Objectives: This cross-sectional study was conducted to find out the prevalence of type 2 diabetes and pre-diabetes ((PD) (Impaired fasting glucose-IFG, impaired glucose tolerance-IGT)) and to see the associations with risk factors. Methods: Two villages were randomly selected from rural area of Mymensingh district. 125 study subjects (≥30 years) were selected with systematic procedure but 118 samples were participated in the study. Below 30 years, diagnosed case of diabetes and urban people were excluded from study. Socio-demographic data were collected on a pre-tested interview schedule through face to face interview. DM, PD were interpreted by estimating fasting blood glucose level and 2 hour after 75 gm glucose load. Obesity was assigned by BMI. SPSS program (version 11.5) used for data analysis. Results: Mean age of participants was 46.68 with SD ± 12.698. Female participation (66.9%) was double compare to male, literacy rate was (64.4%) with female illiteracy of 29.67%. House wives (61.9%) were more than other professions. Middle class people were nearly 73%, Poor 14.4%, sedentary life style 11% and depressives 14.4% evident in study. A 20.3% people did laborious works. 17.8% had the family history of diabetes. Smokers (53.4%) were more than the non-smokers. Majority (89.0%) of rural people eat rice thrice a day. Normal BMI 61.0%, underweight 31.4% and 7.6% overweight observed. Overall prevalence of T2 DM was 11.0% showing increase trend of diabetes compared to 8.6% estimated in 2000 and higher than several studies of home and abroad. Female showed higher prevalence (7.6%) compare to male (P>0.05). The overall prevalence of PD was 16.1% evident in this study. The prevalence of IFG and IGT were 8.5% and 7.6% respectively. Female showed higher prevalence of IFG (5.1%) and IGT (5.9%) than male (P>0.05). House wives showed higher prevalence (5.6%) of DM compare to other professions (P>0.05). Illiterates showed more PD (10.3%) and less DM (1.7%) but literates showed more (9.3%) DM (P >0.05). DM (6.7%) and PD (11.8%) more were among the middle class (P=0.018). A high prevalence of PD (13.6%) and DM (9.3%) noticed among non-sedentary lifestyle (P >0.05). Smoker showed higher DM (8.5%) and PD (11.8%). (P-0.071). Prevalence of PD and DM were high among the people with physically less active (P =0.795). Depressives showed more prevalence of DM (8.5%) and PD (13.5%), (P=0.345). increased frequency of rice eating (P=0.004), people with normal BMI (P=0.081) and family history of DM (P=0.000) showed positive association with diabetes mellitus. CBMJ 2015 January: Vol. 04 No. 01 P: 22-29
This cross-sectional descriptive study was carried out from January 2015 to March 2016 in villages of 12 Bhavokhali union, Sadar upazila, Mymensingh. The study was done on 408 subjects who were selected purposively. Data were collected on a pre-designed questionnaire by direct interviewing the respondents. Data analysis was done using SPSS version 16. Prevalence of hypertension was 21.32%. Mean age was 39.22 years and standard deviation 14.81 years. Prevalence of hypertension was 46.30% among persons over 60 years of age, 37.11% among persons having family history of hypertension, 61.54% among persons having diabetes mellitus, 43.96% among persons having BMI more than or equal to 25, 29.41% among those having sedentary lifestyle, 22.14% among those having the habit of added salt intake, 33.75% among smokers and 25.95% among persons having the habit of smokeless tobacco intake. Though female had low prevalence of hypertension (18.77%), female working outside had higher prevalence 31.59%. Women of reproductive age group had lower prevalence of hypertension (15.56%) among whom oral contraceptive pill users had increased prevalence of hypertension 16.82%. Prevalence of hypertension found in this study was lower in comparison to global prevalence and results of other studies. CBMJ 2016 July: Vol. 05 No. 02 P: 14-20
In Bangladesh majority of people live in rural area. Sanitation is important for health promotion, and disease prevention. To know sanitary condition of rural people of Mymensingh, a descriptive cross-sectional study was conducted and the sampling technique was purposive. Data were collected on a pre-designed questionnaire by direct interviewing the respondents. Sanitation status was assessed by scoring on selected components of personal hygiene and environmental sanitation. Data analysis was done by SPSS version 20. A total of 514 villagers (202 male, 312 female) participated in the study. Age of respondents ranged from 10 years to 75 years; mean age was 36.23 years with a standard deviation of ±13.736 years. Females were mostly housewives (92%), males were mostly farmers (37%). Among respondents 96% had own house, 58% had cultivable land and 26% were poor. Sanitation in this study included personal hygiene and environmental sanitation. Scoring was done based on correct response on selected items of personal hygiene and environmental sanitation (80% and more: excellent, 60 to 79 percent: good, below 60 percent: bad). Personal hygiene practices included were daily bathing, hand washing with soap and water in relevant occasions, washing vegetables, fruits, covering cooked and served food. About 95% had excellent score on personal hygiene. This excellent score was more observed among respondents with increasing age, female sex, service holders, housewives and better socioeconomic condition. Environmental sanitation included safe water supply, sanitary latrine, good house, no animal in house and if present kept in cattle shed in safe distance, hygienic disposal of animal excreta and refuse. 95% had safe water supply, 75% had water seal latrine, 44% had good house and 26% had no animals. Those who kept animals only 23% kept them in cattle shed in safe distance. Hygienic disposal of animal excreta and refuse were 25% and 43.4% respectively. Environmental sanitation based on safe water supply and water seal latrine was excellent and good respectively but based on other 4 components the status was not satisfactory. Despite hardship,sanitary conditions were better thanthe results of other studies in Bangladesh and in other developing countries. Hygiene practices were praiseworthy. Improvement of socioeconomic condition and continuous health education will further improve the situation. CBMJ 2018 July: Vol. 07 No. 02 P: 34-41
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