Evidence map›Paper›PMID 28217505›Full record

ArticleIndian journal of endocrinology and metabolism

Noncommunicable disease in rural India: Are we seriously underestimating the risk? The Nallampatti noncommunicable disease study.

Krishnan Swaminathan, Ganesh Veerasekar, Sujatha Kuppusamy, Mohanraj Sundaresan, Ganesan Velmurugan, Nalla G Palaniswami

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of endocrinology and metabolism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  11. Implementation of Community-Centric Medical Education through Family Adoption Program: Descriptive Results from Coastal Karnataka.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
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  12. Article
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  14. Healthcare Utilization for Noncommunicable Disease Management among Adults in a Rural South Indian Community: A Community-based Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
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

6 authors at 1 institution in 1 country.

Krishnan SwaminathanKovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India; KMCH Research Foundation, Coimbatore, Tamil Nadu, India.
Ganesh VeerasekarKovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India; KMCH Research Foundation, Coimbatore, Tamil Nadu, India.
Sujatha KuppusamySocial and Preventive Medicine, Coimbatore Medical College, Coimbatore, Tamil Nadu, India.
Mohanraj SundaresanKMCH Research Foundation, Coimbatore, Tamil Nadu, India.
Ganesan VelmuruganDepartment of Chemistry, DST Unit of Nanoscience, IIT Madras, Chennai, Tamil Nadu, India.
Nalla G PalaniswamiKovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India; KMCH Research Foundation, Coimbatore, Tamil Nadu, India.
Orthopaedic Research Group · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the prevalence of noncommunicable diseases in a true rural farming population in South India and compare the data with the landmark contemporary Indian Council of Medical Research-India Diabetes (ICMR-INDIAB) study.

methodsLocal Ethics Committee approval and informed consent was obtained from all participants. Inclusion criteria were participants, aged ≥20 and ≤85 years, from Nallampatti, a classical farming village from Tamil Nadu state, India. All participants were administered a detailed questionnaire, had anthropometric measurements including height, weight, and waist circumference. Bloods were drawn for random blood glucose, glycated hemoglobin (HbA1c), nonfasting lipid profile, Cystatin C, uric acid, and hemoglobin. All participants had carotid intima-media thickness (CIMT) done by high-resolution B-mode carotid ultrasound.

resultsMore than 50% of the population had either diabetes or prediabetes based on HbA1c. Nearly, 40% of the population had hypertension with suboptimal control in those with known hypertension. Nearly, a third of the population had dyslipidemia, elevated cystatin C levels, and abnormal CIMT. The burden was higher than the comparable ICMR-INDIAB study in rural Tamil Nadu.

conclusionOne-third to one-half of this rural farming population is at risk of cardiovascular disease, with poor control of preexisting cardiovascular risk factors. Current Indian data may underestimate the risk in different ethnic populations and regions of India. Long-term follow-up of this cohort for the incident cardiovascular disease will shed light on the true cardiovascular risk in a typical South Indian rural farming population.

Indexed as

Cystatin CNallampatti noncommunicable diseasenoncommunicable diseaseprediabetes

Identifiers

PMID28217505
PMCPMC5240088
OpenAlexW2563826520

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

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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.