The prevalence and influencing factors of coexisting prediabetes and prehypertension among Bangladeshi adults

Background Early detection of diabetes and hypertension is helpful to prevent and/or delay the onset of these diseases through proper interventions. Therefore, it is a prerequisite to know the prevalence of prediabetes and prehypertension and the factors associated with these conditions but people f...

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Main Authors: Yesmin, Maksuda, Ali, Masum, Saha, Sanjib
Format: Journal Article
Language:Inglés
Published: Springer 2023
Subjects:
Online Access:https://hdl.handle.net/10568/140162
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author Yesmin, Maksuda
Ali, Masum
Saha, Sanjib
author_browse Ali, Masum
Saha, Sanjib
Yesmin, Maksuda
author_facet Yesmin, Maksuda
Ali, Masum
Saha, Sanjib
author_sort Yesmin, Maksuda
collection Repository of Agricultural Research Outputs (CGSpace)
description Background Early detection of diabetes and hypertension is helpful to prevent and/or delay the onset of these diseases through proper interventions. Therefore, it is a prerequisite to know the prevalence of prediabetes and prehypertension and the factors associated with these conditions but people from developing countries including Bangladesh often remain undiagnosed and unaware of these conditions. In this study we investigate the prevalence of prediabetes and prehypertension and their associated factors in Bangladesh using nationally representative data. Method We used nationally representative Bangladesh Demographic and Health Survey (BDHS) 2017–18 survey data, which included a total sample of 14,704 adults aged 18 years and more from whom blood pressure and fasting plasma glucose were collected. Chi-square test was used to examine the differences between sociodemographic and outcome variables. The univariate and multivariate logistic regression was performed to identify the factors associated with prediabetes and prehypertension. Results Overall, the prevalence of prediabetes and prehypertension was 8.6% with 14% of the sampled population having from prediabetes and prehypertension separately. Among the prediabetic and prehypertensive participants, one-fourth of the participant were from the richest families and around one-third were overweight/obese, while more than fifty percent had normal Body Mass Index (BMI) and completed secondary and higher education. In the univariate analysis, the richest wealth status (UOR 3.3, 95% CI: 2.46 -4.35) and overweight/obesity (UOR 3.2, 95% CI: 2.62–3.85) are the highest predictors for prediabetes and prehypertension. After adjusting the other variables, overweight/obesity remains the largest predictor for prediabetes and prehypertension (AOR:2.5, 95% CI:2.05–3.05). Further, people aged 31 and above and from the richest family had around 2 times and 1.8 times higher risk of being prediabetic and prehypertensive compared to the younger age people (18–30 years) and the poorest family (respectively). Conclusion The coexistence of prediabetes and prehypertension is an early sign of a greater burden of noncommunicable diseases (NCDs) in the near future for Bangladesh. To reduce the higher burden of NCDs, our findings call for a multisectoral approach to identify the precondition of NCDs with particular attention to maintaining body weight.
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spelling CGSpace1401622025-12-08T10:06:44Z The prevalence and influencing factors of coexisting prediabetes and prehypertension among Bangladeshi adults Yesmin, Maksuda Ali, Masum Saha, Sanjib research methods blood pressure data analysis data non-communicable diseases surveys diabetes hypertension obesity Background Early detection of diabetes and hypertension is helpful to prevent and/or delay the onset of these diseases through proper interventions. Therefore, it is a prerequisite to know the prevalence of prediabetes and prehypertension and the factors associated with these conditions but people from developing countries including Bangladesh often remain undiagnosed and unaware of these conditions. In this study we investigate the prevalence of prediabetes and prehypertension and their associated factors in Bangladesh using nationally representative data. Method We used nationally representative Bangladesh Demographic and Health Survey (BDHS) 2017–18 survey data, which included a total sample of 14,704 adults aged 18 years and more from whom blood pressure and fasting plasma glucose were collected. Chi-square test was used to examine the differences between sociodemographic and outcome variables. The univariate and multivariate logistic regression was performed to identify the factors associated with prediabetes and prehypertension. Results Overall, the prevalence of prediabetes and prehypertension was 8.6% with 14% of the sampled population having from prediabetes and prehypertension separately. Among the prediabetic and prehypertensive participants, one-fourth of the participant were from the richest families and around one-third were overweight/obese, while more than fifty percent had normal Body Mass Index (BMI) and completed secondary and higher education. In the univariate analysis, the richest wealth status (UOR 3.3, 95% CI: 2.46 -4.35) and overweight/obesity (UOR 3.2, 95% CI: 2.62–3.85) are the highest predictors for prediabetes and prehypertension. After adjusting the other variables, overweight/obesity remains the largest predictor for prediabetes and prehypertension (AOR:2.5, 95% CI:2.05–3.05). Further, people aged 31 and above and from the richest family had around 2 times and 1.8 times higher risk of being prediabetic and prehypertensive compared to the younger age people (18–30 years) and the poorest family (respectively). Conclusion The coexistence of prediabetes and prehypertension is an early sign of a greater burden of noncommunicable diseases (NCDs) in the near future for Bangladesh. To reduce the higher burden of NCDs, our findings call for a multisectoral approach to identify the precondition of NCDs with particular attention to maintaining body weight. 2023-06-20 2024-03-14T12:09:00Z 2024-03-14T12:09:00Z Journal Article https://hdl.handle.net/10568/140162 en Open Access Springer Yesmin, Maksuda; Ali, Masum; and Saha, Sanjib. 2023. The prevalence and influencing factors of coexisting prediabetes and prehypertension among Bangladeshi adults. BMC Public Health 23: 1184. https://doi.org/10.1186/s12889-023-16090-z
spellingShingle research methods
blood pressure
data analysis
data
non-communicable diseases
surveys
diabetes
hypertension
obesity
Yesmin, Maksuda
Ali, Masum
Saha, Sanjib
The prevalence and influencing factors of coexisting prediabetes and prehypertension among Bangladeshi adults
title The prevalence and influencing factors of coexisting prediabetes and prehypertension among Bangladeshi adults
title_full The prevalence and influencing factors of coexisting prediabetes and prehypertension among Bangladeshi adults
title_fullStr The prevalence and influencing factors of coexisting prediabetes and prehypertension among Bangladeshi adults
title_full_unstemmed The prevalence and influencing factors of coexisting prediabetes and prehypertension among Bangladeshi adults
title_short The prevalence and influencing factors of coexisting prediabetes and prehypertension among Bangladeshi adults
title_sort prevalence and influencing factors of coexisting prediabetes and prehypertension among bangladeshi adults
topic research methods
blood pressure
data analysis
data
non-communicable diseases
surveys
diabetes
hypertension
obesity
url https://hdl.handle.net/10568/140162
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