scholarly journals Prevalence and associated risk factors of undiagnosed diabetes among adult Moroccan Sahraoui women

2006 ◽  
Vol 9 (6) ◽  
pp. 722-727 ◽  
Author(s):  
Mohamed Rguibi ◽  
Rekia Belahsen

AbstractObjectiveThe goal of the present work was to examine the prevalence and associated risk factors of undiagnosed diabetes among urban Moroccan Sahraoui women.Design and settingRandomised sample of adult women living in the city of Laayoune in south Morocco who visited public health centres during an immunisation campaign. Body weight, height, waist and hip circumferences, blood pressure, fasting plasma glucose (FPG), triglycerides, dietary intake and physical activity were collected.SubjectsData were obtained on 249 urban women aged 15 years and older, who were not pregnant. Only subjects identified as of Sahraoui origin were eligible for this investigation.ResultsThe prevalence of impaired fasting glucose (IFG) was 5.5% and that of undiagnosed diabetes 6.4%. Diabetes and IFG were more common among older and obese women as well as among women with hypertension or a family history of diabetes. In addition, sucrose intakes were higher in women with diabetes than in those with normal FPG. Also, physical activity estimated as the time spent in walking was negatively associated with FPG. Regression analyses showed an independent association of age, obesity, family history of diabetes and triglycerides with diabetes.ConclusionThe high proportion of unknown diabetes suggests the need for increased diabetes awareness in this population. The data suggest also the involvement of obesity in diabetes and the potential importance of intervention strategies to reduce population adiposity for the prevention and management of cardiovascular risk factors.

Author(s):  
Noraidatulakma Abdullah ◽  
Nor Abdul Murad ◽  
John Attia ◽  
Christopher Oldmeadow ◽  
Mohd Kamaruddin ◽  
...  

The prevalence of type 2 diabetes is escalating rapidly in Asian countries, with the rapid increase likely attributable to a combination of genetic and lifestyle factors. Recent research suggests that common genetic risk variants contribute minimally to the rapidly rising prevalence. Rather, recent changes in dietary patterns and physical activity may be more important. This nested case-control study assessed the association and predictive utility of type 2 diabetes lifestyle risk factors in participants from Malaysia, an understudied Asian population with comparatively high disease prevalence. The study sample comprised 4077 participants from The Malaysian Cohort project and included sub-samples from the three major ancestral groups: Malay (n = 1323), Chinese (n = 1344) and Indian (n = 1410). Association of lifestyle factors with type 2 diabetes was assessed within and across ancestral groups using logistic regression. Predictive utility was quantified and compared between groups using the Area Under the Receiver-Operating Characteristic Curve (AUC). In predictive models including age, gender, waist-to-hip ratio, physical activity, location, family history of diabetes and average sleep duration, the AUC ranged from 0.76 to 0.85 across groups and was significantly higher in Chinese than Malays or Indians, likely reflecting anthropometric differences. This study suggests that obesity, advancing age, a family history of diabetes and living in a rural area are important drivers of the escalating prevalence of type 2 diabetes in Malaysia.


2020 ◽  
Vol 7 (2) ◽  
pp. 377
Author(s):  
Sonia Bhatt ◽  
Shehraz Firoz

Background: Studies based on effects of lifestyle on hypertension and obesity in adolescent age group are lacking in India. The present study was conducted to evaluate the prevalence of lifestyle associated risk factors in school going adolescents of Kendriya Vidyalaya in district Firozabad and their effects on hypertension and obesity.Methods: The study was carried out among 200 students of classes 9th and 11th in the age group of 13 to 17 years. Students were given a pre-designed questionnaire and feedback was taken about dietary practices and physical activity along with family history of hypertension and obesity. Height, weight, waist circumference, hip circumference, blood pressure was measured in all children. Effects of lifestyle associated risk factors were determined on obesity and hypertension.Results: The study documents that inappropriate dietary practices (fast food consumption, low fruit intake) and less physical activity were strongly associated with high prevalence of obesity and hypertension in the adolescents. The study also showed that adolescents with positive family history of obesity and/or hypertension are also at higher risk. There was a positive correlation between high BMI and hypertension.Conclusions: School based interventions are required to educate the adolescent children about lifestyle modifications to reduce the morbidity associated with non-communicable diseases.


Author(s):  
Young Sang Lyu ◽  
Sang Yong Kim ◽  
Hak Yeon Bae ◽  
Jin Hwa Kim

Background: Early-onset diabetes results in longer lifetime hyperglycemic exposure that consequently leads to earlier chronic diabetes complications and premature death. The aim of this study was to quantify the prevalence and risk factors of undiagnosed diabetes and undiagnosed prediabetes in apparently healthy young adults aged <40 years. Methods: This study used data from the Korean National Health and Nutrition Examination Survey, a cross-sectional, nationally representative survey conducted by the Korean Ministry of Health and Welfare from 2014 to 2017. A total of 4442 apparently healthy young adults enrolled in this study. Multivariate logistic regression analyses were conducted separately to evaluate associated risk factors with undiagnosed diabetes and undiagnosed prediabetes in groups stratified by sex. Results: The prevalence of undiagnosed diabetes and undiagnosed prediabetes was 1.2% and 25.0%, respectively. Obesity (body mass index ≥ 30.0 kg/m2) was a significant risk factor of undiagnosed diabetes regardless of sex (men, odds ratio (OR): 9.808, 95% confidence interval (CI): 1.619–59.412; women, OR: 7.719, 95% CI: 1.332–44.747). Family history of diabetes was significantly associated with undiagnosed diabetes (OR: 3.407, 95% CI: 1.224–9.481) in women only. Increased age, obesity status, and family history of diabetes were significant risk factors for undiagnosed prediabetes. Alcohol consumption was found to be negatively associated with undiagnosed prediabetes in women. Conclusions: Increased attention and implementation of precise strategies for identifying young adults at high risk for undiagnosed diabetes would allow for increased wellbeing as well as reduced healthcare burdens associated with diabetes.


Author(s):  
Narendra Singh

Background: With rapid urbanisation in National Capital Region, Ghaziabad, associated life style diseases like hypertension, diabetes mellitus are also increasing. For an effective preventive program, it is mandatory to know prevalence and relevant risk factors. Many studies among men have been conducted, this study was undertaken to find out prevalence, and associated factors solely among   rural women in Ghaziabad. Methods: A pretested Performa was administered to all non-pregnant women coming to a health centre. Information on medical and family history, dietary habits, physical activity, blood pressure, blood sugar, height, weight etc. was recorded. For statistical analyses, SPSS-16 software was used. Results: Out of total 569 participants, 59 were having hypertension, showing a prevalence of 10.36 %, 44 were having family history of hypertension with a prevalence of 7.73%. 93 were found to be Diabetics, with a prevalence of 16.34% and family history of diabetes among 57, i.e. 10.36% in study group. Overall 134, (23.55%) had abnormally higher BMI, age group with highest prevalence of BMI was also having highest diabetes and hypertension cases. This age group was  found to be doing just  mild physical activity. Conclusions: This study gives insight in heavy burden of hypertension, diabetes, and associated risk factors in rural women folks in a rural health centre of Ghaziabad. Life style modifications, more physical activities, dietary modifications with lesser salt ,fats  will go in long way of reducing burden of these diseases and risk factors. 


2020 ◽  
Vol 8 (1) ◽  
pp. 44
Author(s):  
Relin Watta ◽  
Gresty Masi ◽  
Mario E. Katuuk

AbstractBackgroud: Diabetes mellitus is a chronic metabolic disorder characterized by an increase in blood glucose. The purpose of this study is to describe the risk factors for diabetes mellitus in individuals with a family history of diabetes mellitus. This method used a descriptive design with a Survey approach. The sample in this study were 100 people in family members who have a family history of diabetes mellitus. The test results obtained are a family history of diabetes mellitus with a high risk of 96 respondents (96%). The description of knowledge on high-risk eating patterns was 80 respondents (80%), while attitudes toward eating patterns show 81 respondents (81%) were at high risk. The description of knowledge about physical activity shawed that 76 respondents (76%) had a high risk, while the attitude towards physical activity showed 37 respondents (37%) had a high risk and 63 respondents (63%) had a low risk. Conclusion there is a high risk of diabetes mellitus in individuals with a family history of diabetes, most respondents have low knowledge and attitudes about eating patterns so that they have a high risk of diabetes, and respondents' knowledge about high-risk physical activity but attitudes to low-risk physical activity.Keywords: Screening, Risk factors, Diabetes mellitusAbstrakLatar belakang: Diabetes melitus adalah penyakit gangguan metabolisme kronis  yang ditandai dengan peningkatan glukosa darah. Tujuan penelitian diketahui gambaran faktor resiko diabetes melitus pada individu dengan riwayat keluarga diabetes melitus . Metode penelitian deskriptif  dengan metode Survey. Sampel dalam penelitian ini adalah 100 orang pada anggota keluarga yang memiliki riwayat keluarga diabetes melitus. Hasil hasil uji diperoleh yaitu gambaran riwayat keluarga diabetes melitus yang beresiko tinggi sebanyak 96 orang responden (96%). Gambaran pengetahuan pada pola makan yang beresiko tinggi sebanyak 80 orang responden (80%), sedangkan  sikap pada pola makan menunjukan  81 orang responden (81%) beresiko tinggi. Gambaran  pengetahuan tentang aktivitas fisik menunjukan 76 orang responden (76%) beresiko tinggi, sedangkan sikap pada aktivitas fisik yang menunjukan 37 orang responden (37%) beresiko tinggi dan  63 orang responden (63%) yang beresiko rendah. Kesimpulan terdapat resiko tinggi diabetes melitus pada individu dengan riwayat keluarga diabetes, sebagian besar responden memiliki pengetahuan dan sikap yang rendah tentang pola makan sehingga memiliki resiko tinggi terhadap diabetes, dan pengetahuan responden tentang aktivitas fisik beresiko tinggi tetapi  sikap pada aktivitas fisik  beresiko rendah.Kata Kunci : Screening, Faktor Resiko, Diabetes Melitus.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Inés Urrutia ◽  
◽  
Alicia Martín-Nieto ◽  
Rosa Martínez ◽  
J Oriol Casanovas-Marsal ◽  
...  

AbstractThe aim of this study was to estimate the incidence of diabetes mellitus in the Basque Country and the risk factors involved in the disease by reassessing an adult population after 7 years of follow-up. In the previous prevalence study, 847 people older than 18 years were randomly selected from all over the Basque Country and were invited to answer a medical questionnaire, followed by a physical examination and an oral glucose tolerance test. In the reassessment, the same variables were collected and the resulting cohort comprised 517 individuals of whom 43 had diabetes at baseline. The cumulative incidence of diabetes was 4.64% in 7 years and the raw incidence rate was 6.56 cases/1000 person-years (95%CI: 4.11–9.93). Among the incident cases, 59% were undiagnosed. The most strongly associated markers by univariate analyses were age > 60 years, dyslipidaemia, prediabetes and insulin resistance. We also found association with hypertension, obesity, family history of diabetes and low education level. Multivariate analysis adjusted for age and sex showed that a set of risk factors assessed together (dyslipidaemia, waist-to-hip-ratio and family history of diabetes) had great predictive value (AUC-ROC = 0.899, 95%CI: 0.846–0.953, p = 0.942), which suggests the need for early intervention before the onset of prediabetes.


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1952
Author(s):  
Anna Johansson ◽  
Isabel Drake ◽  
Gunnar Engström ◽  
Stefan Acosta

Risk factors for ischemic stroke is suggested to differ by etiologic subtypes. The purpose of this study was to examine the associations between modifiable and non-modifiable risk factors and atherothrombotic stroke (i.e., excluding cardioembolic stroke), and to examine if the potential benefit of modifiable lifestyle factors differs among subjects with and without predisposing comorbidities. After a median follow-up of 21.2 years, 2339 individuals were diagnosed with atherothrombotic stroke out of 26,547 study participants from the Malmö Diet and Cancer study. Using multivariable Cox regression, we examined non-modifiable (demographics and family history of stroke), semi-modifiable comorbidities (hypertension, dyslipidemia, diabetes mellitus and atherosclerotic disease), and modifiable (smoking, body mass index, diet quality, physical activity, and alcohol intake) risk factors in relation to atherothrombotic stroke. Higher age, male gender, family history of stroke, and low educational level increased the risk of atherothrombotic stroke as did predisposing comorbidities. Non-smoking (hazard ratio (HR) = 0.62, 95% confidence interval (CI) 0.56–0.68), high diet quality (HR = 0.83, 95% CI 0.72–0.97) and high leisure-time physical activity (HR = 0.89, 95% CI 0.80–0.98) decreased the risk of atherothrombotic ischemic stroke independent of established risk factors, with non-significant associations with body mass index and alcohol intake. The effect of the lifestyle factors was independent of predisposing comorbidities at baseline. The adverse effects of several cardiovascular risk factors were confirmed in this study of atherothrombotic stroke. Smoking cessation, improving diet quality and increasing physical activity level is likely to lower risk of atherothrombotic stroke in the general population as well as in patient groups at high risk.


2017 ◽  
Vol 1 ◽  
pp. 73-82
Author(s):  
Naresh Manandhar

Background: Hypertension is a progressive cardiovascular syndrome arising from complex and interrelated etiologies. Males have slightly higher prevalence than female in most of countries of Southeast-Asian region.Objective: The objective of study is to find out prevalence and the risk factors of hypertension at Sipaghat, Sindhulchowk, Nepal.Materials and Methods: A cross-sectional study was conducted at Sipaghat of Sindhupalchowk district in May 2016 and 260 persons were selected randomly. Results: The prevalence of hypertension was higher in male (25.4%) than female (17.4%). Mean age of study population was 42.08 years with standard deviation, 15.95 years. Variables namely age group, smoking, alcohol consumption and family history of hypertension were found to be significant at 5 percent level of significance. Alcohol consumption and smokers have more than two times higher chance of getting hypertension compared to alcohol non-consumer and nonsmoker with 95% confidence intervals were 1.08-4.80 and 1.21-6.10, respectively. Persons with family history of hypertension have 3.8 times more chance of getting hypertension compared to no family history of hypertension with 1.89-7.61 of 95% confidence interval.Conclusion: Lifestyle modification reduces blood pressure which prevents or delays the incidence of hypertension. Hypertension can be controlled and prevented by modifying the lifestyle. People should be advised to avoid modifiable risk factors of hypertension like smoking, consumption of alcohol and physical inactivity through health education programs.Nepalese Journal of Statistics, 2017, Vol. 1, 73-82


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