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The ICMR-INDIAB Study: Results from the National Study on Diabetes in India

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Journal of the Indian Institute of Science Aims and scope

A Correction to this article was published on 01 January 2023

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Abstract

Diabetes and related metabolic non-communicable diseases (NCDs), such as hypertension and obesity, are no longer only a problem in affluent industrialized countries; prevalence rates are rapidly rising in developing nations like India as well. Given that diabetes is becoming increasingly prevalent in India on account of rapid urbanization and economic development, reliable epidemiological data are essential for estimating the effects and determinants of diabetes and facilitating the development of prevention and control methods. Though several regional studies exist, the marked heterogeneity between states and regions of India limits the generalizability of their results. The national Indian Council of Medical Research-India Diabetes (ICMR-INDIAB) study was designed and conducted to provide accurate and comprehensive state- and national-level data on the prevalence of diabetes and other metabolic NCDs in India. The ICMR-INDIAB study was conducted in all 30 states/union territories of India between 2008 and 2020. The study reports on the prevalence of various cardiometabolic disease risk factors such as diabetes, prediabetes, obesity, hypertension and dyslipidemia, assessment of knowledge of diabetes in the general population and those with known diabetes, achievement of diabetes treatment targets and the role of migration, diet and physical inactivity on diabetes. This study, the largest nationally representative population-based study conducted in India, thereby helps to estimate the burden of diabetes and other metabolic NCDs in a representative sample of adults living in both urban and rural India.

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Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

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References

  1. Terzic A, Waldman S (2011) Chronic diseases: the emerging pandemic. Clin Transl Sci 4:225–226

    Article  Google Scholar 

  2. International Diabetes Federation. IDF Diabetes Atlas, 10th edn. Brussels,Belgium (2021) Available at: https://www.diabetesatlas.org (Accessed on 22 Nov 2022)

  3. Anjana RM, Ali MK, Pradeepa R, Deepa M, Datta M, Unnikrishnan R et al (2011) The need for obtaining accurate nationwide estimates of diabetes prevalence in India—rationale for a national study on diabetes. Indian J Med Res 133:369–380

    CAS  Google Scholar 

  4. Ahuja MMS (1979) Epidemiological studies on diabetes mellitus in India. In: Ahuja MMS (ed) Epidemiology of diabetes in developing countries. Interprint, New Delhi, pp 29–38

    Google Scholar 

  5. Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK et al (2001) Diabetes Epidemiology Study Group in India (DESI). High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia 44:1094–1101

    Article  CAS  Google Scholar 

  6. Sadikot SM, Nigam A, Das S, Bajaj S, Zargar AH, Prasannakumar KM, DiabetesIndia et al (2004) The burden of diabetes and impaired glucose tolerance in India using the WHO 1999 criteria: prevalence of Diabetes in India Study (PODIS). Diabetes Res Clin Pract 66:301–307

    Article  CAS  Google Scholar 

  7. Mohan V, Mathur P, Deepa R, Deepa M, Shukla DK, Menon GR et al (2008) Urban rural differences in prevalence of self-reported diabetes in India–the WHO-ICMR Indian NCD risk factor surveillance. Diabetes Res Clin Pract 80:159–168

    Article  Google Scholar 

  8. Ajay VS, Prabhakaran D, Jeemon P, Thankappan KR, Mohan V, Ramakrishnan L et al (2008) Prevalence and determinants of diabetes mellitus in the Indian industrial population. Diabetes Med 25:1187–1194

    Article  CAS  Google Scholar 

  9. Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R et al (2011) The Indian Council of Medical Research-India Diabetes (ICMR-INDIAB) study: methodological details. J Diabetes Sci Technol 5:906–914

    Article  Google Scholar 

  10. Anjana RM, Deepa M, Pradeepa R, Mahanta J, Narain K, Das HK et al (2017) ICMR–INDIAB Collaborative Study Group. Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR-INDIAB population-based cross-sectional study. Lancet Diabetes Endocrinol. 5:585–596

    Article  Google Scholar 

  11. Bhansali A, Dhandania VK, Deepa M, Anjana RM, Joshi SR, Joshi PP et al (2015) Prevalence of and risk factors for hypertension in urban and rural India: the ICMR-INDIAB study. J Hum Hypertens 29:204–209

    Article  CAS  Google Scholar 

  12. Pradeepa R, Anjana RM, Joshi SR, Bhansali A, Deepa M, Joshi PP et al (2015) ICMR-INDIAB Collaborative Study Group. Prevalence of generalized & abdominal obesity in urban & rural India-the ICMR-INDIAB Study (Phase-I) [ICMR- NDIAB-3]. Indian J Med Res 142:139–150

    Article  Google Scholar 

  13. Joshi SR, Anjana RM, Deepa M, Pradeepa R, Bhansali A, Dhandania VK, et al (2014) ICMR-INDIAB Collaborative Study Group. Prevalence of dyslipidemia in urban and rural India: the ICMR-INDIAB study. PLoS One 9:e96808.

  14. Anjana RM, Pradeepa R, Das AK, Deepa M, Bhansali A, Joshi SR, et al (2014) ICMR– INDIAB Collaborative Study Group. Physical activity and inactivity patterns in India—results from the ICMR-INDIAB study (Phase-1) [ICMR-INDIAB-5]. Int J Behav Nutr Phys Act 11:26

  15. Anjana RM, Unnikrishnan R, Deepa M, Venkatesan U, Pradeepa R, Joshi S et al (2022) ICMR-INDIAB collaborators. Achievement of guideline recommended diabetes treatment targets and health habits in people with self-reported diabetes in India (ICMR-INDIAB-13): a national cross-sectional study. Lancet Diabetes Endocrinol 10:430–441

    Article  CAS  Google Scholar 

  16. World Health Organization (2006) Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: Report of a WHO/IDF Consultation, Geneva, World Health Organization, p 39

  17. Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (1997) Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 20:1183–1197

  18. Visser A, Snoek F (2004) Perspectives on education and counseling for diabetes patients. Patient Educ Couns 53:251–255

    Article  Google Scholar 

  19. Deepa M, Bhansali A, Anjana RM, Pradeepa R, Joshi SR, Joshi PP et al (2014) Knowledge and awareness of diabetes in urban and rural India: The Indian Council of Medical Research India Diabetes Study (Phase I): Indian Council of Medical Research India Diabetes. Indian J Endocrinol Metab 18:379–385

    Article  CAS  Google Scholar 

  20. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H et al (2012) A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2224–2260

    Article  Google Scholar 

  21. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr et al (2003) The seventh report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC-7). JAMA 289:2560–2572

    Article  CAS  Google Scholar 

  22. Misra A, Luthra K, Vikram NK (2004) Dyslipidemia in Asian Indians: determinants and significance. J Assoc Physicians India 52:137–142

    CAS  Google Scholar 

  23. World Health Organization. Situation report: in international migration in south and south west Asia. https://sitreport.unescapsdd.org/health/migration-and-non-communicable-diseases-ncds [Accessed on 18 Nov 2022]

  24. Davies AA, Borland RM, Blake C, West HE (2011) The dynamics of health and return migration. PLoS Med 8(6):e1001046. https://doi.org/10.1371/journal.pmed.1001046

    Article  Google Scholar 

  25. Pradeepa R, Subashini R, Venkatesan U, Ningombam S, Purty A, John M et al (2021) ICMR-INDIAB Study Group. Effect of internal migration on diabetes and metabolic abnormalities in India—The ICMR-INDIAB study. J Diabetes Complications 35(12):108051

    Article  CAS  Google Scholar 

  26. Anjana RM, Srinivasan S, Sudha V, Joshi SR, Saboo B, Tandon N, et al; ICMR-INDIAB Collaborative Study Group. Macronutrient Recommendations for Remission and Prevention of Diabetes in Asian Indians Based on a Data-Driven Optimization Model: The ICMR-INDIAB National Study. Diabetes Care. 2022 Aug 18:dc220627.

  27. World Health Organization: Global strategy on diet, physical activity and health- Diet and physical activity: a public health priority. (2015). http://www.who.int/dietphysicalactivity/en/ accessed on 17 Nov 2022

  28. Bull FC, Maslin TS, Armstrong T (2009) Global physical activity questionnaire (GPAQ): nine country reliability and validity study. J Phys Act Health 6:790–804

    Article  Google Scholar 

Download references

Funding

This work was supported by Indian Council of Medical Research, No. 57/5/National Coord.Center /INDIAB-Ph-II/17-NCD-II and Department of Health Research, Ministry of Health and Family Welfare, Government of India No.57/1/VM/INDIAB-DHR/2012-NCD-II.

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Correspondence to Ranjit Mohan Anjana.

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Anjana, R.M., Deepa, M. & Pradeepa, R. The ICMR-INDIAB Study: Results from the National Study on Diabetes in India. J Indian Inst Sci 103, 21–32 (2023). https://doi.org/10.1007/s41745-023-00359-8

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