scholarly journals Spatial Analysis of Incidence of Diagnosed Type 2 Diabetes Mellitus and Its Association With Obesity and Physical Inactivity

2021 ◽  
Vol 12 ◽  
Author(s):  
Jinrong Wu ◽  
Yang Wang ◽  
Xin Xiao ◽  
Xianwen Shang ◽  
Mingguang He ◽  
...  

ObjectivesTo investigate the spatial distribution of 10-year incidence of diagnosed type 2 diabetes mellitus (T2DM) and its association with obesity and physical inactivity at a reginal level breakdown.MethodsDemographic, behavioral, medical and pharmaceutical and diagnosed T2DM incidence data were collected from a cohort of 232,064 participants who were free of diabetes at enrolment in the 45 and Up Study, conducted in the state of New South Wales (NSW), Australia. We examined the geographical trend and correlation between obesity prevalence, physical inactivity rate and age-and-gender-adjusted cumulative incidence of T2DM, aggregated based on geographical regions.ResultThe T2DM incidence, prevalence of obesity and physical inactivity rate at baseline were 6.32%, 20.24%, and 18.7%, respectively. The spatial variation of T2DM incidence was significant (Moran’s I=0.52; p<0.01), with the lowest incidence of 2.76% in Richmond Valley-Coastal and the highest of 12.27% in Mount Druitt. T2DM incidence was significantly correlated with the prevalence of obesity (Spearman r=0.62, p<0.001), percentage of participants having five sessions of physical activities or less per week (r=0.79, p<0.001) and percentage of participants walked to work (r=-0.44, p<0.001). The geographical variations in obesity prevalence and physical inactivity rate resembled the geographical variation in the incidence of T2DM.ConclusionThe spatial distribution of T2DM incidence is significantly associated with the geographical prevalence of obesity and physical inactivity rate. Regional campaigns advocating the importance of physical activities in response to the alarming T2DM epidemic should be promoted.

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Susanne F. Awad ◽  
Martin O’Flaherty ◽  
Katie G. El-Nahas ◽  
Abdulla O. Al-Hamaq ◽  
Julia A. Critchley ◽  
...  

Abstract Background The aim of this study was to estimate the impact of reducing the prevalence of obesity, smoking, and physical inactivity, and introducing physical activity as an explicit intervention, on the burden of type 2 diabetes mellitus (T2DM), using Qatar as an example. Methods A population-level mathematical model was adapted and expanded. The model was stratified by sex, age group, risk factor status, T2DM status, and intervention status, and parameterized by nationally representative data. Modeled interventions were introduced in 2016, reached targeted level by 2031, and then maintained up to 2050. Diverse intervention scenarios were assessed and compared with a counter-factual no intervention baseline scenario. Results T2DM prevalence increased from 16.7% in 2016 to 24.0% in 2050 in the baseline scenario. By 2050, through halting the rise or reducing obesity prevalence by 10–50%, T2DM prevalence was reduced by 7.8–33.7%, incidence by 8.4–38.9%, and related deaths by 2.1–13.2%. For smoking, through halting the rise or reducing smoking prevalence by 10–50%, T2DM prevalence was reduced by 0.5–2.8%, incidence by 0.5–3.2%, and related deaths by 0.1–0.7%. For physical inactivity, through halting the rise or reducing physical inactivity prevalence by 10–50%, T2DM prevalence was reduced by 0.5–6.9%, incidence by 0.5–7.9%, and related deaths by 0.2–2.8%. Introduction of physical activity with varying intensity at 25% coverage reduced T2DM prevalence by 3.3–9.2%, incidence by 4.2–11.5%, and related deaths by 1.9–5.2%. Conclusions Major reductions in T2DM incidence could be accomplished by reducing obesity, while modest reductions could be accomplished by reducing smoking and physical inactivity, or by introducing physical activity as an intervention.


2018 ◽  
Vol 21 ◽  
pp. S437
Author(s):  
M.A. Hammad ◽  
S.A. Syed Sulaiman ◽  
D.A. Mohamed Noor

2020 ◽  
Vol 15 (3) ◽  
Author(s):  
Demsa Simbolon ◽  
Afriyana Siregar ◽  
Ruzita ABD Talib

Type 2 diabetes mellitus (T2DM) is the sixth highest cause of death in Indonesia. Thus, it must be prevented and overcome with appropriate management. This study aimed to determine the contribution of physiological factors and physical activities to the incidence of T2DM. The study used a cohort retrospective design using secondary data from the Indonesian Family Life Survey (IFLS) from 2007 to 2014, which included a sample of 14,517 people involved for more than 20 years. Data analysis was performed using multiple logistic regressions. The results revealed a 3.8% incidence of T2DM in Indonesia. Record of hypertension risk increased the likelihood of T2DM by 1.7 times compared to without hypertension. A normal body mass index (BMI) increased the risk by 2.2 times, a higher BMI at 5.5 times, and BMI whose risk obesity was 7 times had greater likelihood of having T2DM compared with respondents with a thin BMI. After controlling for sex, age, marital status, record of parents’ DM, residence, employment, and education, results also indicated that people with less active physical activity were likely to have T2DM compared to those who were very active. Controlling blood pressure, maintaining a normal BMI, and increasing physical activity since adolescence can prevent T2DM.


2008 ◽  
Vol 15 (04) ◽  
pp. 469-478
Author(s):  
ZULFAQAR A. KHAN ◽  
ADEL M. ASSIRI

Objectives: To assess the associations of obesity and hypertension in diabetics and non-diabetics. Patients and Methods:A total of 430 Saudi patients suffering from non-insulin-dependent (type 2) diabetes mellitus comprising of 205(48 %) males and 225(52 %)females were studied. Height and weight were measured for calculating body mass index (BMI). The type 2 diabetics and non-diabeticindividuals were investigated separately to determine the prevalence of obesity and overweight. Systolic and diastolic blood pressure wasrecorded using the standard method in a sitting position. The patients were diagnosed as diabetics and hypertensive on the criteria of the WorldHealth Organization. Results: The prevalence of obesity was 16.7% and 22.9%, and overweight was 27.1% and 22.9% in the total men andwomen studied in healthy non-diabetics; while the prevalence of obesity was 26.8% and 42.7%, and overweight was 45.8 and 38.2% in the totalm 1c en and women, in the diabetics respectively. In diabetic subjects, glycemic status (HbA ) and BMI had coefficient of correlation between 26matched pairs as r= 0.36, but not impressive. In over-all population, irrespective of gender, the diabetic subjects had higher obesity/overweight(ob/ow) ratio value (0.84) than non-diabetics (0.79).The prevalence of HT in non-diabetic group was 4.42% in males compared to 2.1% infemales, while in the diabetic group the prevalence of HT was 24.39% in males and 41.33% in females, respectively. Prevalence of HT indiabetics was higher in females than males, in contrast to non-diabetics. Conclusion: Our study shows that obesity and hypertension are bothcontributing factors in the development of type 2 diabetes mellitus; and the measures should be adopted for control of obesity and hypertensionto reduce the cause of diabetes mellitus.


2018 ◽  
Vol 69 (9) ◽  
pp. 2479-2481
Author(s):  
Ionela Mihaela Vladu ◽  
Lucretiu Radu ◽  
Sigina Rodica Girgavu ◽  
Tiberiu Stefanita Tenea Cojan ◽  
Cristina Gabriela Ene ◽  
...  

Obesity is has become a major problem worldwide. Since 1975, the prevalence of obesity nearly trippled, and nowadays we are facing an obesity epidemic. Obesity is a major risk factor for many diseases such as cardiovascular ones (mainly heart disease and stroke) -being the leading cause of death worldwide, musculoskeletal disorders or type 2 diabetes mellitus (DM).


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