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2021 年,在埃塞俄比亚西北部沃雷塔镇,一项基于社区的横断面研究报告了成年人中空腹血糖受损和未诊断的糖尿病的严重程度及其相关危险因素。

Magnitude of impaired fasting glucose and undiagnosed diabetic mellitus and associated risk factors among adults living in Woreta town, northwest Ethiopia: a community-based cross-sectional study, 2021.

机构信息

Department of biomedical science, college of health science, Debre Tabor University, Debre Tabor, P.O. Box 272, Ethiopia.

Department of adult health nursing, college of health science, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

BMC Endocr Disord. 2022 Oct 5;22(1):243. doi: 10.1186/s12902-022-01156-7.

Abstract

BACKGROUND

Impaired fasting glucose (IFG) is an early warning system that provides prior information to prevent the future development of DM and diabetes-related problems, but early detection of DM is not practically applicable in Ethiopia. This study was aimed to assess the magnitude of impaired fasting glucose and undiagnosed diabetes mellitus (DM) and associated factors.

METHODS

A community-based, cross-sectional study was conducted from May to June 30, 2021. A structured interviewer-administered questionnaire was used to collect data. Anthropometric measurements were also recorded. A fasting blood sugar (FBS) test was assessed by samples taken early in the morning. Epi-Info 7.2.5.0 was used to enter data, which was then exported to SPSS 25 for analysis. To identify factors associated with IFG, logistics regression was used. The level of statistical significance was declared at p 0.05.

RESULT

Three hundred and twenty-four (324) participants with a mean age of 43.76 ± 17.29 years were enrolled. The overall magnitude of impaired fasting glucose (IFG) and undiagnosed diabetes mellitus (DM) were 43.2% and 10.0%, respectively. Waist circumference (AOR: 1.72, 95% CI 1.23-3.14), hypertension (AOR: 3.48, 95% CI 1.35-8.89), family history of Diabetic mellitus (AOR: 2.34, 95% CI 1.37-5.79) and hypertriglyceridemia (AOR: 2.35, 95% CI 1.41-5.43) were found to be independently associated with impaired fasting glucose.

CONCLUSION

Individuals who are overweight, hypertriglyceridemia, and are hypertensive should have regular checkups and community-based screening.

摘要

背景

空腹血糖受损(IFG)是一种早期预警系统,可提供预防糖尿病和糖尿病相关问题未来发展的信息,但在埃塞俄比亚,早期检测糖尿病实际上并不可行。本研究旨在评估空腹血糖受损和未诊断的糖尿病(DM)的程度以及相关因素。

方法

这是一项于 2021 年 5 月至 6 月 30 日进行的基于社区的横断面研究。采用结构化的访谈式问卷调查收集数据。还记录了人体测量学测量值。通过清晨采集的样本进行空腹血糖(FBS)测试。使用 Epi-Info 7.2.5.0 输入数据,然后将其导出到 SPSS 25 进行分析。使用逻辑回归识别与 IFG 相关的因素。具有统计学意义的水平定义为 p < 0.05。

结果

共纳入 324 名平均年龄为 43.76 ± 17.29 岁的参与者。空腹血糖受损(IFG)和未诊断的糖尿病(DM)的总发生率分别为 43.2%和 10.0%。腰围(AOR:1.72,95%CI 1.23-3.14)、高血压(AOR:3.48,95%CI 1.35-8.89)、糖尿病家族史(AOR:2.34,95%CI 1.37-5.79)和高甘油三酯血症(AOR:2.35,95%CI 1.41-5.43)与空腹血糖受损独立相关。

结论

超重、高甘油三酯血症和高血压的个体应定期进行检查和社区筛查。

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