Evidence map›Paper›PMID 26913752›Full record

ArticlePloS one2016

The Prevalence, Correlates, Detection and Control of Diabetes among Older People in Low and Middle Income Countries. A 10/66 Dementia Research Group Population-Based Survey.

Aquiles Salas, Daisy Acosta, Cleusa P Ferri, Mariella Guerra, Yueqin Huang, K S Jacob, Ivonne Z Jimenez-Velazquez, Juan J Llibre Rodriguez, Ana L Sosa, Richard Uwakwe and 6 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 13 institutions in 10 countries.

Aquiles SalasMedicine Department, Caracas University Hospital, Faculty of Medicine, Universidad Central de Venezuela, Caracas, Venezuela.
Daisy AcostaUniversidad Nacional Pedro Henriquez Ureña (UNPHU), Internal Medicine Department, Geriatric Section, Santo Domingo, Dominican Republic.
Cleusa P FerriUniversidade Fedral de São Paulo, Department of Psychobiology, Sao Paulo, Brasil.
Mariella GuerraPsychogeriatric Unit, National Institute of Mental Health "Honorio Delgado Hideyo Noguchi", Lima, Peru.
Yueqin HuangPeking University, Institute of Mental Health, Beijing, China.
K S JacobChristian Medical College, Vellore, India.
Ivonne Z Jimenez-VelazquezInternal Medicine Dept., Geriatrics Program, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico.
Juan J Llibre RodriguezFacultad de Medicina Finlay-Albarran, Medical University of Havana, Havana, Cuba.
Ana L SosaNational Institute of Neurology and Neurosurgery of Mexico, National Autonomous University of Mexico, Mexico City, Mexico.
Richard UwakweNnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Joseph D WilliamsDepartment of Community Health, Voluntary Health Services, Chennai, India.
A T JotheeswaranPublic Health Foundation of India, New Delhi, India.
Zhaorui LiuPeking University, Institute of Mental Health, Beijing, China.
A M Lopez MedinaPoliclinico 19 de abril, Plaza, La Habana, Cuba.
Rosa Maria Salinas-ContrerasNational Institute of Neurology and Neurosurgery of Mexico, National Autonomous University of Mexico, Mexico City, Mexico.
Martin J PrinceKing's College London, Institute of Psychiatry, Health Service and Population Research Department, London, United Kingdom.
Peking University · CNCentral University of Venezuela · VEChristian Medical College & Hospital · INInstituto Nacional de Neurología y Neurocirugía · MXInstituto Nacional de Salud · PEKing's College London · GBNnamdi Azikiwe University Teaching Hospital · NGPublic Health Foundation of India · INUniversidad Nacional Autónoma de México · MXUniversidad Nacional Pedro Henríquez Ureña · DOUniversity of Havana · CUUniversity of Puerto Rico, Medical Sciences Campus · PRVoluntary Health Services Hospital · IN

Funding

Wellcome TrustWellcome Trust GR066133Wellcome Trust GR080002
6 · The paper itself

Abstract

backgroundLittle is known of the epidemiology of diabetes among older people in low and middle income countries. We aimed to study and compare prevalence, social patterning, correlates, detection, treatment and control of diabetes among older people in Latin America, India, China and Nigeria.

methodsCross-sectional surveys in 13 catchment area sites in nine countries. Diagnosed diabetes was assessed in all sites through self-reported diagnosis. Undiagnosed diabetes was assessed in seven Latin American sites through fasting blood samples (glucose > = 7 mmol/L).

resultsTotal diabetes prevalence in catchment sites in Cuba (prevalence 24.2%, SMR 116), Puerto Rico (43.4%, 197), and urban (27.0%, 125), and rural Mexico (23.7%, 111) already exceeds that in the USA, while that in Venezuela (20.9%, 100) is similar. Diagnosed diabetes prevalence varied very widely, between low prevalences in sites in rural China (0.9%), rural India (6.6%) and Nigeria (6.0%). and 32.1% in Puerto Rico, explained mainly by access to health services. Treatment coverage varied substantially between sites. Diabetes control (40 to 61% of those diagnosed) was modest in the Latin American sites where this was studied. Diabetes was independently associated with less education, but more assets. Hypertension, central obesity and hypertriglyceridaemia, but not hypercholesterolaemia were consistently associated with total diabetes.

conclusionsDiabetes prevalence is already high in most sites. Identifying undiagnosed cases is essential to quantify population burden, particularly in least developed settings where diagnosis is uncommon. Metabolic risk factors and associated lifestyles may play an important part in aetiology, but this requires confirmation with longitudinal data. Given the high prevalence among older people, more population research is indicated to quantify the impact of diabetes, and to monitor the effect of prevention and health system strengthening on prevalence, treatment and control.

Indexed as

DementiaIncomeSurveys and QuestionnairesAgedAged, 80 and overCross-Sectional StudiesDeveloping CountriesDiabetes MellitusFemaleHumansMaleModels, StatisticalPrevalence

Identifiers

PMID26913752
PMCPMC4767439
OpenAlexW2282802497

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.