Study of the magnitude of diabetes and its associated risk factors among the tuberculosis patients of Morang, Eastern Nepal

Abstract Background WHO addresses the infectious disease like Tuberculosis, and non- communicable disease like Diabetes among the top 10 causes of death worldwide, which collectively leads to increasing mortality and premature death especially in developing countries. Hence, the present study aims t...

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Main Authors: Babita Sharma, Vijay Kumar Khanal, Nilambar Jha, Prajjwal Pyakurel, Gyanu Nepal Gurung
Format: Article
Language:English
Published: BMC 2019-11-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-7891-x
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author Babita Sharma
Vijay Kumar Khanal
Nilambar Jha
Prajjwal Pyakurel
Gyanu Nepal Gurung
author_facet Babita Sharma
Vijay Kumar Khanal
Nilambar Jha
Prajjwal Pyakurel
Gyanu Nepal Gurung
author_sort Babita Sharma
collection DOAJ
description Abstract Background WHO addresses the infectious disease like Tuberculosis, and non- communicable disease like Diabetes among the top 10 causes of death worldwide, which collectively leads to increasing mortality and premature death especially in developing countries. Hence, the present study aims to assess the prevalence of diabetes and its associated risk factors among the tuberculosis patient of Morang, Eastern Nepal. Methods A cross-sectional study was carried out among the 320 respondents undergoing tuberculosis treatment of Morang district. Respondents from eight randomly selected DOTS centers were selected purposively. The Fasting Blood Sugar and 2-h Post-Prandial Blood Sugar were assessed in the laboratory of respective DOTS center by the glucose oxidase method. An interview for socio-demographic and other variables was conducted using a pretested semi-structured questionnaire based on WHO-STEP Instrument for chronic disease and excerpt from DASS-21 was used for the variable stress. Results The prevalence of diabetes, pre-diabetic and glucose intolerance among tuberculosis patient was 11.9, 17.2, and 17.8% respectively. Additionally, the univariate analysis reported, user of tobacco products, current alcohol consumers, family history of diabetes and stress level, to have positive association with diabetes, while the multivariate analysis reported, the current alcohol consumer as the significant predictor of diabetes among the tuberculosis patient. Conclusion A significant portion of the respondents were diabetic, impaired glucose tolerance and pre-diabetic, which supports the fact of diabetes being comorbid with tuberculosis. Hence, it shifts the focus on the bidirectional screening of tuberculosis and diabetes.
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spelling doaj.art-c2e9ae45ef9c4a9ebc5ae68e870ae17c2022-12-22T00:54:23ZengBMCBMC Public Health1471-24582019-11-011911610.1186/s12889-019-7891-xStudy of the magnitude of diabetes and its associated risk factors among the tuberculosis patients of Morang, Eastern NepalBabita Sharma0Vijay Kumar Khanal1Nilambar Jha2Prajjwal Pyakurel3Gyanu Nepal Gurung4School of Public Health and Community Medicine (SPHCM), B. P. Koirala Institute of Health Sciences (BPKIHS)School of Public Health and Community Medicine (SPHCM), B. P. Koirala Institute of Health Sciences (BPKIHS)School of Public Health and Community Medicine (SPHCM), B. P. Koirala Institute of Health Sciences (BPKIHS)School of Public Health and Community Medicine (SPHCM), B. P. Koirala Institute of Health Sciences (BPKIHS)School of Public Health and Community Medicine (SPHCM), B. P. Koirala Institute of Health Sciences (BPKIHS)Abstract Background WHO addresses the infectious disease like Tuberculosis, and non- communicable disease like Diabetes among the top 10 causes of death worldwide, which collectively leads to increasing mortality and premature death especially in developing countries. Hence, the present study aims to assess the prevalence of diabetes and its associated risk factors among the tuberculosis patient of Morang, Eastern Nepal. Methods A cross-sectional study was carried out among the 320 respondents undergoing tuberculosis treatment of Morang district. Respondents from eight randomly selected DOTS centers were selected purposively. The Fasting Blood Sugar and 2-h Post-Prandial Blood Sugar were assessed in the laboratory of respective DOTS center by the glucose oxidase method. An interview for socio-demographic and other variables was conducted using a pretested semi-structured questionnaire based on WHO-STEP Instrument for chronic disease and excerpt from DASS-21 was used for the variable stress. Results The prevalence of diabetes, pre-diabetic and glucose intolerance among tuberculosis patient was 11.9, 17.2, and 17.8% respectively. Additionally, the univariate analysis reported, user of tobacco products, current alcohol consumers, family history of diabetes and stress level, to have positive association with diabetes, while the multivariate analysis reported, the current alcohol consumer as the significant predictor of diabetes among the tuberculosis patient. Conclusion A significant portion of the respondents were diabetic, impaired glucose tolerance and pre-diabetic, which supports the fact of diabetes being comorbid with tuberculosis. Hence, it shifts the focus on the bidirectional screening of tuberculosis and diabetes.http://link.springer.com/article/10.1186/s12889-019-7891-xDiabetesTuberculosisCo-morbidityPrevalenceEastern Nepal
spellingShingle Babita Sharma
Vijay Kumar Khanal
Nilambar Jha
Prajjwal Pyakurel
Gyanu Nepal Gurung
Study of the magnitude of diabetes and its associated risk factors among the tuberculosis patients of Morang, Eastern Nepal
BMC Public Health
Diabetes
Tuberculosis
Co-morbidity
Prevalence
Eastern Nepal
title Study of the magnitude of diabetes and its associated risk factors among the tuberculosis patients of Morang, Eastern Nepal
title_full Study of the magnitude of diabetes and its associated risk factors among the tuberculosis patients of Morang, Eastern Nepal
title_fullStr Study of the magnitude of diabetes and its associated risk factors among the tuberculosis patients of Morang, Eastern Nepal
title_full_unstemmed Study of the magnitude of diabetes and its associated risk factors among the tuberculosis patients of Morang, Eastern Nepal
title_short Study of the magnitude of diabetes and its associated risk factors among the tuberculosis patients of Morang, Eastern Nepal
title_sort study of the magnitude of diabetes and its associated risk factors among the tuberculosis patients of morang eastern nepal
topic Diabetes
Tuberculosis
Co-morbidity
Prevalence
Eastern Nepal
url http://link.springer.com/article/10.1186/s12889-019-7891-x
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