Diabetes and impaired glucose tolerance in an Asian community in Tanzania

Swai, A. B. M.; McLarty, D.G.; Sherrif, F.; Chuwa, L.M.; Maro, E E; Lukmanji, Zohra; Kermali, W.; Makene, W. J.; Alberti, K. G. M. M.

doi:10.1016/0168-8227(90)90121-9

Cited by 39 publications

(14 citation statements)

References 15 publications

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“…The prevalence of impaired glucose tolerance in the Cameroon population was lower than those observed by McLarty et al [16] in rural and urban Tanzania (2.2 to 5.9 vs 7.4 to 16.3 %) and much lower than in migrant Indian populations of Tanzania and South Africa [17,18]. There was an excess of impaired glucose tolerance in rural men which could be due to excessive alcohol consumption which has been described in the same population [20].…”

Section: Discussionmentioning

confidence: 78%

“…Diabetes prevalence in urban Cameroonian men was much lower than in the urban Tanzanian Bantu men (1.1 vs 3.3 %) [16]. When compared with data from Indian migrants of Durban, South Africa [17] and Muslim and Hindu migrants of Dar es Salaam, Tanzania [18], prevalence in both rural and urban Cameroon was about ten times lower than in any of these populations. The prevalence of diabetes in the Cameroon survey was lower than that observed for United States blacks in the NHANES II study close to 20 years ago (9 and 12 % for men and women, respectively) and for United States whites (5 vs 7 % for men and women, respectively) [19].…”

Section: Discussionmentioning

confidence: 99%

“…A higher percentage of the diabetes was unknown before the survey in the rural than in the urban area (67 vs 57 %). By contrast, the proportion of unknown cases was over 80 % in Tanzania subjects [16,18] and less than 50 % in Durban, South Africa [17]. Figures of 50 % and up to 100 % have been found respectively in European and American and in Pacific populations [7,26,27].…”

Section: Discussionmentioning

confidence: 99%

“…A few population-based studies of NIDDM using the WHO criteria [11] exist from East and South Africa [16][17][18], nevertheless, population-based reports of diabetes in Africa are uncommon. A low age standardized diabetes prevalence was observed in the rural and urban Bantu communities of Tanzania [15,16] in 1987-1988.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of NIDDM and impaired glucose tolerance in a rural and an urban population in Cameroon

et al. 1997

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalence of NIDDM and impaired glucose tolerance in a rural and an urban population in Cameroon

et al. 1997

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“…If female preponderance exists in SSA, coupled with the prevalence peaks in patient's reproductive years, it is suggested that there may be high rates of intrauterine fetal exposure to diabetes and future metabolic disorders [42,44]. A variation in diabetes prevalence among ethnic communities has also been reported in SSA; the highest prevalence of diabetes has been reported within the Indian community, mainly in Tanzania (7.1-9.1%) [15,45,46] and South Africa (13%) [35,37,38], compared to the lowest rates in indigenous blacks (1.1-5.3%) [12]. The prevalence rates in Caucasians in SSA have been quite similar to those in Europe (6-10%), which are also relatively high [14].…”

Section: Epidemiologymentioning

confidence: 95%

Type 2 diabetes mellitus and obesity in sub‐Saharan Africa

Tuei

Maiyoh

2010

Diabetes Metabolism Res

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While communicable diseases such as human immunodeficiency virus/acquired immune deficiency syndrome, malaria, and tuberculosis have continued to pose greater threats to the public health system in sub-Saharan Africa (SSA), it is now apparent that non-communicable diseases such as diabetes mellitus are undoubtedly adding to the multiple burdens the peoples in this region suffer. Type 2 diabetes mellitus (T2DM) is the most common form of diabetes (90-95%), exhibiting an alarming prevalence among peoples of this region. Its main risk factors include obesity, rapid urbanization, physical inactivity, ageing, nutrition transitions, and socioeconomic changes. Patients in sub-Saharan Africa also show manifestations of beta-cell dysfunction and insulin resistance. However, because of strained economic resources and a poor health care system, most of the patients are diagnosed only after they have overt symptoms and complications. Microvascular complications are the most prevalent, but metabolic disorders and acute infections cause significant mortality. The high cost of treatment of T2DM and its comorbidities, the increasing prevalence of its risk factors, and the gaps in health care system necessitate that solutions be planned and implemented urgently. Aggressive actions and positive responses from well-informed governments appear to be needed for the conducive interplay of all forces required to curb the threat of T2DM in sub-Saharan Africa. Despite the varied ethnic and transitional factors and the limited population data on T2DM in sub-Saharan Africa, this review provides an extensive discussion of the literature on the epidemiology, risk factors, pathogenesis, complications, treatment, and care challenges of T2DM in this region.

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Epidemiology and Geography of Type 2 Diabetes Mellitus

Qiao

Williams

Imperatore

et al. 2004

International Textbook of Diabetes Mellitus

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The prevalence of diabetes and impaired glucose metabolism has increased dramatically and has become a serious public health problem worldwide. Age‐ and sex‐specific prevalence of diabetes, impaired glucose tolerance, and impaired fasting glycemia in different ethnic groups in different regions are presented in the chapter. The prevalence of fasting and postload hyperglycemia, the gender difference in the prevalence, the ratio of impaired glucose tolerance to diabetes, and the proportion of undiagnosed diabetes are all reported. The problems with the evolution of the diagnostic criteria for diabetes and other abnormal glucose categories are also addressed. The prevalence estimates presented in the chapter were collected mainly from studies where age‐ and sex‐specific prevalence had been estimated using the World Health Organization 1999 criteria. The secular trend in the prevalence of type 2 diabetes is discussed. The prevalence and the incidence of type 2 diabetes in children and the problem of differentiation between type 1 and type 2 diabetes are also discussed.

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Diabetes and impaired glucose tolerance in an Asian community in Tanzania

Cited by 39 publications

References 15 publications

Prevalence of NIDDM and impaired glucose tolerance in a rural and an urban population in Cameroon

Prevalence of NIDDM and impaired glucose tolerance in a rural and an urban population in Cameroon

Type 2 diabetes mellitus and obesity in sub‐Saharan Africa

Epidemiology and Geography of Type 2 Diabetes Mellitus

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