Open AccessDIABETICS IN A LOW SOCIOECONOMIC COHORT;
Author(s) -
Ayesha Nageen,
Saera Suhail Kidwai,
Farhat BashIr,
Jamal Ara,
Syed Muhammad Munir
Publication year - 2017
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2017.24.03.1558
Subject(s) - medicine , dyslipidemia , body mass index , diabetes mellitus , blood pressure , obesity , metabolic syndrome , stroke (engine) , observational study , cross sectional study , disease , cohort , endocrinology , pathology , mechanical engineering , engineering
Objectives: To study the latest trend of cardiometabolic risk factors in diabeticsin a low socioeconomic group. Design: Cross sectional observational. Place and duration:Three tertiary care hospitals of Karachi. June 2013 – Dec 2014. Methods: 824 type II adultdiabetic patients of both genders were included. History was taken regarding diabetes, ischemicheart disease, hypertension, and cerebrovascular accidents. Blood pressure and BMI wasrecorded. Investigations were done for dyslipidemia. SPSS 16 was used for means, frequenciesand proportions. Results: There were 276 males (33%) and 548 females (67%) with a meanage of 52 years (±9.67). Mean duration of diabetes was 9.36 years (± 6.39). Hypertension waspresent in 375 (45%) diabetics of which males were 124(33%) and females were 251(66.6%).Frequency of hypertension in total diabetic males is 45% (125) and in females 45.6 %( 140).Ischemic heart disease was present in 105 patients (12.7%) in which males were 45(42.8%) andfemales were 60(57.1%). The male percentage of ischemic heart disease was 16.3% (45) of thetotal males and females 11 %( 40). Stroke was found in 19 patients (2.3%) equally distributed inboth genders. Mean Body mass Index was 28.02 (+/- 5.31) with 135 (16.3%) being overweightand 529 (64.2%) obese. Dyslipidemia was present in 250 (42.3%) out of 591 patients. Smokinghistory taken in 614 patients showed that 73 (11.8%) were smokers and/or chewed tobacco.Out of a total of 595 patients, 372 (62.5%) patients had metabolic syndrome. Conclusion:There is a strong association and high prevalence of cardiovascular risk factors in diabetics ina low socioeconomic group. Factors such as hypertension, dyslipidemia, obesity, and smokingfurther multiply the cardiovascular risk ratio in diabetics.