Assessment of Insulin Sensitivity and its Convalescence with Dietary Rehabilitation in Undernourished Rural West Bengal Population
Introduction: Metabolic syndrome involving diabetes is acquiring the eminence of prospective epidemic in India with dramatic rise in rural population prevalence where majority are undernourished and creates significant healthcare burden. Aim: To investigate the prevalence of the insulin resistan...
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doaj-a28ccee1e7be4f6ba573bcedf1e6d2dd2020-11-25T02:25:24ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-05-01115LC29LC3210.7860/JCDR/2017/25888.9937Assessment of Insulin Sensitivity and its Convalescence with Dietary Rehabilitation in Undernourished Rural West Bengal PopulationNimmy K Francis0Harpreet Singh Pawar1Anirban Mitra2Analava Mitra3Research Scholar, School of Medical Science and Technology, Indian Institute of Technology, Kharagpur, West Bengal, India.Research Scholar, School of Medical Science and Technology, Indian Institute of Technology, Kharagpur, West Bengal, India.Associate Professor, Computer Science Education, Vignen Institute of Technology and Management, Berhampur, Odisha, India.Associate Professor, School of Medical Science and Technology, Kharagpur, Indian Institute of Technology, Kharagpur, West Bengal, India.Introduction: Metabolic syndrome involving diabetes is acquiring the eminence of prospective epidemic in India with dramatic rise in rural population prevalence where majority are undernourished and creates significant healthcare burden. Aim: To investigate the prevalence of the insulin resistance amongst the undernourished rural population, involving children, adolescents and adult volunteers of the West Bengal and the effect of nutritional supplementation in the parameters echoing insulin sensitivity. Materials and Methods: A prospective interventional study was carried out on 120 volunteers in three age groups; Group 1 (5-12 years), Group 2 (13-18 years) and Group 3 (19-40 years), each with 40 subjects who fulfilled the inclusion criteria, under informed consent over six months. Baseline data regarding demography, family history including parental history of diabetes, medical history, physical, activity, anthropometrical status and blood parameters echoing insulin sensitivity were obtained from volunteers. Intervention included daily nutritional supplementation with eggs and banana. After six months of food supplementation, parameters reflecting insulin sensitivity were assessed. Results: Initial low figures of fasting insulin and blood sugar levels improvised with the nutritional supplementation alongside the absence of wasting in Group 1. HOMA-IR and IRI values of the Group 2 improved from the initial figures (3.19, 2.87) to (2.204, 1.99) and that of Group 3 from (5.0, 4.52) to (4.08, 3.67) respectively over six months (p<.05). Average Fasting Blood Sugar (FBS) enhanced from 85.5±9.6 mg/dl to 78.4±7.3 mg/dl and from 90.1±10.2 mg/dl to 84.8±8.4 mg/dl in Group 2 and 3 respectively by the end of the supplementation study (p<.05). Conclusion: Six months study revealed the existence of insulin resistance and malnourishment in the selected rural population in three groups. Decrement in HOMA-IR, IRI, FBS and serum insulin alongside the improvement in the body mass, in comparison to that of initial values is evocative of restoration of insulin sensitivity with nutrition supplementation. https://jcdr.net/articles/PDF/9937/25888_CE[Ra]_F(Sh)_PF1(SY_SS)_PFA(SY_SS).pdfdiabeteshomeostasis model assessmentinsulin resistance indexundernutrition |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nimmy K Francis Harpreet Singh Pawar Anirban Mitra Analava Mitra |
spellingShingle |
Nimmy K Francis Harpreet Singh Pawar Anirban Mitra Analava Mitra Assessment of Insulin Sensitivity and its Convalescence with Dietary Rehabilitation in Undernourished Rural West Bengal Population Journal of Clinical and Diagnostic Research diabetes homeostasis model assessment insulin resistance index undernutrition |
author_facet |
Nimmy K Francis Harpreet Singh Pawar Anirban Mitra Analava Mitra |
author_sort |
Nimmy K Francis |
title |
Assessment of Insulin Sensitivity and its Convalescence with Dietary Rehabilitation in Undernourished Rural West Bengal Population |
title_short |
Assessment of Insulin Sensitivity and its Convalescence with Dietary Rehabilitation in Undernourished Rural West Bengal Population |
title_full |
Assessment of Insulin Sensitivity and its Convalescence with Dietary Rehabilitation in Undernourished Rural West Bengal Population |
title_fullStr |
Assessment of Insulin Sensitivity and its Convalescence with Dietary Rehabilitation in Undernourished Rural West Bengal Population |
title_full_unstemmed |
Assessment of Insulin Sensitivity and its Convalescence with Dietary Rehabilitation in Undernourished Rural West Bengal Population |
title_sort |
assessment of insulin sensitivity and its convalescence with dietary rehabilitation in undernourished rural west bengal population |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2017-05-01 |
description |
Introduction: Metabolic syndrome involving diabetes is
acquiring the eminence of prospective epidemic in India with
dramatic rise in rural population prevalence where majority are
undernourished and creates significant healthcare burden.
Aim: To investigate the prevalence of the insulin resistance
amongst the undernourished rural population, involving children,
adolescents and adult volunteers of the West Bengal and the
effect of nutritional supplementation in the parameters echoing
insulin sensitivity.
Materials and Methods: A prospective interventional study
was carried out on 120 volunteers in three age groups; Group 1
(5-12 years), Group 2 (13-18 years) and Group 3 (19-40 years),
each with 40 subjects who fulfilled the inclusion criteria, under
informed consent over six months. Baseline data regarding
demography, family history including parental history of
diabetes, medical history, physical, activity, anthropometrical
status and blood parameters echoing insulin sensitivity were
obtained from volunteers. Intervention included daily nutritional
supplementation with eggs and banana. After six months of
food supplementation, parameters reflecting insulin sensitivity
were assessed.
Results: Initial low figures of fasting insulin and blood sugar
levels improvised with the nutritional supplementation alongside
the absence of wasting in Group 1. HOMA-IR and IRI values
of the Group 2 improved from the initial figures (3.19, 2.87) to
(2.204, 1.99) and that of Group 3 from (5.0, 4.52) to (4.08, 3.67)
respectively over six months (p<.05). Average Fasting Blood
Sugar (FBS) enhanced from 85.5±9.6 mg/dl to 78.4±7.3 mg/dl
and from 90.1±10.2 mg/dl to 84.8±8.4 mg/dl in Group 2 and 3
respectively by the end of the supplementation study (p<.05).
Conclusion: Six months study revealed the existence of
insulin resistance and malnourishment in the selected rural
population in three groups. Decrement in HOMA-IR, IRI, FBS
and serum insulin alongside the improvement in the body mass,
in comparison to that of initial values is evocative of restoration
of insulin sensitivity with nutrition supplementation. |
topic |
diabetes homeostasis model assessment insulin resistance index undernutrition |
url |
https://jcdr.net/articles/PDF/9937/25888_CE[Ra]_F(Sh)_PF1(SY_SS)_PFA(SY_SS).pdf |
work_keys_str_mv |
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