ASSOCIATION OF GLYCEMIC CONTROL, BODY WEIGHT AND BODY FAT DISTRIBUTION WITH SELECTED SOCIO-DEMOGRAPHIC FACTORS IN TYPE 2 DIABETES PATIENTS AT FIRST REGULAR STRUCTURED VISIT
Journal
Македонски медицински преглед = Macedonian Medical Review
Date Issued
2019
Author(s)
Biljana Mitreva Chekorova
Bekim Ismaili
Rajna Rashkova
Spasko Djurchinoski
Irena Nikolova
Marija Mihajlova
Maja Katrandjiska Dzonlaga
Zoran Valaski
Monika Jarikj-Bojkoska
Ljupcho Zahariev
Gabriela Gulevska
Olga Stojkovska
Djordji Stanoevski
Dragan Djordjievski
Abstract
Introduction. Maintaining optimal glycemic control and
weight management is crucial for successful diabetes
management. Deeper understanding of possible influen cing factors is inevitable. The aim of this study was to
investigate the association between glycemic control,
body weight and body fat distribution with selected
socio-demographic factors in type 2 diabetes patients
at first regular structured visit.
Methods. This is a cross-sectional clinical study perfor med in the period 2016-2017 at a primary health care
level in the Republic of North Macedonia. Data on socio demographic parameters (age, gender, place of residence,
ethnicity), diabetes duration, anthropometric indices
(BMI, waist circumference) and HbA1c measurement
were collected from 338 type 2 diabetes patients.
Results. With respect to HbA1c value, it was found that
older age, urban residence and Macedonian ethnicity we re significantly associated with lower HbA1c (R=-0.1449;
p=0.0002 and p=0.0042, respectively), whereas longer
diabetes duration was significantly associated with
higher HbA1c values (R=0.1448). Higher BMI was found
in female subjects (p=0.0213), whereas older age and
Albanian ethnicity were significantly associated with
lower BMI (R=-0.1734 and p=0.0001, respectively).
Female gender and Albanian ethnicity were associated
with central obesity as per North American cut-off
values (p=0.0001 and p=0.0026, respectively). Lower waist circumference values were found in Macedo nians (p=0.0001).
Conclusion. According to the results obtained in this
study, it can be concluded that certain socio-demo graphic factors can play a role in the management of
glycaemia and weight in type 2 diabetes patients in
North Macedonia.
weight management is crucial for successful diabetes
management. Deeper understanding of possible influen cing factors is inevitable. The aim of this study was to
investigate the association between glycemic control,
body weight and body fat distribution with selected
socio-demographic factors in type 2 diabetes patients
at first regular structured visit.
Methods. This is a cross-sectional clinical study perfor med in the period 2016-2017 at a primary health care
level in the Republic of North Macedonia. Data on socio demographic parameters (age, gender, place of residence,
ethnicity), diabetes duration, anthropometric indices
(BMI, waist circumference) and HbA1c measurement
were collected from 338 type 2 diabetes patients.
Results. With respect to HbA1c value, it was found that
older age, urban residence and Macedonian ethnicity we re significantly associated with lower HbA1c (R=-0.1449;
p=0.0002 and p=0.0042, respectively), whereas longer
diabetes duration was significantly associated with
higher HbA1c values (R=0.1448). Higher BMI was found
in female subjects (p=0.0213), whereas older age and
Albanian ethnicity were significantly associated with
lower BMI (R=-0.1734 and p=0.0001, respectively).
Female gender and Albanian ethnicity were associated
with central obesity as per North American cut-off
values (p=0.0001 and p=0.0026, respectively). Lower waist circumference values were found in Macedo nians (p=0.0001).
Conclusion. According to the results obtained in this
study, it can be concluded that certain socio-demo graphic factors can play a role in the management of
glycaemia and weight in type 2 diabetes patients in
North Macedonia.
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