Prevalence of undiagnosed diabetes mellitus and associated factors among adult residents of Bahir Dar city, northwest Ethiopia: a community-based cross-sectional study

Bantie, Getasew Mulat; Wondaye, Achenef Almaw; Arike, Efrem Beru; Melaku, Mesfin Tenagne; Ejigu, Simegnew Tilaneh; Lule, Abel; Lingerew, Wondemagegn Mulu; Tamirat, Koku Sisay

doi:10.1136/bmjopen-2019-030158

Cited by 40 publications

(66 citation statements)

References 24 publications

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“…12 The finding from this study was also higher than findings from a community-based study in Southern Ethiopia (1.9%), 18 institution-based study in Addis Ababa (2.6%), 19 20.90% 66.70% and Dessie town, Northeast Ethiopia (6.8%), 20 and Mizan Aman Town, Southwest Ethiopia, (6.5%). 21 The prevalence of undiagnosed diabetes in Bahir Dar city, northwest Ethiopia was 10.2%, 22 which was slightly lower than the findings of the current study whilst the current study was consistent with the study in Spain (13.8%), 6 and Tanzania (12%). 7 A community-based study in Sudan revealed the prevalence of diabetes at 18.6%, 23 which was higher than the findings of the current study.…”

Section: Discussionsupporting

confidence: 85%

“…19 Ever checked blood glucose level (AOR=1.91, 95% CI 1.03 to 3.51), family history of DM (AOR=2.5, 95% CI 1.21 to 5.18), do not know the symptoms of diabetes (AOR=2.06, 95% CI 1.08 to 3.89), body mass index (BMI) >25 kg/m2 (AOR=1.98, 95% CI 1.09 to 3.60) were factors associated with diabetes. 22 20 Waist circumference smoking habits, hypertension, total cholesterol level, and body mass index were factors significantly associated with diabetes. 21 Family history of diabetes, older age, and physical inactivity were significantly associated with diabetes among urban population while alcohol consumption was inversely associated with diabetes mellitus in a rural population.…”

Section: Discussionmentioning

confidence: 94%

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Prevalence of Diabetes Mellitus and Associated Factors in Addis Ababa Public Health Facilities, Addis Ababa, Ethiopia, 2016

Sahile

Bekele

2020

DMSO

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Introduction: Diabetes mellitus is one of the most public health challenges of the twentyfirst century. Globally, 382 million people had diabetes by the year 2013. Purpose: The purpose of this study was to determine the prevalence of diabetes mellitus and identify its associated factors at public health institutions in Addis Ababa. Patients and Methods: An institution-based cross-sectional study was carried out from June to July 2016. A total of 758 participants were selected using a multistage sampling technique. Data were collected with a structured interviewer-administered questionnaire; a WHO STEPwise approach of NCDs risk factors identification, and the collected data were checked for completeness immediately following data collection and the filled questionnaires were entered into Epi-Info 3.5.1, and then exported to SPSS 23 for further analysis. Descriptive statistics such as mean, percentages, standard deviation, and ranges were determined. To identify factors associated with diabetes mellitus, binary logistics regression was used. Results: The overall prevalence of diabetes mellitus was 14.8%, with a sex-specific prevalence of 18.35% and 16.62% for males and females, respectively. Older age participants had higher risks of developing diabetes mellitus than younger age individuals. Alcohol drinkers had more risks of developing diabetes mellitus than non-alcohol drinkers. Participants with plasma HDL-C ≥40mg/dl were more likely to develop diabetes mellitus than those with <40mg/dl. Participants with a higher level of plasma triglyceride ≥130mg/dl were found to be more exposed to the risks of developing diabetes mellitus than study participants with a low level of triglycerides. Conclusion: A higher prevalence of diabetes mellitus was observed in Addis Ababa public health institutions. Factors such as age, alcohol drinking, HDL, triglycerides, and vagarious physical activity were associated with diabetes mellitus. Concerned bodies need to work over the ever-increasing diabetes mellitus in Addis Ababa.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 94%

Prevalence of Diabetes Mellitus and Associated Factors in Addis Ababa Public Health Facilities, Addis Ababa, Ethiopia, 2016

Sahile

Bekele

2020

DMSO

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“…This is because physical activities minimize the risk of hyperglycemia through increasing insulin-stimulated glycogen synthesis, enhancing muscle glucose uptake, making the muscle being more sensitive to the actions of insulin and it balances the average caloric intake and expenditure by the body cells. 51 Similar to the previous research reports, 28,33,37,52,53 the occurrence of unrecognized DM is higher among adults with central obesity (larger waist circumference). This might be because, in individuals with expanded abdominal fat accumulation, adipose tissue releases highly active hormones (adipokines), increased amount of free fatty acids, glycerol, pro-inflammatory cytokines, and other factors that are involved in the development of insulin resistance and impairment of glucose homeostasis.…”

Section: Discussionsupporting

confidence: 81%

The Hidden Burden of Diabetes Mellitus in an Urban Community of Southwest Ethiopia

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 of undiagnosed diabetes mellitus and associated factors among adult residents of Bahir Dar city, northwest Ethiopia: a community-based cross-sectional study

Cited by 40 publications

References 24 publications

<p>Prevalence of Diabetes Mellitus and Associated Factors in Addis Ababa Public Health Facilities, Addis Ababa, Ethiopia, 2016</p>

<p>Prevalence of Diabetes Mellitus and Associated Factors in Addis Ababa Public Health Facilities, Addis Ababa, Ethiopia, 2016</p>

<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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