Cargando…

Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus

This study examines the rate and the influencing factors of glycemic control among adult residents living with DM in Mkhondo Municipality of South Africa. In this cross-sectional study, 157 individuals attending care for DM were recruited. Glycemic control status was categorized as poor if glycated...

Descripción completa

Detalles Bibliográficos
Autores principales: Masilela, Charity, Pearce, Brendon, Ongole, Joven Jebio, Adeniyi, Oladele Vincent, Benjeddou, Mongi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7710224/
https://www.ncbi.nlm.nih.gov/pubmed/33235135
http://dx.doi.org/10.1097/MD.0000000000023467
_version_ 1783617903400058880
author Masilela, Charity
Pearce, Brendon
Ongole, Joven Jebio
Adeniyi, Oladele Vincent
Benjeddou, Mongi
author_facet Masilela, Charity
Pearce, Brendon
Ongole, Joven Jebio
Adeniyi, Oladele Vincent
Benjeddou, Mongi
author_sort Masilela, Charity
collection PubMed
description This study examines the rate and the influencing factors of glycemic control among adult residents living with DM in Mkhondo Municipality of South Africa. In this cross-sectional study, 157 individuals attending care for DM were recruited. Glycemic control status was categorized as poor if glycated hemoglobin (HbA1c) > 7% and very poor if HbA1c ≥ 9%. Multivariate regression analysis was used to identify the significant determinants of poor and very poor glycemic control. The majority of the study participants were females (84.71%) and above 45 years old (88.55%). The overall prevalence of poor glycemic control was 77.71% (n = 122), while very poor glycemic control occurred in 50.6% (n = 80) of the study cohort. In the multivariate logistic regression model analysis, African traditional [AOR = 0.15; 95% confidence interval (95% CI) 0.04–0.57], fast food consumption (AOR = 5.89; 95% CI 2.09–16.81), elevated total cholesterol (TC) [odds ratio (OR) = 2.33; 95% CI 1.50–5.17], elevated low-density lipoprotein cholesterol (LDL-C) (AOR = 5.28; 95% CI 1.89–14.69), and triglyceride (TG) (AOR = 4.39; 95% CI 1.48–13.00) were the independent and significant determinants of poor glycemic control. Age (AOR = 0.46; 95% CI 0.23–0.92) was the only independent and significant determinant of very poor glycemic control. We found a high rate of poor glycemic control (77.71%) possibly attributed to religious affiliation, fast food consumption, and dyslipidemia. On the contrary, about half of the study sample had very poor glycemic control (HbA1c ≥9%), which was predominant among younger cohort with diabetes mellitus. Interventions aimed at improving glycemic control in this population must also target religious practice, dietary patterns and dyslipidemia as well as tailored-approach for young people.
format Online
Article
Text
id pubmed-7710224
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-77102242020-12-03 Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus Masilela, Charity Pearce, Brendon Ongole, Joven Jebio Adeniyi, Oladele Vincent Benjeddou, Mongi Medicine (Baltimore) 6600 This study examines the rate and the influencing factors of glycemic control among adult residents living with DM in Mkhondo Municipality of South Africa. In this cross-sectional study, 157 individuals attending care for DM were recruited. Glycemic control status was categorized as poor if glycated hemoglobin (HbA1c) > 7% and very poor if HbA1c ≥ 9%. Multivariate regression analysis was used to identify the significant determinants of poor and very poor glycemic control. The majority of the study participants were females (84.71%) and above 45 years old (88.55%). The overall prevalence of poor glycemic control was 77.71% (n = 122), while very poor glycemic control occurred in 50.6% (n = 80) of the study cohort. In the multivariate logistic regression model analysis, African traditional [AOR = 0.15; 95% confidence interval (95% CI) 0.04–0.57], fast food consumption (AOR = 5.89; 95% CI 2.09–16.81), elevated total cholesterol (TC) [odds ratio (OR) = 2.33; 95% CI 1.50–5.17], elevated low-density lipoprotein cholesterol (LDL-C) (AOR = 5.28; 95% CI 1.89–14.69), and triglyceride (TG) (AOR = 4.39; 95% CI 1.48–13.00) were the independent and significant determinants of poor glycemic control. Age (AOR = 0.46; 95% CI 0.23–0.92) was the only independent and significant determinant of very poor glycemic control. We found a high rate of poor glycemic control (77.71%) possibly attributed to religious affiliation, fast food consumption, and dyslipidemia. On the contrary, about half of the study sample had very poor glycemic control (HbA1c ≥9%), which was predominant among younger cohort with diabetes mellitus. Interventions aimed at improving glycemic control in this population must also target religious practice, dietary patterns and dyslipidemia as well as tailored-approach for young people. Lippincott Williams & Wilkins 2020-11-25 /pmc/articles/PMC7710224/ /pubmed/33235135 http://dx.doi.org/10.1097/MD.0000000000023467 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6600
Masilela, Charity
Pearce, Brendon
Ongole, Joven Jebio
Adeniyi, Oladele Vincent
Benjeddou, Mongi
Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus
title Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus
title_full Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus
title_fullStr Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus
title_full_unstemmed Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus
title_short Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus
title_sort factors associated with glycemic control among south african adult residents of mkhondo municipality living with diabetes mellitus
topic 6600
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7710224/
https://www.ncbi.nlm.nih.gov/pubmed/33235135
http://dx.doi.org/10.1097/MD.0000000000023467
work_keys_str_mv AT masilelacharity factorsassociatedwithglycemiccontrolamongsouthafricanadultresidentsofmkhondomunicipalitylivingwithdiabetesmellitus
AT pearcebrendon factorsassociatedwithglycemiccontrolamongsouthafricanadultresidentsofmkhondomunicipalitylivingwithdiabetesmellitus
AT ongolejovenjebio factorsassociatedwithglycemiccontrolamongsouthafricanadultresidentsofmkhondomunicipalitylivingwithdiabetesmellitus
AT adeniyioladelevincent factorsassociatedwithglycemiccontrolamongsouthafricanadultresidentsofmkhondomunicipalitylivingwithdiabetesmellitus
AT benjeddoumongi factorsassociatedwithglycemiccontrolamongsouthafricanadultresidentsofmkhondomunicipalitylivingwithdiabetesmellitus