Pediatric endocrinology practice in Nigeria: Challenges and way forward

Objectives The prevalence of type 1 diabetes mellitus (T1DM) is increasing in most developed and developing countries. This study described the clinical characteristics and compliance with care among Nigerian children and adolescents with T1DM. Methods This was a cross-sectional descriptive multi-center study of children seen at the paediatric endocrinology clinic of seven selected tertiary health facilities in Nigeria. Information was collected on socio-demographics, clinical characteristics and compliance of the children with dietary recommendations and insulin therapy. Compliance with dietary recommendations and insulin therapy was graded as either good or poor based on defined criteria. Results The mean age of children was 13.1 ± 4.7 years. The mean age of children at the diagnosis of T1DM was 9.9 ± 4.2 years. Sixty-nine (60%) children were female while about half (47.8%) of the children were from the lower socioeconomic class. Compliance with insulin administration was good in 39.1% of the children and was significantly associated with the father’s (p=0.001) and mother’s educational status (p=0.024) while compliance with dietary recommendations was good in 20.0% of the children and was significantly associated with mother’s educational status (p=0.034) and family socioeconomic class (p=0.010). Only the mother’s level of education was independently and significantly associated with compliance to recommendations on insulin therapy (OR 4.2, 95% CI=1.5–11.6, p=0.007). Conclusions The compliance of children with dietary recommendations and insulin therapy was poor. Efforts should be strengthened at all healthcare facilities to educate parents on the need for compliance with management guidelines.

show abstract

Children and adolescents with type 1 diabetes mellitus in Nigeria: clinical characteristics and compliance with care

Senbanjo

Akinola

Umar

et al. 2022

Journal of Pediatric Endocrinology and Metabolism

View full text Add to dashboard Cite

show abstract

Pattern of presentation of paediatric endocrine disorders in a Nigerian tertiary institution: an 11-year survey

Chikani

Ohuche

Dike³

2022

Journal of Pediatric Endocrinology and Metabolism

View full text Add to dashboard Cite

Objectives There is need to generate epidemiological data regarding paediatric endocrine disorders (PEDs) in sub-Saharan Africa, since little attention has been given endocrine disorders in children in this sub-region over the years. The aim of the study was to determine the sociodemographic characteristics of children with endocrine disorders in our paediatric endocrinology clinic, as well as the pattern of presentation of these disorders. Methods This study included paediatric patients who presented to the endocrine clinic over an 11-year period. Data of patients seen during the study period were retrieved from the case notes and were analyzed using SPSS version 23. Results A total of 188 patients were seen over the study period, with an almost equal male:female ratio. Five of the patients (2.7%) could not be classified into any gender because of genital ambiguity. The age of the patients at diagnosis ranged from 0 to 18 years of age with a median age of 9.03 (9.94) years. All the 14 subdivisions of paediatric endocrine disorders were documented among the patients, with thyroid disorders ranking highest among the PEDs seen. Type 1 diabetes mellitus, obesity and pubertal disorders were the most prevalent PEDs (in descending order), after thyroid disorders. Congenital hypothyroidism accounted for 14.3% of patients with thyroid disorders. Conclusions Thyroid disorders, type 1 diabetes mellitus and obesity rank highest among the PEDs in our locality. There is the need to create awareness among healthcare workers and the general public regarding these disorders, in order to improve appropriate and timely presentation of patients to the clinic.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Pediatric endocrinology practice in Nigeria: Challenges and way forward

Cited by 2 publications

References 7 publications

Children and adolescents with type 1 diabetes mellitus in Nigeria: clinical characteristics and compliance with care

Children and adolescents with type 1 diabetes mellitus in Nigeria: clinical characteristics and compliance with care

Pattern of presentation of paediatric endocrine disorders in a Nigerian tertiary institution: an 11-year survey

Contact Info

Product

Resources

About