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Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam

BACKGROUND: Diabetes mellitus (DM) is recognized as an important comorbidity for the development of tuberculosis (TB). With the increase of DM burden globally, concerns have been raised about the emerging co-epidemics of DM and TB, especially in low- and middle-income countries. METHODS: A facility-...

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Autores principales: Hoa, N. B., Phuc, P. D., Hien, N. T., Hoa, V. Q., Thuong, P. H., Anh, P. T., Nhung, N. V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267094/
https://www.ncbi.nlm.nih.gov/pubmed/30497410
http://dx.doi.org/10.1186/s12879-018-3519-5
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author Hoa, N. B.
Phuc, P. D.
Hien, N. T.
Hoa, V. Q.
Thuong, P. H.
Anh, P. T.
Nhung, N. V.
author_facet Hoa, N. B.
Phuc, P. D.
Hien, N. T.
Hoa, V. Q.
Thuong, P. H.
Anh, P. T.
Nhung, N. V.
author_sort Hoa, N. B.
collection PubMed
description BACKGROUND: Diabetes mellitus (DM) is recognized as an important comorbidity for the development of tuberculosis (TB). With the increase of DM burden globally, concerns have been raised about the emerging co-epidemics of DM and TB, especially in low- and middle-income countries. METHODS: A facility-based, cross-sectional study was carried out in all 30 district TB units in Hanoi, Vietnam. All eligible, diagnosed TB patients aged 15 years old or older were asked to provide consent and were screened for diabetes using fasting blood glucose (FBG). Pre-tested semi-structured questionnaires were used for collecting demographic data, lifestyle habits and clinical data. Identification of pre-diabetes or diabetes in TB patients was done in accordance to parameters set by the American Diabetes Association (2016). RESULTS: Of 870 eligible TB patients, 831 (95.5%) participated in the study. Of those, 241 (29%; 95%CI: 25.9–32.1%) were prediabetic and 114 (13.7%; 95%CI: 11.4–16.1%) were found to have DM. The risk of DM was higher in patients belonging to the age group 40–64 years (OR 6.09; 95%CI 2.81–13.2); or the age group 65 years or older (OR 2.65; 95%CI 1.65–4.25) or who have a family history of DM (OR 2.71; 95%CI 1.33–5.50). CONCLUSIONS: This study demonstrated high prevalence of DM and prediabetes among TB patients in Hanoi, Vietnam. National Tuberculosis Programme needs to establish a systematic screening process for DM among TB patients.
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spelling pubmed-62670942018-12-05 Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam Hoa, N. B. Phuc, P. D. Hien, N. T. Hoa, V. Q. Thuong, P. H. Anh, P. T. Nhung, N. V. BMC Infect Dis Research Article BACKGROUND: Diabetes mellitus (DM) is recognized as an important comorbidity for the development of tuberculosis (TB). With the increase of DM burden globally, concerns have been raised about the emerging co-epidemics of DM and TB, especially in low- and middle-income countries. METHODS: A facility-based, cross-sectional study was carried out in all 30 district TB units in Hanoi, Vietnam. All eligible, diagnosed TB patients aged 15 years old or older were asked to provide consent and were screened for diabetes using fasting blood glucose (FBG). Pre-tested semi-structured questionnaires were used for collecting demographic data, lifestyle habits and clinical data. Identification of pre-diabetes or diabetes in TB patients was done in accordance to parameters set by the American Diabetes Association (2016). RESULTS: Of 870 eligible TB patients, 831 (95.5%) participated in the study. Of those, 241 (29%; 95%CI: 25.9–32.1%) were prediabetic and 114 (13.7%; 95%CI: 11.4–16.1%) were found to have DM. The risk of DM was higher in patients belonging to the age group 40–64 years (OR 6.09; 95%CI 2.81–13.2); or the age group 65 years or older (OR 2.65; 95%CI 1.65–4.25) or who have a family history of DM (OR 2.71; 95%CI 1.33–5.50). CONCLUSIONS: This study demonstrated high prevalence of DM and prediabetes among TB patients in Hanoi, Vietnam. National Tuberculosis Programme needs to establish a systematic screening process for DM among TB patients. BioMed Central 2018-11-29 /pmc/articles/PMC6267094/ /pubmed/30497410 http://dx.doi.org/10.1186/s12879-018-3519-5 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Hoa, N. B.
Phuc, P. D.
Hien, N. T.
Hoa, V. Q.
Thuong, P. H.
Anh, P. T.
Nhung, N. V.
Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam
title Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam
title_full Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam
title_fullStr Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam
title_full_unstemmed Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam
title_short Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam
title_sort prevalence and associated factors of diabetes mellitus among tuberculosis patients in hanoi, vietnam
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267094/
https://www.ncbi.nlm.nih.gov/pubmed/30497410
http://dx.doi.org/10.1186/s12879-018-3519-5
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