Association of glycemic control and anthropometric measurement among type 2 diabetes mellitus: a cross-sectional study

Mitku Mammo Taderegew; Mamo Solomon Emeria; Betregiorgis Zegeye

doi:10.1007/s13340-021-00490-w

Association of glycemic control and anthropometric measurement among type 2 diabetes mellitus: a cross-sectional study

Diabetol Int. 2021 Jan 25;12(4):356-363. doi: 10.1007/s13340-021-00490-w. eCollection 2021 Oct.

Authors

Mitku Mammo Taderegew¹, Mamo Solomon Emeria², Betregiorgis Zegeye³

Affiliations

¹ Department of Biomedical Sciences, School of Medicine, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.
² Department of Nursing, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.
³ HaSET Maternal and Child Health Research Program, Shewa Robit Field Office, Shewa Robit, Ethiopia.

Abstract

Introduction: Maintaining good glycemic control is the main therapeutic target for diabetes mellitus (DM) patients. Nevertheless, due to complex factors, the majority of patients worldwide persist poorly controlled. Hence the study was conducted to determine the association of anthropometric measurement and other factors with glycemic control among type 2 DM patients.

Methods: An institutional-based cross-sectional study was conducted among 366 type 2 DM patients from October-1 to November 30/2019. Data were collected by a pre-tested structured questionnaire and data abstraction format. The collected data were edited in Epi-data-4.4.1.0 and exported to SPSS-25 for analysis. The degree of association was assessed using logistic regression analysis and expressed in terms of p value and odds ratio with a 95%CI. p value < 0.05 was considered statistically significant.

Results: Of the total 366 participants, (66.1%) had poor glycemic control. Increased waist circumference (AOR 2.37, 95% CI 1.28-4.40 for overweight and AOR 3.31, 95% CI 1.28-8.58 for obesity), long duration of DM (AOR 2.12, 95% CI 1.14-3.95 for 5-10 years and AOR 5.67, 95% CI 1.76-11.30 for > 10 years), occupation (AOR 3.74, 95% CI 1.94-7.23 for government employee and AOR 4.90, 95% CI 2.19-10.94 for private employee), and family history of DM (AOR 1.93, 95% CI 1.08-3.43), were significantly associated with poor glycemic control.

Conclusion: Nearly two-thirds of study participants had poor glycemic control. Increased waist circumference, long duration of DM, occupational status, and family history of DM were independently associated with poor glycemic control. Therefore, type 2 DM patients with these identified factors should be strictly monitored to maintain good glycemic control.

Keywords: Anthropometric measurement; Ethiopia; Glycemic control; Type 2 DM.