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Diabetes Awareness and Complications in Patients from Clinics in the Centre Region, Cameroon

Received: 9 January 2023    Accepted: 6 February 2023    Published: 21 February 2023
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Abstract

Background: Diabetes mellitus is a major public health problem with complications having significant morbidity and mortality on the populations. It is a growing condition in developing countries, which are hosting nearly 75% of the world's diabetic patients. In the present study, we assessed the knowledge, attitude and practices of diabetic patients about the disease risk factors (smoking, alcohol, lack of exercise), and determined the frequencies of complications and some links between risks factors and complications in patients attending health clinics in the centre region of Cameroon. Methodology: The study was conducted from June 2017 to June 2020 in diabetes clinics of the Centre region of Cameroon. Diabetic patients attending the clinics for routine follow-up were enrolled in the study after they consented and signed an informed consent form. Their socio-demographic data, dietetic habit (eating, cigarette and alcohol intake, physical activity) were recorded on a questionnaire while the disease complications were obtained from their medical record. Results: A total of 588 patients were involved in the study including 68.20% females and 31.80% males. Fourteen (2.4%) patients were type 1 diabetes while 96.60% were type 2 diabetes. The mean age of participants was 31.28 ± 4.38 and 59.00 ± 12.21 years old for type 1 and type 2 diabetes, respectively 37.52% participants regularly consumed alcohol whereas 3.74% were smokers. Complications of diabetes such as hypertension and ketoacidosis were detected in 62% and 15% of the diabetic participants, respectively. Physical activity significantly prevented or delayed the onset of hypertension, stroke and dyslipidemia. Significant association was observed between stroke and dyslipidemia in smokers as compared to non-smokers. Conclusion: This study reveals that diabetic patients had poor level of awareness, non-appropriated attitude toward preventing the outcome of disease complications.

Published in World Journal of Public Health (Volume 8, Issue 1)
DOI 10.11648/j.wjph.20230801.14
Page(s) 23-28
Creative Commons

This is an Open Access article, 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 or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Diabetes Mellitus, Patient’s Behaviors, Awareness and Complications

References
[1] Zabsonré P, Sedogo B, Lankoande D, Dyemkouma FX, Bertrand Ed. Obésité et maladies chroniques en Afrique Sub-saharienne. Med Afr Noire. 2000; 47: 5–9.
[2] Ling C, Groop L. Epigenetics: A molecular link between environmental factors and type 2 diabetes. Diabetes. (2009) 58: 2718–25.
[3] Manouk Bos, Charles Agyemang. Prevalence and complications of diabetes mellitus in Northern Africa, a systematic review. BMC Public Health. 2013 Apr 25; 13: 387.
[4] Jean Claude N Mbanya 1, Ayesha A Motala, Eugene Sobngwi, Felix K Assah, Sostanie T Enoru. Diabetes in sub-Saharan Africa. Lancet.. 2010 Jun 26; 375 (9733): 2254-66.
[5] Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985; 100 (2): 126 31.
[6] .Catapano AL, et al. ESC Scientific Document Group. 2016 ESC/EAS Guidelines for the Management of Dyslipidaemias. Eur Heart J. 2016 Oct 14; 37 (39): 2999-3058.
[7] Vinci SR, Rifas-Shiman SL, Cheng JK, Mannix RC, Gillman MW, de Ferranti SD. Cholesterol testing among children and adolescents during health visits. JAMA. 2014; 311 (17): 1804-1807.
[8] Zhe Shen, Stefan Munker, Chenyang Wang, Lei Xu, MD, Hua Ye, Hongtan Chen, Genyun Xu, Hong Zhang, Lihua Chen, Chaohui Yu, Youming Li. Association between alcohol intake, overweight, and serum lipid levels and the risk analysis associated with the development of dyslipidemia. Journal of Clinical lipodology (2014) 8, 276-278.
[9] Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise. 2007; 39 (8): 1435 45.
[10] Kathryn E Bradbury, Wenji Guo, Benjamin J Cairns, Miranda E G Armstrong, Timothy J Key. Association between physical activity and body fat percentage, with adjustment for BMI: a large cross-sectional analysis of UK. BMJ. 2017: 24; 7 (3).
[11] Mats Börjesson, Aron Onerup, Stefan Lundqvist, Björn Dahlöf. Physical activity and exercise lower blood pressure in individuals with hypertension. Narrative review of 27 RCTs. Br J Sports Med. 2016: 50 (6): 356-361.
[12] Kristi Reynolds, Brian Lewis, John David L Nolen, Gregory L Kinney, Bhavani Sathya, Jiang He Alcohol consumption and risk of stroke: a meta-analysis AMA. 2003: 5; 289 (5): 579-588.
[13] Biqi Pan, BS, Xiao Jin, Liu Jun, Shaohong Qiu, MD, Qiuping Zheng, BS, and Mingwo Pan, The relationship between smoking and stroke. Medicine (Baltimore). 2019; 98 (12): e14872.
[14] Markidan J, Cole JW, Cronin CA, et al. Smoking and risk of ischemic stroke in young men. Stroke 2018; 49: 1276–8.
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  • APA Style

    Abah Abah Aristide Stephane, Atabonkeng Etienne Philemon, Kom Bernadette Flaure, Haoua Farida Oumarou, Nwaha Nwaha Marcel Wilfried, et al. (2023). Diabetes Awareness and Complications in Patients from Clinics in the Centre Region, Cameroon. World Journal of Public Health, 8(1), 23-28. https://doi.org/10.11648/j.wjph.20230801.14

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    ACS Style

    Abah Abah Aristide Stephane; Atabonkeng Etienne Philemon; Kom Bernadette Flaure; Haoua Farida Oumarou; Nwaha Nwaha Marcel Wilfried, et al. Diabetes Awareness and Complications in Patients from Clinics in the Centre Region, Cameroon. World J. Public Health 2023, 8(1), 23-28. doi: 10.11648/j.wjph.20230801.14

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    AMA Style

    Abah Abah Aristide Stephane, Atabonkeng Etienne Philemon, Kom Bernadette Flaure, Haoua Farida Oumarou, Nwaha Nwaha Marcel Wilfried, et al. Diabetes Awareness and Complications in Patients from Clinics in the Centre Region, Cameroon. World J Public Health. 2023;8(1):23-28. doi: 10.11648/j.wjph.20230801.14

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  • @article{10.11648/j.wjph.20230801.14,
      author = {Abah Abah Aristide Stephane and Atabonkeng Etienne Philemon and Kom Bernadette Flaure and Haoua Farida Oumarou and Nwaha Nwaha Marcel Wilfried and Ateba Ohana Joseph Alain and Ngo Sack Francoise Fidele and Metogo Mbarga Bernard and Mapa Tassou Clarisse and Mbala Carine Florence and Mbanya Nganou Jean Claude},
      title = {Diabetes Awareness and Complications in Patients from Clinics in the Centre Region, Cameroon},
      journal = {World Journal of Public Health},
      volume = {8},
      number = {1},
      pages = {23-28},
      doi = {10.11648/j.wjph.20230801.14},
      url = {https://doi.org/10.11648/j.wjph.20230801.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20230801.14},
      abstract = {Background: Diabetes mellitus is a major public health problem with complications having significant morbidity and mortality on the populations. It is a growing condition in developing countries, which are hosting nearly 75% of the world's diabetic patients. In the present study, we assessed the knowledge, attitude and practices of diabetic patients about the disease risk factors (smoking, alcohol, lack of exercise), and determined the frequencies of complications and some links between risks factors and complications in patients attending health clinics in the centre region of Cameroon. Methodology: The study was conducted from June 2017 to June 2020 in diabetes clinics of the Centre region of Cameroon. Diabetic patients attending the clinics for routine follow-up were enrolled in the study after they consented and signed an informed consent form. Their socio-demographic data, dietetic habit (eating, cigarette and alcohol intake, physical activity) were recorded on a questionnaire while the disease complications were obtained from their medical record. Results: A total of 588 patients were involved in the study including 68.20% females and 31.80% males. Fourteen (2.4%) patients were type 1 diabetes while 96.60% were type 2 diabetes. The mean age of participants was 31.28 ± 4.38 and 59.00 ± 12.21 years old for type 1 and type 2 diabetes, respectively 37.52% participants regularly consumed alcohol whereas 3.74% were smokers. Complications of diabetes such as hypertension and ketoacidosis were detected in 62% and 15% of the diabetic participants, respectively. Physical activity significantly prevented or delayed the onset of hypertension, stroke and dyslipidemia. Significant association was observed between stroke and dyslipidemia in smokers as compared to non-smokers. Conclusion: This study reveals that diabetic patients had poor level of awareness, non-appropriated attitude toward preventing the outcome of disease complications.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Diabetes Awareness and Complications in Patients from Clinics in the Centre Region, Cameroon
    AU  - Abah Abah Aristide Stephane
    AU  - Atabonkeng Etienne Philemon
    AU  - Kom Bernadette Flaure
    AU  - Haoua Farida Oumarou
    AU  - Nwaha Nwaha Marcel Wilfried
    AU  - Ateba Ohana Joseph Alain
    AU  - Ngo Sack Francoise Fidele
    AU  - Metogo Mbarga Bernard
    AU  - Mapa Tassou Clarisse
    AU  - Mbala Carine Florence
    AU  - Mbanya Nganou Jean Claude
    Y1  - 2023/02/21
    PY  - 2023
    N1  - https://doi.org/10.11648/j.wjph.20230801.14
    DO  - 10.11648/j.wjph.20230801.14
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 23
    EP  - 28
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20230801.14
    AB  - Background: Diabetes mellitus is a major public health problem with complications having significant morbidity and mortality on the populations. It is a growing condition in developing countries, which are hosting nearly 75% of the world's diabetic patients. In the present study, we assessed the knowledge, attitude and practices of diabetic patients about the disease risk factors (smoking, alcohol, lack of exercise), and determined the frequencies of complications and some links between risks factors and complications in patients attending health clinics in the centre region of Cameroon. Methodology: The study was conducted from June 2017 to June 2020 in diabetes clinics of the Centre region of Cameroon. Diabetic patients attending the clinics for routine follow-up were enrolled in the study after they consented and signed an informed consent form. Their socio-demographic data, dietetic habit (eating, cigarette and alcohol intake, physical activity) were recorded on a questionnaire while the disease complications were obtained from their medical record. Results: A total of 588 patients were involved in the study including 68.20% females and 31.80% males. Fourteen (2.4%) patients were type 1 diabetes while 96.60% were type 2 diabetes. The mean age of participants was 31.28 ± 4.38 and 59.00 ± 12.21 years old for type 1 and type 2 diabetes, respectively 37.52% participants regularly consumed alcohol whereas 3.74% were smokers. Complications of diabetes such as hypertension and ketoacidosis were detected in 62% and 15% of the diabetic participants, respectively. Physical activity significantly prevented or delayed the onset of hypertension, stroke and dyslipidemia. Significant association was observed between stroke and dyslipidemia in smokers as compared to non-smokers. Conclusion: This study reveals that diabetic patients had poor level of awareness, non-appropriated attitude toward preventing the outcome of disease complications.
    VL  - 8
    IS  - 1
    ER  - 

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Author Information
  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department for the Control of Diseases, Epidemics and Pandemics, Ministry of Public Health, Yaounde, Cameroon

  • Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon

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