Prevalence and Associated Factors of Diabetes Mellitus in Hosanna Town, Southern Ethiopia

Dereje, Nebiyu; Earsido, Alemu; Temam, Layla; Abebe, Ashenafi

doi:10.5334/aogh.2663

Cited by 32 publications

(48 citation statements)

References 30 publications

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“…The pooled meta-regression analysis revealed a statistically significant difference in the exposure of type-2 DM among normal body mass index and obese with the odds ratio of 1.54 (95%: CI: 1.3, 1.83). Among the studies included in this meta-analysis, older age individuals were more exposed to type-2 diabetes than the younger age group, which is supported by the study 1 , 2 , 5 , 9 , 17 , 18 , 20 , 22 – 24 , 26 , 28 , 32 , 33 , 38 , 51 , 56 . In contrast, our study 11 , 23 , 35 , 45 had got the result that contradict the other studies and concluded age had no any effect over the development of DM.…”

Section: Resultssupporting

confidence: 61%

“…In this sub-categorical meta-analysis, eleven studies were included to examine the effect of body mass index on type-2 DM 16 , 17 , 19 , 21 , 27 , 31 , 34 , 36 , 40 , 44 , 48 , 49 . Of these, seven studies indicated a statistically significant association between body mass index and type-2 17 , 19 , 21 , 31 , 34 , 43 , 49 that shows a high risk of DM as body mass increased. In comparison, four studies showed there was no statistical difference in type-2DM among the normal weight and overweighed 17 , 27 , 36 , 46 .…”

Section: Resultsmentioning

confidence: 99%

“…Of these, seven studies indicated a statistically significant association between body mass index and type-2 17 , 19 , 21 , 31 , 34 , 43 , 49 that shows a high risk of DM as body mass increased. In comparison, four studies showed there was no statistical difference in type-2DM among the normal weight and overweighed 17 , 27 , 36 , 46 . The pooled meta-regression analysis revealed a statistically significant difference in the exposure of type-2 DM among normal body mass index and obese with the odds ratio of 1.54 (95%: CI: 1.3, 1.83).…”

Section: Resultsmentioning

confidence: 99%

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Prevalence and risk factors of type-2 diabetes mellitus in Ethiopia: systematic review and meta-analysis

Zeru

Tesfa

Mitiku

et al. 2021

Sci Rep

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Diabetes mellitus (DM) is a public health problem in developing as well as developed nations. DM leads to many complications that are associated with higher morbidity and mortality worldwide. Therefore, the current study was planned to assess the prevalence and risk factors of type-2 DM in Ethiopian population. Six electronic databases such as: PubMed, Scopus, Hinari, Web of science, Google Scholar, and African Journals Online were searched for studies published in English up December 30, 2020. Newcastle–Ottawa Scale was used for quality assessment of the included studies. The data was extracted by Microsoft excel and analyzed through Stata version 16 software. The random effect meta-regression analysis was computed at 95% CI to assess the pooled prevalence and risk factors of type-2 DM. Forty observational studies were included in this systematic review and meta-analysis. The pooled prevalence of DM in Ethiopia was 6.5% (95% CI (5.8, 7.3)). The sub-group analysis revealed that the highest prevalence of DM was found in Dire Dawa city administration (14%), and the lowest prevalence was observed in Tigray region (2%). The pooled prevalence of DM was higher (8%) in studies conducted in health facility. Factors like: Age ≥ 40 years ((Adjusted Odds Ratio (AOR): 1.91 (95% CI: 1.05, 3.49)), Illiterate (AOR: 2.74 (95% CI: 1.18, 6.34)), Cigarette smoking (AOR: 1.97 (95% CI: 1.17, 3.32)), Body mass index (BMI) ≥ 25 kg/m2 (AOR: 2.01 (95 CI: 1.46, 2.27)), family history of DM (AOR: 6.14 (95% CI: 2.80, 13.46)), history of hypertension (AOR: 3.00 (95% CI: 1.13, 7.95)) and physical inactivity (AOR: 5.79 (95% CI: 2.12, 15.77)) were significantly associated with type-2 DM in Ethiopian population. In this review, the prevalence of type-2 DM was high. Factors like: Older age, illiteracy, cigarette smoking, MBI ≥ 25, family history of DM, history of hypertension and physical inactivity were an identified risk factors of type-2 DM. Therefore, health education and promotion will be warranted. Further, large scale prospective studies will be recommended to address possible risk factors of type-2 DM in Ethiopian population.

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Section: Resultssupporting

confidence: 61%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence and risk factors of type-2 diabetes mellitus in Ethiopia: systematic review and meta-analysis

Zeru

Tesfa

Mitiku

et al. 2021

Sci Rep

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“…Hence, different pieces of evidence including our study supported that the risk of occurrence of DM was significantly higher among older age groups compared to younger age groups. 17,33,[37][38][39][40] Conversely, the increased prevalence of DM in Pakistan study might be due to the use of Oral Glucose Tolerance Test (OGTT) and HbA1c for diagnoses DM in addition to FBG and RBG which used in our study. This might be amplified the detection rate of diabetes mellitus in the case of Pakistan's study.…”

Section: Discussionmentioning

confidence: 79%

<p>The Hidden Burden of Diabetes Mellitus in an Urban Community of Southwest Ethiopia</p>

Yunka¹,

Mogas²,

Zawdie³

et al. 2020

DMSO

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Introduction: Early detection of the unrecognized diabetes mellitus (DM) and its risk factors in the community is crucial to minimizing the burden of DM and associated complications. Hence, this study aimed to assess unrecognized DM and its relationship with behavioral characteristics, physical characteristics, and lipid profile among adults in Jimma Town, Southwest Ethiopia. Methods: A community-based cross-sectional study was conducted on 915 adults in Jimma Town from June 17 to July 27, 2019. Physical measurements, lipid profile, and blood sugar levels were measured. The collected data were entered and analyzed using Epi Data 3.1 and SPSS version 21, respectively. Multivariable logistic regression was fitted to assess predictors of unrecognized DM where adjusted odds ratio (AOR) with its corresponding 95% confidence interval (CI) was used to assess the strength of association at P-value ≤05. Results: The prevalence of unrecognized DM and impaired glucose metabolism (prediabetes) were 3.1% (95% CI; 2.0-4.4) and 14.8% (95% CI; 12.5-17.2), respectively. The risk of unrecognized DM was higher among male participants (AOR = 2.94, 95% CI: 1.19, 7.29), age group of 35 years and above (AOR = 3.45, 95% CI: 1.16, 10.27), and high waist circumference (AOR = 4.21, 95% CI: 1.72, 10.33). On the other hand, participants who perform sufficient physical activity (AOR = 0.14, 95% CI: 0.03, 0.58) had low risk of undetected DM. Conclusion: The prevalence of unrecognized diabetes mellitus was relatively high. Male sex, advanced age, physical inactivity, and high waist circumference were found to be predictors of unrecognized DM. Thus, awareness needs to be created among the community to practice regular physical activity and maintaining normal body weight. Additionally, screening of DM should be promoted for early detection, prevention, and treatment.

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“…1). Of the 23 articles reported, 11 were from Ethiopia [28][29][30][31][32][33][34][35][36][37][38], Three from Ghana [39,40], and the remaining eight studies from Sudan [41], Benin [42], Botswana [43], Egypt [44], Burkina Faso [45], Zambia [46],Tunisia [47] and South Africa [46].…”

Section: Identification and Description Of Studiesmentioning

confidence: 99%

A systematic analysis on prevalence and sub-regional distribution of undiagnosed diabetes mellitus among adults in African countries

Dessie

Mulugeta

Amare

et al. 2020

J Diabetes Metab Disord

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Background Despite the high prevalence of diabetes in Africa, the extent of undiagnosed diabetes in the region is still poorly understood. This systematic review and meta-analysis was designed to determine the pooled prevalence of undiagnosed diabetes mellitus among adults in Africa. Methods We conducted a systematic desk review and electronic web-based search of PubMed, Google Scholar, EMBASE, and the World Health Organization’s Hinari portal (which includes the SCOPUS, African Index Medicus, and African Journals Online databases), identifying peer-reviewed research studies on the prevalence of undiagnosed diabetes among adult individuals using pre-defined quality and inclusion criteria. We ran our search from June 1, 2018 to Jun 14, 2020. We extracted relevant data and presented descriptive summaries of the studies in tabular form. The I2 test was used to assess heterogeneity across studies. A random effects model was used to estimate the pooled prevalence of undiagnosed diabetes mellitus at a 95% confidence interval (CI). Funnel plot asymmetry and Egger’s tests were used to check for publication bias. The final effect size was determined by applying a trim and fill analysis in a random-effects model. Results Our search identified 1442 studies amongst which 23 articles were eligible for inclusion in the final meta-analysis. The average pooled prevalence of undiagnosed diabetes mellitus among adults was 3.85 (95% CI: 3.10–4.60). The pooled prevalence of undiagnosed diabetes mellitus based on geographic location was 4.43 (95% CI: 3.12–5.74) in Eastern Africa; 4.72 (95% CI: 2.64–6.80) in Western Africa; 4.27 (95% CI: 1.77–6.76) in Northern Africa and 1.46 (95%CI: 0.57–2.34) in southern Africa respectively. Conclusion Our findings indicate a high prevalence of undiagnosed diabetes in Africa and suggest that it may be more prevalent in Western Africa than the rest of the regions. Given the high levels of undiagnosed diabetes in the Africa region, more attention should be paid to incorporating diabetes screening and treatment services into existing diabetes related programs to reduce the prevalence of undiagnosed cases.

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Prevalence and Associated Factors of Diabetes Mellitus in Hosanna Town, Southern Ethiopia

Cited by 32 publications

References 30 publications

Prevalence and risk factors of type-2 diabetes mellitus in Ethiopia: systematic review and meta-analysis

Prevalence and risk factors of type-2 diabetes mellitus in Ethiopia: systematic review and meta-analysis

<p>The Hidden Burden of Diabetes Mellitus in an Urban Community of Southwest Ethiopia</p>

A systematic analysis on prevalence and sub-regional distribution of undiagnosed diabetes mellitus among adults in African countries

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