A community-based cross-sectional study of magnitude of dysglycemia and associated factors in Southwest Ethiopia

Abstract

Background Diabetes, one of the non-communicable diseases becoming major public health problems in the country, is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of different organs, especially the eyes, kidneys, nerves, heart, and blood vessels. This study aimed at assessing the prevalence of dysglycemia (type 2 diabetes and impaired fasting glucose) and associated factors for adults older than 40 years living in Southwest Ethiopia. Methods A community-based cross-sectional study was conducted using the WHO STEPwise tool for surveillance of noncommunicable diseases. Data was collected by face-to-face interview and measurement of anthropometry, blood pressure, and fasting blood sugar using pretested questionnaire, and it was analyzed using SPSS version 20. Logistic regression was used to identify associated factors with the outcome variable. Results The overall prevalence of dysglycemia was 18.6% among adults older than 40 years. Type 2 diabetes accounts for 5.7%, and impaired fasting glucose accounts for 12.9%. Presence of family history of diabetes [AOR = 2.45, 95% CI (1.08, 5.52)], being overweight [AOR = 3.8, 95% CI (1.84, 7.95)], and being obese [AOR = 7.78, 95% CI (2.90, 20.91)] were significantly and independently associated with dysglycemia. Conclusion In this study, the prevalence of dysglycemia was high. Having a family history of diabetes mellitus and higher body mass index (overweight or obese) were risk factors for dysglycemia.

The magnitude of undiagnosed diabetes mellitus, prediabetes, and associated factors among adults living in Debre Tabor town, northcentral Ethiopia: A community-based cross-sectional study

“…In the present study, the magnitude of prediabetes was 14.5% (95% CI: 11.1–18.1). This finding was supported by research conducted in Mizan-Aman, southern Ethiopia (15.9%) [ 34 ], Dessie, northeast Ethiopia (15.7%) [ 24 ], Koladiba, northwest Ethiopia (12%) [ 26 ], and Bahir Dar, northwest Ethiopia (12.9%) [ 22 ], Jimma, southwest Ethiopia (12.9%) [ 38 ], Augsburg, Germany (16.4%) [ 53 ], Qatar (12.5%) [ 44 ], and Pakistan (14.4%) [ 46 ]. However, this result is lower than that of research conducted in Ningbo, China (28.5%) [ 54 ], Texas, USA (32%) [ 52 ], and Bangladesh (22.4%) [ 47 ].…”

“…The present magnitude of undiagnosed diabetes was 4.5% (95% CI: 2.9–7.4). This finding was in line with those of studies conducted in Mizan-Aman,southwest Ethiopia (5.8%) [ 34 ]; Dessie, northeast Ethiopia (4.9%) [ 24 ]; Gilgel Gibe, southwest Ethiopia (3.8%) [ 35 ]; Gondar, northwest Ethiopia (3.5%) [ 36 ]; Dire Dawa, eastern Ethiopia (6.2%) [ 20 ]; Dabat, northwest Ethiopia (5.1%) [ 37 ]; Jimma, southwest Ethiopia (5.7%) [ 38 ]; Bishoftu, Ethiopia (5%) [ 39 ]; South Africa (3.3%) [ 40 ]; Henan, China (4.2%) [ 41 ]; Quebec, Canada (6.2%) [ 42 ]; Tehran, Iran (5.1%) [ 43 ]; Qatar (5.9%) [ 44 ]; Punjab, India (6.8%) [ 45 ]; Pakistan (7.1%) [ 46 ]; and Bangladesh (5.4%) [ 47 ].…”

Heritability and Genetics of Type 2 Diabetes Mellitus in Sub-Saharan Africa: A Systematic Review and Meta-Analysis

“…Thirteen studies were identified that provided evidence on the risk of T2DM among the general population. Ten of the studies were population/community-based cross-sectional studies [38][39][40][41][42][43][44][45][46][47], two were hospital-based case-control studies [48,49], and one study was a comparative cross-sectional study [50]. A total of 14,432 participants from the ten cross-sectional studies and the two hospital-based case-control studies were used for meta-analysis.…”

Prevalence of undiagnosed diabetes mellitus and associated factors among adult residents of Bahir Dar city, northwest Ethiopia: a community-based cross-sectional study

“…Evidence from studies conducted in Gondar, northwest Ethiopia, showed that 2.3% of the individuals lived with undiagnosed DM 15. Factors such as educational level, body mass index (BMI), family history and the presence of other chronic illnesses have been associated with undiagnosed DM 10 16–20. In addition, low health-seeking behaviour, like lack of regular health check-ups, also contributed to undiagnosed diabetes.…”