Diabetes in Asia and the pacific: Implications for the global epidemic

Arun Nanditha, Ronald C W Ma, Ambady Ramachandran, Chamukuttan Snehalatha, Juliana C N Chan, Kee Seng Chia, Jonathan E. Shaw, Paul Z. Zimmet

Research output: Contribution to journalArticleResearchpeer-review

Abstract

The last three decades have witnessed an epidemic rise in the number of peoplewith diabetes, especially type 2 diabetes, and particularly in developing countries, where more than 80% of the people with diabetes live. The rise of type 2 diabetes in South Asia is estimated to be more than 150% between 2000 and 2035. Although aging, urbanization, and associated lifestyle changes are the major determinants for the rapid increase, an adverse intrauterine environment and the resulting epigenetic changes could also contribute in many developing countries. The International Diabetes Federation estimated that there were 382 million people with diabetes in 2013, a number surpassing its earlier predictions.More than 60% of the people with diabetes live in Asia,with almost one-half in China and India combined. The Western Pacific, the world's most populous region, has more than 138.2 million people with diabetes, and the numbermay rise to 201.8 million by 2035. The scenario poses huge social and economic problems to most nations in the region and could impede national and, indeed, global development. More action is required to understand the drivers of the epidemic to provide a rationale for prevention strategies to address the rising global public health "tsunami." Unless drastic steps are taken through national prevention programs to curb the escalating trends in all of the countries, the social, economic, and health care challenges are likely to be insurmountable.

Original languageEnglish
Pages (from-to)472-485
Number of pages14
JournalDiabetes Care
Volume39
Issue number3
DOIs
Publication statusPublished - 1 Mar 2016
Externally publishedYes

Cite this

Nanditha, A., Ma, R. C. W., Ramachandran, A., Snehalatha, C., Chan, J. C. N., Chia, K. S., ... Zimmet, P. Z. (2016). Diabetes in Asia and the pacific: Implications for the global epidemic. Diabetes Care, 39(3), 472-485. https://doi.org/10.2337/dc15-1536
Nanditha, Arun ; Ma, Ronald C W ; Ramachandran, Ambady ; Snehalatha, Chamukuttan ; Chan, Juliana C N ; Chia, Kee Seng ; Shaw, Jonathan E. ; Zimmet, Paul Z. / Diabetes in Asia and the pacific : Implications for the global epidemic. In: Diabetes Care. 2016 ; Vol. 39, No. 3. pp. 472-485.
@article{a40e79c7df4b4e019f6f48578230f6f7,
title = "Diabetes in Asia and the pacific: Implications for the global epidemic",
abstract = "The last three decades have witnessed an epidemic rise in the number of peoplewith diabetes, especially type 2 diabetes, and particularly in developing countries, where more than 80{\%} of the people with diabetes live. The rise of type 2 diabetes in South Asia is estimated to be more than 150{\%} between 2000 and 2035. Although aging, urbanization, and associated lifestyle changes are the major determinants for the rapid increase, an adverse intrauterine environment and the resulting epigenetic changes could also contribute in many developing countries. The International Diabetes Federation estimated that there were 382 million people with diabetes in 2013, a number surpassing its earlier predictions.More than 60{\%} of the people with diabetes live in Asia,with almost one-half in China and India combined. The Western Pacific, the world's most populous region, has more than 138.2 million people with diabetes, and the numbermay rise to 201.8 million by 2035. The scenario poses huge social and economic problems to most nations in the region and could impede national and, indeed, global development. More action is required to understand the drivers of the epidemic to provide a rationale for prevention strategies to address the rising global public health {"}tsunami.{"} Unless drastic steps are taken through national prevention programs to curb the escalating trends in all of the countries, the social, economic, and health care challenges are likely to be insurmountable.",
author = "Arun Nanditha and Ma, {Ronald C W} and Ambady Ramachandran and Chamukuttan Snehalatha and Chan, {Juliana C N} and Chia, {Kee Seng} and Shaw, {Jonathan E.} and Zimmet, {Paul Z.}",
year = "2016",
month = "3",
day = "1",
doi = "10.2337/dc15-1536",
language = "English",
volume = "39",
pages = "472--485",
journal = "Diabetes Care",
issn = "0149-5992",
publisher = "Am Diabetes Assoc",
number = "3",

}

Nanditha, A, Ma, RCW, Ramachandran, A, Snehalatha, C, Chan, JCN, Chia, KS, Shaw, JE & Zimmet, PZ 2016, 'Diabetes in Asia and the pacific: Implications for the global epidemic' Diabetes Care, vol. 39, no. 3, pp. 472-485. https://doi.org/10.2337/dc15-1536

Diabetes in Asia and the pacific : Implications for the global epidemic. / Nanditha, Arun; Ma, Ronald C W; Ramachandran, Ambady; Snehalatha, Chamukuttan; Chan, Juliana C N; Chia, Kee Seng; Shaw, Jonathan E.; Zimmet, Paul Z.

In: Diabetes Care, Vol. 39, No. 3, 01.03.2016, p. 472-485.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Diabetes in Asia and the pacific

T2 - Implications for the global epidemic

AU - Nanditha, Arun

AU - Ma, Ronald C W

AU - Ramachandran, Ambady

AU - Snehalatha, Chamukuttan

AU - Chan, Juliana C N

AU - Chia, Kee Seng

AU - Shaw, Jonathan E.

AU - Zimmet, Paul Z.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - The last three decades have witnessed an epidemic rise in the number of peoplewith diabetes, especially type 2 diabetes, and particularly in developing countries, where more than 80% of the people with diabetes live. The rise of type 2 diabetes in South Asia is estimated to be more than 150% between 2000 and 2035. Although aging, urbanization, and associated lifestyle changes are the major determinants for the rapid increase, an adverse intrauterine environment and the resulting epigenetic changes could also contribute in many developing countries. The International Diabetes Federation estimated that there were 382 million people with diabetes in 2013, a number surpassing its earlier predictions.More than 60% of the people with diabetes live in Asia,with almost one-half in China and India combined. The Western Pacific, the world's most populous region, has more than 138.2 million people with diabetes, and the numbermay rise to 201.8 million by 2035. The scenario poses huge social and economic problems to most nations in the region and could impede national and, indeed, global development. More action is required to understand the drivers of the epidemic to provide a rationale for prevention strategies to address the rising global public health "tsunami." Unless drastic steps are taken through national prevention programs to curb the escalating trends in all of the countries, the social, economic, and health care challenges are likely to be insurmountable.

AB - The last three decades have witnessed an epidemic rise in the number of peoplewith diabetes, especially type 2 diabetes, and particularly in developing countries, where more than 80% of the people with diabetes live. The rise of type 2 diabetes in South Asia is estimated to be more than 150% between 2000 and 2035. Although aging, urbanization, and associated lifestyle changes are the major determinants for the rapid increase, an adverse intrauterine environment and the resulting epigenetic changes could also contribute in many developing countries. The International Diabetes Federation estimated that there were 382 million people with diabetes in 2013, a number surpassing its earlier predictions.More than 60% of the people with diabetes live in Asia,with almost one-half in China and India combined. The Western Pacific, the world's most populous region, has more than 138.2 million people with diabetes, and the numbermay rise to 201.8 million by 2035. The scenario poses huge social and economic problems to most nations in the region and could impede national and, indeed, global development. More action is required to understand the drivers of the epidemic to provide a rationale for prevention strategies to address the rising global public health "tsunami." Unless drastic steps are taken through national prevention programs to curb the escalating trends in all of the countries, the social, economic, and health care challenges are likely to be insurmountable.

UR - http://www.scopus.com/inward/record.url?scp=84962045551&partnerID=8YFLogxK

U2 - 10.2337/dc15-1536

DO - 10.2337/dc15-1536

M3 - Article

VL - 39

SP - 472

EP - 485

JO - Diabetes Care

JF - Diabetes Care

SN - 0149-5992

IS - 3

ER -

Nanditha A, Ma RCW, Ramachandran A, Snehalatha C, Chan JCN, Chia KS et al. Diabetes in Asia and the pacific: Implications for the global epidemic. Diabetes Care. 2016 Mar 1;39(3):472-485. https://doi.org/10.2337/dc15-1536