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Prevalence and factors associated with dysglycemia among girls in selected boarding secondary schools in Wakiso District, Uganda

Authors Nakiriba R, Mayega RW, Piloya T, Nabukeera-Barungi N, Idro R

Received 30 June 2018

Accepted for publication 30 July 2018

Published 29 October 2018 Volume 2018:9 Pages 167—176

DOI https://doi.org/10.2147/AHMT.S178746

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Professor Alastair Sutcliffe


Video abstract presented by Roy William Mayega

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Rhoda Nakiriba,1,* Roy William Mayega,2,* Thereza Piloya,1 Nicolette Nabukeera-Barungi,1 Richard Idro1

1Department of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; 2Department of Epidemiology and Biostatistics, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda

*These authors contributed equally to this work

Background: There is limited information on dysglycemia in adolescents in low-income countries. The objective of this study was to determine the prevalence and factors associated with dysglycemia among boarding secondary school adolescent girls in a peri-urban district.
Methods: The design was a cross-sectional survey. A total of 688 adolescents from four randomly selected girls-only boarding secondary schools in Wakiso District, Uganda, participated in this study. Fasting plasma glucose, body mass index (BMI), and blood pressure (BP) were measured. A questionnaire was used to assess demographic and lifestyle factors. Suspected dysglycemia was defined using the American Diabetes Association cutoff of fasting glucose ≥5.6 mmol/L. Overweight and hypertension were defined being above two SDs or the 95th percentile of the WHO BMI for age and BP for age reference charts, respectively. Logistic regression was used to determine the factors independently associated with dysglycemia.
Results: The mean age of the participants was 15.4 years (SD=1.7 years). Probable dysglycemia was found in 44 of 688 (6.4%) participants, ranging from 3.5% in the least affluent school to 9.8% in the most affluent school. No case of type 2 diabetes was found. 11.6% of the participants were found to have probable hypertension. Dysglycemia was higher in adolescents who were overweight (adjusted OR [AOR] 2.3; 95% CI 1.22–4.48), those with hypertension (AOR 4.0; 95% CI 1.86–8.45), and those who frequently stocked biscuits (AOR 3.0; 95% CI 1.21–7.28). Dysglycemia was lower in older adolescents (AOR 0.3; 95% CI 0.10–0.86) and those who took water with meals (AOR 3.0; 95% CI 1.21–7.28).
Conclusion: In these predominantly peri-urban boarding secondary schools, 6.4% of the adolescent girls have probable dysglycemia. As Africa undergoes the epidemiological transition, there is a need for closer surveillance for diabetes and hypertension in peri-urban schools and school health measures against lifestyle diseases.

Keywords: dysglycemia, secondary school, peri-urban, adolescent girls

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