{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:40:42Z","timestamp":1780735242298,"version":"3.54.1"},"reference-count":32,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Diabetes &amp; Metabolic Syndrome: Clinical Research &amp; Reviews"],"published-print":{"date-parts":[[2025,4]]},"DOI":"10.1016\/j.dsx.2025.103226","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T10:40:16Z","timestamp":1744886416000},"page":"103226","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Rational application of weight loss therapies according to new obesity guidelines in Asian Indians: A perspective for low-income settings"],"prefix":"10.1016","volume":"19","author":[{"given":"Anoop","family":"Misra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.dsx.2025.103226_bib1","doi-asserted-by":"crossref","first-page":"102426","DOI":"10.1016\/j.dsx.2022.102426","article-title":"Executive summary of evidence and consensus-based Clinical Practice Guidelines for management of obesity and overweight in midlife women: an AIIMS-DST initiative","volume":"16","author":"Ranjan","year":"2022","journal-title":"Diabetes Metabol Syndr"},{"key":"10.1016\/j.dsx.2025.103226_bib2","article-title":"Abdominal obesity in India: analysis of the national family health survey-5 (2019-2021) data","volume":"14","author":"Chaudhary","year":"2023","journal-title":"Lancet Reg Health Southeast Asia"},{"issue":"2","key":"10.1016\/j.dsx.2025.103226_bib3","doi-asserted-by":"crossref","first-page":"103205","DOI":"10.1016\/j.dsx.2025.103205","article-title":"Ahmedabad declaration: a framework to combat growing epidemic of young-onset type 2 diabetes in Asia","volume":"19","author":"Parikh","year":"2025","journal-title":"Diabetes Metabol Syndr"},{"key":"10.1016\/j.dsx.2025.103226_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdiacomp.2018.08.001","article-title":"Mohan V, et al. Body fat, metabolic syndrome and hyperglycemia in South Asians","author":"Misra","year":"2018","journal-title":"J Diabet Complicat"},{"issue":"1","key":"10.1016\/j.dsx.2025.103226_bib5","doi-asserted-by":"crossref","first-page":"102989","DOI":"10.1016\/j.dsx.2024.102989","article-title":"Revised definition of obesity in Asian Indians living in India","volume":"19","author":"Misra","year":"2025","journal-title":"Diabetes Metabol Syndr"},{"key":"10.1016\/j.dsx.2025.103226_bib6","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1186\/1479-5868-10-116","article-title":"Physical activity patterns among South-Asian adults: a systematic review","volume":"10","author":"Ranasinghe","year":"2013","journal-title":"Int J Behav Nutr Phys Activ"},{"issue":"12","key":"10.1016\/j.dsx.2025.103226_bib7","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1016\/S2213-8587(18)30204-3","article-title":"Epidemiology and determinants of type 2 diabetes in south Asia","volume":"6","author":"Hills","year":"2018","journal-title":"Lancet Diabetes Endocrinol"},{"key":"10.1016\/j.dsx.2025.103226_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/j.metabol.2024.155999","article-title":"Global burden of metabolic diseases, 1990-2021","volume":"160","author":"Zhang","year":"2024","journal-title":"Metabolism"},{"key":"10.1016\/j.dsx.2025.103226_bib9","doi-asserted-by":"crossref","unstructured":"Rubino F, Cummings DE, Eckel RH, et al. Definition and diagnostic criteria of clinical obesity. Lancet Diabetes Endocrinol 2025;13(3):221-262. doi: 10.1016\/S2213-8587(24)00316-4. Epub 2025 Jan 14.","DOI":"10.1016\/S2213-8587(24)00316-4"},{"key":"10.1016\/j.dsx.2025.103226_bib10","first-page":"163","article-title":"Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management","volume":"57","author":"Misra","year":"2009","journal-title":"J Assoc Phys India"},{"key":"10.1016\/j.dsx.2025.103226_bib11","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3389\/fpubh.2019.00009","article-title":"Comparative assessment of economic burden of disease in relation to out of pocket expenditure","volume":"7","author":"Sangar","year":"2019","journal-title":"Front Public Health"},{"issue":"2","key":"10.1016\/j.dsx.2025.103226_bib12","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.dsx.2020.01.012","article-title":"Escalating cost of oral and injectable antihyperglycemic drugs; are newer medications worth their price? A perspective from India and other developing countries","volume":"14","author":"Luthra","year":"2020","journal-title":"Diabetes Metabol Syndr"},{"issue":"1","key":"10.1016\/j.dsx.2025.103226_bib13","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.dsx.2019.12.006","article-title":"Innovations and proactive political commitment are required to combat diabetes in India and other developing countries","volume":"14","author":"Gopalan","year":"2020","journal-title":"Diabetes Metabol Syndr"},{"issue":"3","key":"10.1016\/j.dsx.2025.103226_bib14","doi-asserted-by":"crossref","first-page":"103212","DOI":"10.1016\/j.dsx.2025.103212","article-title":"Singh R, et al. Comparative efficacy and safety of semaglutide 2.4 mg and tirzepatide 5-15 mg in obesity with or without type 2 diabetes: a systematic review of Phase 3 clinical trials","volume":"19","author":"Singh","year":"2025","journal-title":"Diabetes Metabol Syndr"},{"issue":"2","key":"10.1016\/j.dsx.2025.103226_bib15","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.pcd.2024.01.003","article-title":"Madan S, et al. Acanthosis nigricans independently predicts hepatic fibrosis in people with type 2 diabetes in North India","volume":"18","author":"Dutta","year":"2024","journal-title":"Prim Care Diabetes"},{"issue":"3","key":"10.1016\/j.dsx.2025.103226_bib16","doi-asserted-by":"crossref","first-page":"103209","DOI":"10.1016\/j.dsx.2025.103209","article-title":"Consensus guidelines for the diagnosis and management of metabolic dysfunction-associated steatotic liver disease in adult Asian Indians with type 2 diabetes","volume":"19","author":"Misra","year":"2025","journal-title":"Diabetes Metabol Syndr"},{"issue":"12","key":"10.1016\/j.dsx.2025.103226_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2017.e00472","article-title":"A randomized controlled trial to evaluate the effects of high Protein Complete (lActo) VEgetaRian (PACER) diet in non-diabetic obese Asian Indians in North India","volume":"3","author":"Bhardwaj","year":"2017","journal-title":"Heliyon"},{"issue":"11","key":"10.1016\/j.dsx.2025.103226_bib18","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1017\/S0007114517001295","article-title":"Tiwari R, et al. Effect of high-protein meal replacement on weight and cardiometabolic profile in overweight\/obese Asian Indians in North India","volume":"117","author":"Gulati","year":"2017","journal-title":"Br J Nutr"},{"issue":"12","key":"10.1016\/j.dsx.2025.103226_bib19","first-page":"36","article-title":"Role and significance of dietary protein in the management of type 2 diabetes and its complications in India: an expert opinion","volume":"71","author":"Mohan","year":"2023","journal-title":"J Assoc Phys India"},{"issue":"6","key":"10.1016\/j.dsx.2025.103226_bib20","doi-asserted-by":"crossref","first-page":"3091","DOI":"10.1016\/j.dsx.2019.11.009","article-title":"Dietary proteins, metabolic syndrome, and sarcopenia: focus on Asian Indians","volume":"13","author":"Gulati","year":"2019","journal-title":"Diabetes Metabol Syndr"},{"issue":"7","key":"10.1016\/j.dsx.2025.103226_bib21","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.2337\/dc07-2316","article-title":"Effect of supervised progressive resistance-exercise training protocol on insulin sensitivity, glycemia, lipids, and body composition in Asian Indians with type 2 diabetes","volume":"31","author":"Misra","year":"2008","journal-title":"Diabetes Care"},{"issue":"1","key":"10.1016\/j.dsx.2025.103226_bib22","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1089\/dia.2011.0111","article-title":"Consensus physical activity guidelines for Asian Indians","volume":"14","author":"Misra","year":"2012","journal-title":"Diabetes Technol Therapeut"},{"issue":"6","key":"10.1016\/j.dsx.2025.103226_bib23","doi-asserted-by":"crossref","first-page":"3105","DOI":"10.1016\/j.dsx.2019.11.008","article-title":"Ahmad S, et al. \u201cDiabetes care at doorsteps\u201d: a customised mobile van for the prevention, screening, detection and management of diabetes in the urban underprivileged populations of Delhi","volume":"13","author":"Gopalan","year":"2019","journal-title":"Diabetes Metabol Syndr"},{"issue":"5","key":"10.1016\/j.dsx.2025.103226_bib24","doi-asserted-by":"crossref","first-page":"102209","DOI":"10.1016\/j.dsx.2021.102209","article-title":"Education and screening for obesity, hypertension, and diabetes (including gestational diabetes) \u201cat the doorstep\u201d of women from nine underprivileged urban areas in Delhi National Capital Region","volume":"15","author":"Gopalan","year":"2021","journal-title":"Diabetes Metabol Syndr"},{"issue":"12","key":"10.1016\/j.dsx.2025.103226_bib25","first-page":"62","article-title":"Das AK, et al. SGLT2i as a first-line antihyperglycemic in the management of type 2 diabetes in the context of Indians: a systematic review and consensus","volume":"71","author":"Singh","year":"2023","journal-title":"J Assoc Phys India"},{"key":"10.1016\/j.dsx.2025.103226_bib26","doi-asserted-by":"crossref","unstructured":"Hills A, Misra A, Gill JM, et al. Public health and health systems: implications for the prevention and management of type 2 diabetes in south Asia. Lancet Diabetes Endocrinol 2018. doi:10.1016\/S2213-8587(18)30203-1. pii: S2213-8587(18)30203-1.","DOI":"10.1016\/S2213-8587(18)30203-1"},{"key":"10.1016\/j.dsx.2025.103226_bib27","doi-asserted-by":"crossref","unstructured":"Misra A, Gopalan H, Jayawardena R, et al. Diabetes in developing countries. J Diabetes 2019 Jul;11(7):522-539. doi: 10.1111\/1753-0407.12913. Epub 2019 Apr 11.","DOI":"10.1111\/1753-0407.12913"},{"issue":"1","key":"10.1016\/j.dsx.2025.103226_bib28","doi-asserted-by":"crossref","DOI":"10.1111\/obr.13339","article-title":"The effectiveness of text message delivered interventions for weight loss in developing countries: a systematic review and meta-analysis","volume":"23","author":"Alamnia","year":"2022","journal-title":"Obes Rev"},{"issue":"4","key":"10.1016\/j.dsx.2025.103226_bib29","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.dsx.2020.04.001","article-title":"Telemedicine for diabetes care in India during COVID19 pandemic and national lockdown period: guidelines for physicians","volume":"14","author":"Ghosh","year":"2020","journal-title":"Diabetes Metabol Syndr"},{"issue":"3\u20134","key":"10.1016\/j.dsx.2025.103226_bib30","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1177\/0972753121998496","article-title":"Cost of management of diabetes mellitus: a Pan India study","volume":"27","author":"Nagarathna","year":"2020","journal-title":"Ann Neurosci"},{"issue":"3","key":"10.1016\/j.dsx.2025.103226_bib31","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/00185868.2024.2359553","article-title":"Study on universal health coverage scheme in India - the stumper to private hospitals","volume":"102","author":"Babu","year":"2024","journal-title":"Hosp Top"},{"issue":"6","key":"10.1016\/j.dsx.2025.103226_bib32","doi-asserted-by":"crossref","first-page":"2231","DOI":"10.1016\/j.dsx.2020.11.016","article-title":"Sagging original research in diabetes could be boosted if Indian pharmaceutical companies contribute to investigator-initiated hypothesis-driven research","volume":"14","author":"Misra","year":"2020","journal-title":"Diabetes Metabol Syndr"}],"container-title":["Diabetes &amp; Metabolic Syndrome: Clinical Research &amp; Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1871402125000438?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1871402125000438?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T09:46:02Z","timestamp":1751017562000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1871402125000438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["S1871402125000438"],"URL":"https:\/\/doi.org\/10.1016\/j.dsx.2025.103226","relation":{},"ISSN":["1871-4021"],"issn-type":[{"value":"1871-4021","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Rational application of weight loss therapies according to new obesity guidelines in Asian Indians: A perspective for low-income settings","name":"articletitle","label":"Article Title"},{"value":"Diabetes & Metabolic Syndrome: Clinical Research & Reviews","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.dsx.2025.103226","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Research Trust of DiabetesIndia (DiabetesIndia) and National Diabetes Obesity and Cholesterol Foundation (N-DOC). Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103226"}}