Prevalence of hyperglycemia and risk factors for orodental disease in Nigeria

Implications of opportunistic screening

Anayochukwu Edward Anyasodor, Ezekiel Uba Nwose, Phillip Taderera Bwititi, Eferhire Aganbi, Ross Stuart Richards, Luke Itietie Mudiaga, Victor Maduabuchi Oguoma, Salome Chijioke Enemchukwu

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Diabetes mellitus (DM) is associated with complications and orodental disease. Whether screening for DM during orodental health visits is a potential option is yet to be established in Nigeria. This study aims at assessing the prevalence of hyperglycemia in orodental disease as a clinical scenario to capitalize for opportunistic screening.

MATERIALS AND METHODS: This study was undertaken in Catholic Hospital Abbi for Ndokwa communities and dental clinic of Eku Baptist Government Hospital, all in Nigeria. However, 474 individuals (433 community-based and 41 dental clinic-based) including 10 orodental cases were screened for hyperglycemia and waist-hip circumference indices. Blood lipid profiles were also performed. Based on fasting blood glucose levels, participants were grouped into non-diabetic (n = 172), prediabetic (n = 168), and diabetic (n = 78). A World Health Organization questionnaire on oral health was used to collect information on orodental disease risk factors. Data were analyzed with IBM SPSS 22 statistical package.

RESULTS: In the community-based cohort, the prevalence of hyperglycemia was 56.8%, including 38.8% prediabetes and 18.0% undiagnosed DM (UDM). In the dental-based group, 63.4% were hyperglycemic including 53.7% prediabetes and 9.7% UDM. There was significant difference (P < 0.05) in the ages of the participants in relation to glycemic status, with 17-29 years having the highest prevalence of UDM. However, 42.5% of the community-based clients had indication(s) of orodental disease.

CONCLUSION: This is probably the first study to highlight higher prevalence of hyperglycemia from screening at a dental setting compared to general clinic. Opportunistic screening of DM in dental settings may be an option to consider during clients' orodental health visits.

Original languageEnglish
Pages (from-to)507-513
Number of pages7
JournalIndian Journal of Dental Research
Volume28
Issue number5
DOIs
Publication statusPublished - 27 Oct 2017
Externally publishedYes

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Nigeria
Hyperglycemia
Diabetes Mellitus
Dental Clinics
Prediabetic State
Tooth
Health
Oral Health
Waist Circumference
Blood Glucose
Hip
Fasting
Lipids

Cite this

Anyasodor, A. E., Nwose, E. U., Bwititi, P. T., Aganbi, E., Richards, R. S., Mudiaga, L. I., ... Enemchukwu, S. C. (2017). Prevalence of hyperglycemia and risk factors for orodental disease in Nigeria: Implications of opportunistic screening. Indian Journal of Dental Research, 28(5), 507-513. https://doi.org/10.4103/ijdr.IJDR_304_17
Anyasodor, Anayochukwu Edward ; Nwose, Ezekiel Uba ; Bwititi, Phillip Taderera ; Aganbi, Eferhire ; Richards, Ross Stuart ; Mudiaga, Luke Itietie ; Oguoma, Victor Maduabuchi ; Enemchukwu, Salome Chijioke. / Prevalence of hyperglycemia and risk factors for orodental disease in Nigeria : Implications of opportunistic screening. In: Indian Journal of Dental Research. 2017 ; Vol. 28, No. 5. pp. 507-513.
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abstract = "BACKGROUND: Diabetes mellitus (DM) is associated with complications and orodental disease. Whether screening for DM during orodental health visits is a potential option is yet to be established in Nigeria. This study aims at assessing the prevalence of hyperglycemia in orodental disease as a clinical scenario to capitalize for opportunistic screening.MATERIALS AND METHODS: This study was undertaken in Catholic Hospital Abbi for Ndokwa communities and dental clinic of Eku Baptist Government Hospital, all in Nigeria. However, 474 individuals (433 community-based and 41 dental clinic-based) including 10 orodental cases were screened for hyperglycemia and waist-hip circumference indices. Blood lipid profiles were also performed. Based on fasting blood glucose levels, participants were grouped into non-diabetic (n = 172), prediabetic (n = 168), and diabetic (n = 78). A World Health Organization questionnaire on oral health was used to collect information on orodental disease risk factors. Data were analyzed with IBM SPSS 22 statistical package.RESULTS: In the community-based cohort, the prevalence of hyperglycemia was 56.8{\%}, including 38.8{\%} prediabetes and 18.0{\%} undiagnosed DM (UDM). In the dental-based group, 63.4{\%} were hyperglycemic including 53.7{\%} prediabetes and 9.7{\%} UDM. There was significant difference (P < 0.05) in the ages of the participants in relation to glycemic status, with 17-29 years having the highest prevalence of UDM. However, 42.5{\%} of the community-based clients had indication(s) of orodental disease.CONCLUSION: This is probably the first study to highlight higher prevalence of hyperglycemia from screening at a dental setting compared to general clinic. Opportunistic screening of DM in dental settings may be an option to consider during clients' orodental health visits.",
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Prevalence of hyperglycemia and risk factors for orodental disease in Nigeria : Implications of opportunistic screening. / Anyasodor, Anayochukwu Edward; Nwose, Ezekiel Uba; Bwititi, Phillip Taderera; Aganbi, Eferhire; Richards, Ross Stuart; Mudiaga, Luke Itietie; Oguoma, Victor Maduabuchi; Enemchukwu, Salome Chijioke.

In: Indian Journal of Dental Research, Vol. 28, No. 5, 27.10.2017, p. 507-513.

Research output: Contribution to journalArticle

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T1 - Prevalence of hyperglycemia and risk factors for orodental disease in Nigeria

T2 - Implications of opportunistic screening

AU - Anyasodor, Anayochukwu Edward

AU - Nwose, Ezekiel Uba

AU - Bwititi, Phillip Taderera

AU - Aganbi, Eferhire

AU - Richards, Ross Stuart

AU - Mudiaga, Luke Itietie

AU - Oguoma, Victor Maduabuchi

AU - Enemchukwu, Salome Chijioke

PY - 2017/10/27

Y1 - 2017/10/27

N2 - BACKGROUND: Diabetes mellitus (DM) is associated with complications and orodental disease. Whether screening for DM during orodental health visits is a potential option is yet to be established in Nigeria. This study aims at assessing the prevalence of hyperglycemia in orodental disease as a clinical scenario to capitalize for opportunistic screening.MATERIALS AND METHODS: This study was undertaken in Catholic Hospital Abbi for Ndokwa communities and dental clinic of Eku Baptist Government Hospital, all in Nigeria. However, 474 individuals (433 community-based and 41 dental clinic-based) including 10 orodental cases were screened for hyperglycemia and waist-hip circumference indices. Blood lipid profiles were also performed. Based on fasting blood glucose levels, participants were grouped into non-diabetic (n = 172), prediabetic (n = 168), and diabetic (n = 78). A World Health Organization questionnaire on oral health was used to collect information on orodental disease risk factors. Data were analyzed with IBM SPSS 22 statistical package.RESULTS: In the community-based cohort, the prevalence of hyperglycemia was 56.8%, including 38.8% prediabetes and 18.0% undiagnosed DM (UDM). In the dental-based group, 63.4% were hyperglycemic including 53.7% prediabetes and 9.7% UDM. There was significant difference (P < 0.05) in the ages of the participants in relation to glycemic status, with 17-29 years having the highest prevalence of UDM. However, 42.5% of the community-based clients had indication(s) of orodental disease.CONCLUSION: This is probably the first study to highlight higher prevalence of hyperglycemia from screening at a dental setting compared to general clinic. Opportunistic screening of DM in dental settings may be an option to consider during clients' orodental health visits.

AB - BACKGROUND: Diabetes mellitus (DM) is associated with complications and orodental disease. Whether screening for DM during orodental health visits is a potential option is yet to be established in Nigeria. This study aims at assessing the prevalence of hyperglycemia in orodental disease as a clinical scenario to capitalize for opportunistic screening.MATERIALS AND METHODS: This study was undertaken in Catholic Hospital Abbi for Ndokwa communities and dental clinic of Eku Baptist Government Hospital, all in Nigeria. However, 474 individuals (433 community-based and 41 dental clinic-based) including 10 orodental cases were screened for hyperglycemia and waist-hip circumference indices. Blood lipid profiles were also performed. Based on fasting blood glucose levels, participants were grouped into non-diabetic (n = 172), prediabetic (n = 168), and diabetic (n = 78). A World Health Organization questionnaire on oral health was used to collect information on orodental disease risk factors. Data were analyzed with IBM SPSS 22 statistical package.RESULTS: In the community-based cohort, the prevalence of hyperglycemia was 56.8%, including 38.8% prediabetes and 18.0% undiagnosed DM (UDM). In the dental-based group, 63.4% were hyperglycemic including 53.7% prediabetes and 9.7% UDM. There was significant difference (P < 0.05) in the ages of the participants in relation to glycemic status, with 17-29 years having the highest prevalence of UDM. However, 42.5% of the community-based clients had indication(s) of orodental disease.CONCLUSION: This is probably the first study to highlight higher prevalence of hyperglycemia from screening at a dental setting compared to general clinic. Opportunistic screening of DM in dental settings may be an option to consider during clients' orodental health visits.

KW - Diabetes mellitus

KW - Ndokwa communities

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KW - orodental health

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