Community based diabetes risk assessment in Ogun state, Nigeria (World Diabetes Foundation project 08-321)
Olutayo C Alebiosu1, Oluranti B Familoni2, Olawale O Ogunsemi2, TH Raimi3, Williams O Balogun4, O Odusan2, Segun A Oguntona2, Taiwo Olunuga5, Babatope A Kolawole6, Rosemary T Ikem6, Jokotade O Adeleye4, Olubiyi F Adesina5, Peter A Adewuyi7
1 Department of Medicine, Osun State University, Osogbo, Nigeria
2 Department of Medicine, Olabisi Onabanjo University, Ago-Iwoye, Nigeria
3 Department of Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria
4 Department of Medicine, University College Hospital, Ibadan, Nigeria
5 Federal Medical Centre, Idi Aba, Abeokuta, Nigeria
6 Department of Medicine, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria
7 Department of Health Services, University of Agriculture Abeokuta, Ogun State, Nigeria
Olutayo C Alebiosu
Department of Medicine, Osun State, University, Osogbo, Osun
Source of Support: World Diabetes Foundation, Conflict of Interest: Fund was
provided by the World Diabetes Foundation to run this project (WDF 08-321).
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 < 0.05). Mean fasting blood glucose (FBG) of all subjects was 5.5 mmol/L ± 0.67 mmol/L. Using a casual blood glucose >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.