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The burden of diabetes mellitus in an urban population of Sri Lanka

Show simple item record Pinidiyapathirage, M.J. Kasturiratne, A. Williams, S. Wijekoon, N. Pathmeswaran, A. Ranawaka, U.K. Warnakulasuriya, T. Takeuchi, F. Kato, N. Wickremasinghe, A.R. 2015-09-23T03:27:28Z 2015-09-23T03:27:28Z 2011
dc.identifier.citation The Ceylon Medical Journal. 2011; 56(Supplement 1):15 en_US
dc.identifier.issn 0009-0875 (Print)
dc.description Oral Presentation Abstract (OP2), 124th Annual Scientific Sessions, Sri Lanka Medical Association, 2011 Colombo, Sri Lanka en_US
dc.description.abstract INTRODUCTION AND OBJECTIVES: To describe the burden of diabetes in middle and old aged residents (35-64 years) in an urban area of Sri Lanka. METHODS: A cross-sectional survey was conducted in the Ragama Medical Officer of Health area, in which 2986 participants (1349 men and 1637 women) were randomly selected from the electoral registry between January and December 2007. The participants underwent a physical examination and had their height, weight, waist and hip circumferences and 51ood pressure measured by trained personnel. Blood samples were taken after a 14 hour fast for measurement of glucose, HbAlc and lipids. The prevalence of diabetes (fasting plasma glucose [FPG] >7mmol/L) and impaired fasting glycaemia [IFG] (FPG=5.6-6.9mmol/L) and major predictors of diabetes in Sri Lanka were estimated from the population based data. RESULTS: In the whole sample two thirds of the participants were diagnosed as either people with diabetes (20%) or IFG (45%). Among the diabetics only 23.8% were optimally controlled. Through the present screening, 235 diabetics (7.9%) and 1257 (42.1%) participants with impaired fasting glucose levels were newly identified. Old age (OR=5.1, 55-64 years vs. 35-44 years), male sex (OR=3.1), family history (OR- 2.7), central obesity (OR-1.8), and reduced physical activity (OR=1.3) were significantly associated with increased risk of diabetes. CONCLUSIONS: Our data demonstrate the heavy burden of diabetes in the general population. Short and long term control strategies are required not only for optimal-therapy among those affected but also for nationwide primary prevention of pre-diabetes. en_US
dc.language.iso en_US en_US
dc.publisher Sri Lanka Medical Association en_US
dc.subject diabetes mellitus en_US
dc.title The burden of diabetes mellitus in an urban population of Sri Lanka en_US
dc.type Article en_US

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