Abstract
Aim: Present study has been conducted to evaluate the risk towards the development of Type 2 Diabetes and the comparison of risk scores among diabetics and non diabetics in the population of Jammu region of J&K using Indian Diabetes Risk Score (IDRS). Methods: A detailed scoring pattern where in two modifiable (waist and hip circumference) and two non modifiable risk factors (age and family history) were taken into consideration. Assessment of physical activity was done by a set of three questions including the physical demand of occupation, grading of physical activity at home and how frequent is the exercise pattern in free time. Waist circumference was measured using standard procedure. Age and family history was noted as reported by the participants. Scoring was done following IDR Scoring pattern. Results: The results confirmed that a large population has a very high or moderate risk score towards development of T2D. Approximately 50% population had IDRS >60 and 49% population with IDRS between 30 and 50. Obesity was found associated with high risk of T2D. Obese participants with a BMI 30 and above were having the maximum subjects (62%) in the high risk category. Similarly, 56% of the pre-obese subjects were having a very high IDRS. 54% of diabetics belonged to the high IDRS category compared to 35% of the non-diabetics. Conclusion: The Indian Diabetes Risk Score is a simple, fast, non-invasive, inexpensive and a reliable tool to identify the risk of developing T2D. It can be concluded that there is a high risk of developing T2D in the population of Jammu and Kashmir. Also, people in obese or pre-obese category were having high risk of developing T2D.
Highlights
The present study evaluates the risk of development of Type 2 Diabetes in the population of Jammu region of J&K using Indian Diabetes Risk Score (IDRS)
The results confirmed that almost 50% of the studied population has a very high risk score towards development of Type 2Diabetes (T2D)
Type 2Diabetes (T2D) is a complex disorder characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism, resulting from defect in insulin secretion, insulin action or both [1]
Summary
Type 2Diabetes (T2D) is a complex disorder characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism, resulting from defect in insulin secretion, insulin action or both [1]. Gene-Environment interaction plays an important role in the development of type 2 diabetes [5], Obesity characterized by high fat tissue content is a major factor associated with increased risk of developing T2D [6]. The risk factors differ among different population groups. It is imperative to understand why Indians in general and the population of J&K in particular are developing T2D at such a high rate. Once the factors for the high development rates are known, necessary strategic healthcare planning could be pursued and the burden of disease reduced
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