Type 2 diabetes and hypertension in Vietnam: a systematic review and meta-analysis of studies between 2000 and 2020

Biswas, Tuhin; Tran, Nam; Hạnh, Hoàng Thị Mỹ; Hien, P. van; Cúc, Nguyễn Thị Thu; Van, Phan Hong; Tuan, Khuong Anh; Oanh, Tran Thi Mai; Mamun, Abdullah Al

doi:10.1136/bmjopen-2021-052725

Cited by 12 publications

(11 citation statements)

References 47 publications

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“…We suppose that the prevalence of DM may have increased as a result of nutritional transition and urbanization. Thus, the difference in the prevalence of DM between our study and the earlier studies may be attributable to the passage of time, as some authors have indicated that the prevalence of DM can double in a country within a decade [ 14 ]. Our findings are in agreement with the rising trend in global diabetes prevalence.…”

Section: Discussionmentioning

confidence: 51%

Uncovering the Burden of Diabetes in Ekiti State, Nigeria: Insights From a Statewide, Household-Based, Cross-Sectional Study

Oluwadiya,

Raimi,

Dada

et al. 2023

Cureus

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Introduction: Diabetes mellitus (DM) is an important global public health challenge, and the burden of the disease is huge, particularly in low- and middle-income countries (LMICs), where the majority of people with this condition reside. Undiagnosed DM is more prevalent in LMICs. The aim of this study is to determine the prevalence and associated factors for DM in Ekiti State. Materials and methods: A cross-sectional, household-based survey using a four-stage multistage sampling design and the World Health Organization (WHO)-STEPS survey manual was conducted from July to September 2020 as a part of the Ekiti State coronavirus disease 2019 (COVID-19) survey. Of the 5,145 sampled households, 4,726 individuals gave consent to participate in the survey. Out of these, 3043 had fasting plasma glucose results available and were included in the analysis. Results: There were 2257 (74.2%) women and 786 (25.8%) men. The prevalence of DM was 6.5% (6.5% in males and 6.6% in females, P = 0.946). Diabetes was found to be more prevalent among those with a secondary school education or higher (10.9%); employed in the formal sector (13.4%); separated, divorced, or widowed (8.5%); with raised blood pressure (9.3%); and who were aged 30-59 years (all P < 0.05). Multivariable logistic regression showed that age, education, occupation, and hypertension were all positively and significantly associated with an increased risk of DM. Conclusion: The prevalence of DM in Ekiti State is high, and its predictors include advancing age, hypertension, education, and occupation. This calls for scaling up public health interventions for controlling DM, targeting the identified risk factors among the people of Ekiti.

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Section: Discussionmentioning

confidence: 51%

Uncovering the Burden of Diabetes in Ekiti State, Nigeria: Insights From a Statewide, Household-Based, Cross-Sectional Study

Oluwadiya,

Raimi,

Dada

et al. 2023

Cureus

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“…The patients’ smoking status, hyperlipidemia, and lifestyle were not documented in our study. We found that the prevalence of diabetes and hypertension in our study participants was comparable to those of the adult Vietnamese population [ 32 ]. However, we found no association between CEs and these single underlying diseases as well as other common cardiovascular risk factors including previous MI or stroke and heart failure.…”

Section: Discussionmentioning

confidence: 69%

Magnitude, Patterns, and Associated Predictors of Cardiovascular Events in Tetanus: A 2-Year, Single-Center, Ambidirectional Cohort Study Involving 572 Patients

Pham,

Tran,

Duong

et al. 2023

Open Forum Infectious Diseases

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Background Cardiovascular events (CEs) remain the leading cause of death in patients with tetanus. We examined the incidence, patterns, and associated predictors of CEs among patients admitted to a tertiary hospital in southern Vietnam. Methods An ambidirectional cohort study was conducted on hospitalized adult patients with tetanus at the Hospital for Tropical Diseases between 2019 and 2020. Inclusion criteria included aged ≥16 years with a clinical diagnosis of tetanus and without CEs at admission. In the prospective phase of the study, eligible patients who refused to participate were excluded from the study. Information on demographics, tetanus disease, CEs and outcomes were collected. A multivariable logistic regression model was developed to evaluate risk factors for CEs. Results Among all 572 included patients, 10.8% (95%CI 8.6-13.7%) experienced a CE, which included Takotsubo cardiomyopathy (40.3%, 95%CI 29.0-52.8%), arrhythmia (19.4%, 95%CI 11.4-30.9%), sudden cardiac arrest (16.1%, 95%CI 9.0-27.2%), myocardial infarction (11.3%, 95%CI 5.6-21.5%), heart failure (6.5%, 95%CI 2.5-15.4%) and pulmonary embolism (6.5%, 95%CI 2.5-15.4%). CEs occurred from day 5 to 20 of illness. Among 62 CE patients, 21% (95%CI 12.7-32.6%) died and 61.3% (95%CI 48.9-72.4%) developed autonomic nervous system dysfunction (ANSD). Three-fourths (24/32) of patients with Takotsubo cardiomyopathy or myocardial infarction had ANSD. Patients with high modified Ablett scores and underlying diseases were more likely to experience CEs than those without severe tetanus and comorbidities. However, overweight individuals were less likely to experience CEs compared to individuals who were underweight or have normal weight. Conclusions In individuals with tetanus, CEs are not rare and associated with high mortality. The most common CE is Takotsubo cardiomyopathy. CEs can occur at any stage of illness, with or without ANSD. To prevent mortality, it is pivotal to screen CEs in patients with tetanus, especially those with underlying diseases, high modified Ablett scores, and a normal or low BMI. More studies are needed to fully elucidate the impact of ANSD on the cardiovascular function and the CE associated mortality in tetanus.

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“…With a prevalence of 6.0%, diabetes is one of the most common non-communicable diseases in Vietnam. [ 22 ] According to multinational data, the prevalence of diabetes in patients with AF is 22.2%, and this proportion ranges from 15.7% to 44.4% in Vietnam. [ 5 – 7 ] Diabetes is a well-established risk factor for AF through multiple pathomechanisms.…”

Section: Patients With Diabetesmentioning

confidence: 99%

Selection of Non-vitamin K Antagonist Oral Anticoagulant for Stroke Prevention in Atrial Fibrillation Based on Patient Profile: Perspectives from Vietnamese Experts. Part 2

Ton,

Ho,

Nguyen

et al. 2023

Eur Cardiol

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Part 1 of this review provided an overview of AF in Vietnam, with a particular focus on primary and secondary stroke prevention. Part 2 explores the management of AF in special, high-risk and clinically common patient populations including those with renal impairment, diabetes, the elderly, and those with coronary artery disease. Furthermore, Part 2 addresses the challenges posed by patients with AF who have a bioprosthetic valve, a group situated in a grey area of consideration. Managing AF in these patient groups presents unique clinical challenges that require careful consideration. Physicians are tasked with addressing specific clinical questions to identify the optimal anticoagulation strategy for each individual. To inform these decisions, subgroup analyses from pivotal studies are presented alongside real-world data derived from clinical practice. By synthesising available information and considering the nuanced clinical context, the aim is to provide informed perspectives that align with current medical knowledge and contribute to the enhancement of patient care in these challenging scenarios.

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Type 2 diabetes and hypertension in Vietnam: a systematic review and meta-analysis of studies between 2000 and 2020

Cited by 12 publications

References 47 publications

Uncovering the Burden of Diabetes in Ekiti State, Nigeria: Insights From a Statewide, Household-Based, Cross-Sectional Study

Uncovering the Burden of Diabetes in Ekiti State, Nigeria: Insights From a Statewide, Household-Based, Cross-Sectional Study

Magnitude, Patterns, and Associated Predictors of Cardiovascular Events in Tetanus: A 2-Year, Single-Center, Ambidirectional Cohort Study Involving 572 Patients

Selection of Non-vitamin K Antagonist Oral Anticoagulant for Stroke Prevention in Atrial Fibrillation Based on Patient Profile: Perspectives from Vietnamese Experts. Part 2

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