Poor glycaemic control and its metabolic and demographic risk factors in a Malaysian community-based study

Daniel D. Reidpath, Ireneous Soyiri, Nowrozy K. Jahan, Devi Mohan, Badariah Ahmad, Mohtar Pungut Ahmad, Zaid Bin Kassim and Pascale Allotey ()
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Daniel D. Reidpath: Monash University Malaysia
Ireneous Soyiri: The University Edinburgh
Nowrozy K. Jahan: Monash University Malaysia
Devi Mohan: Monash University Malaysia
Badariah Ahmad: Monash University Malaysia
Mohtar Pungut Ahmad: Hospital Segamat, Ministry of Health Malaysia
Zaid Bin Kassim: Segamat District Public Health Office, Ministry of Health Malaysia
Pascale Allotey: Monash University Malaysia

International Journal of Public Health, 2018, vol. 63, issue 2, No 6, 193-202

Abstract: Abstract Objectives The lack of population-based evidence on the risk factors for poor glycaemic control in diabetics, particularly in resource-poor settings, is a challenge for the prevention of long-term complications. This study aimed to identify the metabolic and demographic risk factors for poor glycaemic control among diabetics in a rural community in Malaysia. Methods A total of 1844 (780 males and 1064 females) known diabetics aged ≥ 35 years were identified from the South East Asia Community Observatory (SEACO) health and demographic surveillance site database. Results 41.3% of the sample had poor glycaemic control. Poor glycaemic control was associated with age and ethnicity, with older participants (65+) better controlled than younger adults (45–54), and Malaysian Indians most poorly controlled, followed by Malay and then Chinese participants. Metabolic risk factors were also highly associated with poor glycaemic control. Conclusions There is a critical need for evidence for a better understanding of the mechanisms of the associations between risk factors and glycaemic control.

Keywords: Glycaemic control; Health and demographic surveillance site; Metabolic risk factors; Ethnicity; Ecological factors (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-017-1072-4

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