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  • Volume 2016

    Socio-Economics, Lifestyle and Association with Diabetes: A Short Review of the Literature
    (International Journal of Medical Works)

    Vol. 2, Issue 4, PP. 9-12, April 2016

    Keywords: Type II Diabetes, incidence, Lifestyle, Socio-economic, Risk factor, health

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    While socio-economic status (SES) and lifestyle have been isolatedly considered as key social factors affecting the prevalence of metabolic disorders like Type II diabetes mellitus, there had not been clear-cut analysis of the simultaneous relationship and impact of the two as diabetes risk factors. SES such as income, education, housing, access to primary health care services and lifestyle factors such as physical inactivities and dietary choices are the primary influencers and predictors of health outcomes. Highlighting the role that SES and lifestyle factors play in the development and progression of Type II diabetes could be central to effective development of primary intervention strategies. The aims of this paper were: (1.) to identify, distinctly from literature, the sub-factors associated with diabetes as lifestyle and socio-economic factors, and (2.) to discuss how the association of lifestyle and SES, in a simultaneous relationship, affect the incidence of diabetes. Studies have shown that type II diabetes is largely preventable through diet and lifestyle modi?cations. To curb the escalating diabetes epidemic, primary prevention through promotion of a healthy diet and lifestyle should be a global policy of  priority.


    Abimbola Oluseyi Ogunsola: Department of Physiology, Ben Carson Snr School of Medicine, Babcock University, Ilisan-Remo, Ogun State, Nigeria; email:,

       Olayinka Kehinde Binuomoyo: Stanbic IBTC, and the Institute of Development Administration of Nigeria (IDAN), Distance Learning Centre, University of Ibadan, Ibadan, Nigeria;

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    Abimbola Oluseyi Ogunsola and Olayinka K. Binuomoyo, "Socio-Economics, Lifestyle and Association with Diabetes: A Short Review of the Literature" International Journal of Medical Works, Vol. 2, Issue 4, PP. 9-12, April 2016.



    [1]     D. Rao Krishna, Aarushi Bhatnagar and Adrinna Murphy, “Socio-economic inequalities in the financing of cardiovascular & diabetes inpatient treatment in India,” Indian J. Med. Res., vol. 133, no. 1, pp. 57-63, January 2011.

    [2]     International Diabetes Federation (IDF), Diabetes Atlas, 3rd edition. Brussels: IDF, 2006, pp. 50-78.

    [3]     A. Chijioke, A. N. Adamu, and A.M. Makusidi. Mortality patterns among Type 2 diabetes mellitus patients in Ilorin, Nigeria. JEMDSA, 15(2), 79-82, 2010.

    [4]     International Diabetes Federation. IDF Diabetes Atlas (6th ed.). Retrieved from, 2013.

    [5]     Nutrition Australia, Diabetes Mellitus, Nutrition Fact Sheet, 2002. Assessed at on March 19 2016.

    [6]     G. A. Colditz, W. C. Willett, M. J. Stampfer, et al., “Weight as a risk  factor for clinical diabetes in women,” American J. of Epidemiology, vol. 32, no. 3, pp. 501-13, September 1990.

    [7]     L. A. Panser, J. M. Naessens, F. T. Nobrega, P. J. Palumbo and D. J. Ballard, “Utilization trends and risk factors for hospitalization in diabetes mellitus,” Mayo Clinical Procedure, vol. 65, no. 9, pp. 1171-84, 1990.

    [8]     V. Burke, Y. Zhao, A. H. Lee, E. Hunter, R. M. Spargo, M. Gracey, et al., “Predictors of type 2 diabetes and diabetes-related hospitalization in an Australian Aboriginal cohort,” Diabetes Res. & Clin Pract., vol. 78, no. 3, pp. 360-8, 2007.

    [9]     S. Dinca-Panaitescu, M. Dinca-Panaitescu, T. Bryant, I. Daiski,  B. Pilkington, D. Raphael. Diabetes prevalence and income: results of the Canadian Community Health Survey. Health Policy; 99(2):116-23. 2011.

    [10]  E. Agardh, P. Allebeck, J. Hallqvist, T. Moradi, A. Sidorchuk. Type 2 diabetes incidence and socio-economic position: a systematic review and meta-analysis. Int J Epidemiol; 40(3):804-18, June 2011.

    [11]  S. Saydah, K. Lochner. Socioeconomic status and risk of diabetes-related mortality in the US. Public Health Rep 2010 May-Jun;125(3):377-88.

    [12]  R. Wilkins, J.M. Berthelot, E. Ng. Trend in mortality by neighbourhood income in urban Canada from 1971 to 1996. Health Reports (Statistics Canada, Catalog 82-003) 2002;13(Suppl):45-71.

    [13]   Overcoming obstacles to health: report from the Robert Wood Johnson Foundation to the Commission to Build a Healthier America [monograph on the Internet]. Princeton, NJ: Robert Wood Johnson Foundation; 2008 Feb 1 [cited 2011 Sep 31]. Available from:

    [14]  E.N. Reither, T.M. Fedor, K.M. Abel, D.J. Hatch. Associations between education attainment and diabetes in Utah: The Behavioral Risk Factor Surveillance System, 1996-2007. Utah’s Health: An Annual Review 2009;14:42-51.

    [15]  E. J. Comino, M. F. Harris, MD F. Islam, et al., “Impact of diabetes on hospital admission and length of stay among a general population aged 45 or more: A record linkage study,” BMC Health Services, vol. 15, no. 12, pp. 1-13, 2015.

    [16]  M. Uusitupa, J. tuomilehto and P. Puska, “Are we really active in the prevention of obesity and type 2 diabetes at the community level?” Nutrition, Metabolism & Cardiovascular Diseases, vol. 21, issue 5, pp. 380-9, May 2011.

    [17]  G. Hu, J. Lindstrom, T. T. Valle, et al., “Physical activity, body mass index, and risk of type 2 diabetes in patients with normal or impaired glucose regulation,” Arch. Intern. Med., vol. 164, pp. 8926, 2004.

    [18]  J. Montonen, P. Knekt, R. Jarvinen, et al., “Whole-grain and fiber intake and the incidence of type 2 diabetes,” American J. Clin. Nutr., vol. 77, pp. 622-9, 2003.

    [19]  G. A. Kaplan, M. N. Haan, S. L. Syme, et al., Socioeconomic status and health, In Closing the Gap: The burden of Unnecessary Illness, R. W. Amer and H. B. Dull (eds), New York: Oxford University Press, pp. 125-9.

    [20]  A. Antonovsky, “Social class, life expectancy and overall mortality,” Milbank Memorial Fund Quarterly, vol. 45, pp. 3173, 1967.

    [21]  M. G. Marmot, A. M. Adelstein, N. Robinson and G. A. Rose, “Changing social-class distribution of heart disease,” British Medical Journal, vol. 1, pp. 1109-12, 1978.

    [22]  World Health Organisation (WHO), Social Determinants of Health, 2011. Assessed at on March 19 2016.

    [23]  W. H. Herman, T. J. Hoerger, M. Brandle, et al., “The cost-effectiveness of lifestyle modification or metformin in preventing type 2 diabetes in adults with impaired glucose tolerance,” Ann. Intern. Med., vol. 142, pp. 323-32, 2005.

    [24]  K. Hak-Ju and J. Prah Ruger, “Socioeconomic disparities in behavioural risk factors and health outcomes by gender in the Republic of Korea,” BMC Public Health, vol. 10, pp. 195, 2010.

    [25]  D. Frank. Globalization of diabetes. Diabetes Care 34: 1249-1257, 2010.

    [26]  International Diabetes Federation. IDF DiabetesAtlas.EpidemiologyandMobidity. In:InternationalDiabetesFederation.Available from Accessed on 1 March 2011

    [27]  F.B. Pilkington, I. Daisk, T. Bryant, M. Dinca-Panaitescu, S. Dinca-Panaitescu, D. Raphael. The experience of living with diabetes for low-income Canadians. Canadian Journal of Diabetes 34(2):119-26, 2014.

    [28]   C. Chaufa, R. Weitz. The elephant in the room: the invisibility of poverty in research on type 2 diabetes. Humanity Soc; 33(1-2):74-98, 2009.

    [29]  Social determinants of health [monograph on the Internet]. Geneva, Switzerland: World Health Organization; 2011 [cited 2011 Sep 10].

    [30]  S.J. Lupien, S. King, M.J. Meaney, B.S. McEwen. Child’s stress hormone levels correlate with mother’s socioeconomic status and depressive state. Biol Psychiatry 2000 Nov 15;48(10):976-80

    [31]  J. Mikkonen, D. Raphael. Social determinants of health: the Canadian facts. Toronto, Ontario, Canada: York University School of Health Policy and Management; 2010 May.

    [32]  N. Adler, J Stewart, S. Cohen, et al. Reaching for a healthier life: facts on socioeconomic status and health in the US [monograph on the Internet]. Chicago, IL: John D and Catherine T MacArthur Foundation Research Network on Socioeconomic Status and Health; 2008

    [33] R. Wilkinson, M. Marmot. Social determinants of health: the solid facts. 2nd Ed. Copenhagen, Denmark: World Health Organization; 2003 [cited 2013 Jan 18].

    [34] B.S. McEwen. Stress, adaptation, and disease: allostasis and allostatic load. Ann NY Acad Sci; 840:33-44, 1998