Evidence map›Paper›PMID 35193925›Full record

ArticleBMJ open2022

Prevalence of diabetes mellitus and associated risk factors in Nepal: findings from a nationwide population-based survey.

Namuna Shrestha, Khem Karki, Anil Poudyal, K K Aryal, Namra Kumar Mahato, Nitisha Gautam, Dirghayu Kc, Pradip Gyanwali, Meghnath Dhimal, Anjani Kumar Jha

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Namuna Shrestha *Research Section, Nepal Health Research Council, Kathmandu, Nepal namunashrestha12@gmail.com.ORCID 0000-0003-2697-5976
Khem Karki *Department of Community Medicine, Maharajgunj Medical Campus, Kathmandu, Nepal.
Anil PoudyalResearch Section, Nepal Health Research Council, Kathmandu, Nepal.ORCID 0000-0003-2687-2993
K K AryalPublic Health Promotion and Development Organization, Kathmandu, Nepal.
Namra Kumar MahatoResearch Section, Nepal Health Research Council, Kathmandu, Nepal.
Nitisha GautamResearch Section, Nepal Health Research Council, Kathmandu, Nepal.
Dirghayu KcPublic Health Promotion and Development Organization, Kathmandu, Nepal.ORCID 0000-0002-6184-0615
Pradip GyanwaliResearch Section, Nepal Health Research Council, Kathmandu, Nepal.
Meghnath DhimalResearch Section, Nepal Health Research Council, Kathmandu, Nepal.ORCID 0000-0001-7176-7821
Anjani Kumar JhaResearch Section, Nepal Health Research Council, Kathmandu, Nepal.
Nepal Health Research Council · NPTribhuvan University Teaching Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe burden of diabetes mellitus (DM) has increased globally, particularly in low-income and middle-income countries, including Nepal. Population-based nationally representative data on the prevalence of DM is limited. This paper presents the prevalence of DM and its associated risk factors in Nepal. RESEARCH DESIGNS AND

methodsThis population-based study sampled 13 200 participants aged 20 years and above in 400 clusters of 72 districts of Nepal. The study used a standardised questionnaire adapted from the WHO STEPwise approach to non-communicable disease risk factor surveillance instrument and digitalised in Android-compatible mobile phones. Fasting and 2 hours postprandial blood samples were taken to test various biochemical parameters. Descriptive followed by multivariate analyses were done to assess the association between explanatory variables and the outcome variable. PRIMARY OUTCOME MEASURES: Prevalence of DM.

resultsThe prevalence of DM was found to be 8.5% (95% CI 7.8% to 9.3%). The odds of DM occurrence were higher in the upper age groups (40-59 years at adjusted OR (AOR) 3.1 (95% CI2.3 to 4.2) and 60+ years at AOR 4.7 (95% CI 3.3 to 6.6)), compared with the group aged 20-39 years. Men were found to have higher odds of DM (AOR 1.3, 95% CI 1.1 to 1.6) compared with women. Urban residents had almost twice higher odds of DM (AOR 1.7, 95% CI 1.4 to 2.2) compared with rural residents. Participants with raised blood pressure (BP) (AOR 2.2, 95% CI 1.8 to 2.7), those who were overweight and obese (AOR 2.0, 95% CI 1.6 to 2.4) and those who had high triglycride level (≥150 mg/dL) (AOR 2.1, 95% CI 1.8 to 2.6) also had twice higher odds of DM compared with those with normal BP, an average body mass index and normal triglyceride level, respectively.

conclusionsTargeted interventions to higher risk groups as well as prevention and control of other associated biological risk factors might help to reduce the prevalence of DM in Nepal.

Indexed as

Diabetes MellitusFemaleHumansMaleNepalOverweightPrevalenceRisk Factorsdiabetes & endocrinologypreventive medicinepublic health

Identifiers

PMID35193925
PMCPMC8867329
OpenAlexW4212968583

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.