Indian Journal of Endocrinology and Metabolism (Jan 2013)

Community based diabetes risk assessment in Ogun state, Nigeria (World Diabetes Foundation project 08-321)

  • Olutayo C Alebiosu,
  • Oluranti B Familoni,
  • Olawale O Ogunsemi,
  • T H Raimi,
  • Williams O Balogun,
  • O Odusan,
  • Segun A Oguntona,
  • Taiwo Olunuga,
  • Babatope A Kolawole,
  • Rosemary T Ikem,
  • Jokotade O Adeleye,
  • Olubiyi F Adesina,
  • Peter A Adewuyi

DOI
https://doi.org/10.4103/2230-8210.113756
Journal volume & issue
Vol. 17, no. 4
pp. 653 – 658

Abstract

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Objective: The study assessed the risk of developing type 2 diabetes Mellitus in Ogun State, Nigeria. Materials and Methods: Finnish Medical Association diabetes risk score was administered across 25 communities facilitated by non-communicable disease clinics established under a World Diabetes Foundation project. Subjects in the high risk group had blood glucose estimated. Results: 58,567 respondents included 34,990 (59.6%) females and 23,667 (40.3%) males. Majority (61.2%) were between 25 years and 54 years. Considering waist circumference, 34,990 (38.1%) females and 23,667 (5.3%) males had values above 88 cm and 102 cm respectively. Overall, 11,266 (19.2%) were obese and 28.9% overweight using body mass index (BMI). More females had elevated BMI than males. Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) of all subjects were 129.54 mm Hg ± 23.5 mm Hg and 76.21 mm Hg ± 15.5 mm Hg respectively. Prevalence of hypertension (Joint National Committee VII classification) was 27.7%. More subjects had normal DBP than SBP (68.2% vs. 42.5% P 11.1 mmol/L and/or FBG >7 mmol/L, the total yield of subjects adjudged as having diabetes was 2,956 (5.05%). Mean total risk score was 5.60 ± 3.90; this was significantly higher in females (6.34 ± 4.16 vs. 4.24 ± 3.71, P < 0.05). A total of 2,956 (5.05%) had high risk of developing DM within 10 years. Conclusion: The risk of developing DM is high in the community studied with females having a higher risk score. There is urgent need to implement diabetes prevention strategies.

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