Journal of Nutrition Research
An official journal of IAPEN India association
Journal of Nutrition Research
DOI: 10.55289/jnutres/v13i2.25.51
Year: 2025, Volume: 13, Issue: 2, Pages: 37-45
Original Article
Sherin Thomas1, N Fida Jabir2, Fiza Nawaz3, Jothi James4, Leena Saju5, V Sruthi Mol6, Sripriya Shaji7*
1Senior Manager, Department of Clinical Nutrition, Aster Mims, Calicut / President, Community Nutrition Forum, Kerala, India.
2Chief Dietitian & Research Associate, Clinical Nutrition Department, Iqraa
International Hospital and Research Centre, Malaparamba, Kozhikode / Member,
Community Nutrition Forum, Kerala, India.
3Project Associate, DST SEED project, St. Teresa’s College, Ernakulam / Member, Community Nutrition Forum, Kerala, India.
4Dietician cum Counselor, Government Taluk Hospital Feroke, Kozhikode / Treasurer, Community Nutrition Forum, Kerala, India.
5Group Manager- Clinical Nutrition, KIMS Health, Trivandrum / Member, Community Nutrition Forum, Kerala, India.
6Dietitian and Administrative officer, Institute of Applied Dermatology, Kasaragod/ Member, Community Nutrition Forum, Kerala, India.
7Counselling Psychologist and Nutritionist, Srisha Counselling, Kozhikode / Secretary, Community Nutrition Forum, Kerala, India
*Corresponding Author
Email: [email protected]
Received Date:21 September 2025, Accepted Date:28 November 2025, Published Date:12 December 2025
Diabetes mellitus (DM) is a growing global health concern, with lifestyle changes and inactivity fueling its rise. A community-based cross-sectional study in Kerala, India (Nov–Dec 2023), assessed diabetes risk among 714 adults (18–90 years) across 14 districts using the Indian Diabetes Risk Score (IDRS). Findings showed 65.2% at moderate risk and 26.8% at high risk, with variations by age, gender, BMI, comorbidities, and region. Women had a higher high-risk proportion than men (28.6% vs. 21.4%). Obesity was a key determinant, as 39.3% with Obesity Class II were at high risk. Regional analysis revealed South Kerala as the most affected (36.5% high risk). Participants with comorbidities showed significantly greater vulnerability. These results highlight the urgent need for robust public health strategies focusing on diabetes education, early screening, and targeted interventions. Bridging the gap between awareness and action is critical to mitigating Kerala’s diabetes burden and its socio-economic consequences.
Keywords: Diabetes mellitus, Indian Diabetes Risk Score (IDRS), Obesity, Comorbidities, Kerala, Community-based study, Public health
1. Acharya AS, Debbarma S, Rasania SK, Tiwari N, Bachani D, Khandekar J. Risk assessment of Diabetes using the Indian Diabetes Risk Score in an urban resettlement colony of East Delhi. Indian Journal of Community Health. 2020; 32 (2). Available from: https://doi.org/10.47203/ijch.2020.v32i02.010
2. Anand K, Jain S, Chopra H, Kumar A, Singh G. Indian Diabetes Risk Score (IDRS): An effective tool to screen undiagnosed diabetes. Indian Journal of Community Health. 2022; 34 (1). Available from: https://doi.org/10.47203/ijch.2022.v34i01.024
3. Bala S, Pandve H, Kamala K, Dhanalakshmi A, Sarikonda H. Performance of Indian diabetic risk score as a screening tool of diabetes among women of industrial urban area. Journal of Family Medicine and Primary Care. 2019; 8 (11). Available from: https://doi.org/10.4103/jfmpc.jfmpc_799_19
4. Halder P, Jeer G, Nongkynrih B. Risk assessment of type 2 diabetes mellitus using Indian diabetes risk score among females aged 30 years and above in urban Delhi. Indian Journal of Medical Sciences. 2023; 75 Available from: https://doi.org/10.25259/ijms_53_2023
5. Mohan V, Deepa R, Deepa M, Somannavar S, Datta M. A simplified Indian Diabetes Risk Score for screening for undiagnosed diabetic participants. <I>Journal of the Association of Physicians of India</I>. 2005 Sep;53:759–63.
6. Mohanty S, Pradhan R, Rath N. Updated Kuppuswamy’s Socioeconomic Status Scale: Rural and Urban in 2024. <I>Indian Journal of Community Medicine</I>. 2024;49:134–6.
7. Nagarathna R, Tyagi R, Battu P, Singh A, Anand A, Nagendra HR. Assessment of risk of diabetes by using Indian Diabetic risk score (IDRS) in Indian population. Diabetes Research and Clinical Practice. 2020; 162 Available from: https://doi.org/10.1016/j.diabres.2020.108088
8. Namdev G, Narkhede V. A study on validity of Indian Diabetes Risk Score for screening of diabetes mellitus among rural adult population at Rural Health Training Centre, Bhouri, under Department of Community Medicine. International Journal of Community Medicine And Public Health. 2018; 5 (12). Available from: https://doi.org/10.18203/2394-6040.ijcmph20184806
9. Patil R, Gothankar J. Assessment of risk of type 2 diabetes using the Indian Diabetes Risk Score in an urban slum of Pune, Maharashtra, India: a cross-sectional study. WHO South-East Asia Journal of Public Health. 2016; 5 (1). Available from: https://doi.org/10.4103/2224-3151.206555
10. Brinda P, Santosh A. A study to determine the hidden part of the iceberg of diabetes, using Indian diabetes risk score as a screening tool in rural population of Bangalore, Karnataka, India. International Journal of Community Medicine and Public Health. 2016; Available from: https://doi.org/10.18203/2394-6040.ijcmph20163914
11. Sankar P, Sasikumar P, Medayil R, Jacob R, Sasidharan S. Diabetes Risk in Women Employees (DRIWE)—An Institution-Based Screening Model Detects High Prevalence of Women Employees at Risk of Type 2 Diabetes. Diabetes. 2018; 67 (Supplement_1). Available from: https://doi.org/10.2337/db18-2376-pub
12. Sengupta B, Bhattacharjya H. Validation of Indian Diabetes Risk Score for screening prediabetes in west Tripura district of India. Indian Journal of Community Medicine. 2021; 46 (1). Available from: https://doi.org/10.4103/ijcm.ijcm_136_20
13. Sharma S, Bansal A, Singh SP, Chaudhary A, Satija M, Singla A, <I>et al</I>. Assessment of diabetes risk profile in a rural population of northern India using the Indian Diabetes Risk Score – A community-based study. Journal of Family Medicine and Primary Care. 2022; 11 (11). Available from: https://doi.org/10.4103/jfmpc.jfmpc_1116_22
14. Sri PKSSU, Rao BT, Naidu SA, Mokshanand K, Lakshmi NN, Keerthi MD. Indian diabetic risk score as a screening tool for assessment of diabetes in urban and rural areas in Andhra Pradesh. International Journal Of Community Medicine And Public Health. 2022; 9 (12). Available from: https://doi.org/10.18203/2394-6040.ijcmph20222993
15. World Health Organization, International Association for the Study of Obesity, International Obesity Task Force. <I>The Asia-Pacific perspective: Redefining obesity and its treatment</I>. Sydney: Health Communications Australia; 2000.
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Published By India Association for Parenteral and Enteral Nutrition (IAPEN)
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