scholarly journals The Epidemiology of Depression and Diabetes Distress in Type 2 Diabetes in Kuwait

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Ebaa Al-Ozairi ◽  
Abdulla Al Ozairi ◽  
Clare Blythe ◽  
Etab Taghadom ◽  
Khalida Ismail

This study is aimed at describing the prevalence of and risk factors for depression and diabetes distress in people with type 2 diabetes and whether depression and distress are independently associated with worse biomedical outcomes. The study was of cross-sectional design. The setting was the Dasman Diabetes Institute, Kuwait. The Patient Health Questionnaire-9 (PHQ-9) was used to measure the prevalence of depression, defined as a score≥10 (depression caseness). The Problem Areas in Diabetes (PAID) was used to measure diabetes-related distress. Data on biomedical outcomes, lifestyle factors, and sociodemographic information were collected. The prevalence of depression and diabetes distress caseness was 29% and 14%, respectively. Depression caseness patients were more likely to be female (60%; p=0.001), have Kuwaiti nationality (68%, p=0.121), were on insulin (67%, p=0.001), have higher body mass index (p=0.047), were less physically active (78%; p=0.034), have a higher PAID score (p<0.001), and have hypertension (74%, p=0.047). After adjustment of sociodemographics (age, gender, and marital status) and body mass index, the prevalence of depression was associated with higher HbA1c (B=0.04, 95% confidence interval 0.01 to 0.60), while diabetes distress had a weak association with HbA1c (B=0.13, 95% confidence interval 0.04 to 0.22). In conclusion, people with type 2 diabetes in Kuwait have a high prevalence of depression but lower diabetes distress and this was associated with worse glycaemic control.

2018 ◽  
Vol 12 (05) ◽  
pp. 342-346 ◽  
Author(s):  
Basit Siddiqui ◽  
Javed Yakoob ◽  
Zaigham Abbas ◽  
Rabeea Azmat ◽  
Syeda Sadia Fatima ◽  
...  

Introduction: Helicobacter pylori is prevalent in developing nations. We determined the prevalence of H. pylori infection in relation to body-mass index (BMI) of dyspeptic patients and related comorbid conditions. Methodology: In a cross-sectional study, dyspeptic patients were enrolled and tested for H. pylori infection. “Underweight” was defined as BMI lower than 18.4; “Healthy” 18.5 to 23; “Overweight” 23.1-27.9; and “Obese” greater than 28. Results: Six hundred and ninety-eight patients were included, with a mean age of 44 ± 16 years. Males were 373/698, 53%. H. pylori was positive in 399/698, 57%. Underweight were 36 (5%); BMI-healthy 168 (24%); overweight 236 (34%) and obese 258 (37%). H. pylori infection was present in 65/273 BMI-healthy patients ; 24% compared to obese 208/273; 76% (P < 0.001). In the H. pylori- positive with a “healthy” BMI, dyslipidemia was seen in 6/65; 8% compared to obese 53/208; 25% (P = 0.005); type 2 diabetes in 8/65; 12% with a “healthy” BMI compared to obese 54/208; 26% (P = 0.022) and coronary artery disease in 4/65; 6% of BMI-healthy compared to obese 38/208; 18% patients (P = 0.018). Multivariate analysis showed that age 31-50 years (OR 1.77, 95% CI 1.13-2.77), BMI > 23.1 (OR 2.91, 95% CI infection. 2.01-4.20), and type 2 diabetes (OR 2.41, 95% CI 1.43-4.06) were risk factors for H. pylori Conclusions: H. pylori infection was prevalent in the 31-50-year age group. Abnormal BMI was associated with H. pylori infection.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Elizabeth M. Schneider ◽  
Dawn K. Wilson ◽  
Heather Kitzman-Ulrich ◽  
Sara M. St. George ◽  
Kassandra A. Alia

Background. The current study examined parental factors related to risk of adolescent obesity within the context of a family systems framework.Methods. Seventy predominantly African American, low-income caregiver-adolescent dyads participated in the study. Validated measures of parental perceived child risk for development of type 2 diabetes mellitus, parental limit setting for sedentary behavior, and parental nurturance were evaluated as predictors of adolescent body mass index.Results. In this cross-sectional study, multiple linear regression demonstrated that parents of adolescents with higher zBMI reported worrying more about their child's risk of developing type 2 diabetes mellitus. Parent limit setting was also a significant predictor of adolescent zBMI. Contrary to expectations, higher levels of nurturance were associated with higher adolescent zBMI. Post hoc analyses revealed a trend towards a significant interaction between nurturance and limit setting, such that high levels of both parental nurturance and limit setting were associated with lower adolescent zBMI.Conclusions. Current findings suggest the importance of authoritative parenting and monitoring of adolescent health behaviors in the treatment of obesity.


Antioxidants ◽  
2019 ◽  
Vol 8 (11) ◽  
pp. 537 ◽  
Author(s):  
Anna Tresserra-Rimbau ◽  
Sara Castro-Barquero ◽  
Facundo Vitelli-Storelli ◽  
Nerea Becerra-Tomas ◽  
Zenaida Vázquez-Ruiz ◽  
...  

Overweight and obesity are important risk factors for type 2 diabetes (T2D). Moving towards healthier diets, namely, diets rich in bioactive compounds, could decrease the odds of suffering T2D. However, those individuals with high body mass index (BMI) may have altered absorption or metabolism of some nutrients and dietary components, including polyphenols. Therefore, we aimed to assess whether high intakes of some classes of polyphenols are associated with T2D in a population with metabolic syndrome and how these associations depend on BMI and sex. This baseline cross-sectional analysis includes 6633 participants from the PREDIMED-Plus trial. Polyphenol intakes were calculated from food frequency questionnaires (FFQ). Cox regression models with constant time at risk and robust variance estimators were used to estimate the prevalence ratios (PRs) for polyphenol intake and T2D prevalence using the lowest quartile as the reference group. Analyses were stratified by sex and BMI groups (overweight and obese) to evaluate potential effect modification. Catechins, proanthocyanidins, hydroxybenzoic acids, and lignans were inversely associated with T2D. Hydroxycinnamic acids were directly related in men. These associations were different depending on sex and BMI, that is, women and overweight obtained stronger inverse associations.


BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e019062 ◽  
Author(s):  
Grit Müller ◽  
Roland Harhoff ◽  
Corinna Rahe ◽  
Klaus Berger

ObjectiveThe accessibility of green space is an important aspect of the urban residential environment and has been found to be beneficial for health and well-being. This study investigates the association between different indicators of green space and the outcomes body mass index (BMI) and prevalent type 2 diabetes in an urban population.DesignPopulation-based cross-sectional study.SettingDortmund, a city located in the industrial Ruhr area in Western Germany.Participants1312 participants aged 25–74 years from the Dortmund Health Study.MethodsThe participants’ addresses were geocoded and shapefiles of statistical districts, road network and land use, as well as data on neighbourhood characteristics were obtained at baseline. Three indicators of green space were constructed using geographical information systems: proportion of green space, recreation location quotient (RLQ) weighted by population and distance to the next park or forest. Multilevel linear and logistic regression analyses on the association of green space with BMI and type 2 diabetes were performed, adjusted by individual-level characteristics and neighbourhood unemployment rate.ResultsThe multilevel regression analyses showed no association between green space and BMI. In contrast, the three indicators of green space were significantly associated with type 2 diabetes. Residents of neighbourhoods with a low RLQ had a 2.44 (95% CI 1.01 to 5.93) times higher odds to have type 2 diabetes compared with residents of high RLQ neighbourhoods. Likewise, residing more than 0.8 km away from the nearest park or forest increased the odds of type 2 diabetes (OR 1.71, 95% CI 1.05 to 2.77).ConclusionsThis study indicates that green space and its spatial accessibility might play a role in the development of type 2 diabetes. Further research is needed to clarify this association.


2020 ◽  
Vol 4 (1-3) ◽  
pp. 44
Author(s):  
Geo Vanda ◽  
Ardesy Melizah Kurniati ◽  
Tri Suciati ◽  
Irfannudin Irfannudin ◽  
Susilawati Susilawati

Background: Obesity is one of DM risk factors. Nutritional status can be measured by anthropometric measurements. One of them is body mass index (BMI). Other anthropometric measurements are neck, wrist and calf circumference. The purpose of this study was to determine the association of the neck, wrist and calf circumference with the body mass index of type 2 DM patients in Puskesmas (public health center) Sako Palembang.Methods: In this cross-sectional study, the sample were male or female outpatients aged> 19 years old who had type 2 DM patients at Palembang Sako and/or members of Program Pengelolaan Penyakit Kronis (PROLANIS) affected by type 2 DM. Pregnant or breastfeeding women were excluded. Data were obtained through direct measurements, which were then analyzed using Pearson test and linear regression test.Results: A total 44 patients with type 2 diabetes, consisting of 22 males and 22 females participated. There was significant correlation between male’s (p<0.001, r=0.865) and female’s neck circumference (p<0.001, r=0.756) with BMI. There was also significant correlation between male’s (p=0.002, r=0.696) and  female’s wrist circumference (p<0.001, r = 0.648) with BMI. So was correlation between male’s (p<0.001, r=0.745) and female calf circumference (p=0.005, r=0.578) with BMI.Conclusion. There was significant association between neck, wrist and calf circumference with body mass index of type 2 DM patients.


Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 2496-PUB
Author(s):  
ZHANG CHENGHUI ◽  
LI MINGXIA ◽  
WANG SUYUAN ◽  
WU YUNHONG

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