Shirin Sara Sabiha, Talukder Ashis, Lee Ka Yiu, Basak Nayan, Rahman Razu Shaharior, Haq Iqramul, Nath Chuton Deb
Statistics Discipline, Science Engineering and Technology School, Khulna University, Khulna, 9208, Bangladesh.
Swedish Winter Sports Research Centre, Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
Diabetes Metab Syndr. 2023 Feb;17(2):102706. doi: 10.1016/j.dsx.2023.102706. Epub 2023 Jan 9.
Prevalence of type 2 diabetes has been rising rapidly especially in low- and middle-income countries. The purpose of this study is to analyze the prevalence of type 2 diabetes in 2011 and 2017-18, and the risk factors based on the Bangladesh Demographic and Health Surveys (BDHS).
The study comprised of data from the BDHS 2011 and the BDHS 2017-18 with 7565 (50.6% female) and 12,299 respondents (56.9% female) respectively. The plasma blood glucose was classified into normal, pre-diabetes, and diabetes categories. While univariate analysis was performed to determine the data, Chi-square and gamma analyses were used for bivariate estimation of the correlation between diabetes status and other comorbidities. Multinomial and ordinal logistic regression were also performed to trace the link between diabetes and various risk factors.
The 2011 BDHS survey indicated that nearly half of the participants (47.6%) had pre-diabetic condition, while 10.2% were diagnosed with diabetes. On the other hand, the BDHS 2017-18 demonstrated that 28.6% and 8.6% of participants had pre-diabetes and diabetes, respectively. Results of inferential statistics showed that gender (p<0.05), age, wealth status, physical activity, BMI (p<0.01), and caffeinated beverages (p<0.05), were significantly linked with diabetes status.
According to our findings, older people and people with lower education are more likely to develop diabetes. BMI` Physically active, wealth status, diet and lifestyle were significant predictors of type 2 diabetes. Healthy lifestyle, physical activities, proper knowledge and awareness can reduce the risk of T2D.
2型糖尿病的患病率一直在迅速上升，尤其是在低收入和中等收入国家。本研究的目的是根据孟加拉国人口与健康调查（BDHS）分析2011年以及2017 - 2018年2型糖尿病的患病率及其风险因素。
该研究包含来自2011年BDHS和2017 - 2018年BDHS的数据，分别有7565名受访者（50.6%为女性）和12299名受访者（56.9%为女性）。血浆血糖被分为正常、糖尿病前期和糖尿病类别。在进行单变量分析以确定数据时，卡方分析和伽马分析用于对糖尿病状态与其他合并症之间的相关性进行双变量估计。还进行了多项和有序逻辑回归以追踪糖尿病与各种风险因素之间的联系。
2011年BDHS调查表明，近一半的参与者（47.6%）处于糖尿病前期状态，而10.2%被诊断患有糖尿病。另一方面，2017 - 2018年BDHS显示，分别有28.6%和8.6%的参与者患有糖尿病前期和糖尿病。推断性统计结果表明，性别（p<0.05）、年龄、财富状况、身体活动、体重指数（p<0.01）和含咖啡因饮料（p<0.05）与糖尿病状态显著相关。
根据我们的研究结果，老年人和受教育程度较低的人患糖尿病的可能性更大。体重指数、身体活动、财富状况、饮食和生活方式是2型糖尿病的重要预测因素。健康的生活方式、体育活动、适当的知识和意识可以降低2型糖尿病的风险。
