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Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Prevalence and determinants of diabetes among older adults in Ghana

Authors: Samwel Maina Gatimu, Benson Williesham Milimo, Miguel San Sebastian

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Diabetes is one of the leading non-communicable diseases in Africa, contributing to the increasing disease burden among the old adults. Thus, the aim of this study was to determine the prevalence and determinants of diabetes among adults aged 50 years and above in Ghana.

Methods

A cross sectional study based on data collected from Study of Ageing and Adult Health (SAGE) Wave 1 from 2007 to 2008. Data was collected from 5565 respondents of whom 4135 were aged 50+ years identified using a multistage stratified clusters design. Bivariate and hierarchical multivariable logistic regression models were used to examine the association of the determinants and diabetes.

Results

The weighted prevalence of diabetes among the adults aged 50 years and above in Ghana was 3.95% (95% Confidence Interval: 3.35–4.55) with the prevalence being insignificantly higher in females than males (2.16%, 95% CI: 1.69–2.76 vs. 1.73%, 95% CI: 1.28–2.33). Low level of physical activity (Adjusted Odds Ratio [AOR] 2.11, 95% CI: 1.21–3.69) and obesity (AOR 4.81, 95% CI: 1.92–12.0) were associated with increased odds of diabetes among women while old age (AOR 2.58, 95% CI: 1.29–5.18) and university (AOR 12.8, 95% CI: 4.20–39.1), secondary (AOR 3.61, 95% CI: 1.38–9.47) and primary education (AOR 2.71, 95% CI: 1.02–7.19) were associated with increased the odds of diabetes among men.

Conclusion

The prevalence of diabetes among old adults shows a similar trend with that of the general population. However, the prevalence may have been underestimated due to self-reporting and a high rate of undiagnosed diabetes. In addition, the determinants of diabetes among older adults are a clear indication of the need for diabetes prevention programme targeting the young people and that are gender specific to reduce the burden of diabetes at old age. Physical activity and nutrition should be emphasised in any prevention strategy.
Literature
1.
Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2197–223.CrossRefPubMed
2.
IDF: IDF Diabetes Atlas, 6 edn. Brussels, Belgium: International Diabetes Federation; 2013.
3.
WHO: Global status report on noncommunicable diseases 2010. Italy: World Health Organization; 2011
4.
Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137–49.CrossRefPubMed
5.
Whiting DR, Guariguata L, Weil C, Shaw J. IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011;94(3):311–21.CrossRefPubMed
6.
Beagley J, Guariguata L, Weil C, Motala AA. Global estimates of undiagnosed diabetes in adults. Diabetes Res Clin Pract. 2014;103(2):150–60.CrossRefPubMed
7.
Ayah R, Joshi MD, Wanjiru R, Njau EK, Otieno CF, Njeru EK, Mutai KK. A population-based survey of prevalence of diabetes and correlates in an urban slum community in Nairobi, Kenya. BMC Public Health. 2013;13:371.CrossRefPubMedPubMedCentral
8.
Motala AA, Esterhuizen T, Gouws E, Pirie FJ, Omar MA. Diabetes and other disorders of glycemia in a rural South African community: prevalence and associated risk factors. Diabetes Care. 2008;31(9):1783–8.CrossRefPubMedPubMedCentral
9.
Mbanya JC, Motala AA, Sobngwi E, Assah FK, Enoru ST. Diabetes in sub-Saharan Africa. Lancet. 2010;375(9733):2254–66.CrossRefPubMed
10.
Assari S. Cross-country variation in additive effects of socio-economics, health behaviors, and comorbidities on subjective health of patients with diabetes. J Diabetes Metab Disord. 2014;13:36.CrossRefPubMedPubMedCentral
11.
Assari S, Lankarani RM, Lankarani MM. Cross-country differences in the association between diabetes and disability. J Diabetes Metab Disord. 2014;13:3.CrossRefPubMedPubMedCentral
12.
Werfalli M, Engel ME, Musekiwa A, Kengne AP, Levitt NS. The prevalence of type 2 diabetes among older people in Africa: a systematic review. lancet Diabetes Endocrinol. 2016;4(1):72–84.CrossRefPubMed
13.
Mensah GA. Descriptive epidemiology of cardiovascular risk factors and diabetes in sub-Saharan Africa. Prog Cardiovasc Dis. 2013;56(3):240–50.CrossRefPubMed
14.
Abubakari AR, Bhopal RS. Systematic review on the prevalence of diabetes, overweight/obesity and physical inactivity in Ghanaians and Nigerians. Public Health. 2008;122(2):173–82.CrossRefPubMed
15.
Danquah I, Bedu-Addo G, Terpe KJ, Micah F, Amoako YA, Awuku YA, Dietz E, van der Giet M, Spranger J, Mockenhaupt FP. Diabetes mellitus type 2 in urban Ghana: characteristics and associated factors. BMC Public Health. 2012;12:210.CrossRefPubMedPubMedCentral
16.
Saeed BI, Abdul-Aziz AR, Nguah SB, Zhao X. The effect of socio-economic predictors of chronic diseases in Ghana: results of a nationwide survey. Global J Health Sci. 2013;5(5):115–23.
17.
Amoah AG, Owusu SK, Adjei S. Diabetes in Ghana: a community based prevalence study in Greater Accra. Diabetes Res Clin Pract. 2002;56(3):197–205.CrossRefPubMed
18.
Mba CJ: Population ageing in ghana: research gaps and the way forward. Journal of aging research 2010, 2010
19.
Biritwum RB, Mensah G, Minicuci N, Yawson AE, Naidoo N, Chatterji S, Kowal P. Household characteristics for older adults and study background from SAGE Ghana Wave 1. Glob Health Action. 2013;6:20096.CrossRef
20.
Kowal P, Chatterji S, Naidoo N, Biritwum R, Fan W, Lopez Ridaura R, Maximova T, Arokiasamy P, Phaswana-Mafuya N, Williams S, et al. Data resource profile: the World Health Organization study on global AGEing and adult health (SAGE). Int J Epidemiol. 2012;41(6):1639–49.CrossRefPubMedPubMedCentral
21.
WHO. WHO SAGE survey manual: the WHO study on global AGEing and adult health (SAGE). Geneva: World Health Organization; 2006.
22.
Biritwum RB, Mensah G, Yawson AE, Minicuci N. Study on global AGEing and adult health (SAGE) wave 1: the Ghana national report. Geneva: World Health Organization; 2013.
23.
Cook-Huynh M, Ansong D, Steckelberg RC, Boakye I, Seligman K, Appiah L, Kumar N, Amuasi JH. Prevalence of hypertension and diabetes mellitus in adults from a rural community in Ghana. Ethn Dis. 2012;22(3):347–52.PubMed
24.
WHO. Global physical activity questionnaire (GPAQ): analysis guide. Geneva: World Health Organization; 2009.
25.
StataCorp. Stata statistical software: release 13. College Station: StataCorp LP; 2013.
26.
Kyari F, Tafida A, Sivasubramaniam S, Murthy GV, Peto T, Gilbert CE, Nigeria National B, Visual Impairment Study G. Prevalence and risk factors for diabetes and diabetic retinopathy: results from the Nigeria national blindness and visual impairment survey. BMC Public Health. 2014;14:1299.CrossRefPubMedPubMedCentral
27.
Phaswana-Mafuya N, Peltzer K, Chirinda W, Musekiwa A, Kose Z, Hoosain E, Davids A, Ramlagan S. Self-reported prevalence of chronic non-communicable diseases and associated factors among older adults in South Africa. Glob Health Action. 2013;6:20936.CrossRef
28.
Oti SO, van de Vijver SJ, Agyemang C, Kyobutungi C. The magnitude of diabetes and its association with obesity in the slums of Nairobi, Kenya: results from a cross-sectional survey. Trop Med Int Health. 2013;18(12):1520–30.CrossRefPubMed
29.
Christensen DL, Friis H, Mwaniki DL, Kilonzo B, Tetens I, Boit MK, Omondi B, Kaduka L, Borch-Johnsen K. Prevalence of glucose intolerance and associated risk factors in rural and urban populations of different ethnic groups in Kenya. Diabetes Res Clin Pract. 2009;84(3):303–10.CrossRefPubMed
30.
Parker L, Lamont DW, Unwin N, Pearce MS, Bennett SMA, Dickinson HO, White M, Mathers JC, Alberti KGMM, Craft AW. A lifecourse study of risk for hyperinsulinaemia, dyslipidaemia and obesity (the central metabolic syndrome) at age 49-51 years. Diabet Med. 2003;20(5):406–15.CrossRefPubMed
31.
Senadza B. Education inequality in Ghana: gender and spatial dimensions. J Econ Stud. 2012;39(6):724–39.CrossRef
32.
Lachat C, Otchere S, Roberfroid D, Abdulai A, Seret FM, Milesevic J, Xuereb G, Candeias V, Kolsteren P. Diet and physical activity for the prevention of noncommunicable diseases in low- and middle-income countries: a systematic policy review. PLoS Med. 2013;10(6):e1001465.CrossRefPubMedPubMedCentral
33.
Kuznetsov L, Simmons RK, Sutton S, Kinmonth AL, Griffin SJ, Hardeman W, team AD-Ps. Predictors of change in objectively measured and self-reported health behaviours among individuals with recently diagnosed type 2 diabetes: longitudinal results from the ADDITION-Plus trial cohort. Int J Behav Nutr Phys Act. 2013;10(1):1.CrossRef
34.
Turrell G, Kavanagh AM. Socio-economic pathways to diet: modelling the association between socio-economic position and food purchasing behaviour. Public Health Nutr. 2006;9(03):375–83.CrossRefPubMed
35.
Sobngwi E, Mbanya JCN, Unwin NC, Kengne AP, Fezeu L, Minkoulou EM, Aspray TJ, Alberti K. Physical activity and its relationship with obesity, hypertension and diabetes in urban and rural Cameroon. Int J Obes. 2002;26(7):1009–16.CrossRef
36.
Obirikorang Y, Obirikorang C, Odame Anto E, Acheampong E, Dzah N, Akosah CN, Nsenbah EB. Knowledge and lifestyle-associated prevalence of obesity among newly diagnosed type II diabetes mellitus patients attending diabetic clinic at komfo anokye teaching hospital, kumasi,ghana: a hospital-based cross-sectional study. J Diabetes Res. 2016;2016:9759241.CrossRefPubMedPubMedCentral
37.
Tuei VC, Maiyoh GK, Ha CE. Type 2 diabetes mellitus and obesity in sub-Saharan Africa. Diabetes-Metabolism Res Rev. 2010;26(6):433–45.CrossRef
38.
Wannamethee SG, Papacosta O, Lawlor DA, Whincup PH, Lowe GD, Ebrahim S, Sattar N. Do women exhibit greater differences in established and novel risk factors between diabetes and non-diabetes than men? The British regional heart study and British Women’s heart health study. Diabetologia. 2012;55(1):80–7.CrossRefPubMed
39.
Mbanya JC, Assah FK, Saji J, Atanga EN. Obesity and type 2 diabetes in Sub-Sahara Africa. Curr Diab Rep. 2014;14(7):1–8.CrossRef
40.
Maiyaki MB, Garbati MA. The burden of non-communicable diseases in Nigeria; in the context of globalization. Ann Afr Med. 2014;13(1):1–10.CrossRefPubMed
41.
Khazrai YM, Defeudis G, Pozzilli P. Effect of diet on type 2 diabetes mellitus: a review. Diabetes-Metabolism Res Rev. 2014;30 Suppl 1:24–33.CrossRef
42.
Maimela E, Alberts M, Modjadji SE, Choma SS, Dikotope SA, Ntuli TS, Van Geertruyden JP. The prevalence and determinants of chronic Non-communicable disease risk factors amongst adults in the dikgale health demographic and surveillance system (HDSS) site, Limpopo province of South Africa. PLoS One. 2016;11(2):e0147926.CrossRefPubMedPubMedCentral
43.
Aspray TJ, Mugusi F, Rashid S, Whiting D, Edwards R, Alberti KG, Unwin NC. Essential Non-communicable disease health intervention P: rural and urban differences in diabetes prevalence in Tanzania: the role of obesity, physical inactivity and urban living. Trans R Soc Trop Med Hyg. 2000;94(6):637–44.CrossRefPubMed
44.
Neupane S, Prakash KC, Doku DT. Overweight and obesity among women: analysis of demographic and health survey data from 32 Sub-Saharan African Countries. BMC Public Health. 2016;16:30.CrossRefPubMedPubMedCentral
45.
WHO. Screening for type 2 diabetes: report of a world health organization and international diabetes federation meeting. Geneva: World Health Organization Department of Noncommunicable Disease Management; 2003.
Metadata
Title
Prevalence and determinants of diabetes among older adults in Ghana
Authors
Samwel Maina Gatimu
Benson Williesham Milimo
Miguel San Sebastian
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3845-8

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