Diabetes mellitus prevalence is increasing in <scp>S</scp>outh <scp>A</scp>sians but is stable in <scp>C</scp>hinese living in <scp>S</scp>ingapore and <scp>M</scp>auritius

Tan, Khee Giap; Barr, Elizabeth L. M.; Koshkina, Vira; Ma, Stefan; Kowlessur, Sudhir; Magliano, Dianna J.; Söderberg, Stefan; Chia, Kee Seng; Zimmet, Paul; Lim, Wei‐Yen

doi:10.1111/1753-0407.12497

Cited by 10 publications

(6 citation statements)

References 14 publications

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“…A 1.5 fold higher risk was seen in those exposed during early gestation. Sequelae of famines related to World War II were also documented in Ukraine [ 6 ] and some Asian countries during occupation, possibly contributing to their actual diabetes epidemic [ 16 ]. Among the many possible mechanisms are changes in DNA methylation of genes involved in growth, inflammation, glucose and lipid metabolism that occur as a result of in utero malnutrition, as reported in the Dutch Famine, with even time and sex-specific effects [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Diabetes incidence in Austria: The role of famines on diabetes and related NCDs

Kaleta

Leutner

Thurner

et al. 2023

Heliyon

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Section: Discussionmentioning

confidence: 99%

Diabetes incidence in Austria: The role of famines on diabetes and related NCDs

Kaleta

Leutner

Thurner

et al. 2023

Heliyon

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“…There have also been reports of a higher prevalence of diabetes and cardiovascular disease in people of South Asian ethnicity in Singapore, Fiji, and Guyana, although the number of studies has been fewer. [14][15][16][17][18] Elevated diabetes and cardiovascular risks in South Asians are derived from several nonmodifiable and modifiable risk factors (Figure 1).…”

Section: What Drives Vascular Disease and Ckd In South Asians?mentioning

confidence: 99%

Risk Amplifiers for Vascular Disease and CKD in South Asians

Vijayan

Deshpande

Anand

et al. 2023

CJASN

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South Asians, comprising almost one fourth of the world population, are at higher risk of type 2 diabetes mellitus, hypertension, cardiovascular disease, and CKD compared with other ethnic groups. This has major public health implications in South Asia and in other parts of the world to where South Asians have immigrated. The interplay of various modifiable and nonmodifiable risk factors confers this risk. Traditional models of cardiometabolic disease progression and CKD evaluation may not be applicable in this population with a unique genetic predisposition and phenotype. A wider understanding of dietary and lifestyle influences, genetic and metabolic risk factors, and the pitfalls of conventional equations estimating kidney function in this population are required in providing care for kidney diseases. Targeted screening of this population for metabolic and vascular risk factors and individualized management plan for disease management may be necessary. Addressing unhealthy dietary patterns, promoting physical activity, and medication management that adheres to cultural factors are crucial steps to mitigate the risk of cardiovascular disease and CKD in this population. In South Asian countries, a large rural and urban community-based multipronged approach using polypills and community health workers to decrease the incidence of these diseases may be cost-effective.

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“…(Kalan Farmanfarma et al, 2020) Wilayah Asia seperti negara Singapura, prevalensi DM lebih kuat di Cina daripada Asia Selatan yang diakibatkan oleh obesitas. (Tan et al, 2017) Di Indonesia, tingkat prevalensi DM diperkirakan berdasarkan usia dan sumber diagnosis menemukan 34.767 yang mengalami DM yang melaporkan diri sekitar 2,3% dan meningkat seiring bertambahnya usia. Proporsi kasus DM yang belum terdiagnosis jauh lebih tinggi pada kelompok usia muda.…”

Section: Pendahuluanunclassified

Hubungan Kepatuhan Self Care Activity Dengan Dukungan Keluarga Pada Penderita Diabetes Mellitus

Faswita¹,

Nasution

Elfira

2022

JINTAN

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Dukungan keluarga merupakan hal penting dalam penatalaksanaan pencegahan DM. Salah satu penatalaksanaan DM yakni melakukan self-care. Penelitian ini bertujuan mengidentifikasi hubungan dukungan keluarga dengan self-care activity pada penderita DM. Metode dalam penelitian ini menggunakan studi analitik korelasi dengan cross sectional yang dilakukan pada 23 responden yang menderita DM di RSU Delia, Kabupaten Langkat. Kriteria inklusi dalam penelitian ini adalah pasien bersedia menjadi responden, dapat berkomunikasi secara verbal dengan kesadaran penuh dan pasien tinggal dalam satu rumah dengan keluarga serta menderita DM (Diabetes Mellitus). Kriteria ekslusi penelitian ini adalah pasien DM dengan komplikasi, seperti kaki diabetic, stroke dan pasien tidak mau atau tidak bersedia menjadi responden. Penelitian ini menggunakan teknik purposive sampling dengan alat ukur berupa kuesioner dukungan keluarga dan SDSCA (Summary of Diabetes Self-Care Activities yang telah dilakukan uji validitas dan reliabilitas. Analisis yang digunakan yaitu analisis bivariat dengan uji chi-square. Hasil penelitian ini menunjukkan mayoritas responden mendapatkan dukungan keluarga baik dengan persentase 52,5%, persentase kepatuhan menjalani self care activity sebesar 69,6% terdapat hubungan antara kepatuhan self care activity dengan dukungan keluarga, dimana nilai p value sebesar 0,007 (p<0,05). Dapat diasumsikan bahwa kepatuhan self-care Activity dengan dukungan keluarga saling berhubungan satu sama lainnya.

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Diabetes mellitus prevalence is increasing in South Asians but is stable in Chinese living in Singapore and Mauritius

Cited by 10 publications

References 14 publications

Diabetes incidence in Austria: The role of famines on diabetes and related NCDs

Diabetes incidence in Austria: The role of famines on diabetes and related NCDs

Risk Amplifiers for Vascular Disease and CKD in South Asians

Hubungan Kepatuhan Self Care Activity Dengan Dukungan Keluarga Pada Penderita Diabetes Mellitus

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