Illiteracy and diabetic foot complications

Al-Kaabi, Juma M.; Al-Maskari, Fatma; Cragg, Paul; Afandi, Bachar; Souid, Abdul‐Kader

doi:10.1016/j.pcd.2015.04.008

Cited by 24 publications

(34 citation statements)

References 28 publications

(28 reference statements)

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“…The finding from this systematic review and meta-analysis showed that a good self-care practice is protective for the occurrence of diabetic foot ulcers. This finding is comparable with the previous study conducted in different settings [32][33][34]. Poor practicing foot self-care increase the occurrence of diabetic foot ulcer due to the absence of washing their feet daily, lack of drying appropriately after washing, and lack early management of any abnormality that may occur on the foot.…”

Section: Discussionsupporting

confidence: 89%

Prevalence and associated factors of foot ulcer among diabetic patients in Ethiopia: a systematic review and meta-analysis

et al. 2020

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Background: Diabetes and its complications including foot ulcer constitute a global public health challenge attributing to a significant cause of morbidity and mortality. Foot ulcer is one of the long-term complication of diabetes mellitus which lead to infection and amputation of lower extremities. In Ethiopia, findings from few studies were inconsistent and there is a need to systematically pool existing data to determine the magnitude of foot ulcer in diabetics and factors contributing to it. Methods: We identified articles through electronic databases such as Medline, Hinari, Pub Med, Cochrane library, the Web of Science and Google Scholar. Accordingly, we identified 95 published and one unpublished article. Finally, eleven studies which fullfilled eligibility criteria were included in final systematic review and meta-analysis. Data were extracted using a standardized data extraction checklist and the analyses were conducted using STATA version 14. The Cochrane Q test statistic and I 2 tests were used to assess heterogeneity. Results: The overall magnitude of foot ulcer was 12.98% (95%CI: 7.81-18.15) in diabetic patients in Ethiopia. Subgroup analyses revealed highest prevalence in Addis Ababa (19.31% (95%CI: 2.7. 41.37)). Foot ulcer was significantly associated with rural residence (OR = 2.72, 95%, CI: 1.84-4.01)), presence of callus on the feet ((OR = 12.67, 95%, CI: 6.47-24.79)), a body mass index of ≥24.5 ((OR = 2.68, 95%, CI: 1.58-4.56)), poor self-care practice ((OR = 1.47, 95%CI: 1.25-1.73)), type I diabetes mellitus ((OR = 0.42, 95%, CI: 0.22-0.79)), staying with DM for < 10 years ((OR = 0.23, 95%, CI: 0.11-0.50)), and age < 45 years ((OR = 0.44, 95%, CI: 0.21-0.92)). Conclusion: The prevalence of diabetic foot ulcers in Ethiopia is relatively low, although its trend is increasing from time to time. Socio-demographic factors, body weight, and healthcare practice contribute to the development of diabetic foot ulcers. Appropriate interventions towards patient self-care practice, lifestyle modification and follow-up are wanted to prevent diabetic foot ulcers.

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Section: Discussionsupporting

confidence: 89%

Prevalence and associated factors of foot ulcer among diabetic patients in Ethiopia: a systematic review and meta-analysis

et al. 2020

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“…The relation with education was confirmed through multivariate analysis. In agreement with this, a recent study in the United Arab Emirates revealed that illiteracy was a significant risk factor for foot complications among diabetics (Al- Kaabi et al, 2015). Living with family was another factor with positive influence on patient's practice in the current study.…”

Section: Discussionsupporting

confidence: 89%

Diabetic Foot Among Elderly at Zagazig City: Risk Factors and Foot Care Practices

Hagrass¹,

Mohamed²

2016

AJNS

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Abstract:Background: Foot health problems are common in the elderly due to pathological changes in their feet. The aim of this study was to identify diabetic foot risk factors among the elderly at Zagazig City Subjects and methods; Analytic cross sectional study design was utilized. The study was conducted at Zagazig health insurance clinic for the elderly diabetic patients with purposive sample composed of (280) of the elderly diabetic patients. Tools, tool I, Interview questionnaire sheet composed of four parts (socio demographic characteristics, medical past &present history of diabetes, assessing patient foot care practice and assessment of risk factors of diabetic foot) and tool II, physical assessment of diabetic foot condition. Results it revealed that approximately one-half of the patients were 60-65 years old, only more than the third of studied patients had adequate foot care practice; the foot inspection revealed that the majority of them had abnormal foot and statistically significant relations between patients practice and their level of education, job type and income. The foot inspection revealed that the patients had no infection, no ulcer and no low blood flow had a higher percentage of normal examination. Conclusion The study found several factors associated with higher incidence of diabetic foot among the elderly diabetic patients including: low educational level, longer duration of diabetes, smoker, lack of foot care and poor footwear. Recommendations: Educate diabetic patients, about diabetic foot care practice through educational program to reduce the risk of complications.

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“…increasing parental control of food choices and physical activity for young children), improved school health policy and practice (offering better nutrition and exercise) and enhanced public awareness of obesity and its adverse consequences (ability to ameliorate risks of attaining obesity by proper exercise and nutritional choices). These needs are especially relevant to UAE because health illiteracy is very common .…”

Section: Discussionmentioning

confidence: 99%

Increasing obesity rates in school children in United Arab Emirates

Alblooshi

Shaban

AlTunaiji

et al. 2016

Obesity Science & Practice

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SummaryBackgroundThe remarkable socioeconomic changes in United Arab Emirates (UAE) necessitate regular monitoring of obesity in our population. This study explored the epidemiology of obesity in a large cohort of UAE students.MethodsThis population‐based study investigated the prevalence of obesity in 44,942 students attending governmental schools in Ras Al‐Khaimah. Body‐mass‐index (BMI) was calculated in 15,532 children (4–12 y) in 2013–2014, and in 29,410 children (3–18 y) in 2014–2015. The International Obesity Task Force, World Health Organization, and Centers for Disease Control (CDC) reference methods were used to identify overweight, obesity, and extremely‐obesity.ResultsUsing CDC interpretation of BMI, from 11 to 14 y, the prevalence of BMI ≥85th percentile was 41.2%, BMI ≥95th percentile 24.3% and BMI ≥99th percentile 5.7%. Obesity increased linearly from 3 to 12 y (R 2 ≥ 0.979); each year an additional 2.36% of the students became obese and 0.28% became extremely obese. The rate of extreme‐obesity was 9.6‐fold higher in boys than girls (0.58% vs. 0.06%). From 15 to 18 y, 10.3% of boys were extremely obese and 3.0% of girls were extremely obese.ConclusionsThese results confirm a steady rise in obesity in children 3–18 y. The rising rate of extreme obesity is also alarming, especially among boys.

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Illiteracy and diabetic foot complications

Cited by 24 publications

References 28 publications

Prevalence and associated factors of foot ulcer among diabetic patients in Ethiopia: a systematic review and meta-analysis

Prevalence and associated factors of foot ulcer among diabetic patients in Ethiopia: a systematic review and meta-analysis

Diabetic Foot Among Elderly at Zagazig City: Risk Factors and Foot Care Practices

Increasing obesity rates in school children in United Arab Emirates

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