Diabetes prevalence and risk factors, underestimated without oral glucose tolerance test, in rural Gombe-Matadi Adults, Democratic Republic of Congo, 2019
Abstract An increase in the diabetes prevalence is reported worldwide. We aimed to determine the diabetes prevalence and its risk factors among adults in a rural area of the Democratic Republic of Congo. A cross-sectional study was conducted in 1531 inhabitants, selected by five stages, in the Healt...
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| Format: | Article |
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Nature Portfolio
2022-09-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-18658-y |
| _version_ | 1811267662032928768 |
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| author | Muel Telo Marie-Claire Muyer Steve Botomba Nickson Poka Dieudonné Mpunga Deogratias Katsuva Sibongwere José Luis Peñalvo Diana Sagastume Mala Ali Mapatano |
| author_facet | Muel Telo Marie-Claire Muyer Steve Botomba Nickson Poka Dieudonné Mpunga Deogratias Katsuva Sibongwere José Luis Peñalvo Diana Sagastume Mala Ali Mapatano |
| author_sort | Muel Telo Marie-Claire Muyer |
| collection | DOAJ |
| description | Abstract An increase in the diabetes prevalence is reported worldwide. We aimed to determine the diabetes prevalence and its risk factors among adults in a rural area of the Democratic Republic of Congo. A cross-sectional study was conducted in 1531 inhabitants, selected by five stages, in the Health Zone of Gombe-Matadi. Diabetes was defined according to the American Diabetes Association and the International Diabetes Federation. Fasting glycemia and/or an oral glucose tolerance test were collected. We measured body mass index, waist circumference and blood pressure. Mann Whitney's and chi-square tests compared respondents with non-respondents. Multivariable logistic regression measured associations between diabetes and its risk factors. Crude and standardized prevalence of diabetes were 6.7% and 5.3%, respectively. Undiagnosed diabetes accounted for 58.8%. The oral glucose tolerance test alone diagnosed 2.6% of cases. Diabetes was more frequent in males, unemployed, obese and hypertensive (p < 0.05). Risk factors for diabetes were being male, aged ≥ 40 years, general and abdominal obesity associated with elderly, family history of diabetes, and hypertension. Diabetes in rural areas of the Democratic Republic of Congo appears to be underdiagnosed. The oral glucose tolerance test provides an opportunity to screen individuals for diabetes in this setting. |
| first_indexed | 2024-04-12T21:07:53Z |
| format | Article |
| id | doaj.art-06b0e07003e24acb81d383375345f6fc |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-12T21:07:53Z |
| publishDate | 2022-09-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-06b0e07003e24acb81d383375345f6fc2022-12-22T03:16:40ZengNature PortfolioScientific Reports2045-23222022-09-0112111110.1038/s41598-022-18658-yDiabetes prevalence and risk factors, underestimated without oral glucose tolerance test, in rural Gombe-Matadi Adults, Democratic Republic of Congo, 2019Muel Telo Marie-Claire Muyer0Steve Botomba1Nickson Poka2Dieudonné Mpunga3Deogratias Katsuva Sibongwere4José Luis Peñalvo5Diana Sagastume6Mala Ali Mapatano7Department of Nutrition, School of Public Health, Epidemiology Center of DiabetesDepartment of Nutrition, School of Public Health, Epidemiology Center of DiabetesEducation Center of Diabetes and Health, Epidemiology Center of DiabetesDepartment of Community Health, School of Public HealthNon-Communicable Diseases Unit, Department of Public Health, Institute of Tropical Medicine of AntwerpNon-Communicable Diseases Unit, Department of Public Health, Institute of Tropical Medicine of AntwerpNon-Communicable Diseases Unit, Department of Public Health, Institute of Tropical Medicine of AntwerpDepartment of Nutrition, School of Public Health, Epidemiology Center of DiabetesAbstract An increase in the diabetes prevalence is reported worldwide. We aimed to determine the diabetes prevalence and its risk factors among adults in a rural area of the Democratic Republic of Congo. A cross-sectional study was conducted in 1531 inhabitants, selected by five stages, in the Health Zone of Gombe-Matadi. Diabetes was defined according to the American Diabetes Association and the International Diabetes Federation. Fasting glycemia and/or an oral glucose tolerance test were collected. We measured body mass index, waist circumference and blood pressure. Mann Whitney's and chi-square tests compared respondents with non-respondents. Multivariable logistic regression measured associations between diabetes and its risk factors. Crude and standardized prevalence of diabetes were 6.7% and 5.3%, respectively. Undiagnosed diabetes accounted for 58.8%. The oral glucose tolerance test alone diagnosed 2.6% of cases. Diabetes was more frequent in males, unemployed, obese and hypertensive (p < 0.05). Risk factors for diabetes were being male, aged ≥ 40 years, general and abdominal obesity associated with elderly, family history of diabetes, and hypertension. Diabetes in rural areas of the Democratic Republic of Congo appears to be underdiagnosed. The oral glucose tolerance test provides an opportunity to screen individuals for diabetes in this setting.https://doi.org/10.1038/s41598-022-18658-y |
| spellingShingle | Muel Telo Marie-Claire Muyer Steve Botomba Nickson Poka Dieudonné Mpunga Deogratias Katsuva Sibongwere José Luis Peñalvo Diana Sagastume Mala Ali Mapatano Diabetes prevalence and risk factors, underestimated without oral glucose tolerance test, in rural Gombe-Matadi Adults, Democratic Republic of Congo, 2019 Scientific Reports |
| title | Diabetes prevalence and risk factors, underestimated without oral glucose tolerance test, in rural Gombe-Matadi Adults, Democratic Republic of Congo, 2019 |
| title_full | Diabetes prevalence and risk factors, underestimated without oral glucose tolerance test, in rural Gombe-Matadi Adults, Democratic Republic of Congo, 2019 |
| title_fullStr | Diabetes prevalence and risk factors, underestimated without oral glucose tolerance test, in rural Gombe-Matadi Adults, Democratic Republic of Congo, 2019 |
| title_full_unstemmed | Diabetes prevalence and risk factors, underestimated without oral glucose tolerance test, in rural Gombe-Matadi Adults, Democratic Republic of Congo, 2019 |
| title_short | Diabetes prevalence and risk factors, underestimated without oral glucose tolerance test, in rural Gombe-Matadi Adults, Democratic Republic of Congo, 2019 |
| title_sort | diabetes prevalence and risk factors underestimated without oral glucose tolerance test in rural gombe matadi adults democratic republic of congo 2019 |
| url | https://doi.org/10.1038/s41598-022-18658-y |
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