Peripheral Sensory Neuropathy and associated factors among adult diabetes mellitus patients in Bahr Dar, Ethiopia

Jember, Gashaw; Melsew, Yayehirad Alemu; Fisseha, Berihu; Sany, Kedir; Gelaw, Asmare Yitayeh; Janakiraman, Balamurugan

doi:10.1186/s40200-017-0295-5

Cited by 38 publications

(52 citation statements)

References 22 publications

(42 reference statements)

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“…A total of 23 studies with 269,691 study participants were included in this meta-analysis. Overall information regarding the prevalence of DPN in DM patients was obtained from various countries across Africa including 10 studies from Nigeria [14, 18-20, 22, 37-41], four from Ethiopia [16,24,42,43], two from Cameroon [23,44], two from Sudan [45,46], two from Egypt [47,48], and one each from Ghana [15], Uganda [49], and Tanzania [50]. The highest and lowest prevalence of DPN was 83.4% [22] and 7.5% [41] respectively, which were reported from Nigeria.…”

Section: Baseline Characteristics Of the Included Studiesmentioning

confidence: 99%

“…This has led health care professionals to focus on prevention as well as the identification of modifiable risk factors [17]. Studies suggest that numerous risk factors are responsible for DPN in DM patients including age, gender, duration of diabetes, the presence of microvascular complications, hypertension, area of residence, body mass index, glycated haemoglobin (HbA1c) level, alcohol intake, hyperglycaemia, cigarette smoking, physical inactivity, and marital status [12,[18][19][20][21][22][23][24][25].…”

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confidence: 99%

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Prevalence of diabetic peripheral neuropathy in Africa: a systematic review and meta-analysis

et al. 2020

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Background: Diabetes mellitus (DM) is a global health care problem that can impose a substantial economic burden. Diabetic peripheral neuropathy (DPN) is a common microvascular complication of DM that increases the potential for morbidity and disability due to ulceration and amputation. Though there is a significant amount of variation in the primary studies on DM regarding the prevalence of DPN in Africa. Hence, this study was aimed to estimate the overall prevalence of DPN in DM patients in Africa. Methods: PubMed, Scopus, Google Scholar, African Journals OnLine, WHO African Library, and the Cochrane Review were systematically searched online to retrieve related articles. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines was followed. Heterogeneity across the included studies was evaluated by the inconsistency index (I 2 ). Publication bias was examined by funnel plot and Egger's regression test.The random-effect model was fitted to estimate the pooled prevalence of diabetic peripheral neuropathy among patients in Africa. The meta-analysis was performed using the STATA™ Version 14 software. Results: Twenty-three studies which includes 269,691 participants were included in the meta-analysis. The overall pooled prevalence of diabetic peripheral neuropathy was 46% (95% CI:36.21-55.78%). Based on the subgroup analysis, the highest prevalence of diabetic peripheral neuropathy in DM patients was reported in West Africa at 49.4% (95% CI: 32.74, 66.06). Conclusion: This study revealed that the overall prevalence of diabetic peripheral neuropathy is relatively high in Africa. Hence, DPN needs situation-based interventions and preventive strategies, which are specific to the country. Further meta-analysis is needed to identify associated factors for the occurrence of diabetic peripheral neuropathy.

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Section: Baseline Characteristics Of the Included Studiesmentioning

confidence: 99%

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confidence: 99%

Prevalence of diabetic peripheral neuropathy in Africa: a systematic review and meta-analysis

et al. 2020

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“…[4][5][6] In sub-Saharan Africa (SSA), about 69% of mortality is caused by infectious diseases, while non-communicable diseases (NCDs) contribute around one-fourth of the deaths. 7,8 However, due to the ongoing epidemiological transition in these countries, there is a projection that death due to noncommunicable diseases is estimated to surpass death from infectious diseases in the year 2030. 9,10 Ethiopia is among the countries in the sub-Saharan region that is facing an increasing burden related to noncommunicable diseases.…”

Section: Introductionmentioning

confidence: 99%

<p>Epidemiology of General, Central Obesity and Associated Cardio-Metabolic Risks Among University Employees, Ethiopia: A Cross-Sectional Study</p>

Janakiraman¹,

Abebe²,

Chala³

et al. 2020

DMSO

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Background: Evidence suggests that middle and low-income countries such as Ethiopia are facing the growing epidemic of both communicable and non-communicable diseases creating a burden on their economy and healthcare system. The increasing prevalence of noncommunicable diseases is attributed to sedentarism, lifestyle changes, nutritional transition, and the presence of other cardiometabolic risk factors. Therefore this study was designed to assess the prevalence and association of overweight, obesity, and cardio-metabolic risks and to explore if there was any agreement among the anthropometric measurements among the academic employees of the University of Gondar, Ethiopia. Methods: An institutional-based cross-sectional study was conducted using the WHO stepwise approach and recommendations on 381 academic staff of the university. In addition, physical measurements such as weight, height, waist and hip circumferences, and biochemical measures such as blood pressure and fasting blood glucose level (peripheral blood samples by finger puncture) were measured using standardized tools. Results: The mean age of the participants was 33.5 (95% CI: 32.7, 34.2) years. The prevalence of obesity among the study participants calculated by body mass index, waist circumference (WC), waist-height ratio (WHtR), and waist-hip ratio (WHR) was 13.1%, 33.6%, 51.9%, and 58.5% respectively. The prevalence of diabetes was 4.7% among which 1.3% was not diagnosed prior to this study. About 53 (13.9%) of the study sample were found to be hypertensive (HTN) (6.3% known versus 29 7.6% newly diagnosed). Among the participants, 39.4% and 23.4% were found to be pre-hypertensive and pre-diabetic respectively. WC was significantly associated with hypertension (AOR = 5.14; 2.503, 9.72), pre-DM (AOR = 4.03; 2.974, 5.96), DM (AOR = 3.29; 1.099, 6.01). In addition, WHtR was significantly associated with Pre-HTN (AOR = 2.69; 1.49, 4.58), HTN (AOR = 2.066; 1.008, 6.31), and DM (AOR = 1.855; 0.76, 4.32). On the contrary, both WHR and general obesity measured by BMI were not significantly associated with pre-HTN, HTN, pre-DM and DM groups. Conclusion: This study results revealed the variable prevalence between general obesity and the anthropometric indices (IDF cutoff) defining central obesity; WC, WHtR, and WHR among the participants. The result of this study suggests that the constructs of central obesity, not BMI has to be used to screen risks of cardio-metabolic risks among Ethiopians.

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“…There is evidence to suggest that low-income countries face the triple burden of undernourishment, communicable and non-communicable diseases attributed to low socio-economic status, lifestyle and nutrition changes (4)(5)(6). In sub-Saharan Africa (SSA), about 69% of mortality is caused by infectious diseases, while non-communicable diseases (NCDs) contribute around one-fourth of the deaths (7,8). However, due to the ongoing epidemiological transition in these countries, there is a projection that death due to non-communicable diseases is estimated to surpass death from infectious diseases in the year 2030 (9,10).…”

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confidence: 99%

Central obesity, not BMI explains cardio-metabolic risks among university employees, Ethiopia – a cross-sectional study

Janakiraman

Abebe

Chala

et al. 2019

Preprint

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Background: Evidence suggests that the middle and low-income countries such as Ethiopia are facing the growing epidemic of both communicable and non-communicable diseases creating burden on the healthcare system. The increasing prevalence is attributed to sedentarism, lifestyle changes and the presence of other cardio-metabolic risk factors. Therefore this study was designed to assess the prevalence and association of overweight, obesity, and cardio metabolic risks and to explore if there was any agreement among the anthropometric measurements among the academic employees of the University of Gondar, Ethiopia. Methods: An institutional based cross-sectional study was conducted using the WHO stepwise approach and recommendations on 381 academic staff of the university. In addition, physical measurements such as weight, height, waist and hip circumferences, and biochemical measures such as blood pressure and fasting blood glucose level (peripheral blood samples by finger puncture) were measured using standardized tools. Result: The mean age of the participants was 33.5 years. The prevalence of obesity among the study participants defined by body mass index, waist circumference, waist height ratio and waist hip ratio was 13.1%, 33.6%, 51.9% and 58.5% respectively. The prevalence of diabetes was 4.7% among which 1.3% was not diagnosed prior to this study. About 53 (13.9%) of the study sample were found to be hypertensive (6.3% known versus 29 7.6% newly diagnosed). Among the participants 39.4% and 23.4% were found to be pre hypertensive and pre diabetic respectively. WC was significantly associated with HTN (AOR = 5.14; 2.50, 9.72), pre-DM (AOR = 4.03; 2.974, 5.96), DM (AOR = 3.29; 1.09, 6.01). In addition, WHtR was significantly associated with Pre-HTN (AOR = 2.69; 1.49, 4.58), HTN (AOR = 2.06; 1.01, 6.31), and DM (AOR = 1.85; .76, 4.32). Conclusion: This study results revealed the variable prevalence between general obesity and the anthropometric indices (IDF cutoff) defining central obesity; WC, WHtR, and WHR among the participants. The result of this study suggests that the constructs of central obesity, not BMI has to be used to screen risks of cardio-metabolic risks among Ethiopians. Keywords: Diabetes mellitus, Hypertension, pre-hypertension, pre-diabetes, Ethiopia

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Peripheral Sensory Neuropathy and associated factors among adult diabetes mellitus patients in Bahr Dar, Ethiopia

Cited by 38 publications

References 22 publications

Prevalence of diabetic peripheral neuropathy in Africa: a systematic review and meta-analysis

Prevalence of diabetic peripheral neuropathy in Africa: a systematic review and meta-analysis

<p>Epidemiology of General, Central Obesity and Associated Cardio-Metabolic Risks Among University Employees, Ethiopia: A Cross-Sectional Study</p>

Central obesity, not BMI explains cardio-metabolic risks among university employees, Ethiopia – a cross-sectional study

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