed all possible modifiable risk factors of T2DM. Based on selection criteria, 146 office workers with the age of 30 years and above were considered for this cross sectional study.
Statistical Methods: Simple percentage and confidence interval (for large proportion) were used to describe the data.
Results: After grouping the subjects’ data based on their extent of risk factors, they were categorized under HbA1c level such as normal (13%), prediabetic (65.8%) and diabetic (13%) groups. The high proportion of prediabetes (65.8%) in younger age group than older adults (8.2%) isan unusual startling finding. While considering the anthropometric factors of office workers, 73.9 % showed their waist circumference in high risk zone, 44.5% had risky waist hip ratio, 78.1% of subjects with abnormal waist stature ratio and 93.2% were above the recommended cut off value of body mass index (?23 kg/m²).
Conclusion: The current study concluded that there were 73.97% of young prediabetic subjects among sedentary male office workers which is of paramount importance as a critical health risk to the community. With a concomitant hike in sedentary lifestyle, younger adults are in the serious development of debilitating lifestyle diseases such as T2DM, heart attack, stroke and so on. Hence this study recommends a systematically designed, effective and economically feasible approach to reverse these risk factors in order to prevent or delay T2DM.
Keywords: Cross sectional study, type 2 diabetes, risk factors, sedentary and office workers
Citation:
Muhil S.. A CROSS SECTIONAL STUDY ON RISK FACTORS OF TYPE 2 DIABETES AMONG SEDENTARY MALE OFFICE WORKERS International Journal of Current Research and Review. 6(8), April, 18-27
References:
REFERENCES
1. World Health Organization and International Diabetes Federation. Diabetes Action Now: An Initiative of World Health Organization and the International Diabetic Federation. ISBN 924959151 X.
2. V. Mohan, S. Sandeep, R. Deepa, B. Shah and C. Varghese Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res 125, March 2007, pp 217-230.
3. Ambady Ramachandran, Simon Mary, Annasami Yamuna, Narayanasamy Murugesanand Chamukuttan Snehalatha. High prevalence of diabetes and Cardiovascular risk factors associated with urbanization in India. Diabetes Care 31:893–898, 2008.
4. Vipin Gupta. Type 2 Diabetes Mellitus in India. South Asian Network for Chronic Disease, New Delhi.
5. International Diabetes Federation, IDF Diabetes Atlas, Sixth Edition-2013, Page 11 – 13.
6. R. M. Anjana, R. Pradeepa, M. Deepa, M. Datta, V. Sudha, R. Unnikrishnan, A. Bhansali, S. R. Joshi, P. P. Joshi, C. S. Yajnik, V. K. Dhandhania, L. M. Nath, A. K. Das, P. V. Rao, S. V. Madhu, D. K. Shukla, T. Kaur, M. Priya, E. Nirmal, S. J. Parvathi, S. Subhashini, R. Subashini, M. K. Ali and V. Mohan. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase I results of the Indian Council of Medical Research–INdiaDIABetes (ICMR– INDIAB) study. Diabetologia (2011) 54:3022–3027 DOI 10.1007/s00125-011- 2291-5
7. V. Mohan. Why are Indians more prone to diabetes? JAPI Vol. 52 June 2004.
8. Upendra Bhojani. The Hindu.And You Thought Diabetes is a Rich Man’s Disease. August 31 2013.
9. Steven AllenderBen Lacey, Premila Webster, Mike Rayner, Mohan Deepa, Peter Scarborough, CarukshiArambepola, ManjulaDattaandViswanathan Mohan. Level of urbanization and non-communicable disease riskfactors in Tamil Nadu, India.Bull World Health Organ 2010; 88:297–304, doi:10.2471/BLT.09.065847.
10. Sailesh Mohan, K. Srinath Reddy and D. Prabhakaran. Chronic Non Communicable Diseases in India: Reversing the Tide. September 2011
11. Pronk NP, Katz AS, Lowry M, Payfer JR. Reducing Occupational Sitting Time and Improving Worker Health: The Take-a-Stand Project, 2011. Prev Chronic Dis 2012;9:110323.
12. Aravindalochanan V, Kumpatla S, Rengarajan M, Rajan R, Viswanathan V.Risk of diabetes in subjects with sedentary profession and the synergistic effect of positive family history of diabetes.Diabetes TechnolTher. 2014 Jan;16(1):26-32. doi: 10.1089/dia.2013.0140. Epub 2013 Oct 11.
13. ICMR Guidelines for Management of Type 2 Diabetes. Section 2.Individuals for Screening, 2.1. Asymptomatic Individuals, page 5, 2005
14. Alex SF Doney, Bettina Fischer, Joanne E Cecil, Patricia TW Cohen, Douglas I Boyle, Graham Leese, Andrew D Morris and Colin NA Palmer. Male Preponderance in Early Diagnosed Type 2 Diabetes is associated with the ARE Insertion/Deletion Polymorphism in the PPP1R3A locus. BMC Genetics 2003, 4:11
15. JaykaranCharan and TamoghnaBiswas. How to calculate sample size for different study designs in medical research? Year: 2013, Volume: 35, Issue: 2, Page. 121-126.
16. American Diabetes Association. Standards of Medical Care in Diabetesd2014. Diabetes Care Volume 37, Supplement 1, January 2014
17. World Health Organization, Waist circumference and waist–hip ratio: report of a WHO expert consultation, Geneva, 8–1, December 2008, ISBN 978 92 4 150149.
18. Chockalingam K, Vedhachalam C, Rangasamy S, Sekar G, Adinarayanan S, et al. (2013) Prevalence of Tobacco Use in Urban, Semi Urban and Rural Areas in and around Chennai City, India. PLoS ONE 8(10): e76005. doi:10.1371/journal.pone.0076005
19. Vishal Khosla, K.R. Thankappan, G.K. Mini and P.S. Sarma.Prevalence and predictors of alcohol use among college students in Ludhiana, Punjab, India.Indian J Med Res 128, July 2008, pp 79-81.
20. Pratima Murthy, N. Manjunatha, B.N. Subodh, Prabhatkumar Chand and VivekBenegal. Substance Use and Addiction Research in India. Indian J Psychiatry 2010; 52:SI 89 - 99
21. American College of Sports Medicine (ACSM) Editorial, The Science of Sedentary Behavior: Too Much Sitting and Too Little Exercise
22. Jessica Goldsmith. Walla Walla UnionBulletin.Pre-diabetes a precursor, not a curse. February 2014
23. Ram Weiss, Sylvie Dufour, Sara E Taksali, WillViaTmamborlane, Kitt F Petersen, RiccardCoBonadonna, Linda Boselli,GinaBarbetta, Karin Allen, Francis Rife, Mary Savoye, James Dziura, Robert Sherwin, Gerald I Shulman and Sonia Caprio. Prediabetes in obese youth: a syndrome of impaired glucose tolerance, severe insulin resistance, and altered myocellular and abdominal fat partitioning. Lancet Vol 362 September 20, 2003; 362: 951–57
24. Manisha Chandalia, Nicola Abate, AbhimanyuGarg, James Stray-Gundersen Scott m. Grundy. Relationship between Generalized and Upper Body Obesity to Insulin Resistance in Asian Indian Men.J ClinEndocrinolMetab84: 2329–2335, 1999
25. Alok K Gupta and William D Johnson. Prediabetes and prehypertension in disease free
26. Obese adults correlate with an exacerbated systemic proinflammatory milieu. Journal of Inflammation 2010, 7:36
27. RekhaGovindan, Vikas Kumar, Dolly, Imran ShaikhGouseBasha, Rahul Kumar V and RanaRanvijay Singh.Prevalence of Prehypertension and Hypertension in Rural Tamil Nadu Populations – A Pilot Study Report from Pandithamedu of Paiyanoor Village of Kancheepuram, Tamil Nadu, India.International Journal of Emerging Trends and Technology in Computer Science (IJETTCS) -Special Issue, 2013.ISSN 2278- 6856.
28. Helaine E. Resnick, Susan Redline, EyalShahar, Adele Gilpin, Anne Newman, Robert Walter, Gordon A. Ewy, Barbara V. Howard and Naresh M. Punjabi. Diabetes and Sleep Disturbances.Diabetes care, volume 26, number 3, March 200328. Peter m. Nilsson, Mattias R, Gunnar Engstr, Bo Hedblad and 28. Goran Berglund. Incidence of Diabetes in middle-aged men is related to sleep disturbances. Diabetes Care 27:2464–2469, 2004.
29. Amy E. Mark and Ian Janssen. Relationship between screen time and metabolic syndrome in adolescents. Journal of Public Health, March 2008, Vol. 30, No. 2, pp. 153–160, doi:10.1093.
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