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Childhood diabetes in a Bangladeshi population

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DOI: 10.4236/jdm.2013.31006    4,397 Downloads   7,647 Views   Citations

ABSTRACT

Backgrounds and Aims: Several epidemiological investigations revealed that the prevalence of Type 2 Diabetes Mellitus (T2DM) has been increasing in the adult population of Bangladesh. But the prevalence of diabetes among the children and adolescents in Bangladesh has not been reported. This study addressed the prevalence of diabetes among the younger people in Bangladesh. Subjects and Methods: We investigated school children of age group 10 - 18 years in rural, suburban and urban communities. Investigations included socio-demographic information, height, weight, mid-upper-arm circumference (MUAC), blood pressure (SBP, DBP) and fasting plasma glucose (FPG). We used WHO criteria (1999) for impaired fasting glucose (IFG) and diabetes mellitus (T2DM). Results: A total of 2152 students (boys/girls: 1064/1088) volunteered the study. Their mean (SD) age was 13.3 (2.0) y, BMI was 18.5 (3.1) and MUAC was 21.2 (3.4) cm. The mean (SD) of FPG was 4.6 (0.87) mmol/l. The prevalence of IFG (95% CI) was 3.4% (2.63 - 4.17) and T2DM was 1.8% (1.23 - 2.37). BMI showed no association with FPG in either sex. In assessing risk for hyperglycemia (FPG > = 5.6mmol/l), logistic regression showed [odds ratio (OR) with 95% CI] that compared with lower age (<12 vs="">16 y) higher age had excess risk (OR 5.2, 2.92 - 9.23). Compared with the rural the urban children had higher risk (OR 14.7, 6.41 - 33.78). Higher family income was also found to have higher risk (BDT <5000 vs="">8000: OR 2.03, 1.30 - 3.18); whereas, higher BMI and MUAC were proved to be not significant. Conclusions: The prevalence of IFG and T2DM in Bangladeshi children and adolescents appears to be high. The urban children from the higher family income are the most vulnerable for developing diabetes, obesity and hypertension. A prospective cohort including other variables like physical activities, waist-girth, insulin or macro-/micronutrients may explain which risk factors are significant for developing diabetes among children and adolescents in Bangladesh.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Sayeed, M. , Rhaman, M. , Fayzunnessa, N. , Khanam, P. , Begum, T. , Mahtab, H. and Banu, A. (2013) Childhood diabetes in a Bangladeshi population. Journal of Diabetes Mellitus, 3, 33-37. doi: 10.4236/jdm.2013.31006.

References

[1] Singh, A.C. (2000) Bangladesh Bureau of Statistics. Statistical pocket book of Bangladesh 2000. In: Singha, A.C., Ed., Statistical Division, Ministry of Planning, Government of the People’s Republic of Bangladesh, Dhaka.
[2] International Diabetes Federation (2009) Diabetes atlas. 4th Edition.
[3] Ehtisham, S., Hattersley, A.T., Dunger, D.B., et al. (2004) First UK survey of paediatric type 2 diabetes and MODY. Archives of Disease in Childhood, 89, 526-529. doi:10.1136/adc.2003.027821
[4] Ehitisham, S., Barrett, T.G. and Shaw, N.J. (2000) Type 2 diabetes mellitus in UK children and emerging problem. Diabetic Medicine, 17, 867-871. doi:10.1046/j.1464-5491.2000.00409.x
[5] Drake, A.J., Smith, A. and Betts, P.R., et al. (2002) Type 2 diabetes in obese white children. Archives of Disease in Childhood, 86, 207-208. doi:10.1136/adc.86.3.207
[6] Department of Health (2001) National service framework for diabetes. www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/Browsable/
DH_4096591
[7] World Health Organization (1999) Report of a WHO consultation, definition, diagnosis and classification of diabetes mellitus and its complications. WHO/NCD/NCS/ 99.2, Geneva.
[8] London Health Commission Awards. Maslaha wins award at City Hal. www.london.gvt.uk/llhcawards
[9] Bloomgarden, Z.T. (2004) Type 2 diabetes in the young: The evolving epidemic. Diabetes Care, 27, 998-1010. doi:10.2337/diacare.27.4.998
[10] Dabelea, D., Hanson, R.L., Bennett, P.H., Roumain, J., Knowler, W.C. and Pettitt, D.J. (1988) Increasing prevalence of type II diabetes in American Indian children. Diabetologia, 41, 904-910. doi:10.1007/s001250051006
[11] Kirstie, K., Danielson, K.K., Drum, M.L. and Lipton, R.B. (2008) Sex hormone-binding globulin and testosterone in individuals with childhood diabetes. Diabetes Care, 31, 1207-1213.

  
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