<p>Prevalence of Anemia and Its Associated Factors Among Adult Diabetes Mellitus Patients at Debre Tabor General Hospital, Northcentral Ethiopia</p>

Abstract

Background Diabetes mellitus is a cluster of metabolic disorders which is characterized by hyperglycemia. The occurrence of anaemia is a significant public health problem among diabetic patients because of complication and dietary modifications. So, this study aimed to assess the magnitude of anaemia among adult diabetes mellitus patients in Debre Tabor General Hospital, Ethiopia. Methods A cross-sectional study design was conducted. A simple random sampling technique was employed to collect data from 297 adult diabetic mellitus patients. After taking venous blood, the haemoglobin level was determined by using HemoCue 301 machine. Anaemia among diabetic patients was determined by using the haemoglobin level (<13.0g/dL for male and <12.0g/dL for female). Data were entered using EpiInfo version 7.2 and analyzed using SPSS version 21. The binary logistic regression model was used to explore the association of independent variables with anaemia. Finally, p-value <0.05 was used to declare the level of statistical significance. Results The prevalence of anemia among diabetic patient was 29.81% (95% CI: 24.27, 35.35). Diabetic patients unable to read and write (AOR = 3.51, 95% CI: 1.40, 8.75), able to read and write (AOR = 9.76, 95% CI: 3.15, 30.24), ≥4 family size (AOR = 0.53, 95% CI: 0.29, 0.99), intake of flesh meat (AOR=0.19, 95% CI: 0.05, 0.74), and parasitic infections (AOR = 0.26, 95% CI: 0.07, 0.95) were more likely to develop anemia. Conclusion Anemia is a moderate public health problem among diabetic patients. Here, educational status, family size, intake of flesh meat, and intestinal parasite infections were the factors associated with the development of anaemia. So, working on these significant factors by health care providers during routine care is vital to prevent anaemia among diabetic patients.

Hematological abnormalities among adults with type 1 diabetes mellitus at the University of Gondar Comprehensive Specialized Hospital

“…This indicates anemia as a moderate public health problem in adults with T1DM in the study area according to the WHO 28 anemia classification for public health importance (20.0–39.9%). The results of this study are similar with those of the previous study conducted at the General Hospital of Gelemso (30.2%) 40 and Debre Tabor General Hospital (29.1%) 41 and Egypt (36%), 42 but higher than the studies performed at Dessie Referral Hospital (16.3%), 43 Fenote Selam Hospital (21.9%), 44 and current systematic review in Ethiopia (16.78%) 45 and Australia (14%). 46 The reason might be only patients with T1DM aged 18 years and older are included in this study; therefore, with advanced age, decreased renal function, inflammation, bone marrow suppression, and malnutrition may occur which can increase the development of anemia.…”

Magnitude and factors associated with anemia among diabetic patients in Ethiopia: A systematic review and meta-analysis

“…All included studies are cross-sectional and hospital-based. The latest study was published in 2020, 38 and the earliest study was published in 2013. 39 Depending on sample size, two studies have a sample size greater than or equal to 384, 39 , 40 and four studies have a sample size less than 384.…”

“… 39 Depending on sample size, two studies have a sample size greater than or equal to 384, 39 , 40 and four studies have a sample size less than 384. 34 , 35 , 38 , 41 Four studies were conducted in the Amhara region, 38 – 41 one study in the Harari region, 35 and one study in the Tigray region 34 Table 1 ). The common associated factors reported by included studies were glomerular filtration rate, sex, duration of diabetes, and age of diabetic patients ( Table 2 ).…”

“…Four studies 34 , 35 , 38 , 40 included in the meta-analysis have revealed that there was no difference among male and female diabetic patients on the occurrence of anemia (POR, 95% CI: 1.2 (0.94–1.52)) with a significant level of heterogeneity ( I 2 = 89%, p < 0.001; Figure 8 ).…”

Anaemia and its associated factors among diabetes mellitus patients in Ethiopia: A systematic review and meta‐analysis

“…The included articles were published between 2012 and 2021. Three regional states (provinces) of Ethiopia were represented in the studies: six studies were conducted in Amhara, [20][21][22][23][24][25] 1 study in Tigray, 26 and 2 study in Oromo regional state. 27 Six studies [21][22][23][24]26,28 had used a systematic sampling strategy while the other 3 studies 20,27 used a simple random sampling to select their representative sample.…”