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Prevalence, Patterns, and Factors Associated with Peripheral Neuropathies among Diabetic Patients at Tertiary Hospital in the Kilimanjaro Region: Descriptive Cross-Sectional Study from North-Eastern Tanzania
Joint Authors
Shao, Elichilia
Lyaruu, Isaack
Howlett, William P.
Dekker, Marieke C. J.
Chamba, Nyasatu G.
Amour, Ahlam A.
Kayandabila, Johnstone
Source
International Journal of Endocrinology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-06-04
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
Diabetic peripheral neuropathy (DPN) is a common microvascular complication of diabetes mellitus (DM) and may progress to diabetic foot, which frequently leads to amputation and/or disability and death.
Data is scanty on the burden of diabetic peripheral neuropathy in Tanzania.
The aim of this study was to assess the burden of peripheral neuropathy, its severity, and the associated factors.
Methods.
The study was a cross-sectional hospital-based study and was carried out from October 2017 to March 2018 among adolescent and adult patients attending Kilimanjaro Christian Medical Center (KCMC) diabetes clinic.
Results.
A total of 327 diabetic patients, females n=215 (65.7%) and males n=121 (34.3%), were included in the study.
The mean age was 57.2 yrs.
A total of 238 (72%) had type 2 and 89 (27.2%) had type1 DM.
The prevalence of peripheral neuropathy was 72.2% of whom 55% were severe, 19% were moderate, and 26% were mild.
The severity of neuropathy increased with the increase in age >40 years (p < 0.001) and increase in body mass index (p<0.001) and duration of diabetes; duration >7 years (p <0.006).
The main associated factors were age >40 years, OR 2.8 (1.0-7.7), >60 years, OR 6.4 (2.3-18.2), obesity, OR 6.7 (0.9-27.7), and hypertension, OR 4.3 (2.2-8.2).
Conclusion.
More than half of the patients included in this study were found to have neuropathy, nearly half of whom presented with the severe form.
The main risk factors were increasing age, increasing duration of diabetes, obesity, and hypertension.
Diabetic peripheral neuropathy is underdiagnosed in northern Tanzania where screening for neuropathy is not routinely done.
American Psychological Association (APA)
Amour, Ahlam A.& Chamba, Nyasatu G.& Kayandabila, Johnstone& Lyaruu, Isaack& Dekker, Marieke C. J.& Shao, Elichilia…[et al.]. 2019. Prevalence, Patterns, and Factors Associated with Peripheral Neuropathies among Diabetic Patients at Tertiary Hospital in the Kilimanjaro Region: Descriptive Cross-Sectional Study from North-Eastern Tanzania. International Journal of Endocrinology،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1159603
Modern Language Association (MLA)
Amour, Ahlam A.…[et al.]. Prevalence, Patterns, and Factors Associated with Peripheral Neuropathies among Diabetic Patients at Tertiary Hospital in the Kilimanjaro Region: Descriptive Cross-Sectional Study from North-Eastern Tanzania. International Journal of Endocrinology No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1159603
American Medical Association (AMA)
Amour, Ahlam A.& Chamba, Nyasatu G.& Kayandabila, Johnstone& Lyaruu, Isaack& Dekker, Marieke C. J.& Shao, Elichilia…[et al.]. Prevalence, Patterns, and Factors Associated with Peripheral Neuropathies among Diabetic Patients at Tertiary Hospital in the Kilimanjaro Region: Descriptive Cross-Sectional Study from North-Eastern Tanzania. International Journal of Endocrinology. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1159603
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159603