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

Simple item page
dc.contributor.authorMasilela, Charity
dc.contributor.authorPearce, Brendon
dc.contributor.authorOngole, Joven Jebio
dc.date.accessioned2022-06-21T08:09:59Z
dc.date.available2022-06-21T08:09:59Z
dc.date.issued2020
dc.description.abstractThis 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.en_US
dc.identifier.citationMasilela, C. et al. (2020). Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus. Medicine, 99 (48), e23467. 10.1097/MD.0000000000023467en_US
dc.identifier.issn1536-5964
dc.identifier.uri10.1097/MD.0000000000023467
dc.identifier.urihttp://hdl.handle.net/10566/7527
dc.language.isoenen_US
dc.publisherLippincott, Williams & Wilkinsen_US
dc.subjectDiabetes mellitusen_US
dc.subjectBlood sugaren_US
dc.subjectMkhondo municipalityen_US
dc.subjectAdult residentsen_US
dc.subjectSouth Africaen_US
dc.titleFactors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitusen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
masilela_factors associated with glycemic control_2020.pdf
Size:
277.62 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Research Articles (Biotechnology)