Mng'agi Mohamed O, Mwandigha Ambele M, Mbugi Erasto V
Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
East Afr Health Res J. 2023;7(1):88-93. doi: 10.24248/eahrj.v7i1.713. Epub 2023 Jul 12.
Chronic kidney diseases (CKD), Type 2 Diabetes Mellitus (T2DM) and cardiovascular diseases (CVDs) are the recent worldwide late age chronic conditions that could be a consequence of renal glycosuria during childhood. This study aimed at determining the extent of glycosuria in secondary school students to obtain information that could be predictive of the situation in late age life of Tanzanians living in Mkuranga District.
This was school-based cross-sectional study that was conducted in assenting and consenting 800 students from July to October 2019 in Mkuranga district, Pwani-Tanzania. Socio-demographic information was collected using well-structured questionnaires while weight and height were measured using beam balance and tape measure, respectively. Dipstick strip was used to determine urine glucose on clean catch mid-stream urine collected specimens.
From a total of 800 enrolled students, 0.6% (5/800) had glycosuria from whom 80% were males and 20% (1/5) were females (). The proportion of glycosuric males was 4 folds higher than that found in females. While height, body mass index (BMI) and waist-hip circumference ratio were associated with renal glycosuria (), other factors showed no association ().
Despite the low proportion (0.6%) of glycosuria in this study, the contribution of young age renal glycosuria to old age CKD, T2DM and CVDs cannot be ruled out with males being more prone than females. Thus, it signals for consideration of regular screening for glycosuria in the school health programmes as an intervention strategy to prevent potential late age chronic disease complications.
慢性肾脏病(CKD)、2型糖尿病(T2DM)和心血管疾病(CVD)是近期全球范围内出现的老年慢性疾病,可能是儿童期肾性糖尿的后果。本研究旨在确定中学生中糖尿的程度,以获取能够预测坦桑尼亚姆库兰加区居民晚年状况的信息。
这是一项基于学校的横断面研究,于2019年7月至10月在坦桑尼亚滨海省姆库兰加区对800名同意参与的学生进行。使用结构完善的问卷收集社会人口学信息,同时分别使用杆秤和卷尺测量体重和身高。使用试纸条检测清洁中段尿标本中的尿糖。
在总共800名登记学生中,0.6%(5/800)有糖尿,其中80%为男性,20%(1/5)为女性()。糖尿男性的比例比女性高4倍。虽然身高、体重指数(BMI)和腰臀围比与肾性糖尿有关(),但其他因素未显示相关性()。
尽管本研究中糖尿的比例较低(0.6%),但不能排除年轻时肾性糖尿对老年CKD、T2DM和CVD的影响,男性比女性更易患病。因此,这表明在学校健康计划中应考虑定期筛查糖尿,作为预防潜在老年慢性疾病并发症的干预策略。