The relationship between adult height and diabetes in India: a countrywide cross-sectional study

Background One major aspect of the epidemiological transition happening in India is the increased diabetes prevalence. Poor environmental conditions in early childhood potentially can increase the risk of developing diabetes in adulthood. Adults' height as an indirect indicator might reflect su...

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Main Authors: Ssabbagh, Majd al (Author) , Geldsetzer, Pascal (Author) , Bärnighausen, Till (Author) , Deckert, Andreas (Author)
Format: Article (Journal)
Language:English
Published: 2020
In: Journal of diabetes
Year: 2019, Volume: 12, Issue: 2, Pages: 158-168
ISSN:1753-0407
DOI:10.1111/1753-0407.12977
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/1753-0407.12977
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/1753-0407.12977
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Author Notes:Majd Al Ssabbagh, Pascal Geldsetzer, Till Bärnighausen, Andreas Deckert
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Summary:Background One major aspect of the epidemiological transition happening in India is the increased diabetes prevalence. Poor environmental conditions in early childhood potentially can increase the risk of developing diabetes in adulthood. Adults' height as an indirect indicator might reflect such conditions. In this paper, we investigate the relationship between adult height as a proxy for early childhood conditions and the risk of developing diabetes in India. Methods This cross-sectional study used national representative data of the latest National Family Health Survey (2015-2016), comprising 512 616 women aged 20 to 49 and 87 281 men aged 20 to 54. We applied the multivariable fractional polynomials approach in logistic regression models to allow for nonlinear relationships between height and diabetes, separated by sex. Additionally, we fitted logistic regression models with height categories. Fixed effects linear probability models were used to control for potential confounding. Results The study revealed a linear relationship between increasing height and increasing diabetes risk among men. Among women, the shortest were at the highest risk (not significant). Conclusions Among Indian men, being taller increases the risk of developing diabetes, which contradicts findings from other countries. In contrast, the shortest women seem to be at the greatest risk. Hence, public health interventions in India might be well advised to focus more on the nutrition status of young girls.
Item Description:Paralleltitel in chinesischer Sprache auf der Frontdoor: 印度成人身高与糖尿病的关系 : 项全国性横断面研究
First published: 17 August 2019
Gesehen am 07.04.2020
Physical Description:Online Resource
ISSN:1753-0407
DOI:10.1111/1753-0407.12977