ABSTRACT
There has been a huge increase in diabetes and its associated cardiovascular complications over the last decade, predominantly in the middle- and low-income countries. In these countries, the majority live in rural areas. The Rural Epidemiology of Diabetes in South India (REDSI) study was aimed to analyze the prevalence of diabetes, cardiovascular risk factors, and its complications in rural farming and non-farming villages in Tamil Nadu, South India. A research survey on the prevalence of self-reported diabetes, cardiovascular risk factors (age, sex, obesity, hypertension, hypercholesterolemia, alcohol and tobacco use) and agricultural occupational exposure was executed among 106,111 people from 61 villages in the state of Tamil Nadu, South India, during 2015-2018. Overall, we observed a diabetes prevalence of 11.9% in rural South India. A nearly two-fold higher prevalence of diabetes was observed among the farming community (15.0%) compared to that among the non-farming population (8.7%). Logistic regression analyses revealed a strong association with agrochemical exposure (P < 0.0001) and diabetes prevalence among rural farming people. Our survey indicates a high prevalence of diabetes in rural South India particularly among the farming community. This survey in conjunction with other epidemiological and experimental studies raises the need for understanding the etiology of diabetes and other cardiovascular risk factors in rural communities.
ABSTRACT
BACKGROUND: Trachyspermum ammi (commonly known as Ajwain), a medicinal plant of the Apiaceae family is scientifically acknowledged to harbor potential bioactive compounds for the treatment of gastrointestinal issues, loss of appetite, bronchial difficulties, cough, inflammation, diarrhoea, headache, hypertension, stomach discomfort, bronchitis and influenza. Candida albicans is generally a commensal fungus found in the gastrointestinal and genitourinary systems. OBJECTIVE: This study was focused on secondary metabolites of T. ammi and its effects towards candidiasis infection as caused by C. albicans. METHODS: Phytochemical components of T. ammi as a crude extract were extracted through maceration method using three polar (ethanol, methanol and water) and two non-polar (chloroform and diethyl ether) solvents and subjected to 14 phytochemical tests. Further, the crude extract of T. ammi was analyzed over gas chromatography-mass spectroscopy (GC-MS) and Fourier transform infrared spectroscopy (FTIR). Evaluation of antimicrobial property of the extract was carried out by minimum fungal concentration (MFC) and minimal inhibitory concentration (MIC). In addition, cell reduction assay was performed using flowcytometry to confirm the antifungal effect of Ajwain crude extract. RESULTS: The aqueous extract showed high presence of phytochemicals including alkaloids, carbohydrates, flavonoids, resins, steroids, tannins, inorganic acids, organic acids, phenolic compounds, amino acids, protein and coumarins. GCMS analysis revealed seven bioactive compounds, in which thymol was detected in significant amount in the chromatogram. FTIR performance showed the presence of various stretching vibration including OH, CH, CC, CO, CN and COC. However, the MFC and MIC of Ajwain extracts using different solvent showed that the methanolic extract possesses maximum antifungal efficacy at 250 µg/ml and 15.6 µg/ml, respectively. In addition, cell reduction assay exhibited significant cell reduction in Ajwain methanolic extract compared to the other crude extracts used in the study. CONCLUSION: Overall, the findings revealed that Ajwain methanolic crude extract has antifungal activity against C. albicans; however, that further needs to be established at molecular level.
