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泰米尔纳德邦成年部落人口中腹部肥胖与糖尿病的关联

Association of Abdominal Obesity and Diabetes among the Adult Tribal Population in Tamil Nadu.

作者信息

Ramamoorthy Kalaivanan, Muthunarayanan Logaraj, Sundaram M Palanivel, Devivaraprasad M, Anantharaman V V

机构信息

Department of Community Medicine, SRM Medical College Hospital and Research Centre, SRM IST, Kattankulathur, Tamil Nadu, India.

出版信息

Indian J Community Med. 2024 Nov-Dec;49(6):826-830. doi: 10.4103/ijcm.ijcm_899_22. Epub 2024 Oct 17.

Abstract

BACKGROUND

Previously overweight and obesity are considered to be an issue of high-income countries but now increasingly becoming more prevalent in low-income and middle-income countries. Obesity and overweight are growing health issues in India. It is important to determine the quantum of the risk contribution by individual risk factor siuch as abdominal obesity.

AIMS

To find out the association of abdominal obesity and diabetes among the adult tribal population.

METHODS AND MATERIAL

A cross-sectional study was conducted using multi-stage random sampling techniques. Using a pretested validated modified Stepwise questionnaire, a detailed interview with the participants aged above 30 years were performed. Random blood sugar and anthropometric parameters were estimated for all the participants. Chi-square test and multivariate regression analysis were used to study association.

RESULTS

Prevalence of abdominal obesity was 49.6% [211] among the study participants. Prevalence of diabetes was 7.8% [33] among the study population and 92.2% [392] of them were nondiabetic. Normal WHR was seen among 27.3% [9] of the diabetic individuals. High WHR was seen among 72.7% [24] of diabetic individuals. Gender, Illiterate, BMI, and waist-hip ratio shows significant association with diabetes.

CONCLUSIONS

The prevalence of abdominal obesity was higher in the study population. As this burden among tribal people is on the increasing trend when compared with other general populations, effective strategies to prevent this have to be devised among the tribal population.

摘要

背景

超重和肥胖曾被认为是高收入国家的问题,但现在在低收入和中等收入国家越来越普遍。肥胖和超重是印度日益严重的健康问题。确定诸如腹型肥胖等个体风险因素的风险贡献量很重要。

目的

了解成年部落人群中腹型肥胖与糖尿病之间的关联。

方法和材料

采用多阶段随机抽样技术进行横断面研究。使用经过预测试验证的改良逐步问卷,对30岁以上的参与者进行详细访谈。对所有参与者进行随机血糖和人体测量参数评估。采用卡方检验和多变量回归分析来研究关联。

结果

研究参与者中腹型肥胖的患病率为49.6%[211]。研究人群中糖尿病的患病率为7.8%[33],其中92.2%[392]为非糖尿病患者。27.3%[9]的糖尿病患者腰臀比正常。72.7%[24]的糖尿病患者腰臀比高。性别、文盲、体重指数和腰臀比与糖尿病有显著关联。

结论

研究人群中腹型肥胖的患病率较高。由于与其他普通人群相比,部落人群中的这种负担呈上升趋势,因此必须在部落人群中制定有效的预防策略。

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Tribal population in India: A public health challenge and road to future.印度的部落人口:一项公共卫生挑战与未来之路。
J Family Med Prim Care. 2020 Feb 28;9(2):508-512. doi: 10.4103/jfmpc.jfmpc_992_19. eCollection 2020 Feb.

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