Evidence map›Paper›PMID 25489485›Full record

ArticleBMJ open diabetes research & care2014

Prevalence of diabetes and cardiovascular risk factors in middle-class urban participants in India.

Arvind Gupta, Rajeev Gupta, Krishna Kumar Sharma, Sailesh Lodha, Vijay Achari, Arthur J Asirvatham, Anil Bhansali, Balkishan Gupta, Sunil Gupta, Mallikarjuna V Jali and 5 more

Abstract read
In one paragraph

Article in BMJ open diabetes research & care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Arvind GuptaDepartment of Diabetes , Jaipur Diabetes Research Centre , Jaipur, Rajasthan , India.
Rajeev GuptaDepartments of Medicine and Endocrinology , Fortis Escorts Hospital , Jaipur, Rajasthan , India.
Krishna Kumar SharmaDepartment of Pharmacy , SMS Medical College, Rajasthan University of Health Sciences , Jaipur, Rajasthan , India.
Sailesh LodhaDepartments of Medicine and Endocrinology , Fortis Escorts Hospital , Jaipur, Rajasthan , India.
Vijay AchariDepartment of Medicine , Patna Medical College , Patna, Bihar , India.
Arthur J AsirvathamDepartment of Medicine , Government Medical College , Madurai, Tamil Nadu , India.
Anil BhansaliDepartment of Endocrinology , Postgraduate Institute of Medical Education and Research , Chandigarh , India.
Balkishan GuptaDepartment of Medicine , SP Medical College , Bikaner, Rajasthan , India.
Sunil GuptaDepartment of Diabetes , Diabetes Care and Research Centre , Nagpur, Maharashtra , India.
Mallikarjuna V JaliDepartment of Medicine , JN Medical College , Belgaum, Karnataka , India.
Tulika G MahantaDepartment of Community Medicine , Assam Medical College , Dibrugarh, Assam , India.
Anuj MaheshwariDepartment of Medicine , BBD College of Dental Sciences , Lucknow, Uttar Pradesh , India.
Banshi SabooDepartment of Diabetes , DiaCare and Research , Ahmadabad, Gujarat , India.
Jitendra SinghDepartment of Medicine , Government Medical College , Jammu, Jammu and Kashmir , India.
Prakash C DeedwaniaDepartment of Cardiology , University of California San Francisco VA Medical Center , Fresno, California , USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the prevalence of diabetes and awareness, treatment and control of cardiovascular risk factors in population-based participants in India.

methodsA study was conducted in 11 cities in different regions of India using cluster sampling. Participants were evaluated for demographic, biophysical, and biochemical risk factors. 6198 participants were recruited, and in 5359 participants (86.4%, men 55%), details of diabetes (known or fasting glucose >126 mg/dL), hypertension (known or blood pressure >140/>90 mm Hg), hypercholesterolemia (cholesterol >200 mg/dL), low high-density lipoprotein (HDL) cholesterol (men <40, women <50 mg/dL), hypertriglyceridemia (>150 mg/dL), and smoking/tobacco use were available. Details of awareness, treatment, and control of hypertension and hypercholesterolemia were also obtained.

resultsThe age-adjusted prevalence (%) of diabetes was 15.7 (95% CI 14.8 to 16.6; men 16.7, women 14.4) and that of impaired fasting glucose was 17.8 (16.8 to 18.7; men 17.7, women 18.0). In participants with diabetes, 27.6% were undiagnosed, drug treatment was in 54.1% and control (fasting glucose ≤130 mg/dL) in 39.6%. Among participants with diabetes versus those without, prevalence of hypertension was 73.1 (67.2 to 75.0) vs 26.5 (25.2 to 27.8), hypercholesterolemia 41.4 (38.3 to 44.5) vs 14.7 (13.7 to 15.7), hypertriglyceridemia 71.0 (68.1 to 73.8) vs 30.2 (28.8 to 31.5), low HDL cholesterol 78.5 (75.9 to 80.1) vs 37.1 (35.7 to 38.5), and smoking/smokeless tobacco use in 26.6 (23.8 to 29.4) vs 14.4 (13.4 to 15.4; p<0.001). Awareness, treatment, and control, respectively, of hypertension were 79.9%, 48.7%, and 40.7% and those of hypercholesterolemia were 61.0%, 19.1%, and 45.9%, respectively.

conclusionsIn the urban Indian middle class, more than a quarter of patients with diabetes are undiagnosed and the status of control is low. Cardiovascular risk factors-hypertension, hypercholesterolemia, low HDL cholesterol, hypertriglyceridemia, and smoking/smokeless tobacco use-are highly prevalent. There is low awareness, treatment, and control of hypertension and hypercholesterolemia in patients with diabetes.

Indexed as

CardiovascularHypercholesterolemiaHypertension

Identifiers

PMID25489485
PMCPMC4256307

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.