The burden and care cascade in young and middle-aged patients with diabetes hypertension comorbidity with abdominal obesity in India

A nationally representative cross-sectional survey

Bibliographic Data

ID19592393
AuthorsSaurav Basu (0000-0003-1336-8720, Institute of Public Health Bengaluru, corresponding author), Vansh Maheshwari (0000-0002-8723-5843, Institute of Public Health Bengaluru, corresponding author), Mansi Malik (Institute of Public Health Bengaluru, corresponding author), Kara Barzangi (0009-0009-0327-1221, University of Cambridge, corresponding author), Refaat Hassan (University of Cambridge, corresponding author)
EditorsRajat Das Gupta (0000-0002-7680-676X)
Year2024
Volume4
Issue7
Pagese0003413
Publication date2024-07-17
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0003413
PMID39018298
OpenAlexW4400726750
LanguageEN
References cited33

We ascertained the burden, determinants, and care cascade in the young and middle-aged patients having co-existing hypertension (HTN), Diabetes Mellitus (DM), and abdominal obesity in India from a secondary data analysis of nationally representative data. The study examined cross-sectional data from the National Family Health Survey (NFHS-5) conducted in India from 2019 to 2021 in 788974 individuals aged 15–49 years including 695707 women and 93267 men. The weighted prevalence of DM-HTN comorbidity with high waist circumference in the sample was 0.75% (95% CI: 0.71 to 0.79) including 46.33% (95% CI: 44.06 to 48.62) newly diagnosed cases detected for HTN and high blood sugars. The weighted prevalence of Metabolic syndrome as per NCEP ATPIII criteria was found to be 1.13% (95% CI: 1.08 to 1.17). Only 46.16% existing cases were treated with both anti-diabetes and antihypertensive medication (full treatment), while 34.71% cases were untreated. On adjusted analysis, increasing age, females, higher wealth index, high fat diet, obesity and comorbidities were significantly associated with having DM-HTN comorbidity along with high-waist circumference. More than half of young and middle aged-population in India with DM-HTN-abdominal obesity triad are not initiated on treatment for DM and HTN comorbidities, while a majority of the previously diagnosed cases have uncontrolled blood pressure and poor glycemic control. The poor cascade of care for DM and HTN in these high-risk group of patients may substantially increase their risk for early progression and severity of microvascular and macrovascular complications especially cardiovascular disease

Abdominal obesity · Comorbidity · Cross-sectional study · Diabetes mellitus · Environmental health · Metabolic syndrome · Obesity · Pathology · Blood Pressure and Hypertension Studies · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Obesity and Health Practices · Endocrinology · Gerontology · Internal Medicine

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