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Published in: International Journal of Diabetes in Developing Countries 3/2022

18-09-2021 | Obesity | Original Article

Prevalence of dysglycemia and its associations with age and body mass index among community dwelling adults in a developing country

Authors: Keddagoda Gamage Piyumi Wasana, Anoja Priyadarshani Attanayake, Thilak Priyantha Weerarathna, Kamani Ayoma Perera Wijewardana Jayatilaka

Published in: International Journal of Diabetes in Developing Countries | Issue 3/2022

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Abstract

Introduction

Dysglycemia includes prediabetes and diabetes. We aimed to study the prevalence of dysglycemia, and its associations with age and body mass index (BMI) among community dwelling adults in Sri Lanka.

Methods

The prevalence of dysglycemic state (FPG > 100 mg/dL) and its associations with age and BMI in males and females were estimated. The association between gender and glycemic status in different BMI ranges and age groups were estimated. The optimal cut-off points of BMI to determine the risk of dysglycemia in both genders were calculated.

Results

Prevalence of prediabetes and diabetes of females were 25.3% and 16.4% and of males were 26.2% and 17.4% respectively. Dysglycemia showed a significant positive correlation with age in both genders and a significant positive correlation with BMI in males (p < 0.05). Aging (OR = 1.05, CI 1.02–1.08, p < 0.001) and increasing BMI (OR = 1.10, CI 1.05–1.15, p < 0.001) of males and aging (OR = 1.04, CI 1.02–1.06, p < 0.001) of females are significantly associated with dysglycemia. The optimal cut-off point of BMI for males was 22.86 kg/m2 (sensitivity 76.6%, specificity 53.9%) to determine the risk of dysglycemia.

Conclusions

Four out of ten adults in the screened population were dysglycemic. An increase in BMI is significantly associated with dysglycemic status in males compared to females. The recommended cut-off value of BMI as 23 kg/m2 for South Asian population to categorize overweight individuals has an adequate sensitivity to recognize dysglycemic adult males but not the females in this community.
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Metadata
Title
Prevalence of dysglycemia and its associations with age and body mass index among community dwelling adults in a developing country
Authors
Keddagoda Gamage Piyumi Wasana
Anoja Priyadarshani Attanayake
Thilak Priyantha Weerarathna
Kamani Ayoma Perera Wijewardana Jayatilaka
Publication date
18-09-2021
Publisher
Springer India
Published in
International Journal of Diabetes in Developing Countries / Issue 3/2022
Print ISSN: 0973-3930
Electronic ISSN: 1998-3832
DOI
https://doi.org/10.1007/s13410-021-00995-9

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