| Rural diabetes prevalence quintuples over twenty-five years in low- and middle-income countries: A systematic review and meta-analysis. | |
| | |
MedLine Citation:
|
PMID: 22261096 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
AIMS: To verify the assertions that diabetes pandemic may be spreading across rural parts of low- and middle-income countries (LMICs), we performed a systematic review of published studies reporting diabetes prevalence in rural parts of LMICs. METHODS: Electronic databases (EMBASE and MEDLINE) were searched for papers published from 1990 to 2011. Two independent reviewers screened the articles using structured criteria for inclusion and performed full-text reviews. Pooled prevalence of diabetes was estimated using meta-analysis. Potential factors influencing the estimates were identified by meta-regression and used for sensitivity analyses. RESULTS: Rural prevalence of diabetes of LMICs was 5.6% (95% CI=4.6-6.6), and similar between men and women. This estimate remained robust in separate sensitivity analyses accounting for study quality, level of heterogeneity, age, and sex. In a multivariate meta-regression analysis, pooled prevalence varied by study year and region. Diabetes prevalence increased over time, from 1.8% (1.0-2.6) in 1985-1989, 5.0% (3.8-6.3) in 1990-1994, 5.2% (4.1-6.2) in 1995-1999, 6.4% (5.1-7.7) in 2000-2004, and to 8.6% (6.4-10.7) for 2005-2010 (p=0.001 for secular trend). CONCLUSIONS: Prevalence of diabetes in rural parts of LMICs has risen dramatically. As 55% of LMIC populations live in rural areas, this trend has enormous implications for the global burden of diabetes. |
| | |
Authors:
|
Christopher K Hwang; Pauline V Han; Azadeh Zabetian; Mohammed K Ali; K M Venkat Narayan |
Related Documents
:
|
21551956 - Congener-specific polychlorinated biphenyls and the prevalence of diabetes in the saku ... 12359466 - Bovine mastitis: an evolving disease. 21074286 - Use of the ukpds outcomes model to predict all-cause mortality in u.s. adults with type... 11711776 - Chronic hepatitis c virus infection without cirrhosis induces insulin resistance in pat... 8922366 - Dual functional effects of interleukin-1beta on purine nucleotides and insulin secretio... 22144216 - Serum 25-hydroxyvitamin d (25-oh-d) in obese adolescents. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-1-17 |
Journal Detail:
|
Title: Diabetes research and clinical practice Volume: - ISSN: 1872-8227 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
|
Created Date: 2012-1-20 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8508335 Medline TA: Diabetes Res Clin Pract Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
|
Department of Ophthalmology, School of Medicine, Emory University, Atlanta, GA, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Predictors of suboptimal glycaemic control in type 2 diabetes patients: The role of medication adher...
Next Document: In vivo circulation, clearance, and biodistribution of polyglycerol grafted functional red blood ce...