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Optimal Cut-off Points of BMI WC and WHR for Screening of Pre-Diabetes and Diabetes Over 35 Years Old People
Anle Li,
Yanyun Li,
Fang Xiang,
Yiying Zhang,
Qinping Yang,
Zhihao Hu,
Qian Peng
Issue:
Volume 4, Issue 1, March 2019
Pages:
1-9
Received:
6 December 2018
Accepted:
20 December 2018
Published:
29 January 2019
Abstract: Using BMI, WC and WHR to investigate and compare these screening tool for IFG, IGT and diabetes subjects in Shanghai China; and to identify the optimal cut-off points of BMI, WC and WHR for screening pre-diabetes (Pre-DM) and diabetes (DM) over 35 years old people. Totally 3,195 aged 35 years old and above people who attended community epidemiological survey of diabetes mellitus. Using ADA criteria (2010), the participants were classified as normal, Pre-DM or DM according to test results of blood glucose. The area under ROC curve (AUROC) for BMI, WC and WHR were calculated; as well as the sensitivity, specificity and Youden index under different BMI or WHR cut-off points. Among these people, age is (61.07±10.08), and BMI and WHR are respectively (25.12±3.29) and (0.87±0.06). The positive rate of screening of DM is 11.36% and that of Pre-DM is 38.57%. There are correlation between blood glucose and BMI or WHR (p<0.05). With the increase of BMI or WHR cut-off point, the screening sensitivity (YI, Sp and Se) for DM or pre-DM are decreasing; but the area under ROC (AUROC) increases firstly and then decreases (inflection point: WHR≥0.8~0.9 and BMI≥23 for pre-DM, WHR≥0.9 and BMI≥24 for DM). The combined screening efficacy of BMI merged WHR is the best combination choice (cut-off point of BMI and WHR are respectively 23 and 0.8), and YI is the highest. Using HbA1C as standard of judgment seems to be better than blood glucose in screening for DM. BMI≥23, WC≥90 cm or WHR≥0.8 is the optimal cut-off point for screening DM and pre-DM, and the screening efficacy of BMI is better than WC and WHR. BMI merged WHR is the best combination choice (cut-off point of BMI and WHR are respectively 23 and 0.8). HbA1C is better than FBG and OGTT as standard of judgment in screening.
Abstract: Using BMI, WC and WHR to investigate and compare these screening tool for IFG, IGT and diabetes subjects in Shanghai China; and to identify the optimal cut-off points of BMI, WC and WHR for screening pre-diabetes (Pre-DM) and diabetes (DM) over 35 years old people. Totally 3,195 aged 35 years old and above people who attended community epidemiologi...
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Urinary Incontinence Amongst Malaysian Women in Selangor: Prevalence, Types and Risk Factors
Hardip Kaur Dhillon,
Quek Kia Fatt,
Harbindar Jeet Singh,
Gurpreet Kaur,
Anuar Zaini Md Zain,
Rusli Bin Nordin
Issue:
Volume 4, Issue 1, March 2019
Pages:
10-19
Received:
21 February 2019
Accepted:
26 March 2019
Published:
18 April 2019
Abstract: Information on urinary incontinence (UI) amongst Malaysian women remains incomplete and inconclusive. Of the few available studies, none had used the holistic approach to study UI amongst Malaysian women and information on the prevalence and the types of UI experienced by the Malaysian women therefore remains debatable. The objectives of this study were to estimate the prevalence of UI and its types in Malaysian females, determine the demographic characteristics of those with UI and to elucidate the association between potential risk factors and female UI. A validated, standardised Malay Monash Women Health Questionnaire (MMWHQ) was administered to 350 community dwelling, Malaysian women. The response rate was 86% (n=301). The dropout rate for interviews was 30%. Descriptive statistics and multinomial regression were applied. The estimated prevalence of UI (n=52) was 17.3 ± 4.65% (95% Confidence Interval 16.95 - 26.25%). Majority of respondents had reported no UI (82.7%; n=249), while 8.0% of the respondents complained of stress urinary incontinence (SUI), 5% reported urge urinary incontinence (UUI) and 4.3% had mixed urinary incontinence (MUI). Most women with UI were of middle age, of Chinese ethnicity, with secondary education, with an income of
Abstract: Information on urinary incontinence (UI) amongst Malaysian women remains incomplete and inconclusive. Of the few available studies, none had used the holistic approach to study UI amongst Malaysian women and information on the prevalence and the types of UI experienced by the Malaysian women therefore remains debatable. The objectives of this study...
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Accessibility to Oral Health Care in Peri-Urban Areas of Burkina Faso: Qualitative Survey on the Perceptions of the Populations of Kaya Health District
Drabo Rose,
Sangaré Abou Dramane,
Samba Mamadou,
Guinan Jean Claude
Issue:
Volume 4, Issue 1, March 2019
Pages:
20-23
Received:
15 March 2019
Accepted:
16 April 2019
Published:
15 May 2019
Abstract: Accessibility to oral health care in the sub-urban areas is a case for worry due to scarcity of basic socio-sanitary facilities in these zones. The purpose of this study was to understand the perceptions of peri-urban dwellers about the use of oral health services. The nature of this quality study centres on people of eighteen years and above who came to the Regional Medical Centre of Kaya for oral health care purposes. The trial case comprised of thirty individuals divided into three focal groups of ten people each. The data were assembled as a support paper following the guide line elaborated for the purposes of the study, and analyzed according to the methods of content analysis. The study has revealed that oral health care services are not very much available in the peri-urban areas of the District of Kaya. The inhabitants are confronted with financial, geographic and cultural handicaps which impacts negatively on their oral health care. The inhabitants, most of whom are, farmers without a stable source of revenue, tend to resort to traditional remedies as solutions to their oral/dental diseases. This work has brought to focus the factors that impede attendance to oral health care by the inhabitants of peri-urban communities of the District of Kaya. Improving the use of the oral health care services entails improving the basic social facilities of the rural people as well as improving the condition of living in their territories.
Abstract: Accessibility to oral health care in the sub-urban areas is a case for worry due to scarcity of basic socio-sanitary facilities in these zones. The purpose of this study was to understand the perceptions of peri-urban dwellers about the use of oral health services. The nature of this quality study centres on people of eighteen years and above who c...
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The Determinants of Fall in the Elderly at the Geriatric Center of Ouakam (Senegal)
Ousseynou Ka,
Boris Arthur Aboua Ghébi,
Abdoul Aziz Ndiaye,
Atoumane Faye,
Mamadou Makhtar Mbacké Léye,
Mamadou Diallo,
Souhaibou Ndongo
Issue:
Volume 4, Issue 1, March 2019
Pages:
24-29
Received:
17 March 2019
Accepted:
25 April 2019
Published:
27 May 2019
Abstract: In Sénégal, the reality of falls in the elderly, despite their being a serious problem, are not well-known to the général public because the epidemiological data do not take them into account. This study aims at analyzing falls in elderly people who come for consultation at the gerontology and geriatrics center of Ouakam, focusing in particular on their frequency and their determinants. This was a descriptive cross-sectional study that was conducted from May 9 to July 10, 2016 at the Gerontology and Geriatrics Center. The population under investigation consisted of 210 patients with a female prédominance (61%), an average age of 69 years, 72% married, 22% practiced physical activity, 54% had a normal weight, 58% took more of a medicine. The most common pathologies were visual acuity (70%), arterial hypertension (52%), osteoarthritis (25%)... The most prescribed drug classes were hypotensives (33%), analgesics (13%), antidiabetics drugs (10%). The frequency of the falls in our population was 27% and they usually occurred at home (65%). The determinants of the falls were soil barriers (35%), loss of balance (22%), wet surfaces (16%), stairs (8%)... The number of medications taken per patient was only one factor statistically correlated with the number of falls. Bruising accounted for most of the mechanical complications (62%) but all patients had developed a phobia for falling again. Recommendations have been made for better management of these falls.
Abstract: In Sénégal, the reality of falls in the elderly, despite their being a serious problem, are not well-known to the général public because the epidemiological data do not take them into account. This study aims at analyzing falls in elderly people who come for consultation at the gerontology and geriatrics center of Ouakam, focusing in particular on ...
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