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Background: Prediabetes is a reversible intermediate stage of dysglycemia that substantially increases the risk of diabetes and cardiovascular disease. India is witnessing a rapid rise in the burden of prediabetes; however, national evidence on biomarker-verified prediabetes among older adults remains limited. The present study aimed to estimate the prevalence of prediabetes and identify its associated factors among older adults in India. Methods: We conducted a secondary cross-sectional analysis of wave one longitudinal aging study in India (LASI) data, a nationally representative survey of adults aged ≥45 years. A total of 58,386 participants with valid biomarker data on blood glucose levels were included. Prediabetes was defined as HbA1c 5.7-6.4%. Factors associated with prediabetes were examined using Poisson regression models to estimate adjusted prevalence ratios (aPRs) and 95% CIs. Results: < 0.001). Conclusion: Prediabetes affects more than one in four older adults in India. The marked regional and socioeconomic disparities underscore the urgent need for population-specific, biomarker-based screening and prevention strategies targeting older adults to curb progression to diabetes and related complications.
Ravi et al. (Mon,) studied this question.
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