Bedømmelseskomité
Professor, FRCP Abdul Basit, Baquai Institute of Diabetology and Endocrinology, Karachi, Pakistan
Professor emeritus dr.med. Jak Jervell, Fakultetsdivisjon Rikshospitalet, Universitetet i Oslo
Førsteamanuensis dr.med. Per Lagerløv, Institutt for allmenn- og samfunnsmedisin, Universitetet i Oslo
Leder av disputas: Professor dr.med. Bjørgulf Claussen, Institutt for allmenn- og samfunnsmedisin, Universitetet i Oslo
Veileder: Hovedveileder: Professor Akhtar Hussain, Seksjon for internasjonal helse, Institutt for allmenn- og samfunnsmedisin, Universitetet i Oslo
Sammendrag
Title: Epidemiology of Diabetes Mellitus in Bangladesh
Diabetes mellitus is one of the most significant public health challenges of the 21st century. WHO estimate shows, globally the number of persons with diabetes will rise from to 221 million by the year 2010, and to 300 million by 2025.The most increase will take place in south Asia. In 2007 a UN resolution was adopted to mark significance of DM as a global public health issue. Recently the occurrence of type 2 diabetes is increasing both in rural and urban communities and it is considered as a major burden for national health budget. Hence, there is an urgent need to halt the exponential increase of DM in Bangladesh, which is already overburdened with the double burden of both non-communicable and communicable diseases. But there is lack of population based large scale study in the country to assess the extent of the problem and uts determinants. This study topic highlights the epidemiology of diabetes in rural and urban population. The study showed that the prevalence of type 2 diabetes is higher in urban compare to rural areas with comparable levels of obesity (mean BMI and WHR). Further, our data also showed the rising prevalence of type 2 diabetes in rural areas during the period, 1999-2004. During the same period trivial increase of BMI, WHR and waist circumference compare to baseline survey were noted. The study findings hypothesize that urbanization and its associated lifestyle factors may have contributed to the rising prevalence of diabetes in Bangladeshi population. Higher prevalence of diabetes in lean population may also indicate genetically susceptible population. The findings of the study will help develop policies in health sector with a view to initiating appropriate preventive strategy to put off lifelong entrance of diabetes in the population.
Kontaktperson
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