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Regional Variation in Comorbid Prediabetes and Diabetes and Associated Factors among Hypertensive Individuals in Rural Bangladesh, Pakistan, and Sri Lanka.

Publication ,  Journal Article
Feng, L; Naheed, A; de Silva, HA; Jehan, I; Raqib, R; Islam, MT; Luke, N; Kasturiratne, A; Farazdaq, H; Senan, S; Jafar, TH; Cobra-Bps Study Group,
Published in: Journal of obesity
January 2019

We aimed to explore the cross-country variation in the prevalence of comorbid prediabetes or diabetes and determine the sociodemographic, lifestyle, and clinical factors, especially body mass index (BMI) and waist circumference, associated with comorbid diabetes in individuals with hypertension in rural South Asia. We analyzed cross-sectional data of 2426 hypertensive individuals of ≥40 years from 30 randomly selected rural communities in Bangladesh, Pakistan, and Sri Lanka. Prediabetes was defined as fasting plasma glucose (FPG) between 100 and 125 mg/dL without use of antidiabetic treatment and diabetes as FPG ≥126 mg/dL or use of antidiabetic medication. The prevalence (95% CI) of prediabetes or diabetes (53.5% (51.5%, 55.5%)) and diabetes (27.7% (25.9%, 29.5%)) was high in the overall hypertensive study population in rural communities in 3 countries. Rural communities in Sri Lanka had the highest crude prevalence of prediabetes or diabetes and diabetes (73.1% and 39.3%) with hypertension, followed by those in Bangladesh (47.4% and 23.1%) and Pakistan (39.2% and 20.5%). The factors independently associated with comorbid diabetes and hypertension were residing in rural communities in Sri Lanka, higher education, international wealth index, waist circumference, pulse pressure, triglyceride, and lower high-density lipoprotein. The association of diabetes with waist circumference was stronger than with BMI in hypertensive individuals. Prediabetes or diabetes are alarmingly common among adults with hypertension and vary among countries in rural South Asia. The high prevalence of comorbid diabetes in Sri Lanka among hypertensives is not fully explained by conventional risk factors and needs further etiological research. Urgent public health efforts are needed to integrate diabetes control within hypertension management programs in rural South Asia, including screening waist circumference.

Duke Scholars

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Published In

Journal of obesity

DOI

EISSN

2090-0716

ISSN

2090-0708

Publication Date

January 2019

Volume

2019

Start / End Page

4914158

Related Subject Headings

  • Sri Lanka
  • Socioeconomic Factors
  • Rural Population
  • Risk Factors
  • Prevalence
  • Prediabetic State
  • Pakistan
  • Middle Aged
  • Male
  • Hypertension
 

Citation

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Feng, L., Naheed, A., de Silva, H. A., Jehan, I., Raqib, R., Islam, M. T., … Cobra-Bps Study Group, . (2019). Regional Variation in Comorbid Prediabetes and Diabetes and Associated Factors among Hypertensive Individuals in Rural Bangladesh, Pakistan, and Sri Lanka. Journal of Obesity, 2019, 4914158. https://doi.org/10.1155/2019/4914158
Feng, Liang, Aliya Naheed, H Asita de Silva, Imtiaz Jehan, Rubhana Raqib, Md Tauhidul Islam, Nathasha Luke, et al. “Regional Variation in Comorbid Prediabetes and Diabetes and Associated Factors among Hypertensive Individuals in Rural Bangladesh, Pakistan, and Sri Lanka.Journal of Obesity 2019 (January 2019): 4914158. https://doi.org/10.1155/2019/4914158.
Feng L, Naheed A, de Silva HA, Jehan I, Raqib R, Islam MT, et al. Regional Variation in Comorbid Prediabetes and Diabetes and Associated Factors among Hypertensive Individuals in Rural Bangladesh, Pakistan, and Sri Lanka. Journal of obesity. 2019 Jan;2019:4914158.
Feng, Liang, et al. “Regional Variation in Comorbid Prediabetes and Diabetes and Associated Factors among Hypertensive Individuals in Rural Bangladesh, Pakistan, and Sri Lanka.Journal of Obesity, vol. 2019, Jan. 2019, p. 4914158. Epmc, doi:10.1155/2019/4914158.
Feng L, Naheed A, de Silva HA, Jehan I, Raqib R, Islam MT, Luke N, Kasturiratne A, Farazdaq H, Senan S, Jafar TH, Cobra-Bps Study Group. Regional Variation in Comorbid Prediabetes and Diabetes and Associated Factors among Hypertensive Individuals in Rural Bangladesh, Pakistan, and Sri Lanka. Journal of obesity. 2019 Jan;2019:4914158.

Published In

Journal of obesity

DOI

EISSN

2090-0716

ISSN

2090-0708

Publication Date

January 2019

Volume

2019

Start / End Page

4914158

Related Subject Headings

  • Sri Lanka
  • Socioeconomic Factors
  • Rural Population
  • Risk Factors
  • Prevalence
  • Prediabetic State
  • Pakistan
  • Middle Aged
  • Male
  • Hypertension