Prevalence and factors associated with diabetes mellitus among tuberculosis patients in South India-a cross-sectional analytical study.
BMJ Open
; 11(10): e050542, 2021 10 22.
Article
em En
| MEDLINE
| ID: mdl-34686553
ABSTRACT
OBJECTIVE:
To determine the prevalence and determinants of diabetes mellitus (DM) among tuberculosis (TB) patients and to assess the additional yield and number needed to screen (NNS) to obtain a newly diagnosed DM among TB patients.DESIGN:
We undertook a cross-sectional analysis of the cohort data under Regional Prospective Observational Research for Tuberculosis-India consortium. Newly diagnosed TB patients recruited into the cohort between 2014 and 2018 were included. Pretested standardised questionnaires and tools were used for data collection. Prevalence of DM among TB patients was summarised as proportion with 95% CI. Type II DM was diagnosed if random blood sugar level was >200 mg/dL or if the participant had a documented history of DM. NNS by blood glucose testing to diagnose one new DM case among TB patients was also calculated.SETTING:
Three districts of South India Puducherry, Cuddalore and VillupuramSUBJECTS:
Newly diagnosed sputum smear positive pulmonary TB patients aged ≥16 yearsRESULTS:
In total, 1188 TB patients were included. Prevalence of DM among TB patients was 39% (95% CI 36.2% to 41.8%). In unadjusted analysis, elderly TB, marital status, caste, gender, higher education level, household income and obesity had a significant association with DM. However, in adjusted analysis, only marital status (currently married aPR; 3.77 (95 CI 2.20 to 6.49), widowed/separated/divorced aPR; 3.66 (95 CI 1.96 to 6.83)) and body mass index category (normal weight aPR; 3.26 (95 CI 2.55 to 4.16), overweight aPR; 3.86 (95 CI 2.69 to 5.52), obesity aPR; 4.08 (95 CI 2.81 to 5.94)) were found to be significant determinants. The number of TB patients needed to be screened to find a new DM case was 12.CONCLUSION:
We found that one in three TB patients had coexisting DM. The number of TB patients needed to be screened to obtain a newly diagnosed DM patients was also determined. The study supports and highlights the need of RNTCP's effort in bidirectional screening of TB and DM.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
/
Tuberculose Pulmonar
/
Diabetes Mellitus
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Índia