Magnitude and predictors of pre-diabetes among adults in health facilities of Gondar city, Ethiopia: a cross-sectional study.

Autor:	Andargie TA; International Institute for Primary Health Care-Ethiopia, Addis Ababa, Ethiopia., Mengistu B; Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia., Baffa LD; Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia., Gonete KA; Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia.; Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia., Belew AK; Department of Human Nutrition, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2023 Dec 15; Vol. 11, pp. 1164729. Date of Electronic Publication: 2023 Dec 15 (Print Publication: 2023).
DOI:	10.3389/fpubh.2023.1164729
Abstrakt:	Introduction: Impaired glucose tolerance currently affects 374 million (7.5%) people worldwide, and by 2030, this number is predicted to affect 454 million (8%). Urban inhabitants have an increased risk of developing pre-diabetes. Thus, the study aimed to assess the magnitude of pre-diabetes and associated factors among adults attending outpatient departments of the health facilities of Gondar, Ethiopia. Method: From 3 March to 18 April 2020, an institution-based cross-sectional study was conducted. A systematic random sampling technique was used to select 992 participants. Data were gathered using an interviewer-administered questionnaire, and fasting blood glucose was assessed using capillary blood. Bivariable and multivariable binary logistic regression analyses were fitted to check the association between independent variables and pre-diabetes. Statistical significance was declared at a level of P of <0.05. Results: The prevalence of pre-diabetes was 16.6% (95% CIs: 14.3-18.8%). Age [AOR = 3.66, 95% CIs (2.05, 6.52)], a family history of diabetes mellitus [AOR = 3.46, 95% CIs (2.16, 5.52)], waist circumference [AOR = 3.6, 95% CIs (2.26, 5.88)], physical activity [AOR: 5.02, 95% CIs (2.87, 8.77)], dietary diversity [AOR = 3.07, 95% CIs (1.95, 4.84)], and smoking [AOR = 2.9, 95% CI (1.42, 6.05)] were factors associated with pre-diabetes. Conclusion: From our study, we can conclude that one in six adults in the health facilities have pre-diabetes. Age, family history of diabetes, waist circumference, physical activity, dietary diversity, and smoking were the factors associated with pre-diabetes. Therefore, it is recommended that adults should be educated on modifying their lifestyle, including their diet, and substantial care should be provided for older adults. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Andargie, Mengistu, Baffa, Gonete and Belew.)
Databáze:	MEDLINE
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