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The mortality rate among diabetic Indians is three times higher than among those who do not, concludes a study. Diabetic patients who are underweight are at a higher risk of all-cause mortality than obese people.
In a first study conducted by the Madras Foundation for Diabetes Research (MDRF) comparing the mortality rate of diabetics and non-diabetics in India, found that people suffering from the disease had a 27-year mortality rate. , 9 per 1,000 person-years as opposed to 8 per 1,000 person-years among those without the disease.
It is estimated that an individual dies of diabetes or its complications every 10 seconds. Most of the excess mortality due to diabetes is attributable to cardiovascular disease, kidney failure and cerebrovascular disease.
"Coronary artery disease, which accounts for 53% of the risk of death in diabetics, can be reduced if diagnosed and detected early and aggressively. Other important mortality factors such as physical inactivity, dyslipidemia, smoking, alcohol consumption, and hypertension are also easily modifiable risk factors, said RM Anjana, General Manager of Dr. Mohan's Diabetes Specialties Center and Vice President of MDRF. Renal failure is the second leading cause of death in this group, accounting for 10.7% of deaths.
While several prospective studies have documented increased mortality badociated with diabetes, previous studies in India do not provide information on mortality rates in the general population for comparison purposes. The Chennai Rural Epidemiological Study (CURES) was conducted on a representative sample of 26,001 Chennai adults over 20 years old.
Chinese studies have also shown that diabetics have a three times higher mortality rate without diabetes. Studies in the United Kingdom, Germany, the United States, Brazil and Australia have shown that people with type 2 diabetes are at 1.5 to 2.5 times higher risk of people without diabetes
. of all-cause mortality as overweight and obesity. Underweight leads to an increased risk of death as these people are exposed to chronic undernutrition and its consequences such as infectious diseases and micronutrient deficiencies in children and youth or even stunting. intrauterine. may reflect poor health due to other underlying diseases, eg tuberculosis, undernutrition, or decreased immunity. While gross obesity is undoubtedly detrimental, this study shows that low levels of overweight, especially among the elderly, may not be as bad as previously thought. This is an emerging discovery worldwide, and requires further study, "said V Mohan, Director, MDRF.
The study also found that excess mortality due diabetes was more pronounced in the age group 51-70 years old.In the South Asian population, patients develop diabetes during the fourth or fifth decade and develop complications and a risk of death at the sixth or seventh decade.
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