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Background Prediabetes, a reversible condition before the onset of diabetes, is a significant concern in healthcare globally. The global prediabetes epidemic has emerged and has considerably impacted health expenditures. Various risk factors play important roles in the progression of prediabetes to diabetes. Intensive lifestyle and pharmacological interventions can significantly reduce the risk of diabetes progression. Objective This study aimed to determine the prevalence, characteristics, and risk factors of prediabetes state of Medan in August 2023. Methods The sample consisted of 89 participants. This was an analytical cross-sectional study in the community that met the inclusion and exclusion criteria. The determination of prediabetes is based on the results of blood tests, namely, the examination of fasting blood sugar levels (FBGL), 2-hour postprandial oral glucose tolerance test (OGTT), and hemoglobin A1c (HbA1C). Other examinations included lipid profiling (total cholesterol, HDL-C, LDL-C, and triglycerides). Data processing was performed using SPSS via univariate and bivariate analyses (chi-square test). Results Of the 89 participants, the prevalence of prediabetes based on HbA1c, FBGL and 2-hours OGTT levels was 28.1%, 50.6%, and 28.1%, respectively. 82% of the participants were female, and 53.9% were overweight or obese based on body mass index (BMI). The risk factors related to the prevalence of prediabetes were HbA1c level, impaired FBGL, and impaired 2-hours OGTT. Other risk factors such as age, sex, daily exercise, diet, BMI, waist-hip ratio, acanthosis nigricans, lipid profile, and blood pressure did not correlate significantly with the risk factors (p>0.05). Conclusion This study found that the prevalence of prediabetes was 67.4% in Medan, 82% of the participants were female, and more than 50% of participants were overweight or obese. HbA1c, FBGL, and 2-hour postprandial OGTT were the most important risk factors for prediabetes.
Background Prediabetes, a reversible condition before the onset of diabetes, is a significant concern in healthcare globally. The global prediabetes epidemic has emerged and has considerably impacted health expenditures. Various risk factors play important roles in the progression of prediabetes to diabetes. Intensive lifestyle and pharmacological interventions can significantly reduce the risk of diabetes progression. Objective This study aimed to determine the prevalence, characteristics, and risk factors of prediabetes state of Medan in August 2023. Methods The sample consisted of 89 participants. This was an analytical cross-sectional study in the community that met the inclusion and exclusion criteria. The determination of prediabetes is based on the results of blood tests, namely, the examination of fasting blood sugar levels (FBGL), 2-hour postprandial oral glucose tolerance test (OGTT), and hemoglobin A1c (HbA1C). Other examinations included lipid profiling (total cholesterol, HDL-C, LDL-C, and triglycerides). Data processing was performed using SPSS via univariate and bivariate analyses (chi-square test). Results Of the 89 participants, the prevalence of prediabetes based on HbA1c, FBGL and 2-hours OGTT levels was 28.1%, 50.6%, and 28.1%, respectively. 82% of the participants were female, and 53.9% were overweight or obese based on body mass index (BMI). The risk factors related to the prevalence of prediabetes were HbA1c level, impaired FBGL, and impaired 2-hours OGTT. Other risk factors such as age, sex, daily exercise, diet, BMI, waist-hip ratio, acanthosis nigricans, lipid profile, and blood pressure did not correlate significantly with the risk factors (p>0.05). Conclusion This study found that the prevalence of prediabetes was 67.4% in Medan, 82% of the participants were female, and more than 50% of participants were overweight or obese. HbA1c, FBGL, and 2-hour postprandial OGTT were the most important risk factors for prediabetes.
Background Prediabetes, a reversible condition before the onset of diabetes, is a significant concern in healthcare globally. The global prediabetes epidemic has emerged and has considerably impacted health expenditures. Various risk factors play important roles in the progression of prediabetes to diabetes. Intensive lifestyle and pharmacological interventions can significantly reduce the risk of diabetes progression. Objective This study aimed to determine the prevalence, characteristics, and risk factors of prediabetes state of Medan in August 2023. Methods The sample consisted of 89 participants. This was an analytical cross-sectional study in the community that met the inclusion and exclusion criteria. The determination of prediabetes is based on the results of blood tests, namely, the examination of fasting blood sugar levels (FBGL), 2-hour postprandial oral glucose tolerance test (OGTT), and hemoglobin A1c (HbA1C). Other examinations included lipid profiling (total cholesterol, HDL-C, LDL-C, and triglycerides). Data processing was performed using SPSS via univariate and bivariate analyses (chi-square test). Results Of the 89 participants, the prevalence of prediabetes based on HbA1c, FBGL and 2-hours OGTT levels was 28.1%, 50.6%, and 28.1%, respectively. 82% of the participants were female, and 53.9% were overweight or obese based on body mass index (BMI). The risk factors for prediabetes were age >64 years, female, physical inactivity, and diastolic blood pressure ≥90 mmHg (p<0.05). Other risk factors such age <45-64 years, consumption of vegetables/fruits, BMI, HDL, LDL, trygliceride, total cholesterol, systolic blood pressure, achantosis nigricans, and waist-hip circumference did not associate significantly (p>0.05). Conclusion This study found that the prevalence of prediabetes was 67.4% in Medan. Age >64 years, female, physical inactivity, and diastolic blood pressure ≥90 mmHg were the most important risk factors for prediabetes.
Objective:The primary aim of this study is to develop a prediabetes mobile application (PREDIABE-T R ) designed in Turkish containing information and advice for individuals at risk of developing diabetes; the secondary aim is to determine whether the use of this application can make a difference in the participants' eating according to the Mediterranean diet plan, or in their physical activity and other diabetes-related metabolic parameters. Methods:The adults in the experimental group will be using the PREDIABE-T R mobile application for a period of 6 months. The application consists of a pedometer, a diet diary, and sections on diabetes risk, an instructor and a body mass index calculator. Individuals can use the mobile app to contact a public health nurse or academic on a 24/7 basis. Public health nursing can thus perform a consulting role within this framework. Over the same period, the control group will use the Turkish Nutrition Guide and the Diabetes Checklists mobile application distributed by the Turkish Ministry of Health. At the end of the six-month period, a review will be made of the diabetes metabolic data, physical activity levels and the Mediterranean diet eating behaviors. Results:The benefits of interventions to promote a healthy lifestyle are evident in terms of preventing a transition from prediabetes to diabetes and maintaining present status. ÖZAmaç: Bu çalışmanın birincil amacı diyabet riski olan bireylerde sağlıklı beslenme, fiziksel aktivite yapılması gibi bilgilendirme ve öğütler içeren Türkçe geliştirilmiş bir prediyabet mobil uygulama (PREDIABE-T R ) geliştirilmesi, ikincil amacı ise kullanımının katılımcıların Akdeniz tipi beslenme, fiziksel aktivite ve diyabete ilişkin metabolik parametrelerinde değişim yaratıp yaratmayacağını belirlemektir.Yöntemler: Deney grubunda yer alan erişkinlere 6 ay boyunca PREDIABE-T R mobil uygulaması kullandırılacaktır. Mobil uygulama adımsayar, beslenme takibi, diyabet riski, bilgilendirme ve beden kitle indeksi hesaplama bölümlerinden oluşmaktadır. Bireyler mobil uygulama aracılığıyla 7/24 araştırmacı olan halk sağlığı hemşiresi ve akademisyen ile iletişim kurabilmektedir. Bu çerçevede halk sağlığı hemşireliği danışmanlık rolü yerine getirilebilmektedir. Kontrol grubu ise aynı süreçte Sağlık Bakanlığı'nın Türkiye Beslenme Rehberi ve Diyabet Kontrol Listeleri mobil uygulamasını kullanacaktır. Altı aylık süreç sonunda her iki grubun da diyabet metabolik değerleri, fiziksel aktivite düzeyleri, Akdeniz tipi beslenme davranışları incelenecektir.Bulgular: Prediyabetik dönemden diyabete geçiş sürecinin engellenmesinde ve mevcut durumun korunmasında sağlıklı yaşam tarzı müdahalelerinin yararlı rolü ortadadır.
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