Differences by sex in the prevalence of diabetes mellitus, impaired fasting glycaemia and impaired glucose tolerance in sub-Saharan Africa: a systematic review and meta-analysis

Hilawe, Esayas Haregot; Yatsuya, Hiroshi; Kawaguchi, Leo; Aoyama, Atsuko

doi:10.2471/blt.12.113415

Cited by 119 publications

(123 citation statements)

References 73 publications

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“…Evaluation of IFG by gender showed a higher prevalence in males as has been described in other populations [31,32], similarly echoing previous reports [27,28,33], prevalence increasing with age in both univariate and multivariate analysis (Table 5). This might be associated with senescent changes, such as increased visceral adiposity [34] decreased lean mass [35] and reduced PA [36] all having a direct influence on IR development.…”

Section: Discussionsupporting

confidence: 78%

Prevalence and Risk Factors associated with Impaired Fasting Glucose in Adults from Maracaibo City, Venezuela

BermAdez¹,

Salazar²

2016

J Diabetes Metab

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Objective: The purpose of this study was to evaluate the prevalence and risk factors associated with impaired fasting glucose (IFG) in adult individuals from Maracaibo city, Venezuela. Materials and methods:2230 patients from the Maracaibo Metabolic Syndrome Prevalence Study were selected. IFG was defined according to the 2016 ADA criteria. A multiple logistic regression model was constructed in order to assess risk factors associated with IFG. Results:In the general population, the prevalence of IFG was 19.5% (n=435), with 46.4% (n=202) being women and 53.6% (n=233) being men, p=0.004. The main risk factors associated with IFG were age (≥60 years: OR=2.31; CI 95%=1.23-4.35; p<0.01), alcohol consumption, abdominal obesity and insulin resistance. After evaluating individuals with IFG exclusively, the major risk factor was the presence of elevated high-sensitivity C-Reactive Protein levels (OR=2.03; CI 95%=1.13-3.67; p<0.02). Conclusions:In Maracaibo the prevalence of IFG is similar to that of international reports. It is associated with a variety of risk factors, especially abdominal obesity, insulin resistance and low-grade inflammation, demonstrating the close link between adiposopathy and alterations in glucose metabolism.

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Section: Discussionsupporting

confidence: 78%

Prevalence and Risk Factors associated with Impaired Fasting Glucose in Adults from Maracaibo City, Venezuela

BermAdez¹,

Salazar²

2016

J Diabetes Metab

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“…Although, the overall prevalence of diabetes mellitus did not significantly differ by sex but the prevalence of diabetes mellitus was found to be lower or higher in women than in men when examined by African sub-region [33]. Although, diabetes is more prevalent in males than in females [34], in this study, women were more likely to have diabetes.…”

Section: Discussioncontrasting

confidence: 37%

Assessment of Dietary and Life-Style Behaviors of Diabetic and Non-Diabetic Jordanian Atorvastatin Users

Al-Bayyari¹

2017

JED

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Objective: To assess and compare the dietary and life-style behaviors among the diabetic and non-diabetic atorvastatin users. Materials and Methods:A cross-sectional study was conducted on 359 Jordanian patients aged more than 18 years old, using atorvastatin 20 mg/day for at least 6 months and attending the diabetic and endocrine clinics at King Abdullah University Hospital. Dietary and life-style behaviors were assessed and compared among diabetic and non-diabetic patients.Descriptive statistics, Chi-square, student t-test and correlations were performed along with binary logistic regression analysis to examine collectively the association between diabetes and the significant risk factors identified from the univariate analysis.Results: Non-diabetic patients were significantly (P< 0.05) younger, follow low calorie weight reducing diet, loss more weight after diet, eating snacks consist of (artificial juice, ice creams, sweets, chocolates and biscuits, taking supplements and drink amount of alcohol more than the diabetic patients. Female patients (p<0.001; OR=3.15) eating (sweets, chocolates and biscuits) (p<0.05; OR=0.53) and having chronic diseases (p<0.001; OR=10.27) were more likely to develop diabetes. Conclusions and Implications:Dietary and life-style behaviors did not differ significantly among diabetic and non-diabetic atorvastatin users. Diet and physical activity life-styles remain essentially unchanged for many patients after using atorvastatin. Involving patients in preventive programs promotes the successful adoption of healthy lifestyles.

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“…This findings is not surprising because men have higher all-cause mortality rates than women at older ages. A systematic review showed a similar pattern in South Africa and among subjects with Indian ethnicity, but diabetes was significantly higher in men in the Middle and Eastern African countries (26). Further studies are required to investigate the relationship of diabetes mellitus and sex.…”

Section: Discussionmentioning

confidence: 78%

Prevalence and risk factors of diabetes mellitus in a central district in Islamic Republic of Iran: a population-based study on adults aged 40–80 years

Katibeh

Hosseini

Soleimanizad

et al. 2015

Easter Mediterr Health J

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Previous studies on type 2 diabetes mellitus in the Islamic Republic of Iran were mainly performed in provinces with large populations. This study determined the prevalence and risk factors of diabetes mellitus in an adult population (40-80 years old) from Yazd district. Multistage, systematic cluster random sampling was used in a crosssectional, population-based survey. Demographic, clinical and anthropometric data were collected, with diabetes defined as fasting blood sugar ≥ 7 mmol/L or a positive medical history of diabetes. The age-and sex-standardized prevalence of diabetes in 2090 individuals participants was 24.5% (95% CI: 22.2-26.8%), including 10.5% new cases. For each year of ageing, the prevalence of diabetes increased significantly by 4% and this trend was more pronounced in females than males. Low education and hypertension were significantly associated with diabetes prevalence. The prevalence of diabetes mellitus in Yazd is greater than the average levels nationwide and those of nearby countries. ‫ـكانية‬ ‫سـ‬ ‫ـة‬

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Differences by sex in the prevalence of diabetes mellitus, impaired fasting glycaemia and impaired glucose tolerance in sub-Saharan Africa: a systematic review and meta-analysis

Cited by 119 publications

References 73 publications

Prevalence and Risk Factors associated with Impaired Fasting Glucose in Adults from Maracaibo City, Venezuela

Prevalence and Risk Factors associated with Impaired Fasting Glucose in Adults from Maracaibo City, Venezuela

Assessment of Dietary and Life-Style Behaviors of Diabetic and Non-Diabetic Jordanian Atorvastatin Users

Prevalence and risk factors of diabetes mellitus in a central district in Islamic Republic of Iran: a population-based study on adults aged 40–80 years

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