Prevalence of Diabetes Mellitus in People Aged 40 Years and Above

Main Article Content

Muhammad Usama Maooz Awan
Ramsha Shahid
Nimra Khan
Zahra Yousaf
Verda Asif
Maria Munir
Mahnoor
Sana Javaid
Zainab Shabbir

Abstract

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia, which leads to severe complications affecting multiple organs. The prevalence of DM, particularly Type 2 diabetes, has been increasing globally, exacerbated by factors such as poor diet and lack of physical activity. Previous research, including a study conducted in 2014 at DHQ Hospital Sargodha, indicated that the prevalence of diabetes can be reduced through proper diet and healthy activities.


Objective: To determine the prevalence of diabetes and its associated factors in individuals aged 40 years and above in Sargodha.


Methods: This observational cross-sectional study was conducted on a sample of 150 participants aged 40 and above, selected from the general population and patients at DHQ Hospital Sargodha. Purposive sampling was employed due to time and budget constraints. Data were collected using a self-developed questionnaire covering demographics, medical history, lifestyle factors, and diabetes status. Ethical approval was obtained, and informed consent was secured from all participants. Data were analyzed using SPSS version 25. Descriptive statistics summarized the demographic characteristics, while chi-square tests assessed associations between diabetes status and various factors. Multivariate logistic regression identified independent predictors of diabetes.


Results: Among the 150 participants, 58 were diagnosed with diabetes, resulting in a prevalence rate of 38%. Of the diabetic individuals, 62% were male and 38% were female. The age group with the highest prevalence was 50-60 years (38%), followed by those above 60 years (33%) and 40-50 years (29%). A significant number of diabetic participants were obese (43%) or extremely obese (5%). Additionally, 74% of diabetic individuals had hypertension, and 40% had ischemic heart disease. Lifestyle analysis revealed that 59% had irregular dietary habits and 81% led a sedentary lifestyle. Among diabetic participants, 60% had controlled diabetes while 40% had uncontrolled diabetes.


Conclusion: The study found a 38% prevalence of diabetes among individuals aged 40 and above, with a higher prevalence in males and those aged 50-60 years. Obesity, hypertension, and ischemic heart disease were significantly associated with diabetes. These findings underscore the need for targeted interventions, including lifestyle modifications and regular screening, to manage and prevent diabetes in this population.


Keywords: Diabetes Mellitus, Type 2 Diabetes, Prevalence, Obesity, Hypertension, Ischemic Heart Disease, Lifestyle Factors, Cross-Sectional Study, Sargodha, Public Health.

Article Details

How to Cite
Muhammad Usama Maooz Awan, Ramsha Shahid, Nimra Khan, Zahra Yousaf, Verda Asif, Maria Munir, Mahnoor, Sana Javaid, & Zainab Shabbir. (2024). Prevalence of Diabetes Mellitus in People Aged 40 Years and Above. Journal of Health and Rehabilitation Research, 4(2), 1530–1534. https://doi.org/10.61919/jhrr.v4i2.1166
Section
Articles

References

World Health Organization. Diabetes. 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes.

American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 2014;37(Suppl 1).

Hakeem R, Fawwad A. Diabetes in Pakistan: Epidemiology, Determinants and Prevention. J Diabetol. 2010;1(3):3-10.

Basit A, Shera AS. Prevalence of Metabolic Syndrome in Pakistan. Metab Syndr Relat Disord. 2008;6(3):171-5.

Basit A, Riaz M. Diabetes Prevention in a Challenging Environment. Prev Diab. 2013;10:84-93.

Basit A, Shera AS, Fawwad A, Qureshi H, Naz R. NDSP Members. Second National Diabetes Survey of Pakistan (NDSP) 2016-2017. Diabetes Res Clin Pract. 2018;140:190-8.

Zafar J, Bhatti F, Akhtar N, Rasheed U, Bashir R, Humayun S, et al. Prevalence of Diabetes in Pakistan: A Systematic Review and Meta-Analysis. J Pak Med Assoc. 2011;61(7):554-9.

International Expert Committee. International Expert Committee Report on the Role of the A1C Assay in the Diagnosis of Diabetes. Diabetes Care. 2009;32(7):1327-34.

Shera AS, Rafique G, Khawaja IA, Baqai S, King H. Pakistan National Diabetes Survey: Prevalence of Glucose Intolerance and Associated Factors in North West Frontier Province (NWFP) of Pakistan. J Pak Med Assoc. 1999;49(9):206-11.

Shera AS, Jawad F, Maqsood A. Prevalence of Diabetes in Pakistan. Diabetes Res Clin Pract. 2007;76(2):219-22.

Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. Prevalence of Diabetes and Pre-Diabetes in Urban and Rural India: Phase I Results of the Indian Council of Medical Research-INdia DIABetes (ICMR-INDIAB) Study. Diabetologia. 2011;54(12):3022-7.

Xu Y, Wang L, He J, Bi Y, Li M, Wang T, et al. Prevalence and Control of Diabetes in Chinese Adults. JAMA. 2013;310(9):948-59.

Bano G, Aziz Ali S, Mawani M, Aziz Ali S. Prevalence of Diabetes Mellitus in Pakistan: A Meta-Analysis of Studies between 1994-2013. J Coll Physicians Surg Pak. 2016;26(11):825-9.

Chen L, Magliano DJ, Zimmet PZ. The Worldwide Epidemiology of Type 2 Diabetes Mellitus: Present and Future Perspectives. Nat Rev Endocrinol. 2012;8(4):228-36.

Carter P, Gray LJ, Troughton J, Khunti K, Davies MJ. Fruit and Vegetable Intake and Incidence of Type 2 Diabetes Mellitus: Systematic Review and Meta-Analysis. BMJ. 2010;341.

National Institute for Health and Care Excellence (NICE). Type 2 Diabetes in Adults: Management. Available from: https://www.nice.org.uk/guidance/ng28.

Kerssens JJ, McAllister DA, Colhoun HM, Fischbacher CM, Lindsay RS, Wild SH. Trends in Type 2 Diabetes Incidence and Mortality in Scotland between 2004 and 2013. Diabetologia. 2016;59(10):2106-13.

Abro M, Zafar AB, Fawwad A. Prevalence of Diabetic Microvascular Complications at a Tertiary Care Unit of Karachi, Pakistan. Int J Diabetes Dev Ctries. 2018;38(2):232-7.

Daily ADA. Scientific Sessions Attendees to Get First Look at Revised Consensus Report on Hyperglycemia Management in Type 2 Diabetes. ADA Daily News. Available from: https://www.ada.org/meeting.

Whiting DR, Guariguata L, Weil C, Shaw J. IDF Diabetes Atlas: Global Estimates of the Prevalence of Diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011;94(3):311-21.

Most read articles by the same author(s)