Prevalence of young-onset diabetes and associated physical activity profile in southern India

Background/objective: A temporal shift is noticed in the age of diagnosis of type 2 diabetes mellitus among young adults globally. Physical inactivity is a significant contributor to the higher prevalence of young-onset diabetes in India. This study aims to estimate the prevalence of young-onset dia...

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Main Authors: Anupama Harihar, G. Arun Maiya, Sahana Shetty, K.N. Shivashankar, N. Shyamasunder Bhat
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Clinical Epidemiology and Global Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213398425001290
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author Anupama Harihar
G. Arun Maiya
Sahana Shetty
K.N. Shivashankar
N. Shyamasunder Bhat
author_facet Anupama Harihar
G. Arun Maiya
Sahana Shetty
K.N. Shivashankar
N. Shyamasunder Bhat
author_sort Anupama Harihar
collection DOAJ
description Background/objective: A temporal shift is noticed in the age of diagnosis of type 2 diabetes mellitus among young adults globally. Physical inactivity is a significant contributor to the higher prevalence of young-onset diabetes in India. This study aims to estimate the prevalence of young-onset diabetes in southern India and to identify the physical activity level and barriers in young adults. Methods: This is a cross-sectional study including individuals aged 18–40 years. A total of 273 participants were included by random selection of individuals attending a tertiary hospital for routine checkups. In the first stage, the prevalence of type 2 diabetes was estimated using capillary blood glucose level evaluation. The second stage includes the profiling of physical activity & identification of barriers to physical activity among physically inactive individuals using a self-reported questionnaire. Result: The overall prevalence of young-onset type 2 diabetes was found to be 17.2 %. Pre-existing type 2 diabetes was 11.3 %, while 5.8 % of new cases were found with no previous history of diabetes. In males, the prevalence was 10.6 %, whereas in females, it was 6.5 %. The majority of individuals with young-onset type 2 diabetes were physically inactive, and the most common barriers identified were lack of time, willpower, and energy. Conclusion: This study reveals a high prevalence of type 2 diabetes below the age of 40 years in India. Screening for diabetes by the age of 25 years is highly recommended. Management strategies are needed to overcome the identified barriers and promote physical activity in young adults.
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spelling doaj-art-e6619c30df074553ac19c46c3f08d3d42025-08-20T02:18:55ZengElsevierClinical Epidemiology and Global Health2213-39842025-05-013310204010.1016/j.cegh.2025.102040Prevalence of young-onset diabetes and associated physical activity profile in southern IndiaAnupama Harihar0G. Arun Maiya1Sahana Shetty2K.N. Shivashankar3N. Shyamasunder Bhat4Centre for Podiatry & Diabetic Foot Care and Research, Department of Physiotherapy, Manipal College of Health Profession, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaCentre for Podiatry & Diabetic Foot Care and Research, Department of Physiotherapy, Manipal College of Health Profession, Manipal Academy of Higher Education, Manipal, Karnataka, India; Corresponding author. Centre for Podiatry & Diabetic Foot Care and Research, Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Madhav Nagar, Manipal, 576104, Karnataka, India.Department of Endocrinology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, IndiaDepartment of Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, IndiaDepartment of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, IndiaBackground/objective: A temporal shift is noticed in the age of diagnosis of type 2 diabetes mellitus among young adults globally. Physical inactivity is a significant contributor to the higher prevalence of young-onset diabetes in India. This study aims to estimate the prevalence of young-onset diabetes in southern India and to identify the physical activity level and barriers in young adults. Methods: This is a cross-sectional study including individuals aged 18–40 years. A total of 273 participants were included by random selection of individuals attending a tertiary hospital for routine checkups. In the first stage, the prevalence of type 2 diabetes was estimated using capillary blood glucose level evaluation. The second stage includes the profiling of physical activity & identification of barriers to physical activity among physically inactive individuals using a self-reported questionnaire. Result: The overall prevalence of young-onset type 2 diabetes was found to be 17.2 %. Pre-existing type 2 diabetes was 11.3 %, while 5.8 % of new cases were found with no previous history of diabetes. In males, the prevalence was 10.6 %, whereas in females, it was 6.5 %. The majority of individuals with young-onset type 2 diabetes were physically inactive, and the most common barriers identified were lack of time, willpower, and energy. Conclusion: This study reveals a high prevalence of type 2 diabetes below the age of 40 years in India. Screening for diabetes by the age of 25 years is highly recommended. Management strategies are needed to overcome the identified barriers and promote physical activity in young adults.http://www.sciencedirect.com/science/article/pii/S2213398425001290Adult-onset diabetesBarriersEarly-onset diabetesPhysical activityType 2 diabetes
spellingShingle Anupama Harihar
G. Arun Maiya
Sahana Shetty
K.N. Shivashankar
N. Shyamasunder Bhat
Prevalence of young-onset diabetes and associated physical activity profile in southern India
Clinical Epidemiology and Global Health
Adult-onset diabetes
Barriers
Early-onset diabetes
Physical activity
Type 2 diabetes
title Prevalence of young-onset diabetes and associated physical activity profile in southern India
title_full Prevalence of young-onset diabetes and associated physical activity profile in southern India
title_fullStr Prevalence of young-onset diabetes and associated physical activity profile in southern India
title_full_unstemmed Prevalence of young-onset diabetes and associated physical activity profile in southern India
title_short Prevalence of young-onset diabetes and associated physical activity profile in southern India
title_sort prevalence of young onset diabetes and associated physical activity profile in southern india
topic Adult-onset diabetes
Barriers
Early-onset diabetes
Physical activity
Type 2 diabetes
url http://www.sciencedirect.com/science/article/pii/S2213398425001290
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