Anemia and Its Associated Factors Among Type 2 Diabetes Mellitus Patients Attending Debre Berhan Referral Hospital, North-East Ethiopia: A Cross-Sectional Study
Received 21 December 2019
Accepted for publication 4 February 2020
Published 11 February 2020 Volume 2020:11 Pages 47—58
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Dr Martin H. Bluth
Mitku Mammo Taderegew,1 Tewodros Gebremariam,2 Amare Abera Tareke,2 Gashaw Garedew Woldeamanuel1
1Department of Biomedical Sciences, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia; 2Department of Biomedical Sciences, Institute of Health, Jimma University, Jimma, Ethiopia
Correspondence: Mitku Mammo Taderegew
Department of Biomedical Sciences, College of Medicine and Health Sciences, Wolkite University, P.O. Box 07, Wolkite, Ethiopia
Tel +251 923163951
Purpose: Anemia is one of the common complications of diabetes mellitus (DM), which has an adverse effect on the progression and development of other diabetes-related complications. In spite of this, relatively little information is available on the prevalence of anemia and associated factors among type 2 diabetes mellitus (T2DM) patients in Ethiopia, particularly in the study area. Thus, this study assessed the prevalence of anemia and associated factors among T2DM patients at Debre Berhan Referral Hospital (DBRH), North-East, Ethiopia.
Patients and Methods: A hospital-based cross-sectional study was conducted from April 1 to May 30, 2019, among 249 T2DM patients with follow up at DBRH, selected using a systematic random sampling technique. Data were collected by face-to-face interviews, anthropometric measurements, and laboratory tests; such as hemoglobin measurements, red blood indices, and serum creatinine analysis. The data were coded and entered into Epi-data manager version 188.8.131.52, and analysis by using SPSS version 22 was carried out. To identify the determinant factors of anemia, bivariate and multivariate logistic regression analyses were performed. P-value < 0.05 was considered as statistically significant.
Results: The study showed 20.1% of the participants were anemic. Being age > 60 years (AOR=3.06, 95% CI: 1.32– 7.11), poor glycemic control (AOR=2.95, 95% CI: 1.22– 7.15), eGFR 60– 89.9 mL/min/1.73m2 (AOR=2.91, 95% CI: 1.15– 7.37), eGFR < 60 mL/min/1.73m2 (AOR=6.58, 95% CI: 2.42– 17.93), DM duration > 10 years (AOR= AOR=2.75, 95% CI: 1.17– 6.48), and having diabetic complications (AOR=3.81, 95% CI: 1.65– 8.81) were significantly associated with anemia.
Conclusion: One out of five T2DM patients had anemia. Poor glycemic control, decreased eGFR, presence of DM complications, duration of DM > 10 years, and age > 60 years were significantly associated with the occurrence of anemia among T2DM. Regular screening for anemia in all T2DM patients may help in the early detection and management of anemia.
Keywords: type 2 DM, anemia, associated factors, Ethiopia
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