Prediabetes, diagnosed and undiagnosed diabetes, their risk factors and association with knowledge of diabetes in rural <scp>B</scp>angladesh: The <scp>B</scp>angladesh <scp>P</scp>opulation‐based <scp>D</scp>iabetes and <scp>E</scp>ye <scp>S</scp>tudy

Islam, Farhana; Chakrabarti, Rahul; Islam, Mohammad Tauhidul; Wahab, M Z Abdul; Lamoureux, Ecosse L.; Finger, Robert P.; Shaw, Jonathan E.

doi:10.1111/1753-0407.12294

Cited by 33 publications

(40 citation statements)

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“…This paper is based on data obtained in the first phase of the project. The first phase of the BPDES targeted adults aged between 30–89 years to determine their knowledge, attitudes, and practice about diabetes and common eye diseases, measuring fasting blood glucose to estimate known and undiagnosed type 2 diabetes [11] and blood pressure to estimate known and undiagnosed hypertension [7] and information on disability. The study location is approximately 200 km southwest of the capital city of Dhaka, with eligible participants of approximately 5,500 in the Banshgram Union [22].…”

Section: Methodsmentioning

confidence: 99%

“…Narail is considered to be a typical rural district, being neither in a remote area nor in close proximity to metropolitan Dhaka. The similarity of study participants with the population at national level has been reported elsewhere [11, 21]. The sample size was based on the 2012 prevalence of type 2 diabetes (6.3%) among adults in Bangladesh, as estimated by the International Diabetes Federation’s Diabetes Atlas [23].…”

Section: Methodsmentioning

confidence: 99%

“…However, on the second visit on next day, about 15% of participants interviewed on the first visit failed to show up for the second visit (with a participation rate of 85%). Selection of the study location, recruitment and data collection related to the current study have been reported in previous publications [11, 21]. …”

Section: Methodsmentioning

confidence: 99%

“…It has been consistently found that increased age is associated with chronic diseases such as hypertension, diabetes, visual impairment and mental health disorders [7–11]. Some of the conditions such as visual impairment and mental health disorders are closely related to disability [12–15].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Disability in Rural Bangladesh: Bangladesh Population-Based Diabetes and Eye Study (BPDES)

et al. 2016

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BackgroundTo assess factors associated with disability in a rural district of Bangladesh.MethodsUsing a population-based systematic sampling technique, data were collected from 3104 adults aged ≥ 30 years from the Banshgram union of Narail district. Data collected included an interviewer administered questionnaire to report physical disabilities including impairment that prevents engagement with paid work, visual, hearing, and mobility as well as mental disabilities. Socio-demographic and anthropometric factors including educational attainment and body mass index, as well as clinical factors such as blood pressure, and fasting blood glucose were also collected. Binary and multinomial logistic regression techniques were used to explore the association of various socio-demographic and clinical factors with disability.ResultsThe mean (SD), minimum and maximum ages of the participants were 51 (12), 30 and 89 years. Of total participants, 65% were female. The prevalence of disability varied from 29.1% for visual impairment (highest) to 16.5% for hearing, 14.7% for movement difficulties and 1.6% (lowest) for any other disability that prevented engagement with paid work. Overall, the prevalence of a single disability was 28.6% and that of two or more disabilities was 14.7%. Older age, gender (female), lower socio-economic status (SES), and hypertension were associated with a higher prevalence of most of the disability components. The prevalence of hearing problems (24.5% vs. 13.3%, p<0.001) and movement difficulties (24.9% vs. 13.0%, p<0.001) was significantly higher among lower-income participants than their higher-income counterparts after controlling for age. Prevalence of visual impairment (54.6% vs. 9.2%, p<0.001), hearing (32.2% vs. 6.7%, p<0.001) and movement difficulties (29.2% vs. 5.5%, p<0.001) were significantly higher in people of aged 60 years or older than those aged 30–34 years. After multivariate adjustment, the prevalence of single disability (prevalence risk ratio [PRR] 1.25, 95% CI: 1.09–1.42, p<0.001), and multiple disabilities (PRR 1.41, 95% CI 1.14–1.73, p<0.001) was higher among females than males. The prevalence of single disability and multiple disabilities was respectively 21% (PRR 1.21, 95% CI: 1.02–1.42, p<0.001) and 88% (PRR 1.88, 95% CI: 1.38–2.54, p<0.001) higher among participants with low educational attainment (primary level or less) than those with at least a secondary level of education.ConclusionsIn rural Bangladesh, the prevalence of disability is high. Public health programs should target those of low SES, older age, and female participants and aim to provide necessary supports in order to bridge disability-related inequities.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Disability in Rural Bangladesh: Bangladesh Population-Based Diabetes and Eye Study (BPDES)

et al. 2016

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“…The prevalence of undiagnosed diabetes is similar to values reported in a higher risk cardiac bypass population by Lauruschkat et al (5) (5.2%). The Bangladesh Population-based Diabetes and Eye Study (25) recently reported a 3.6% prevalence of undiagnosed diabetes, based on a random sampling strategy. Prevalence rates in the general population appear to be lower, with reported 1.13% undiagnosed type 2 diabetes in the Canadian Health Measures Survey (26), 2.7% in the Third National Health and Nutrition Examination Survey in the U.S. (19), and 2.6% prevalence in rural communities in Sudan (27).…”

Section: Discussionmentioning

confidence: 99%

Severity of coronary artery disease and retinal microvascular signs in patients with diagnosed versus undiagnosed diabetes: cross-sectional study

et al. 2016

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Background: There is increasing evidence that a considerable proportion of patients with diabetes remain undiagnosed and untreated, however, it is unclear whether this is associated with more severe coronary artery disease (CAD) and microvasculature changes compared with diagnosed patients. We assessed CAD extent and severity, along with changes to the retinal microvascular structure in participants with undiagnosed versus diagnosed type 2 diabetes. Methods: Participants of the Australian Heart Eye Study were stratified into participants with previously diagnosed diabetes (n=489), undiagnosed diabetes (n=76) and no diabetes (n=1,112). Retinal vessel caliber was measured from digital retinal images. Extent and severity of CAD was assessed using Extent and Gensini scores from angiography findings, respectively.Results: Participants with undiagnosed and diagnosed diabetes versus those with no diabetes (reference group) had increased odds of being in the highest quartile of Gensini scores, multivariate adjusted odds ratios (OR) =7.02 [95% confidence interval (CI), 2.04-24.1] and OR =2.76 (95% CI, 1.67-4.55), respectively.Participants with undiagnosed and diagnosed diabetes versus those with no diabetes also had increased odds of being in the highest quartile of Extent scores, multivariate adjusted OR =7.63 (95% CI, 2.15-27.10) and OR =3.72 (95% CI, 2.22-6.27), respectively. No significant differences were observed in retinal vessel caliber between participants with undiagnosed versus diagnosed diabetes.Conclusions: The present study demonstrated that participants with undiagnosed diabetes compared to those with previously diagnosed diabetes, had a stronger likelihood of having more severe and extensive CAD. However, retinal microvascular signs did not differ by diabetes status.

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RETRACTED ARTICLE: Optimal body mass index cutoff point for cardiovascular disease and high blood pressure

Babu

Shantharajah

2018

Neural Comput & Applic

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Prediabetes, diagnosed and undiagnosed diabetes, their risk factors and association with knowledge of diabetes in rural Bangladesh: The Bangladesh Population‐based Diabetes and Eye Study

Abstract: In this rural Bangladeshi community, UDM was high. Lower socioeconomic status was associated with a higher risk of UDM. Overall knowledge of DM was poor. Public health programmes should target those of low socioeconomic status and aim to increase knowledge of DM in rural Bangladesh.

Cited by 33 publications

References 20 publications

Factors Associated with Disability in Rural Bangladesh: Bangladesh Population-Based Diabetes and Eye Study (BPDES)

Factors Associated with Disability in Rural Bangladesh: Bangladesh Population-Based Diabetes and Eye Study (BPDES)

Severity of coronary artery disease and retinal microvascular signs in patients with diagnosed versus undiagnosed diabetes: cross-sectional study

RETRACTED ARTICLE: Optimal body mass index cutoff point for cardiovascular disease and high blood pressure

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