Community based diabetes risk assessment in Ogun state, Nigeria (World Diabetes Foundation project 08-321)

Abstract

Objective:The study assessed the risk of developing type 2 diabetes Mellitus in Ogun State, Nigeria.Materials and Methods:Finnish Medical Association diabetes risk score was administered across 25 communities facilitated by non-communicable disease clinics established under a World Diabetes Foundation project. Subjects in the high risk group had blood glucose estimated.Results:58,567 respondents included 34,990 (59.6%) females and 23,667 (40.3%) males. Majority (61.2%) were between 25 years and 54 years. Considering waist circumference, 34,990 (38.1%) females and 23,667 (5.3%) males had values above 88 cm and 102 cm respectively. Overall, 11,266 (19.2%) were obese and 28.9% overweight using body mass index (BMI). More females had elevated BMI than males. Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) of all subjects were 129.54 mm Hg ± 23.5 mm Hg and 76.21 mm Hg ± 15.5 mm Hg respectively. Prevalence of hypertension (Joint National Committee VII classification) was 27.7%. More subjects had normal DBP than SBP (68.2% vs. 42.5% P < 0.05). Mean fasting blood glucose (FBG) of all subjects was 5.5 mmol/L ± 0.67 mmol/L. Using a casual blood glucose >11.1 mmol/L and/or FBG >7 mmol/L, the total yield of subjects adjudged as having diabetes was 2,956 (5.05%). Mean total risk score was 5.60 ± 3.90; this was significantly higher in females (6.34 ± 4.16 vs. 4.24 ± 3.71, P < 0.05). A total of 2,956 (5.05%) had high risk of developing DM within 10 years.Conclusion:The risk of developing DM is high in the community studied with females having a higher risk score. There is urgent need to implement diabetes prevention strategies.

Nigerian Population Research on Environment, Gene and Health (NIPREGH) - objectives and protocol

“…The prevalence of hypertension and diabetes ( Tables 1 and 2 ) in the pilot sample was 26.8 and 5.0% respectively. This falls within the range of the prevalence rates of between 22.3 to 35.4% for hypertension [30] - [33] ; and 2.8 to 5.1% [33] , [34] for diabetes reported in previous community studies across different regions of Nigeria…”

Cardiovascular risk factors in semi-urban communities in southwest Nigeria: Patterns and prevalence

“…Cardiovascular risk factors among semi-urban dwellers have been thought to be intermediate in occurrence between the rural and urban communities due to admixture of westernized and traditional lifestyles the inhabitants are thought to adopt [6][7][8]. In suggesting an evidence-based context for government and other health policy planners on health education programs in low-resource settings like Nigeria (with an estimated 60.9% of the citizens living in absolute poverty and majorly living in rural areas) [9], it is important to quantify the proportion of the population at high overall risk of CVDs in order to match this with available resources.…”

Medication Adherence and Direct Treatment Cost among Diabetes Patients Attending a Tertiary Healthcare Facility in Ogbomosho, Nigeria

“…According to the International Diabetic Federation (IDF), the prevalence of DM will increase by as much as 54% globally between 2010 and 2030 with projections for countries in sub-Saharan Africa close to 100% 4 . In Nigeria, studies from different parts of the country have recorded prevalence rates between 1% and 8% [5][6][7][8] . The management of DM consists of lifestyle and dietary changes and pharmacotherapy.…”