Obesity, Diabetes and Cardiovascular Diseases in India: Public Health Challenges
Autor: | Usha Shrivastava, D Bachani, Ranjit Unnikrishnan, Anoop Misra, Virinder Mohan |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism India 030209 endocrinology & metabolism Type 2 diabetes 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Endocrinology Risk Factors Environmental health Diabetes mellitus medicine Abdominal fat Diabetes Mellitus Humans Obesity Exercise Life Style Metabolic Syndrome business.industry Public health medicine.disease Surgery Diet White population Hypertension Lean body mass Public Health Metabolic syndrome business |
Zdroj: | Current diabetes reviews. 13(1) |
ISSN: | 1875-6417 |
Popis: | Non-communicable diseases (NCDs; including coronary heart disease and type 2 diabetes) are rapidly increasing in India causing nearly 5.8 million deaths per year. Primary reasons for rise in NCDs in India are nutrition and lifestyle transitions. Further, presence of higher body fat, abdominal fat, liver and pancreatic fat and lower lean mass than whites, contribute to heightened metabolic and cardiovascular risk in Asian Indians. Importantly, conversion from pre-diabetes to diabetes occurs more rapidly, and reversion to normal glucose regulation with appropriate lifestyle measures is more difficult in Asian Indians than white population. Huge number of patients with diabetes and with complications increase morbidity, mortality and pose substantial economic burden. It is difficult, though not impossible, to decrease pace of rapidly expanding juggernaut of NCDs in India. Only concerted efforts from multiple stakeholders, consistently sincere efforts and intensely focused attention from health officialdom and clear political will may help counter this increasingly difficult challenge. Finally, all prevention and management approaches should be cost-effective, pragmatic, and focused on children and underprivileged populations. |
Databáze: | OpenAIRE |
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