Peripheral Cytopenia and Its Associated Factors in Type 2 Diabetes Mellitus Patients, Northwest Ethiopia

Melak Aynalem,1 Fasil Getu,2 Tiruneh Adane1 1Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia; 2Department of Medical Laboratory Sciences, College of Medicine and Health Science...

Full description

Bibliographic Details
Main Authors: Aynalem M, Getu F, Adane T
Format: Article
Language:English
Published: Dove Medical Press 2022-07-01
Series:Journal of Blood Medicine
Subjects:
Online Access:https://www.dovepress.com/peripheral-cytopenia-and-its-associated-factors-in-type-2-diabetes-mel-peer-reviewed-fulltext-article-JBM
_version_ 1818533492032536576
author Aynalem M
Getu F
Adane T
author_facet Aynalem M
Getu F
Adane T
author_sort Aynalem M
collection DOAJ
description Melak Aynalem,1 Fasil Getu,2 Tiruneh Adane1 1Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia; 2Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Jigjiga University, Jigjiga, EthiopiaCorrespondence: Melak Aynalem, Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, Tel +251912692619, Email melak.aynalem1234@gmail.comBackground: Hematological abnormalities are linked with diabetes mellitus (DM) and play a major role in diabetes-related micro- and macro-vascular complications. Therefore, this study aimed to investigate the magnitude of peripheral cytopenia and associated factors in type 2 diabetes (T2DM) patients.Methods: A cross-sectional study was conducted from March to May 2021 at the University of Gondar Comprehensive Specialized Hospital. A total of 357 T2DM participants were selected using a simple random sampling technique. A total of 3 mL of venous blood samples were collected using the vacutainer method for the complete blood count (CBC). A univariate and multivariate regression analysis were used to investigate the association between dependent and independent variables. P-value ˂0.05 was considered statistically significant.Results: The magnitude of cytopenia, bicytopenia, and pancytopenia were 21% (95% CI: 17.1, 25.53), 1.1% (95% CI: 0.44, 2.85), and 0.56% (95% CI: 0.01, 1.12), respectively. Furthermore, the magnitudes of anemia, leucopenia, and thrombocytopenia were 8.7% (95% CI: 6.18, 12.06), 10.9% (95% CI: 8.09, 14.59), and 5.3% (95% CI: 3.43, 8.16), respectively. Being male (AOR: 3.23; 95% CI: 1.43, 7.56), lack of exercise (AOR: 2.70; 95% CI: 1.137, 6.43), and never married (AOR: 3.90; 95% CI: 1.248, 12.18) were all associated with anemia.Conclusion: This study showed that T2DM causes disturbances in the hematological parameters and leads to a mild level of cytopenia. It is, therefore, suggested that hematological abnormalities, especially cytopenia, should be monitored and controlled on a regular basis in T2DM patients for better prognosis and quality of life.Keywords: peripheral cytopenia, type 2 diabetes mellitus, Gondar, Ethiopia
first_indexed 2024-12-11T17:59:25Z
format Article
id doaj.art-e639e3182a22498b8087cc7b7c1e4dea
institution Directory Open Access Journal
issn 1179-2736
language English
last_indexed 2024-12-11T17:59:25Z
publishDate 2022-07-01
publisher Dove Medical Press
record_format Article
series Journal of Blood Medicine
spelling doaj.art-e639e3182a22498b8087cc7b7c1e4dea2022-12-22T00:55:57ZengDove Medical PressJournal of Blood Medicine1179-27362022-07-01Volume 1337338376338Peripheral Cytopenia and Its Associated Factors in Type 2 Diabetes Mellitus Patients, Northwest EthiopiaAynalem MGetu FAdane TMelak Aynalem,1 Fasil Getu,2 Tiruneh Adane1 1Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia; 2Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Jigjiga University, Jigjiga, EthiopiaCorrespondence: Melak Aynalem, Department of Hematology and Immunohematology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, Tel +251912692619, Email melak.aynalem1234@gmail.comBackground: Hematological abnormalities are linked with diabetes mellitus (DM) and play a major role in diabetes-related micro- and macro-vascular complications. Therefore, this study aimed to investigate the magnitude of peripheral cytopenia and associated factors in type 2 diabetes (T2DM) patients.Methods: A cross-sectional study was conducted from March to May 2021 at the University of Gondar Comprehensive Specialized Hospital. A total of 357 T2DM participants were selected using a simple random sampling technique. A total of 3 mL of venous blood samples were collected using the vacutainer method for the complete blood count (CBC). A univariate and multivariate regression analysis were used to investigate the association between dependent and independent variables. P-value ˂0.05 was considered statistically significant.Results: The magnitude of cytopenia, bicytopenia, and pancytopenia were 21% (95% CI: 17.1, 25.53), 1.1% (95% CI: 0.44, 2.85), and 0.56% (95% CI: 0.01, 1.12), respectively. Furthermore, the magnitudes of anemia, leucopenia, and thrombocytopenia were 8.7% (95% CI: 6.18, 12.06), 10.9% (95% CI: 8.09, 14.59), and 5.3% (95% CI: 3.43, 8.16), respectively. Being male (AOR: 3.23; 95% CI: 1.43, 7.56), lack of exercise (AOR: 2.70; 95% CI: 1.137, 6.43), and never married (AOR: 3.90; 95% CI: 1.248, 12.18) were all associated with anemia.Conclusion: This study showed that T2DM causes disturbances in the hematological parameters and leads to a mild level of cytopenia. It is, therefore, suggested that hematological abnormalities, especially cytopenia, should be monitored and controlled on a regular basis in T2DM patients for better prognosis and quality of life.Keywords: peripheral cytopenia, type 2 diabetes mellitus, Gondar, Ethiopiahttps://www.dovepress.com/peripheral-cytopenia-and-its-associated-factors-in-type-2-diabetes-mel-peer-reviewed-fulltext-article-JBMperipheral cytopeniatype 2 diabetes mellitusgondarand ethiopia.
spellingShingle Aynalem M
Getu F
Adane T
Peripheral Cytopenia and Its Associated Factors in Type 2 Diabetes Mellitus Patients, Northwest Ethiopia
Journal of Blood Medicine
peripheral cytopenia
type 2 diabetes mellitus
gondar
and ethiopia.
title Peripheral Cytopenia and Its Associated Factors in Type 2 Diabetes Mellitus Patients, Northwest Ethiopia
title_full Peripheral Cytopenia and Its Associated Factors in Type 2 Diabetes Mellitus Patients, Northwest Ethiopia
title_fullStr Peripheral Cytopenia and Its Associated Factors in Type 2 Diabetes Mellitus Patients, Northwest Ethiopia
title_full_unstemmed Peripheral Cytopenia and Its Associated Factors in Type 2 Diabetes Mellitus Patients, Northwest Ethiopia
title_short Peripheral Cytopenia and Its Associated Factors in Type 2 Diabetes Mellitus Patients, Northwest Ethiopia
title_sort peripheral cytopenia and its associated factors in type 2 diabetes mellitus patients northwest ethiopia
topic peripheral cytopenia
type 2 diabetes mellitus
gondar
and ethiopia.
url https://www.dovepress.com/peripheral-cytopenia-and-its-associated-factors-in-type-2-diabetes-mel-peer-reviewed-fulltext-article-JBM
work_keys_str_mv AT aynalemm peripheralcytopeniaanditsassociatedfactorsintype2diabetesmellituspatientsnorthwestethiopia
AT getuf peripheralcytopeniaanditsassociatedfactorsintype2diabetesmellituspatientsnorthwestethiopia
AT adanet peripheralcytopeniaanditsassociatedfactorsintype2diabetesmellituspatientsnorthwestethiopia