Department of Internal Medicine, University of Medical Sciences, Ondo State.
Department of Internal Medicine, Muhammad Abdullahi Wase Specialist Hospital, Kano State.
Malawi Med J. 2021 Jun;33(2):114-120. doi: 10.4314/mmj.v33i2.6.
Diabetes Mellitus (DM) has become a disease of public health importance in Nigeria. Early identification of DM risk is important in the reduction of this disease burden. This study assessed ten-year risk of developing type 2 DM among some medical doctors in Ondo State.
This was a cross-sectional study that assessed ten-year risk of developing type 2 DM among some doctors using the Finland Diabetic Risk Score form. Known diabetics were excluded from the study. Body mass index (BMI), waist circumference (WC), blood pressure and total DM risk score were determined for each participant.
One hundred and ninety-two doctors participated in the study with a male: female ratio of 1.3:1. Majority (92.2%) were below 55 years, 22 (11.5%) were obese, 32(16.7%) had central obesity, 46(24%) reported physical inactivity, 49(25.5%) had family history of DM, 141(73.4%) do not take fruits and vegetables regularly. Forty-three (22.4%) were found to have elevated blood pressure while 6(3.1%) had elevated blood glucose. Fifty-seven (29.7%) of the participants had increased ten-year DM risk. Significant predictors of increase DM risk were age ≥ 45 years (AOR:9.08; CI 3.13-26.33; p = <0.001); BMI ≥25kg/m (AOR:11.41; CI:4.14-31.45; p = <0.001); family history of DM (AOR:9.93; CI:3.25-30.39; p = <0.001); abdominal obesity (AOR:6.66; CI:2.08-21.29; p= < 0.001); and infrequent dietary intake of fruits and vegetable (AOR:3.11;CI:1.03:9.37: p = 0.04).
There was increased 10-year DM risk in about 30% of the participants. Lifestyle modification such as physical activity and regular consumption of fruits and vegetables should be encouraged among doctors.
糖尿病(DM)在尼日利亚已成为一个公共卫生问题。早期识别 DM 风险对于减轻这种疾病负担非常重要。本研究评估了翁多州部分医生患 2 型糖尿病的 10 年风险。
这是一项横断面研究,使用芬兰糖尿病风险评分表评估了部分医生患 2 型糖尿病的 10 年风险。已知糖尿病患者被排除在研究之外。为每位参与者确定体重指数(BMI)、腰围(WC)、血压和总糖尿病风险评分。
192 名医生参与了这项研究,男女比例为 1.3:1。大多数(92.2%)年龄在 55 岁以下,22 人(11.5%)肥胖,32 人(16.7%)中心性肥胖,46 人(24%)报告身体活动不足,49 人(25.5%)有糖尿病家族史,141 人(73.4%)不规律食用水果和蔬菜。43 人(22.4%)血压升高,6 人(3.1%)血糖升高。57 名参与者(29.7%)的 10 年糖尿病风险增加。增加糖尿病风险的显著预测因素是年龄≥45 岁(OR:9.08;95%CI:3.13-26.33;p <0.001);BMI≥25kg/m(OR:11.41;95%CI:4.14-31.45;p <0.001);糖尿病家族史(OR:9.93;95%CI:3.25-30.39;p <0.001);腹部肥胖(OR:6.66;95%CI:2.08-21.29;p<0.001);以及水果和蔬菜摄入不规律(OR:3.11;95%CI:1.03-9.37;p = 0.04)。
约 30%的参与者存在 10 年糖尿病风险增加。应鼓励医生进行生活方式改变,如增加身体活动和定期食用水果和蔬菜。