Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Diabetes Res Clin Pract. 2013 Oct;102(1):1-7. doi: 10.1016/j.diabres.2013.06.011. Epub 2013 Jul 19.
To estimate the burden of diabetes mellitus and pre-diabetes in tribal populations of India.
The authors reviewed studies from 2000 to 2011 that documented the prevalence of diabetes mellitus in various tribal populations of India. The search was performed using electronic and manual methods. Meta-analysis of data on point prevalence was performed.
A total of seven studies were retrieved. The prevalence of diabetes mellitus ranged from 0.7% to 10.1%. The final estimate of diabetes prevalence obtained after pooling of data from individual studies, was 5.9% (95% CI; 3.1-9.5%). The prevalence for impaired fasting glucose (IFG) varied from 5.1% to 13.5% and impaired glucose tolerance (IGT), from 6.6% to 12.9%.
Chronic disease research in tribal populations is limited. The reported prevalence of IFG/IGT was higher than the prevalence of diabetes and this observation could be suggestive of a potential increase in diabetes in the coming years. Given that lifestyle changes have occurred in the tribal populations, there is a need to synthesize evidence(s) relating to diabetes and other chronic diseases in these marginalized populations and inform policy makers.
评估印度部落人群中糖尿病和糖尿病前期的负担。
作者回顾了 2000 年至 2011 年记录印度各种部落人群中糖尿病患病率的研究。使用电子和手动方法进行了搜索。对时点患病率数据进行了荟萃分析。
共检索到 7 项研究。糖尿病的患病率范围为 0.7%至 10.1%。对来自个别研究的数据进行汇总后，最终获得的糖尿病患病率估计值为 5.9%（95%CI：3.1-9.5%）。空腹血糖受损（IFG）的患病率为 5.1%至 13.5%，葡萄糖耐量受损（IGT）的患病率为 6.6%至 12.9%。
在部落人群中进行的慢性病研究有限。报告的 IFG/IGT 患病率高于糖尿病患病率，这一观察结果可能表明未来几年糖尿病的发病率可能会上升。鉴于部落人群的生活方式发生了变化，有必要综合有关这些边缘化人群中糖尿病和其他慢性病的证据，并为决策者提供信息。
