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Assessment of Risk Factors of Diabetes Mellitus in Postpartum Women in a Tertiary Hospital in Maharashtra, India: Results from a STEPS Survey

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Anshula Sachdev , Dr. Sujata Vijaysinh Patil
» doi: 10.48047/ecb/2023.12.Si6.058

Abstract

Diabetes is a major public health problem and its prevalence is rising all over the world, with India being called Diabetes capital of the world. India is home to about 62 million people with type 2 diabetes mellitus (DM) and this number is likely to increase up to 79.4 million by 2025. We therefore, conducted a study to assess presence of risk factors for developing diabetes mellitus among postpartum women admitted in a tertiary care centre in Maharashtra, India. Objective: To study risk factors for diabetes mellitus in postpartum women, correlate them with socio demographic profile of the study subjects and to recommend preventive and promotive health care strategies to those at risk. Methodology: The cross sectional study was carried out on fifty (50) postpartum women (all within one week of delivery) using the WHO STEPS questionnaire along with anthropometric and blood pressure measurements. Results: 50% of the study subjects have secondary educational qualification, i.e. inbetween standard sixth to tenth. Only 18% subjects are graduates. More than three fourth (78%) subjects live in family structure with three generations and almost three fourth (74%) of the study subjects come from Socio Economic Class 3. Also, while 58% of them have high oil consumption, 100% of them take less than 20 gm fibre per day. Further, 98% of them do not take any nuts in their daily food. 72% are overweight or obese while 46% of them have a waist to hip ratio of 0.86 or higher. 62% of the subjects exercise less than 150 minutes per week. While 82% subjects didn’t have history of hypertension, and only 18% reported PIH, 74% were found to be pre-hypertensive. Conclusion: Our findings clearly show a significant risk of DM amongst majority of study subjects in the backdrop of rural background and lack of awareness. This calls for the need to launch awareness programs to eliminate risk factors and timely action to prevent occurrence of Diabetes Mellitus.

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