Correlates and Predictors of Increasing Waist Circumference in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Mogre, Victor; Abedandi, Robert; Salifu, Zenabankara S.

doi:10.1155/2014/318569

Cited by 8 publications

(8 citation statements)

References 41 publications

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“…The prevalence of hypertension in this study (27%) is higher than the 19% reported by Mogre et al 30 among patients with type 2 diabetes in Tamale, Ghana, but lower than the 54.2% among patients with diabetes from Benin City, Nigeria. 31 Studies from Cameroon 10 and Kenya 11 also reported higher prevalence of hypertension at 66.4% and 50%, respectively.…”

Section: Discussioncontrasting

confidence: 79%

<p>Pattern of Obesity Among Patients with Type 2 Diabetes at a Tertiary Healthcare Center in Northern Nigeria</p>

Gezawa

Uloko

Gwaram

et al. 2019

DMSO

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Purpose: Type 2 diabetes poses a major global health threat both in the developed and developing countries. Factors responsible for the soaring epidemic of T2DM in the developing countries include urbanization, ageing population, physical inactivity and increasing obesity rates. Our aim was to determine the pattern of obesity among patients with T2DM at the Aminu Kano Teaching Hospital (AKTH), Kano, Northwestern Nigeria. Patients and methods: We consecutively recruited 220 patients with type 2 diabetes attending the diabetes clinic of AKTH for the study. Patients with Type 1 diabetes, patients who could not stand or are wheelchair bound and pregnant women were excluded from the study. A pretested questionnaire was used to collect data on socio-demographic characteristics, treatment history for diabetes and history of hypertension from each participant. Results: Of the 220 patients recruited for this study, 97(44.1%) were men, while 123(55.9%) were women. The prevalence of generalized obesity among the study participants was 27.4% (women −30.9% vs men-22.7%, X 2 =4.76, p=0.190). Grades I. II and III obesity were found in 17.3%, 5.9% and 3.2% of the study participants, respectively. All the participants with grade III obesity were women. Central obesity defined by WC was detected in 111(50.5%) [20(20.6%) men and 91(73.9%) women, X 2 =1.93, p=0.001]. Obesity defined by WHR was recorded in 182 (82.7%) participants [80(43.9%) men and 102(56.0%) women, X 2 = 1.97, 0.001]. Using a cutoff of ≥0.5, abnormal WhtR was detected in 179(81.4%) [72(40.2%) men and 107(59.8%) women, X 2 = 5.82, p=0.01], while using a cutoff of ≥0.6, abnormal WhtR was detected in 84(38.2%) participants [29 (34.5%) men and 55(65.5%) women, X 2 =6.38, p=0.09]. Hypertension was detected in 103(46.8%) participants, with a higher prevalence among women compared with men [46.3. % vs 47.4%, X 2 = 1.03 p=0.87]. Conclusion: The prevalence of obesity in our cohort of patients with type 2 diabetes was high. The predominant form of obesity was central obesity, which was most prevalent when indexed by WHR. The WhtR was as good as the WHR, but fared better than WC in detecting central obesity in our patients.

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Section: Discussioncontrasting

confidence: 79%

<p>Pattern of Obesity Among Patients with Type 2 Diabetes at a Tertiary Healthcare Center in Northern Nigeria</p>

Gezawa

Uloko

Gwaram

et al. 2019

DMSO

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“…The results of this study indicated that absence of truncal obesity was an independent predictor of A1C < 7%. This finding concurs with other studies [41,42]. Mogre et al [41] in a cross-sectional study of T2D patients from Tamale, Ghana found a positive correlation between waist circumference and fasting blood glucose.…”

Section: 6%supporting

confidence: 93%

Glycaemic Control and Practice of Self-Care Behaviors among People with Type 2 Diabetes in Nigeria

Osuji

Ojo

Malomo

et al. 2019

PLAID

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Objective: The practice of self-care behaviors by patients with diabetes mellitus plays a vital role in achieving optimal glycaemic control. Previous Nigerian studies discussed how the knowledge of self-care behaviors among people with diabetes influences glycaemic control rather than the impact of these behaviors on glycaemic control. This study assesses the relationship between the practice of diabetes self-care behaviors and glycaemic control. Research Design and Methods:A cross-sectional study was conducted among people with type 2 diabetes at the medical outpatient clinic of the hospital. Three hundred and sixteen participants were recruited over four months, however, due to incomplete data only 313 of these participants were analyzed. Data on respondents' characteristics and level of self-care behaviors were obtained using a pretested questionnaire and the Summary of Diabetic Self-Care Activities (SDSCA). A1C was used as an indicator of glycaemic control. Results:The proportion of the participants with "good" glycaemic control and "good" practice of self-care behaviors were 40.6% and 26.8% respectively. Female gender (P=0.002, OR=4.23), using only oral hypoglycaemic agents (P=0.029, OR=4.83), the absence of truncal obesity (P<0.001, OR=15.33), and "good" practice of self-care behavior (P<0.001, OR=5.86) were predictors of "good" glycaemic control. Conclusion:The proportion of patients with "good" glycaemic control and "good" practice of self-care behaviors were low. The predictors of glycaemic control in this study, which included medical and non-medical components of diabetes care, underscores the importance of a multi-pronged approach involving prescriptive practices by physicians and improved self-care behavioral practices by patients.

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“…The most important factor in valuing this study was that almost all of the 1214 diabetics were treated by the authors. In this research there was a positive, significant correlation between WCs and ages of the diabetics as seen in the literature [19] [20]. In multiple linear regression models, age appeared to be a risk factor for WC.…”

Section: Discussionsupporting

confidence: 78%

Uric Acid and GGT Have Causal Relations with Abdominal Obesity: A Real-Life Research in Turkish Population with 1214 Diabetics

Avcı¹,

Çetinkaya²

2019

JBM

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Aim: We compared the waist circumferences (WC) of 1214 diabetics with various parameters in real-life conditions. Patients and Method: The study was carried out by reviewing the anthropometric measurements and biochemical analyzes of diabetics and they were analyzed due to WC status of the patients. Results: Mean total cholesterol level was 204.6 ± 47.1 mg/dL in patients with normal WC and 211.6 ± 45.6 mg/dL in patients with increased WC (p = 0.015). Total cholesterol was found to be a risk factor for WC enlargement (OR: 1.003, 95% CI: 1.001-1.006, p = 0.015). HDL-cholesterol appeared to be a risk factor for the increase in WC (OR: 1.005, CI: 1.001-1.010, p = 0.029). Median triglyceride level was 158 (41-975) mg/dL in the normal WC group, while it was 176 (22-1379) mg/dL in the patients with increased WC (p < 0.001). Triglyceride was observed as a risk factor for WC increase (OR: 1.002, 95% CI: 1.001-1.003, p = 0.004). The serum uric acid level was 4.75 ± 1.6 mg/dL in the normal WC group, while it was 5.09 ± 1.5 mg/dL in the increased WC group (p = 0.002). Serum uric acid level was appeared as a risk factor for increased WC (OR: 1.162, 95% CI: 1.057-1.276, p = 0.002). The median serum GGT level was 27 (7-174) mg/dL in WC normal group and 28 (8-730) mg/dL in increased WC diabetics (p = 0.029). Serum GGT level was a risk factor for increased WC (OR: 1.162, 95% CI: 1.001-1.010, p = 0.029). Conclusion: We have demonstrated that the measurement of WC has an important role in diabetes management and is related with inflammatory parameters such as uric acid and GGT.

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Correlates and Predictors of Increasing Waist Circumference in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Cited by 8 publications

References 41 publications

<p>Pattern of Obesity Among Patients with Type 2 Diabetes at a Tertiary Healthcare Center in Northern Nigeria</p>

<p>Pattern of Obesity Among Patients with Type 2 Diabetes at a Tertiary Healthcare Center in Northern Nigeria</p>

Glycaemic Control and Practice of Self-Care Behaviors among People with Type 2 Diabetes in Nigeria

Uric Acid and GGT Have Causal Relations with Abdominal Obesity: A Real-Life Research in Turkish Population with 1214 Diabetics

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