1 Diabetes epidemics are evident in rural areas that are undergoing socioeconomic development and urbanisation.2 National Family Health Survey (NFHS) reports state that diabetes poses a significant threat to households nationwide.3 With lifestyle factors and urbanisation fuelling the diabetes epidemic, a dynamic approach is essential.
Dr Uday Phadke, MD DNB DM FACE, Fellow American College of Endocrinology
Key issues emerging from urbanisation:
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- Increased disposable income is leading to growing fast food consumption:
As per the latest World Bank report4 In India, 600 million people—or 40% of the country's total population—will reside in urban areas by 2036, also according to demographic forecasts, India is expected to be 50% urbanised by 2050.5 With this rate of expansion already underway, the middle class in India is becoming increasingly affluent, and access to more disposable6 income is changing how people consume fast food and other services. With the advent of food delivery apps, the practice of ordering food from outside has grown in popularity during the past ten years, particularly among youth.7
- Urbanisation may lead to a sedentary lifestyle:
A study8 has highlighted how rapid industrialisation and urbanisation have led to sedentary lifestyles and consumption of calorie-intense processed and adulterated foods, which has significantly contributed to a surge in the issue of excess weight,9 a reason for doubling up the country’s prevalence of overweight and obesity around 2005–15. This is found to be the primary risk factor for the onset,
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