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Epidemiological Transition of Type 2 Diabetes Mellitus in Rural South West Cameroon

Aminkeng Zawuo Leke, Nkwati Michel Maboh, Susan Etta Maeya, Obale Armstrong, Lerry Dibo Ndumbe, Bessem Pauline Nyenti, Akum Delbert Afumbom, Njume Beckly Sone, Derick Etiendem, Elsa Shiri Nkwati
2020 Open Journal of Endocrine and Metabolic Diseases  
Aims: To determine the prevalence and 10 years risk of type-2 diabetes mellitus in rural English speaking South West Cameroon. Methods: Between April and June 2018, we conducted community screening campaigns in 6 English speaking rural communities of Cameroon. We adapted the Finish Diabetes Association Type 2 diabetes risk assessment tool to enable us classify participants as low or high risk cases. Results: In a sample of 983 participants aged ≥30 years, we found 37 (3.8%) persons with type 2
more » ... ersons with type 2 diabetes (12 existing and 25 newly diagnosed) and 149 (15.1%) persons at high risk of developing diabetes within 10 years. We estimated that within 10 years 65 (6.9%) new cases of diabetes will emerge from the study population. Older participants (54 -87 years) were 2.5 times (AOR 2.5, CI: 1.0, 6.2) more likely to have diabetes compared to younger (30 -44 years) participants. The risk of developing diabetes within 10 years was statistically significantly increased among participants who were semi-active, older, had a high BMI, had a family history of diabetes or had high systolic blood pressure. Conclusions: Our study identified a brewing diabetes crisis in rural Cameroon, confirming the recent International Diabetes Federation warnings of an impending rural diabetes crisis in Sub-Saharan Africa. There is therefore an urgent need for measures to avert the situation such as expanding the urban-focused diabetes service to rural areas.
doi:10.4236/ojemd.2020.104006 fatcat:ddrnoezk7jewhf2bnxnx46ovr4