Prevalence and Risk Factors for Diabetes Mellitus in A State in South East Nigeria: Results of a Population Based House to House Survey

2020 ◽  
Vol 16 (2) ◽  
pp. 181-187
Author(s):  
Ignatius U. Ezeani ◽  
Innocent I. Chukwuonye ◽  
Ugochukwu U. Onyeonoro ◽  
Abali Chuku ◽  
Okechukwu S. Ogah

Background: Population based studies on diabetes mellitus (DM) are scarce in Nigeria. Introduction: This was a population-based house to house survey aimed at determining the prevalence of DM and assessing the risk factors associated with DM in a state in Southeast Nigeria. Methods: This was a cross-sectional observational study in which 1680 adults were recruited using a multistage sampling method to randomly select not more than two suitable participants of both sex in each household from four enumeration areas (EAs) in each local government area (LGA) and the three senatorial zones in the state. A modified World Health Organization (WHO) Stepwise Approach to Surveillance questionnaire was used for data collection and random blood glucose (RBG) was measured after anthropometric assessment. Test statistics used were chi-square, t-test, and logistic regression. Results: The overall prevalence of DM in this study was 3.3%. A positive family history of DM was significantly higher in patients with diabetes: 18.2% vs. 9.6% (p=0.036). The mean (SD) of weight, body mass index (BMI), hip circumference (HC) and waist circumference (WC) were significantly higher in patients with DM(p=0.001,<0.001,<0.001,<0.001, respectively).The odd ratio (95% CI) of a person>35years developing DM was 3.89(1.11-13.60). The OR (95% CI) for waist-hip ratio (WHR) was 3.04 (1.02-9.03) and family history of DM had an OR of 2.62(0.88-6.50). The odd of developing DM is positively associated with age>35years, increased WHR, WC, family history of DM, BMI>25Kg/m2, and HC. The odd of developing DM was negatively associated with smoking. Conclusion: The prevalence of DM in this study was 3.3%. A BMI>25 kg/m2, WHR >0.85, family history of DM, HC, and older age were associated with significantly higher prevalence.

Author(s):  
Mohammad Reza Mirjalili ◽  
Seyedeh Mahdieh Namayandeh ◽  
Mohammad Hasan Lotfi ◽  
Mohammad Reza Dehghani ◽  
Mohsen Mirzaei ◽  
...  

Introduction: SARS-COV 19 is a new coronavirus that was reported first time in 30 December 2019 in Wuhan, China. The first case of coronary heart disease in Iran was reported with a definitive test on February 18 in Qom province and the first case in Yazd province on 24 February. The World Health Organization (WHO) declared a Covid infection on March 11 a pandemic. The aim of this study was to investigate the seroepidemiology of COVID 19 in Yazd province. Methods: The present study was a cross-sectional population-based study of seroepidemiological type that was conducted to investigate the serological prevalence of Covid-19 in the period of 3 to 20 May 2020 in Yazd Province. Sampling was clustered and it was without age and sex restrictions. Information was collected including demographic information, adherence to health protocols, and history of clinical symptoms of COVID 19."Pishtaz ELISA Kit" was used to evaluate the IgG and IgM antibody titers against Covid 19. Chi-square, analysis of variance and T tests were used via SPSS.version.16 software Results: Mean age of the participants was 34.3± 17.5. Among the study participants, 507 (54.5%) were women. The serological prevalence of definite cases was 14.91% (95% CI: 12.91-16.91%) and suspicious cases were 2.85% (95% CI:1.85-3.85%). Ardakan City with 32% had the highest and Taft, Mehriz, Khatam with 7% had the lowest prevalence of COVID 19 (P <0.05). Conclusion: By June 2020, nearly 18% of the population of the province was definitively or suspiciously infected with COVID 19. Unfortunately, up to 25% of the population does not follow the early prevention protocols of COVID 19.


2019 ◽  
Vol 71 ◽  
pp. 16-21
Author(s):  
Reshma Patil ◽  
Jayashree Gothankar

Background: Diabetes mellitus is rising to an alarming epidemic level; hence, strategies formulated based on the risk factors can be helpful to curb the rising trend of the same. Objective: The objective of the study was to assess the prevalence of diagnosed cases of diabetes mellitus and correlate it with various risk factors and sociodemographic variables. Methods: A cross-sectional study was carried out in randomly selected wards under the field practice area of Urban Health Training Center of Private Medical College, Pune, Maharashtra. A total of 425 subjects aged 20 years and above residing in the study area were screened for diabetes mellitus. Risk factors such as age, waist circumference, waist-to-hip ratio (WHR), family history of diabetes, and physical activities were recorded. The statistical analysis of the data was performed using Chi-square test. Results: The prevalence of diagnosed cases of diabetes mellitus found in this study was 9.88%. There was a significant increase in the prevalence of diabetes as age increases (age 20–34 years: 1.66%, 35–49 years: 7.53%, ≥50 years: 15.66%, and P < 0.05). Furthermore, male gender, obesity, waist circumference, WHR, and diabetes mellitus were found to be statistically significant. Conclusions: Risk factors such as rising age, family history of diabetes mellitus, lack of physical activity, and central obesity were the most common factors found in diagnosed cases of diabetes mellitus. Therefore, lifestyle changes and awareness regarding risk factors is needed to make control over the diabetes.


2016 ◽  
Vol 9 (6) ◽  
pp. 22 ◽  
Author(s):  
Abdullah M. Al-Shahrani ◽  
Mohammed A. Al-Saleem ◽  
Mohamed O’haj ◽  
Faleh Th. Mohammed ◽  
Mutasim E. Ibrahim

OBJECTIVES: To determine the prevalence and associated risk factors of diabetes mellitus (DM) among the adult population in Bisha province, Saudi Arabia.METHODS: A cross sectional study was conducted during December, 2015 using the World Health Organization STEPS wise approach for data collection. Blood glucose level and anthropometric measurements of blood pressure, height, weight, and waist circumference were performed per standard methods.  Logistic regression analysis was used to assess the prevalence and risk of diabetes.RESULTS: Of 542 adult individuals included in the study, 13.3% (72) had diabetes, of which 8.1% were previously diagnosed and 5.2% represented new cases. The proportions of DM were 14.7% for men and 10.8% for women. Diabetes was significantly higher among married compared to unmarried individuals (19.3% vs 5.5 %; p<0.001) and among individuals aged ≥40 years old compared to those <40 years (31.3% vs 9.3%; p<0.001). The risk of diabetes was significantly increased with older age (Odds Ratio=4.470; 95% CI 2.264-7.614), married individuals (OR=4.097; 95% CI 2.188-7.672), weight/obesity (OR=2.827; 95% CI 1.567-5.072), hypertension (OR=4.383; 95% CI 2.085-9.214) and having a job (OR=2.327; 95% CI 1.347-4.02). The independent risk factors predicted diabetes were hypertension (Adjusted OR=2.897; 95% CI 1.269-66.13) and job patterns (Adjusted OR=2.793; 95% CI 1.064-7.329).CONCLUSION: Different risk factors alarming diabetes among adult population in Bisha province were detected.  Strategies aimed to improving a healthy lifestyle are necessary to reduce the burden of the disease. 


2020 ◽  
Vol 66 (4) ◽  
pp. 407-413
Author(s):  
Saulo Henrique Salgueiro de Aquino ◽  
Isabelle Tenório Melo ◽  
Carlos Dornels Freire de Souza ◽  
Francisco de Assis Costa

SUMMARY OBJECTIVE Analyzing the association between ABI and the main risk factors for coronary artery disease in coronary patients. METHODS Were selected 156 adult patients from a hospital in Maceió, Alagoas. Were evaluated with risk factors age, obesity, hypertension, diabetes mellitus, smoking, and dyslipidemia. PAOD screening was performed by the ankle-brachial index (ABI). The Mann-Whitney, chi-square, and Fisher’s exact tests were used. Confidence Interval of 95% and a significance of 5%. RESULTS 67.3% (n=105) males, 52.6% (n=82) elderly, 23.1% (n = 34) obese, 72.4% 6% (n=113) hypertensive, 34.6% (n=54) diabetics, 53.2% (n=83) smokers, 34.6% (n=54) dyslipidemic and 70.5% (n=110) with a family history of CAD. 16.7% (n=26) of the individuals presented PAOD. Three factors were associated with PAOD: age group ≥ 60 years (OR:3.656; p=0.005), diabetes mellitus (OR:2.625; p=0.024) and hypertension (OR:5.528; p=0.008). No significant difference was observed in the variables smoking, dyslipidemia, family history of CAD, and obesity. CONCLUSION The independent risk factors for PAOD were age, diabetes mellitus, and systemic arterial hypertension.


2019 ◽  
Vol 3 (2) ◽  
pp. 84-90
Author(s):  
Madiha Shafi ◽  
Humaira Mehmood ◽  
Saeed Afsar ◽  
Zoaib Raza Bokhari ◽  
Saleem Abbasi

Abstract: Introduction:  Globally it is documented that CVD has multi-factorial aetiology and many factors like increased BMI, hypertension (HTN), stress and diabetes determine the risk of CVD. The prevalence of risk factors for cardio vascular disease (CVD) is on increase in the developing nations of the world. Objectives: The purpose of the study was   to find out the prevalence of cardiovascular disease and its risk factors among employees of Sindh Government in Karachi, Pakistan.Method: It was hospital based cross sectional study. A total of 150 subjects (govt employees of Sindh Government) were interviewed by using consecutive sampling technique. Data on serum cholesterol, BMI, blood pressure, history of hypertension, diabetes and cardiovascular diseases was collected, in addition to demographic data. Results: Out of 150 subjects interviewed, 20.6% reported to have CVD. The most prevalent risk factor was hypertension, found in 58% respondents. Other risk factors were diabetes (45%), sedentary life style (50%), obesity (28%), dyslipidaemia (30%), smoking (20%), positive family history (26%). In 6% of subjects, three major risk factors were present. The risk factors, strongly associated with CVD in our study were diabetes (p<0.01), hypertension (p<0.001) and family history of CVD (p<0.02). There is strong association of increasing age on risk of developing CVD (p< 0.001). Conclusion: The results show that there is high frequency of CVD risk factors in employees of health department in Karachi. The high prevalence of risk factors, especially hypertension, sedentary life style, obesity and diabetes should be of great concern.


2019 ◽  
Vol 1 (1) ◽  
pp. 11-16
Author(s):  
Muflih Ngadino

Diabetes Mellitus adalah suatu gangguan metabolisme karbohidrat, protein dan lemak akibat dan ketidakseimbangan antara ketersediaan insulin dengan kebutuhan insulin. Menurut World Health Organization (WHO) memeperkirakan lebih dari 346 juta orang di seluruh dunia mengidap diabetes. WHO memprediksi kenaikan jumlah penyandang DM di Indonesia lebih dari 8,4 juta pada tahun 2000 menjadi 21,3 juta pada tahun 2030. Penelitian ini bertujuan untuk mengetahui Hubungan Motivasi Dengan Efikasi Diri Pada Pasien Diabetes Mellitus Di Klinik Diabetes Dharma Medan. Penelitian ini menggunakan desain penelitian survei analitik dengan pendekatan cross sectional dan menggunakan uji chi-square. Populasi dalam penelitian ini adalah pasien Diabetes Mellitus berjumlah 115 responden, sedangkan sampel yang digunakan adalah sampling aksidental dengan rumus slovin yaitu sebanyak 53 responden. Jenis data yang digunakan adalah data primer, data sekunder, dan data tertier, sedangkan analisa data yang digunakan yaitu analisa univariat dan analisa bivariat. Dari hasil penelitian ini dengan uji atatistik pearson chi-square, menunjukkan bahwa hasil P value sebesar 0,001. Dimana nilai tertentu lebih kecil dari nilai α sebesar 0,05, maka ada hubungan antara motivasi dengan efikasi diri pada pasien diabetes melitus di Klinik Diabetes Dharma Medan. Kesimpulan dalam penelitian ini menunjukkan bahwa secara statistik ada hubungan yang signifikan antara motivasi dengan efikasi diri pada pasien diabetes mellitus di Klinik Diabetes Dharma Medan. Disarankan perlu dilakukan penelitian lebih lanjut tentang motivasi dengan efikasi diri pada pasien diabetes mellitus, dengan menggunakan lokasi penelitian dan metode penelitian yang berbeda


2010 ◽  
Vol 8 (1) ◽  
pp. 88-97 ◽  
Author(s):  
Alexander Omolafe ◽  
Michele Mouttapa ◽  
Shari McMahan ◽  
Sora Park Tanjasiri

This cross-sectional study sought to describe an association between family history of type-2 diabetes and the awareness of risk factors, perceived threat and physical activity levels in African Americans. With a prevalence of 11.8%, African Americans remain disproportionately affected by the epidemic of diabetes. A risk factor that cannot be modified, but is important and closely linked with diabetes expression, family history, can be a considerable tool in promoting behavior change and reducing the risk of developing the condition in African Americans. A self-report questionnaire was administered to 133 church going African Americans, with 55 of them with a positive family history of type-2 diabetes (41.4%) and 78 (58.6%) without. None of the participants had been previously been diagnosed with type-2 diabetes. The results from the study indicated that African Americans with positive family history had a greater knowledge of risk factors, were more likely to indicate that their concern about the disease influences their eating habits and physical activity, and engaged in significantly more physical activity than those with no family history.


2019 ◽  
Vol 1 (2) ◽  
pp. 77-83 ◽  
Author(s):  
Bikash Shrestha ◽  
Bipin Nepal ◽  
Yagya Laxmi Shakya ◽  
Binaya Regmi

 Introduction: Type 2 diabetes mellitus is the commonest form of diabetes affecting more than 90% of the diabetic population worldwide. The prevalence of type 2 diabetes and its complications are increasing in the world, including developing nations like Nepal. This study aimed to determine the association between the lifestyle risk factors and the risk of type 2 diabetes mellitus in Nepalese population. Methods: This is hospital based cross sectional observational study done in the urban area of Nepal. Records of clients coming for the general health checkup in Grande International Hospital were evaluated in this study. Comparisons of the lifestyle factors in participants having and not having type 2 diabetes mellitus were done. Results: Significant associations with diagnosis of diabetes mellitus (DM) type 2 were seen in age (P ≤ 0.001), associated hypertension (P ≤ 0.001), dyslipidemia, family history of DM (P ≤ 0.001), alcohol use (P ≤ 0.001), and tobacco use (P ≤ 0.001). Logistic regression analysis showed that the odds of having diabetes were high in age group above 40 (OR – 6.9, CI 3.82 – 12.47), history of hypertension (OR- 3.84, CI 2.42 – 6.08), tobacco users (OR-2.26, CI 1.12 – 4.53), alcohol users (OR-3.99, CI 2.47 – 6.44), family history of DM (OR-2.44, CI 1.53 – 3.89), and abdominal obesity in both males (OR-3.9, CI 2 – 7.4) and females (OR-9.6, CI 3.78 – 24.35). Conclusions: The modifiable risk factors - obesity, smoking and alcohol use carry significant risks of developing type 2 diabetes. These red flag signs call for urgent attention to look for and rectify the modifiable risk factors in Nepalese population to prevent diabetes.


2020 ◽  
Vol 3 (2) ◽  
pp. 137-146
Author(s):  
Imaniar Kesuma ◽  
Anang Triwibowo ◽  
Erial Bahar

Katarak adalah setiap keadaan kekeruhan pada lensa yang dapat terjadi akibat hidrasi (penambahan cairan) lensa, denaturasi protein lensa atau terjadi akibat  kedua-duanya. Berdasarkan data World Health Organization (WHO), katarak dapat menyebabkan kebutaan pada lebih dari 17 juta penduduk di dunia. Faktor yang dapat mempengaruhi kecepatan berkembangnya kekeruhan lensa seperti diabetes melitus, hipertensi, obat tertentu, sinar ultra violet B dari cahaya matahari, efek racun dari merokok, alkohol, kurang vitamin E, dan radang menahun di dalam bola mata. Jenis penelitian yang digunakan adalah penelitian analitik observasional dengan desain cross sectional. Penelitian ini dilaksanakan pada bulan Agustus sampai Desember tahun 2019 di RS. Khusus Mata Provinsi Sumatera Selatan dengan pengambilan sampel sebanyak 234 pasien dari rekam medik. Data diolah menggunakan SPSS. Dilakukan uji Chi-square untuk mengetahui hubungan faktor yang berpengaruh terhadap kecepatan terjadinya katarak senilis di RS. Khusus Mata Provinsi Sumatera Selatan. Dari 234 pasien, sebanyak 177 pasien (75,6%) menderita katarak senilis matur dan 57 pasien (24,4%) yang menderita katarak senilis imatur. Tidak terdapat hubungan bermakna antara katarak senilis dengan hipertensi (p=0,068; OR=1,084;95% CI=0,589-1,995). Tidak terdapat hubungan bermakna antara katarak senilis dengan diabetes mellitus (p=1.808;OR=1,876;95%CI=0,741-4,747). Tidak terdapat hubungan bermakna antara katarak senilis dengan jenis kelamin (p=0,51;OR=0,933;95% CI=0,514-1,696). Tidak terdapat hubungan bermakna antara katarak senilis dengan usia (p=0,784;OR=1,319;95% CI;0,714-2,437). Tidak terdapat hubungan bermakna antara katarak senilis dan jenis kelamin. Tidak terdapat hubungan bermakna antara katarak senilis dan usia.Tidak terdapat hubungan bermakna antara katarak senilis dan hipertensi. Tidak terdapat hubungan bermakna antara katarak senilis dan diabetes melitus.


2019 ◽  
Vol 7 (4) ◽  
pp. 79
Author(s):  
Hasri Yulia Sasmita ◽  
Irma Prasetyowati ◽  
Pudjo Wahjudi

Tuberculosis (TB) is one of cause of death in infectious disease domain. The control of TB is complicated because the inclination of case numbers people with Diabetes Mellitus. Diabetes Mellitus (DM) is an important risk factor for TB development, with prove that more than ten percent of TB patient is DM patient. People with DM have risk three times more likely to suffer from TB than people without DM. The results of TB treatment with comorbid DM will be easier to be failed. Puskesmas Patrang have the highest bacteriologically confirmed BTA TB cases and DM cases in Jember during 2014 until 2016. The aim of this research is to know the DM prevalence in TB patients and to analyze the correlation between DM risk factors in TB patient to TB-DM incidence at Puskesmas Patrang Jember in 2017. The research uses observasional analytic with cross sectional approach. The sampling technique uses simple random sampling with 47 samples. The independent variables include respondent characteristics (age, sex, type of TB, medication category, and family history of DM), central obesity and smoking behavior. While the dependent variable is the DM status. The result shows that the prevelance of DM in TB patients at Puskesmas Patrang Jember regency is 23,4%. Factors associated with TB-DM are age (p-value = 0,012), family history of DM (p-value = 0,003), and smoking status (p-value = 0,035). Factors that do not associated with TB-DM are sex (p-value = 0,731), type of TB (p-value = 0,170), treatment category of TB (p-value = 0,560), central obesity (p-value = 0,435), the number of cigarette (p-value = 1,000) and smoking duration (p-value = 1,000). The most important factor of TB-DM is family history of DM that 10,850 times higher of getting TB-DM than patients without family history of DM.


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