Built Environment Factors, Psychosocial Factors and Diabetes Mellitus: A South Indian Study

Gumpeny R Sridhar1, Pasala Sudhir Kumar2, Putcha Venkata3, Appa Rao Allam4, Vijay Kishore Durai5, Madhu Kosuri6, Manda R Narasinga Rao7, V.K. Kumar8, Zibin Jiang9 and Gumpeny Lakshmi11Endocrine and Diabetes Centre, 15-12-15 Krishnanagar, Visakhapatnam, India. 2Department of Architecture, Andhra Univ...

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Published in:Indian journal of clinical medicine Vol. 2010; no. 1; p. 15
Main Authors: Sridhar, Gumpeny R, Kumar, Pasala Sudhir, Venkata, Putcha, Allam, Appa Rao, Durai, Vijay Kishore, Kosuri, Madhu, Rao, Manda R Narasinga, Kumar, V.K., Jiang, Zibin, Lakshmi, Gumpeny
Format: Journal Article
Language:English
Published: London, England SAGE Publishing 18-10-2010
SAGE Publications
Sage Publications Ltd. (UK)
Sage Publications Ltd
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Summary:Gumpeny R Sridhar1, Pasala Sudhir Kumar2, Putcha Venkata3, Appa Rao Allam4, Vijay Kishore Durai5, Madhu Kosuri6, Manda R Narasinga Rao7, V.K. Kumar8, Zibin Jiang9 and Gumpeny Lakshmi11Endocrine and Diabetes Centre, 15-12-15 Krishnanagar, Visakhapatnam, India. 2Department of Architecture, Andhra University College of Engineering (Autonomous), Visakhapatnam, India. 3Accostats Solution UK ltd, 53 Charlwood Road, Luton LU4 0BT, UK. 4JNTU, Kakinada, India. 5Principal, School of Planning and Architecture, JNAFAU, Hyderabad, India. 6Institute of Yoga and Consciousness, Professor of Psychology, Andhra University, Visakhapatnam. 7Vignan Institute of Information Technology, Duvvada, Visakhapatnam, India. 8Professor, Department of Psychology, West Chester University of Pennsylvania, West Chester, PA, USA. 9Department of Mathematics and Statistics, West Chester University of Pennsylvania, West Chester, PA, USA. AbstractWe assessed the contribution of selected built environment factors to body weight in a pilot study in urban Visakhapatnam, South India. Participants were 123 men and 60 women (age 16 to 69 years; BMI 17.3-30.5) who had lived in the area for at least 3 years. Individuals with lower BMI tended to be (a) working people (non-home based-working away from home), (b) non-vegetarians, (c) physically active (activity mostly related to work), and (d) taking afternoon siestas. Psychological stress, quality of life and wellbeing data were used from an earlier study of individuals with diabetes mellitus. The measures included were depression, anxiety, energy, positive wellbeing, satisfaction, impact, and social worry and diabetes worry (Diabetes quality of life). Guttman's Smallest Space Analysis (SSA) suggested the relationships among the psychosocial measures can be accounted for by one facet with three axial sets of variables (a) positive wellbeing and energy, (b) satisfaction, impact, and social worry and diabetes worry, and (c) anxiety and depression. SSAs on male participants suggested that fasting blood glucose and weight were most closely associated with anxiety and energy levels. In female participants, weight and fasting glucose were most closely associated with energy and to a somewhat lesser extent with anxiety. In both sexes, age was closely associated with positive wellbeing. Also in both sexes, age, weight, and fasting glucose levels were closely associated with each other. The results support the importance of understanding the impact of built environment and psychosocial factors on body weight in diabetic individuals for designing prevention strategies.
ISSN:1179-9161
2633-9447
1179-9161
1177-3936
DOI:10.4137/IJCM.S4710