Prevalence of diabetes and pre-diabetes in Bangladesh: a systematic review and meta-analysis

Akhtar, Shabbir; Nasir, Jamal Abdul; Sarwar, Aqsa; Nasr, Nida; Javed, Amara; Majeed, Rizwana; Salam, Muhammad Abdus; Billah, Baki

doi:10.1136/bmjopen-2019-036086

Cited by 70 publications

(67 citation statements)

References 46 publications

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“…The results showed that the pooled prevalence of diabetes based on 6 population-based cross-sectional studies was 12.13%, with a total sample of 7071 individuals. Compared with neighbouring countries sharing a similar lifestyle and culture, the pooled prevalence of diabetes in Afghanistan is higher than in Bangladesh (7.8%) [ 25 ] and Nepal (8.4%) [ 26 ], while lower than in Pakistan (14.7%) [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

The prevalence of diabetes in Afghanistan: a systematic review and meta-analysis

et al. 2021

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Background The aim of this paper is to investigate the prevalence of diabetes and its associated risk factors in Afghanistan through a systematic review and meta–analysis. Methods A comprehensive literature search was conducted using EMBASE, PubMed, Web of Sciences, Google Scholar and the Cochrane library, carried out from inception to April 312,020, without language restriction. Meta–analysis was performed using DerSimonian and Laird random-effects models with inverse variance weighting. The existence of publication bias was initially assessed by visual inspection of a funnel plot and then tested by the Egger regression test. Subgroup analyses and meta-regression were used to explore potential sources of heterogeneity. This systematic review was reported by following the PRISMA guidelines and the methodological quality of each included study was evaluated using the STROBE guidelines. Results Out of 64 potentially relevant studies, only 06 studies fulfilled the inclusion criteria and were considered for meta-analysis. The pooled prevalence of diabetes in the general population based on population-based studies were 12.13% (95% CI: 8.86–16.24%), based on a pooled sample of 7071 individuals. Results of univariate meta-regression analysis revealed that the prevalence of diabetes increased with mean age, hypertension and obesity. There was no significant association between sex (male vs female), smoking, the methodological quality of included articles or education (illiterate vs literate) and the prevalence of diabetes. Conclusions This meta-analysis reports the 12.13% prevalence of diabetes in Afghanistan,with the highest prevalence in Kandahar and the lowest in Balkh province. The main risk factors include increasing age, obesity and hypertension. Community-based care and preventive training programmes are recommended. Trial registration This review was registered on PROSPERO (registration number CRD42020172624).

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Section: Discussionmentioning

confidence: 99%

The prevalence of diabetes in Afghanistan: a systematic review and meta-analysis

et al. 2021

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“…Diabetes has been the second most common comorbidity (9.7%) among COVID-19 patients after cardio-metabolic disorders (12.5%) [1,3]. In 2019, the International Diabetes Federation (IDF) reported that 465 million (9.3%) people in the world were diagnosed with diabetes, and by 2045 the figure is predicted to grow to 700 million [4]. About 79% of people with diabetes live in low-income or middle-income countries, with more than 60% living in Asian countries [5].…”

Section: Introductionmentioning

confidence: 99%

“…About 79% of people with diabetes live in low-income or middle-income countries, with more than 60% living in Asian countries [5]. In Bangladesh, there were 7.1 million people suffering with diabetes in 2015, with 3.7 million undiagnosed cases and nearly 129,000 deaths [4,6]. Other reports suggest that there are around 10 million diabetic patients in Bangladesh [7] with almost one in ten adults living with diabetes [8].…”

Section: Introductionmentioning

confidence: 99%

COVID-19-specific diabetes worries amongst diabetic patients: The role of social support and other co-variates

Sujan

Tasnim

Islam

et al. 2021

Primary Care Diabetes

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Background: The COVID-19 pandemic has impacted every individual's life. It has been shown that mortality in people with underlying diseases including diabetes has been very high. The present study aimed to measure diabetes related worries (outcome) and their associations with social support and lifestyle (exposures) amongst people with diabetes during the COVID-19 pandemic. Methods: An online cross-sectional survey was completed by 928 respondents (>18 years) between 15-11-2020 and 12-12-2020. The questionnaire comprised four sections: socio-demographic details, diabetic-related worries, social support, and behavioral changes due to COVID-19. Descriptive statistics, correlations and hierarchical regression analysis were performed in the study. Results: Data from 928 respondents (51.61% male; mean age = 52.48 [SD = 11.76]; age range = 18-86 years) were analyzed. The mean score for COVID-19 specific diabetes worries was 3.13 out of 8. Hierarchical regression analysis showed that the mean COVID-19-specific diabetes worries score was significantly associated with lower age, cigarette smoking, perceived poor health status, presence of other diabetic complications. Lack of social support from family, friends, work colleagues and diabetes care team and also eating more than usual were also significantly associated with COVID-19 specific diabetes worry. Conclusions: Diabetes related worries were strongly associated with a lack of social support during the COVID-19 pandemic. The findings suggest the need of social support as well as improving knowledge and guidelines is important for people with diabetes during the COVID-19 pandemic.

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“…A meta-analysis conducted by Saquib et al reported the pooled hypertension and type 2 diabetes prevalences as 13.7% (12.1-15.3%) and 6.7% (4.9-8.6%), respectively [5]. Another study by Akhter et al reported a pooled diabetes prevalence of 7.8% (95% CI: 6.4-9.3) for the general population [6].…”

Section: Introductionmentioning

confidence: 99%

Association of household wealth and education level with hypertension and diabetes among adults in Bangladesh: a propensity score‐based analysis

Gupta

Chakraborty

Hossain

2021

Tropical Med Int Health

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objective To determine the association of household wealth and education level with hypertension and diabetes in Bangladesh using propensity score (PS) analyses. methods A nationally representative sample of the Bangladesh Demographic and Health Survey 2017-18 was analysed to explore the research question. A weighted sample of 11 320 individuals was considered. Hypertension and diabetes were the outcomes of interest, and household wealth status (non-poor and poor) and education level (secondary/higher education and no secondary/higher education) were the exposure variables of interest. A person was defined as hypertensive if their average blood pressure was ≥140/90 mmHg or self-reported history of taking antihypertensive medications. Individuals were classified as diabetic if they had a Fasting Blood Glucose level of ≥7 mmol/l or reported taking prescribed medication for reducing high blood glucose or diabetes. We used the 1:1 nearest neighbour PS matching without replacement and PS weighting approaches to assess the association between the exposures and the outcome variables.results Wealth status was significantly associated with diabetes but not with hypertension, while education status was significantly associated with neither diabetes nor hypertension. We also observed a significant interaction effect between household wealth status and education level with diabetes. The odds of diabetes were approximately 60% higher among adults from non-poor households and those without secondary/higher education.conclusion Diabetes prevention and control programs should focus on non-poor individuals, while hypertension prevention programs should target populations irrespective of educational attainment and wealth status.

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Prevalence of diabetes and pre-diabetes in Bangladesh: a systematic review and meta-analysis

Cited by 70 publications

References 46 publications

The prevalence of diabetes in Afghanistan: a systematic review and meta-analysis

The prevalence of diabetes in Afghanistan: a systematic review and meta-analysis

COVID-19-specific diabetes worries amongst diabetic patients: The role of social support and other co-variates

Association of household wealth and education level with hypertension and diabetes among adults in Bangladesh: a propensity score‐based analysis

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