Rising prevalence of diabetes and prediabetes among Bangladeshi factory workers

Abstract

To determine the prevalence of type 2 diabetes (T2DM) and prediabetes - impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) and associated risk determinants in Bangladeshi factory w orkers. A total of 791 male factory w orkers aged ≥20 years in the capital Dhaka city of Bangladesh w ere investigated. Anthropometric details, blood pressure and metabolic parameters w ere studied. We used the 2006 WHO diagnostic criteria for the diagnosis of T2DM and prediabetes. The age - standardized prev alence of T2DM, IFG and IGT w ere 15.4, 17.7, and 25.8%, respectively. The prevalence of IFG and IGT increased w ith age. Among the study population, 38.9% had family history of diabetes (F/H DM), 27.9% hypertension (HTN), general obesity defined by body mas s index (BMI) was 43.7% and central obesity defined by w aist circumference (WC) and w aist -hip ratio (WHR) w ere 35.3% and 78.3%, respectively. Poor agreement w as observed betw een fasting and 2 hr blood glucose. Employing logistic regression, it w as found that increased age, F/H DM, higher BMI and WHR, and HTN w ere independent risk indicators for T2DM. Increased age and higher BMI w ere also independent risk indicators for prediabetes. The prevalence of T2DM and prediabetes w ere found relatively high in these factory w orkers. Obesity and HTN w ere also observed high in this study population.

Keywords

• Diabetes
• prediabetes
• Bangladeshi factory workers