Risk factors and prevalence of diabetic peripheral neuropathy: A study of type 2 diabetic outpatients in Bangladesh.

Risk factors and prevalence of diabetic peripheral neuropathy: A study of type 2 diabetic outpatients in Bangladesh.
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DOI:
10.4103/0973-3930.60004
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发表时间:
2010-01
影响因子:
0.9
通讯作者:
Hussain A
Hussain A
中科院分区:
医学4区
文献类型:
--
作者:
Mørkrid K;Ali L;Hussain A

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本研究的目的是评估孟加拉国BIRDEM医院2型糖尿病门诊患者中糖尿病周围神经病变(DPN)的患病率和危险因素。2型糖尿病门诊患者,诊断5-11年前的调查是随机选择的研究。采用神经病变症状评分(NSS)和神经病变残疾评分(NDS)评估DPN。收集了人口统计学、血压、身高、体重、腰围和臀围以及随机血液和尿液样本的数据。294例(139例男性,155例女性)2型糖尿病门诊患者进行了研究。糖尿病周围神经病变的总患病率为19.7%;男性(20.9%),女性(18.7%)。患病率随年龄(从23-40岁组的11.1%增加到60-80岁组的32.3%)和糖尿病病程(从5年患者的14.1%增加到9-11年患者的29.2%)而增加。年龄> 60岁(OR 4.2,95% CI 1.4-12.3)、低/正常WHR(OR 3.8,95% CI 1.6-9.3)、收入< 800 TK(OR 3.1,95% CI 1.1-9.3)和胰岛素治疗(OR 2.0,95% CI 1.0-4.0)是独立的、显著的危险因素。糖尿病病程较长(OR 1.2,95% CI 1.0-1.4)和HbA 1c较高(OR 1.1,95% CI 1.0-1.3)是DPN的边缘独立、显著风险因素。我们观察到DPN患病率为19.7%。年龄大、社会经济地位低、胰岛素治疗、糖尿病病程长和血糖控制差是DPN的危险因素。
The purpose of the study is to estimate the prevalence and risk factors for diabetic peripheral neuropathy (DPN) in type 2 diabetic outpatients at the BIRDEM hospital, Bangladesh. Type 2 diabetic outpatients, diagnosed 5-11 years prior to the investigation were randomly selected for the study. DPN was assessed using the Neuropathy Symptom Score (NSS) and Neuropathy Disability Score (NDS). Data about demographics, blood pressure, height, weight, waist and hip circumference, and random blood and urine samples were collected. Two hundred and ninety four (139 men, 155 women) type 2 diabetic outpatients were studied. The overall DPN prevalence was 19.7 %; male (20.9%), female (18.7 %). The prevalence increased with age (from 11.1% in the 23-40 year-old group to 32.3% in the 60-80 year-old group) and duration of diabetes (from 14.1% in patients with five years to 29.2% in patients with 9-11 years duration). Age > 60 years (OR 4.2, 95% CI 1.4-12.3), low/normal WHR (OR 3.8, 95% CI 1.6-9.3), income < 800 TK (OR 3.1, 95% CI 1.1-9.3) and insulin treatment (OR 2.0, 95% CI 1.0-4.0) were independent, significant risk factors. Longer duration of diabetes (OR1.2 95% CI 1.0-1.4), and higher HbA1c (OR1.1, 95% CI 1.0-1.3) were marginally independent, significant risk factors for DPN. We observed a DPN prevalence of 19.7%. Higher age, low socioeconomic status, treatment with insulin, longer duration of diabetes and poor glycemic control were risk factors for DPN.
DOI: 10.1111/j.1464-5491.2005.01558.x
发表时间: 2005-07-01
期刊: DIABETIC MEDICINE
影响因子: 3.5
作者:
Hussain, A;Rahim, MA;Vaaler, S
通讯作者: Vaaler, S
DOI: 10.1007/pl00002941
发表时间: 2001-09-01
期刊: DIABETOLOGIA
影响因子: 8.2
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DOI: 10.1507/endocrj.51.563
发表时间: 2004-12-01
期刊: ENDOCRINE JOURNAL
影响因子: 2
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DOI: 10.1046/j.1464-5491.2002.00583.x
发表时间: 2002-02-01
期刊: DIABETIC MEDICINE
影响因子: 3.5
作者:
Chaturvedi, N;Abbott, CA;Boulton, AJM
通讯作者: Boulton, AJM
DOI: 10.1002/dmrr.440
发表时间: 2004-05-01
影响因子: 8
作者:
Ramachandran, A
通讯作者: Ramachandran, A