The Geography of Diabetes among the General Adults Aged 35 Years and Older in Bangladesh: Recent Evidence from a Cross-Sectional Survey

Khan MH, Gruebner O, Krämer A (2014)
PLoS ONE 9(10): e110756.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
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Abstract / Bemerkung
Objective To report geographical variations of sex-specific diabetes by place of residence (large cities/city corporations, small towns/other urban areas, rural areas) and region of residence (divided into seven divisions) among general adults (35+ years of age) in Bangladesh. Methods The recent cross-sectional data, extracted from the nationally representative Bangladesh Demographic and Health Survey 2011, was used. A total of 3,720 men and 3,823 women aged 35+ years, who participated in the fasting blood sugar testing, were analysed. Any person with either fasting plasma glucose level (mmol/L) ≥7.0 or taking medication for diabetes was considered as a person with diabetes. Results The prevalence of diabetes was 10.6% in men and 11.3% in women. Bivariable analyses indicated significant variations of diabetes by both geographical variables. The prevalence was highest in city corporations (men 18.0%, women 22.3%), followed by small towns (men 13.6%, women 15.2%) and rural areas (men 9.3%, women 9.5%). Regional disparities in diabetes prevalence were also remarkable, with the highest prevalence in Chittagong division and lowest prevalence in Khulna division. Multivariable logistic regression analyses provided mixed patterns of geographical disparities (depending on the adjusted variables). Some other independent risk factors for diabetes were advancing age, higher level of education and wealth, having TV (a proxy indicator of physical activity), overweight/obesity and hypertension. Conclusions Over 10% of the general adults aged 35 years and older were having diabetes. Most of the persons with diabetes were unaware of this before testing fasting plasma glucose level. Although significant disparities in diabetes prevalence by geographical variables were observed, such disparities are very much influenced by the adjusted variables. Finally, we underscore the necessities of area-specific strategies including early diagnosis and health education programmes for changing lifestyles to reduce the risk of diabetes in Bangladesh.
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft and the Open Access Publication Fund of Bielefeld University.


Khan MH, Gruebner O, Krämer A. The Geography of Diabetes among the General Adults Aged 35 Years and Older in Bangladesh: Recent Evidence from a Cross-Sectional Survey. PLoS ONE. 2014;9(10): e110756.
Khan, M. H., Gruebner, O., & Krämer, A. (2014). The Geography of Diabetes among the General Adults Aged 35 Years and Older in Bangladesh: Recent Evidence from a Cross-Sectional Survey. PLoS ONE, 9(10), e110756. doi:10.1371/journal.pone.0110756
Khan, M. H., Gruebner, O., and Krämer, A. (2014). The Geography of Diabetes among the General Adults Aged 35 Years and Older in Bangladesh: Recent Evidence from a Cross-Sectional Survey. PLoS ONE 9:e110756.
Khan, M.H., Gruebner, O., & Krämer, A., 2014. The Geography of Diabetes among the General Adults Aged 35 Years and Older in Bangladesh: Recent Evidence from a Cross-Sectional Survey. PLoS ONE, 9(10): e110756.
M.H. Khan, O. Gruebner, and A. Krämer, “The Geography of Diabetes among the General Adults Aged 35 Years and Older in Bangladesh: Recent Evidence from a Cross-Sectional Survey”, PLoS ONE, vol. 9, 2014, : e110756.
Khan, M.H., Gruebner, O., Krämer, A.: The Geography of Diabetes among the General Adults Aged 35 Years and Older in Bangladesh: Recent Evidence from a Cross-Sectional Survey. PLoS ONE. 9, : e110756 (2014).
Khan, Mobarak Hossain, Gruebner, Oliver, and Krämer, Alexander. “The Geography of Diabetes among the General Adults Aged 35 Years and Older in Bangladesh: Recent Evidence from a Cross-Sectional Survey”. PLoS ONE 9.10 (2014): e110756.
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PMID: 29382337
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PMID: 26483053

42 References

Daten bereitgestellt von Europe PubMed Central.

Global estimates of the prevalence of diabetes for 2010 and 2030
Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010.
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, Abraham J, Adair T, Aggarwal R, Ahn SY, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Barker-Collo S, Bartels DH, Bell ML, Benjamin EJ, Bennett D, Bhalla K, Bikbov B, Bin Abdulhak A, Birbeck G, Blyth F, Bolliger I, Boufous S, Bucello C, Burch M, Burney P, Carapetis J, Chen H, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, de Vaccaro KC, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahodwala N, De Leo D, Degenhardt L, Delossantos A, Denenberg J, Des Jarlais DC, Dharmaratne SD, Dorsey ER, Driscoll T, Duber H, Ebel B, Erwin PJ, Espindola P, Ezzati M, Feigin V, Flaxman AD, Forouzanfar MH, Fowkes FG, Franklin R, Fransen M, Freeman MK, Gabriel SE, Gakidou E, Gaspari F, Gillum RF, Gonzalez-Medina D, Halasa YA, Haring D, Harrison JE, Havmoeller R, Hay RJ, Hoen B, Hotez PJ, Hoy D, Jacobsen KH, James SL, Jasrasaria R, Jayaraman S, Johns N, Karthikeyan G, Kassebaum N, Keren A, Khoo JP, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Lipnick M, Lipshultz SE, Ohno SL, Mabweijano J, MacIntyre MF, Mallinger L, March L, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGrath J, Mensah GA, Merriman TR, Michaud C, Miller M, Miller TR, Mock C, Mocumbi AO, Mokdad AA, Moran A, Mulholland K, Nair MN, Naldi L, Narayan KM, Nasseri K, Norman P, O'Donnell M, Omer SB, Ortblad K, Osborne R, Ozgediz D, Pahari B, Pandian JD, Rivero AP, Padilla RP, Perez-Ruiz F, Perico N, Phillips D, Pierce K, Pope CA 3rd, Porrini E, Pourmalek F, Raju M, Ranganathan D, Rehm JT, Rein DB, Remuzzi G, Rivara FP, Roberts T, De Leon FR, Rosenfeld LC, Rushton L, Sacco RL, Salomon JA, Sampson U, Sanman E, Schwebel DC, Segui-Gomez M, Shepard DS, Singh D, Singleton J, Sliwa K, Smith E, Steer A, Taylor JA, Thomas B, Tleyjeh IM, Towbin JA, Truelsen T, Undurraga EA, Venketasubramanian N, Vijayakumar L, Vos T, Wagner GR, Wang M, Wang W, Watt K, Weinstock MA, Weintraub R, Wilkinson JD, Woolf AD, Wulf S, Yeh PH, Yip P, Zabetian A, Zheng ZJ, Lopez AD, Murray CJ, AlMazroa MA, Memish ZA., Lancet 380(9859), 2012
PMID: 23245604
Diabetes in Asia: epidemiology, risk factors, and pathophysiology.
Chan JC, Malik V, Jia W, Kadowaki T, Yajnik CS, Yoon KH, Hu FB., JAMA 301(20), 2009
PMID: 19470990
Epidemic obesity and type 2 diabetes in Asia.
Yoon KH, Lee JH, Kim JW, Cho JH, Choi YH, Ko SH, Zimmet P, Son HY., Lancet 368(9548), 2006
PMID: 17098087
Global and societal implications of the diabetes epidemic.
Zimmet P, Alberti KG, Shaw J., Nature 414(6865), 2001
PMID: 11742409
Why are Indians more prone to diabetes?
Global prevalence of diabetes: estimates for the year 2000 and projections for 2030.
Wild S, Roglic G, Green A, Sicree R, King H., Diabetes Care 27(5), 2004
PMID: 15111519
Diabetes in Asia.
Ramachandran A, Ma RC, Snehalatha C., Lancet 375(9712), 2009
PMID: 19875164
The worldwide epidemiology of type 2 diabetes mellitus--present and future perspectives.
Chen L, Magliano DJ, Zimmet PZ., Nat Rev Endocrinol 8(4), 2011
PMID: 22064493
Prevalence and trends of the diabetes epidemic in South Asia: a systematic review and meta-analysis.
Jayawardena R, Ranasinghe P, Byrne NM, Soares MJ, Katulanda P, Hills AP., BMC Public Health 12(), 2012
PMID: 22630043
The Bangladesh paradox: exceptional health achievement despite economic poverty.
Chowdhury AM, Bhuiya A, Chowdhury ME, Rasheed S, Hussain Z, Chen LC., Lancet 382(9906), 2013
PMID: 24268002
Trends in sociodemographic and health-related indicators in Bangladesh, 1993-2007: will inequities persist?
Khan MM, Kramer A, Khandoker A, Prufer-Kramer L, Islam A., Bull. World Health Organ. 89(8), 2011
PMID: 21836757


Shifting from infectious diseases to non-communicable diseases: a double burden of diseases in Bangladesh
Effect of socioeconomic risk factors on the difference in prevalence of diabetes between rural and urban populations in Bangladesh.
abu Sayeed M, Ali L, Hussain MZ, Rumi MA, Banu A, Azad Khan AK., Diabetes Care 20(4), 1997
PMID: 9096979
Type 2 diabetes in rural and urban population: diverse prevalence and associated risk factors in Bangladesh
Prevalence of type 2 diabetes mellitus in Iran and its relationship with gender, urbanisation, education, marital status and occupation.
Azimi-Nezhad M, Ghayour-Mobarhan M, Parizadeh MR, Safarian M, Esmaeili H, Parizadeh SM, Khodaee G, Hosseini J, Abasalti Z, Hassankhani B, Ferns G., Singapore Med J 49(7), 2008
PMID: 18695867
High prevalence of diabetes and cardiovascular risk factors associated with urbanization in India.
Ramachandran A, Mary S, Yamuna A, Murugesan N, Snehalatha C., Diabetes Care 31(5), 2008
PMID: 18310309
Weight changes and lifestyle behaviors in women after breast cancer diagnosis: a cross-sectional study.
Yaw YH, Shariff ZM, Kandiah M, Mun CY, Yusof RM, Othman Z, Saibul N, Weay YH, Hashim Z., BMC Public Health 11(), 2011
PMID: 21569467
Hypertension in developing countries.
Ibrahim MM, Damasceno A., Lancet 380(9841), 2012
PMID: 22883510
Impacts of urbanisation on the lifestyles and on the prevalence of diabetes in native Asian Indian population
Prevalence and risk factors of type 2 diabetes in an urbanizing rural community of Bangladesh.
Rahman MM, Rahim MA, Nahar Q., Bangladesh Med Res Counc Bull 33(2), 2007
PMID: 18481438
Diabetes and impaired fasting glycemia in a rural population of Bangladesh.
Sayeed MA, Mahtab H, Akter Khanam P, Abdul Latif Z, Keramat Ali SM, Banu A, Ahren B, Azad Khan AK., Diabetes Care 26(4), 2003
PMID: 12663569
Glucose intolerance (diabetes and IGT) in a selected south Indian population with special reference to family history, obesity and lifestyle factors – the Chennai Urban Population Study (CUPS I4)
The metabolic syndrome: prevalence, associated factors, and impact on survival among older persons in rural Bangladesh.
Khanam MA, Qiu C, Lindeboom W, Streatfield PK, Kabir ZN, Wahlin A., PLoS ONE 6(6), 2011
PMID: 21697988
Type 2 diabetes and impaired fasting blood glucose in rural Bangladesh: a population-based study.
Hussain A, Vaaler S, Sayeed MA, Mahtab H, Ali SM, Khan AK., Eur J Public Health 17(3), 2006
PMID: 17008328
Epidemiologic and economic consequences of the global epidemics of obesity and diabetes.
Yach D, Stuckler D, Brownell KD., Nat. Med. 12(1), 2006
PMID: 16397571
Obesity and diabetes in the developing world--a growing challenge.
Hossain P, Kawar B, El Nahas M., N. Engl. J. Med. 356(3), 2007
PMID: 17229948
Prevalence of diabetes mellitus and impaired glucose tolerance in a group of urban adults in Nigeria
Burden of type 2 diabetes and its complications – The Indian scenario

The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee., JAMA 289(19), 2003
PMID: 12748199
Global nutrition transition and the pandemic of obesity in developing countries.
Popkin BM, Adair LS, Ng SW., Nutr. Rev. 70(1), 2012
PMID: 22221213
Diabetes and pre-diabetes among persons aged 35 to 60 years in eastern Uganda: prevalence and associated factors.
Mayega RW, Guwatudde D, Makumbi F, Nakwagala FN, Peterson S, Tomson G, Ostenson CG., PLoS ONE 8(8), 2013
PMID: 23967317


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