Anthropometric profile and complications in patients with diabetes mellitus seen at Maluti Adventist Hospital, Lesotho

Makwero, M. T.; Mollentze, W.F.; Joubert, Gina; Steinberg, Wilhelm Johannes

doi:10.1080/20786190.2018.1426901

Cited by 6 publications

(13 citation statements)

References 15 publications

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“…The participants in this study, though recruited via random convenience sampling, were predominantly female (4:1 ratio to males). Though this is not the typical gender pattern for T2DM reported in higher income countries, 12 it is consistent with the findings of other studies on T2DM in Lesotho [25][26][27] and neighbouring South Africa. [28][29][30] This may be explained by the fact that, in sub-Saharan Africa and other developing regions, the most prominent risk factor, which is obesity, is more common in women than in men, 12 as is also evident in the current study.…”

Section: Discussionsupporting

confidence: 91%

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Nutritional status, glycaemic control and barriers to treatment compliance among patients with type 2 diabetes attending public primary health clinics in Maseru, Lesotho

Berg

Mokhehle

Raubenheimer

2019

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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Section: Discussionsupporting

confidence: 91%

“…The fact that the current study was performed at only two public healthcare facilities may limit the generalisation of the findings. The findings are, however, very similar to those recorded for outpatients with T2DM who rely on the public health sector in Lesotho, 27,36 as well as in other parts of the sub-Saharan region. 3…”

Section: Limitationssupporting

confidence: 80%

Nutritional status, glycaemic control and barriers to treatment compliance among patients with type 2 diabetes attending public primary health clinics in Maseru, Lesotho

Berg

Mokhehle

Raubenheimer

2019

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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“…A wide variation was noted in the prevalence of diabetic peripheral neuropathy across the studies, with prevalence ranging from 4% in a study conducted in Eritrea 51 to 83.3% in a study conducted in Nigeria. 68 A study by Makwero and colleagues 109 conducted in Lesotho reported the lowest prevalence of diabetic retinopathy of 4.7%, while the study by Megalla and colleagues 97 conducted in Egypt reported the highest (90%).…”

Section: Resultsmentioning

confidence: 97%

“…The majority of studies were performed in Eastern African countries (44, 40.4%). 3 16-58 The proportion of studies conducted in Western, Northern, Southern and Central Africa was 22% (n=24 studies), 3 59-80 16.5% (n=18 studies), [81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97][98][99] 15.6% (n=17 studies) [100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115][116] and 8.3% (n=9 studies), 3 59 117-123 respectively. Three studies were conducted in more than one region of Africa (Western, Central and Eastern).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Indicators of optimal diabetes care and burden of diabetes complications in Africa: a systematic review and meta-analysis

et al. 2022

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ObjectiveContemporary data on the attainment of optimal diabetes treatment goals and the burden of diabetes complications in adult populations with type 2 diabetes in Africa are lacking. We aimed to document the current status of attainment of three key indicators of optimal diabetes care and the prevalence of five diabetes complications in adult African populations with type 2 diabetes.MethodsWe systematically searched Embase, PubMed and the Cochrane library for published studies from January 2000 to December 2020. Included studies reported any information on the proportion of attainment of optimal glycated haemoglobin (HbA1c), blood pressure (BP) and low-density lipoprotein cholesterol (LDLC) goals and/or prevalence of five diabetes complications (diabetic peripheral neuropathy, retinopathy, nephropathy, foot ulcers and peripheral arterial disease). Random effect model meta-analysis was performed to determine the pooled proportion of attainment of the three treatment goals and the prevalence of five diabetes complications.ResultsIn total, 109 studies with a total of 63 890 participants (53.3% being females) were included in the meta-analysis. Most of the studies were conducted in Eastern African countries (n=44, 40.4%). The pooled proportion of attainment of an optimal HbA1c, BP and LDLC goal was 27% (95% CI 24 to 30, I2=94.7%), 38% (95% CI 30 to 46, I2=98.7%) and 42% (95% CI 32 to 52, I2=97.4%), respectively. The pooled prevalence of diabetic peripheral neuropathy, retinopathy, diabetic nephropathy, peripheral arterial disease and foot ulcers was 38% (95% CI 31 to 45, I2=98.2%), 32% (95% CI 28 to 36, I2=98%), 31% (95% CI 22 to 41, I2=99.3%), 19% (95% CI 12 to 25, I2=98.1%) and 11% (95% CI 9 to 14, I2=97.4%), respectively.ConclusionAttainment of optimal diabetes treatment goals, especially HbA1c, in adult patients with type 2 diabetes in Africa remains a challenge. Diabetes complications, especially diabetic peripheral neuropathy and retinopathy, are highly prevalent in adult populations with type 2 diabetes in Africa.

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“…These variables provided information on cross-national factors that affect and reflect health outcomes-low and high BMI and child mortality. In addition, these variables could be used to generate complex but accurate models [41,42].…”

Section: Study Variablesmentioning

confidence: 99%

Then and Now: Investigating Anthropometrics and Child Mortality among Females in Malawi

Simmons

Hagan

Schack

2022

IJERPH

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Information on the concentration of body mass index and child death among females in Malawi, where the epidemics of weight gain have been disconcerting and preventable deaths among children linger, is limited. Therefore, the study examined the polarity of body mass index and the death of children among females. Using data from the Malawian Demographic and Health Survey from 2000 to 2015–2016, the study applied for the first time the index of concentration at the extremes and indirect demographic techniques to estimate the polarity of body mass index and child mortality among 65,499 females aged 15 to 49 years. The preponderance of obesity more than doubled from 2000 to 2015–2016 and was highest among females who were older (35–49 years), urban dwellers, rich, and located in districts within the central and southern regions. In addition, child survival was low among underweight, overweight, and obese females. While national-, regional-, and individual-level statistics are in development, these findings provide helpful information for health experts and other stakeholders to initiate appropriate age-region specific programs and interventions in Malawi, including targeting females in the high socio-economic bracket.

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Anthropometric profile and complications in patients with diabetes mellitus seen at Maluti Adventist Hospital, Lesotho

Abstract: Background: Patients attending outpatient departments for follow-up of diabetes mellitus (DM) may seem content about the control of their disease. However, complications resulting from DM may present before diagnosis and treatment initiation or continue to develop while on treatment.

Cited by 6 publications

References 15 publications

Nutritional status, glycaemic control and barriers to treatment compliance among patients with type 2 diabetes attending public primary health clinics in Maseru, Lesotho

Nutritional status, glycaemic control and barriers to treatment compliance among patients with type 2 diabetes attending public primary health clinics in Maseru, Lesotho

Indicators of optimal diabetes care and burden of diabetes complications in Africa: a systematic review and meta-analysis

Then and Now: Investigating Anthropometrics and Child Mortality among Females in Malawi

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