Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Diabetes Res Clin Pract. 2011 Jun;92(3):303-11. doi: 10.1016/j.diabres.2011.02.032. Epub 2011 Apr 1.
To describe the extent of problem of diabetes in rural India based on review of available literature and examine the secular trends over a period of 15 years i.e. from 1994 to 2009.
A systematic search was performed using electronic as well as manual methods. Studies providing details of sample size, age group of participants, criteria used for diagnosis, along with the prevalence of any of the three outcomes of interest i.e. diabetes mellitus, impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), were included.
Analysis of secular trends reveals an increase in diabetes prevalence among rural population at a rate of 2.02 per 1000 population per year. The rate of increase was high in males (3.33 per 1000 per year) as compared to females (0.88 per 1000 per year). High prevalence of IFG and IGT has been observed in southern and northern parts of the country.
The prevalence of diabetes is rising in rural India. There is a large pool of subjects with IFG and IGT at high risk of conversion to overt diabetes. Population-level and individual-level measures are needed to combat this increasing burden of diabetes.
根据现有文献回顾，描述印度农村地区糖尿病问题的严重程度，并研究 15 年来（即 1994 年至 2009 年）的时间趋势。
采用电子和手动方法进行系统搜索。纳入的研究提供了样本量、参与者年龄组、诊断标准以及感兴趣的三个结果（即糖尿病、空腹血糖受损（IFG）或糖耐量受损（IGT））中任何一种的流行率的详细信息。
时间趋势分析显示，农村人口的糖尿病患病率以每年每 1000 人 2.02 人的速度上升。男性（每年每 1000 人 3.33 人）的增长率高于女性（每年每 1000 人 0.88 人）。该国南部和北部地区的 IFG 和 IGT 患病率较高。
印度农村地区的糖尿病患病率正在上升。有大量的 IFG 和 IGT 患者处于显性糖尿病转化的高风险中。需要采取人群和个体层面的措施来应对这一日益增加的糖尿病负担。
