Poor glycaemic control and its metabolic and demographic risk factors in a Malaysian community-based study

Reidpath, Daniel D.; Soyiri, Ireneous; Jahan, Nowrozy K.; Mohan, Devi; Ahmad, Badariah; Ahmad, Mohtar Pungut; Kassim, Zaid Bin; Allotey, Pascale

Abstract

Objectives
The lack of population-based evidence on the risk factors for poor glycaemic control in diabetics, particularly in resource-poor settings, is a challenge for the prevention of long-term complications. This study aimed to identify the metabolic and demographic risk factors for poor glycaemic control among diabetics in a rural community in Malaysia.

Methods
A total of 1844 (780 males and 1064 females) known diabetics aged ≥ 35 years were identified from the South East Asia Community Observatory (SEACO) health and demographic surveillance site database.

Results
41.3% of the sample had poor glycaemic control. Poor glycaemic control was associated with age and ethnicity, with older participants (65+) better controlled than younger adults (45–54), and Malaysian Indians most poorly controlled, followed by Malay and then Chinese participants. Metabolic risk factors were also highly associated with poor glycaemic control.

Conclusions
There is a critical need for evidence for a better understanding of the mechanisms of the associations between risk factors and glycaemic control.

Citation

Reidpath, D. D., Soyiri, I., Jahan, N. K., Mohan, D., Ahmad, B., Ahmad, M. P., Kassim, Z. B., & Allotey, P. (2018). Poor glycaemic control and its metabolic and demographic risk factors in a Malaysian community-based study. International Journal of Public Health, 63(2), 193-202. https://doi.org/10.1007/s00038-017-1072-4

• Journal Article Type: Article
• Acceptance Date: Nov 7, 2017
• Online Publication Date: Jan 25, 2018
• Publication Date: 2018-03
• Deposit Date: May 15, 2019
• Journal: International Journal of Public Health
• Print ISSN: 1661-8556
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 63
• Issue: 2
• Pages: 193-202
• DOI: https://doi.org/10.1007/s00038-017-1072-4
• Keywords: Glycaemic control; Health and demographic surveillance site; Metabolic risk factors; Ethnicity; Ecological factors
• Public URL: https://hull-repository.worktribe.com/output/1740581
• Publisher URL: https://link.springer.com/article/10.1007%2Fs00038-017-1072-4