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
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...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2019/5404781 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560890051821568 |
|---|---|
| author | Ahlam A. Amour Nyasatu Chamba Johnstone Kayandabila Isaack A. Lyaruu Dekker Marieke Elichilia R. Shao William Howlett |
| author_facet | Ahlam A. Amour Nyasatu Chamba Johnstone Kayandabila Isaack A. Lyaruu Dekker Marieke Elichilia R. Shao William Howlett |
| author_sort | Ahlam A. Amour |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ab94286257654e4aade786429fc9376f |
| institution | Kabale University |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-ab94286257654e4aade786429fc9376f2025-02-03T01:26:26ZengWileyInternational Journal of Endocrinology1687-83371687-83452019-01-01201910.1155/2019/54047815404781Prevalence, Patterns, and Factors Associated with Peripheral Neuropathies among Diabetic Patients at Tertiary Hospital in the Kilimanjaro Region: Descriptive Cross-Sectional Study from North-Eastern TanzaniaAhlam A. Amour0Nyasatu Chamba1Johnstone Kayandabila2Isaack A. Lyaruu3Dekker Marieke4Elichilia R. Shao5William Howlett6Department of Internal Medicine, KCMUCo, Moshi, TanzaniaDepartment of Internal Medicine, KCMUCo, Moshi, TanzaniaDepartment of Internal Medicine, KCMUCo, Moshi, TanzaniaDepartment of Internal Medicine, KCMUCo, Moshi, TanzaniaDepartment of Internal Medicine, KCMC Hospital, Moshi, TanzaniaDepartment of Internal Medicine, KCMUCo, Moshi, TanzaniaDepartment of Internal Medicine, KCMUCo, Moshi, TanzaniaObjective. 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.http://dx.doi.org/10.1155/2019/5404781 |
| spellingShingle | Ahlam A. Amour Nyasatu Chamba Johnstone Kayandabila Isaack A. Lyaruu Dekker Marieke Elichilia R. Shao William Howlett 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 |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | http://dx.doi.org/10.1155/2019/5404781 |
| work_keys_str_mv | AT ahlamaamour prevalencepatternsandfactorsassociatedwithperipheralneuropathiesamongdiabeticpatientsattertiaryhospitalinthekilimanjaroregiondescriptivecrosssectionalstudyfromnortheasterntanzania AT nyasatuchamba prevalencepatternsandfactorsassociatedwithperipheralneuropathiesamongdiabeticpatientsattertiaryhospitalinthekilimanjaroregiondescriptivecrosssectionalstudyfromnortheasterntanzania AT johnstonekayandabila prevalencepatternsandfactorsassociatedwithperipheralneuropathiesamongdiabeticpatientsattertiaryhospitalinthekilimanjaroregiondescriptivecrosssectionalstudyfromnortheasterntanzania AT isaackalyaruu prevalencepatternsandfactorsassociatedwithperipheralneuropathiesamongdiabeticpatientsattertiaryhospitalinthekilimanjaroregiondescriptivecrosssectionalstudyfromnortheasterntanzania AT dekkermarieke prevalencepatternsandfactorsassociatedwithperipheralneuropathiesamongdiabeticpatientsattertiaryhospitalinthekilimanjaroregiondescriptivecrosssectionalstudyfromnortheasterntanzania AT elichiliarshao prevalencepatternsandfactorsassociatedwithperipheralneuropathiesamongdiabeticpatientsattertiaryhospitalinthekilimanjaroregiondescriptivecrosssectionalstudyfromnortheasterntanzania AT williamhowlett prevalencepatternsandfactorsassociatedwithperipheralneuropathiesamongdiabeticpatientsattertiaryhospitalinthekilimanjaroregiondescriptivecrosssectionalstudyfromnortheasterntanzania |