Prevalence of prediabetes and diabetes mellitus among adults residing in Cameroon: A systematic review and meta-analysis

Bigna, Jean Joël; Nansseu, Jobert Richie; Katte, Jean-Claude; Noubiap, Jean Jacques

doi:10.1016/j.diabres.2017.12.005

Cited by 62 publications

(59 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We observed a diabetes prevalence (3.8%) in our study population similar to that (4.9%) which we previously reported in another rural English speaking population [16]; but higher than the 2.4% overall rural estimate for the African region reported by the IDF in 2019 [1]. However, our observed prevalence is lower than the overall country prevalence of 5.8% reported by a recent systematic review [17] and values (7% -10.5%) reported by other studies conducted in the French speaking regions of Cameroon [18] It is a possibility that some reports which have showed a lower diabetes prevalence in rural compared to urban areas were in part masked by the relative larger number of undiagnosed cases in rural areas. Indeed, we observed a very high proportion (67.6%) of undiagnosed diabetes cases in our study population, mirroring the figure (68.8%) we had previously reported in another rural population in Cameroon [16], but higher than the 60% reported by IDF for the African region [1].…”

Section: Discussionsupporting

confidence: 76%

Epidemiological Transition of Type 2 Diabetes Mellitus in Rural South West Cameroon

Leke¹,

Maboh²,

Maeya³

et al. 2020

OJEMD

View full text Add to dashboard Cite

Aims: To determine the prevalence and 10 years risk of type-2 diabetes mellitus in rural English speaking South West Cameroon. Methods: Between April and June 2018, we conducted community screening campaigns in 6 English speaking rural communities of Cameroon. We adapted the Finish Diabetes Association Type 2 diabetes risk assessment tool to enable us classify participants as low or high risk cases. Results: In a sample of 983 participants aged ≥30 years, we found 37 (3.8%) persons with type 2 diabetes (12 existing and 25 newly diagnosed) and 149 (15.1%) persons at high risk of developing diabetes within 10 years. We estimated that within 10 years 65 (6.9%) new cases of diabetes will emerge from the study population. Older participants (54-87 years) were 2.5 times (AOR 2.5, CI: 1.0, 6.2) more likely to have diabetes compared to younger (30-44 years) participants. The risk of developing diabetes within 10 years was statistically significantly increased among participants who were semi-active, older, had a high BMI, had a family history of diabetes or had high systolic blood pressure. Conclusions: Our study identified a brewing diabetes crisis in rural Cameroon, confirming the recent International Diabetes Federation warnings of an impending rural diabetes crisis in Sub-Saharan Africa. There is therefore an urgent need for measures to avert the situation such as expanding the urban-focused diabetes service to rural areas.

show abstract

Section: Discussionsupporting

confidence: 76%

Epidemiological Transition of Type 2 Diabetes Mellitus in Rural South West Cameroon

Leke¹,

Maboh²,

Maeya³

et al. 2020

OJEMD

View full text Add to dashboard Cite

show abstract

“…The prevalence of pre-diabetes is 7.1% (Bigna et al, 2018), with the prevalence of diabetes in adults in urban areas currently estimated at 6-8% of the population ( The prevalence of diabetes in the Kingdom of Eswatini is currently estimated at 3.7% among the adult population, and predicted to rise substantially in the coming years unless key changes are made to the management of patients with diabetes in the country (Burn and Pons, 2015) Currently, patients with diabetes account for 9.5% of all outpatient visits in the Kingdom, with a greater prevalence among women (59%), and 17.4% of inpatients by admission (Kingdom of Eswatini -Ministry of Health, 2017) (Continued)…”

Section: Appendix 1 Prevalence Rates Of Pre-diabetes and Diabetes Amomentioning

confidence: 99%

Review of Ongoing Activities and Challenges to Improve the Care of Patients With Type 2 Diabetes Across Africa and the Implications for the Future

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Uncontrolled urbanization and major changes in lifestyle seemed to drive this burden [20,21]. In Cameroon, diabetes prevalence was estimated at around 6% in 2018 [2,22]. This prevalence is increasing in the general population, rising from 2.0% in 1999 to 4.7% in 2002 and 5.8% in 2018 [22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Diabetes and Associated Risk Factors among a Group of Prisoners in the Yaoundé Central Prison

Njonnou

Boombhi

Etoga

et al. 2020

Journal of Diabetes Research

View full text Add to dashboard Cite

Background. Diabetes is a public health problem worldwide, associated with increased morbidity and mortality. According to the International Diabetes Federation (IDF) 2017 data, around 425 million people worldwide suffer from diabetes. This number is expected to increase to 629 million in 2045. Various occidental studies reported the increased prevalence and lower control of diabetes among prisoners. However, there is no data on the characteristics of inmates with diabetes in sub-Saharan Africa. Methods. A cross-sectional study among incarcerated detainees from the Yaoundé Central Prison was conducted from January to July 2017. Diabetes was defined according to the American Diabetes Association (ADA) criteria. Analyzed variables included phenotypic characteristics, lifestyle, the reason for detention, the sentence severity, and the length of detention. Results. We recruited 437 inmates (344 men) with an average age of 37.0 (95% CI: 35.9-38.3) years. The most frequent age group was 20 to 39 years with 281 (64.7%) inmates, and the mean prison stay was 29.1 (95% CI: 25.7-32.8) months. The prevalence of diabetes in the Yaoundé Central Prison was 9.4%. The main cardiovascular risk factors were a sedentary lifestyle (91.1%), hypertension (39.6%), smoking (31.6%), and alcohol consumption (28.1%). Hypertension (p=0.005), obesity (p=0.0006), smoking (p=0.04), sedentary lifestyle (p=0.04), major crime (p=0.007), and minor crime (p=0.003) were associated with diabetes in univariate analysis. In multivariate analysis, only obesity and sedentary lifestyle were associated with diabetes. Conclusion. Diabetes prevalence in the Yaoundé Central Prison was high, at 9.4%, compared to that in the general population. It was associated with other classical cardiovascular risk factors and factors linked to the sentence (minor and major crimes). This trial is registered with CE00617/CRERSHC/2016.

show abstract

Prevalence of prediabetes and diabetes mellitus among adults residing in Cameroon: A systematic review and meta-analysis

Cited by 62 publications

References 35 publications

Epidemiological Transition of Type 2 Diabetes Mellitus in Rural South West Cameroon

Epidemiological Transition of Type 2 Diabetes Mellitus in Rural South West Cameroon

Review of Ongoing Activities and Challenges to Improve the Care of Patients With Type 2 Diabetes Across Africa and the Implications for the Future

Prevalence of Diabetes and Associated Risk Factors among a Group of Prisoners in the Yaoundé Central Prison

Contact Info

Product

Resources

About