Martins S O, Folasire O F, Irabor A E
Department of Family Medicine, University College Hospital, Ibadan, Nigeria.
Ann Ib Postgrad Med. 2017 Dec;15(2):114-123.
Prediabetes is a condition in which individuals have blood glucose levels higher than normal but not high enough to be classified as diabetes mellitus. Inadequate moderate-intensity physical activity, amidst other risk factors, is a well-documented risk factor for prediabetes. Hospital administrative staff can be particularly vulnerable to prediabetes because of the greater number of hours spent in a sitting or sedentary position during administrative duties. The aim of this study was to find the prevalence of prediabetes and to determine its predictors among administrative staff of a tertiary health centre in southwestern Nigeria.
This was a descriptive cross-sectional study carried out among 300 administrative staff of the University College Hospital, Ibadan over a period of three months. Data was collected using a semi-structured questionnaire that was adapted from the generic WHO-STEPs instrument approach to surveillance of chronic non-communicable diseases risk factors. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 17. Descriptive analyses were performed to estimate the prevalence of prediabetes while the independent predictors of prediabetes were investigated using multinomial logistic regression model. The level of statistical significance was set at p < 0.05.
The mean age of participants was 51.2 ± 5.3 years. There were 164 (54.7%) males and 136 (45.3%) females that participated in the study. The prevalence of prediabetes was 22.3%. Based on the final multivariable multinomial model, the independent predictors of prediabetes included; male sex (OR= 1.24; 95% CI= 1.082 - 2.460), positive family history of diabetes mellitus (OR= 1.57; 95% CI= 1.088 - 2.611), alcohol intake (OR= 1.13; 95% CI= 0.688 - 1.543) and inadequate moderate-intensity physical activity (OR= 1.49; 95% CI= 1.027 - 2.936).
There was a high prevalence of prediabetes among the administrative staff of University College Hospital, Ibadan. Regular screening of hospital employees for prediabetes is highly recommended. Work-place exercise should be advocated to improve moderate-intensity physical activity among hospital employees.
糖尿病前期是指个体血糖水平高于正常，但又未高到足以被归类为糖尿病的一种状况。在诸多风险因素中，中等强度身体活动不足是已被充分证实的糖尿病前期风险因素。医院行政人员尤其容易患糖尿病前期，因为在履行行政职责期间，他们坐着或处于久坐状态的时间更多。本研究的目的是找出尼日利亚西南部一家三级医疗中心行政人员中糖尿病前期的患病率，并确定其预测因素。
这是一项描述性横断面研究，在伊巴丹大学学院医院的300名行政人员中进行，为期三个月。使用一份半结构化问卷收集数据，该问卷改编自世界卫生组织用于监测慢性非传染性疾病风险因素的通用“世卫组织-逐步调查法”工具。使用社会科学统计软件包（SPSS）第17版对数据进行分析。进行描述性分析以估计糖尿病前期的患病率，同时使用多项逻辑回归模型研究糖尿病前期的独立预测因素。统计学显著性水平设定为p < 0.05。
参与者的平均年龄为51.2 ± 5.3岁。参与研究的有164名男性（54.7%）和136名女性（45.3%）。糖尿病前期的患病率为22.3%。基于最终的多变量多项模型，糖尿病前期的独立预测因素包括：男性（比值比= 1.24；95%置信区间= 1.082 - 2.460）、糖尿病家族史阳性（比值比= 1.57；95%置信区间= 1.088 - 2.611）、饮酒（比值比= 1.13；95%置信区间= 0.688 - 1.543）以及中等强度身体活动不足（比值比= 1.49；95%置信区间= 1.027 - 2.936）。
伊巴丹大学学院医院行政人员中糖尿病前期的患病率较高。强烈建议对医院员工定期进行糖尿病前期筛查。应提倡在工作场所进行锻炼，以增加医院员工的中等强度身体活动。
