Prevalence of Diabetes in Zimbabwe: a Systematic Review with Meta-analysis

Overview

Journal Int J Public Health

Specialty Public Health

Date 2014 Nov 30

PMID 25432797

Citations 16

Authors

Mutsa Mutowo

Usha Gowda

John Chamunorwa Mangwiro

Paula Lorgelly

Alice Owen

Andre Renzaho

Affiliations

Soon will be listed here.

Abstract

Objective: Diabetes appears to be a growing problem in the African region. This study aims to estimate the prevalence of diabetes in Zimbabwe by collating and analyzing previously published data.

Methods: Systematic review and meta-analysis of data reporting prevalence of diabetes in Zimbabwe was conducted based on the random effects model. We searched for studies published between January 1960 and December 2013 using MEDLINE, EMBASE and Scopus and University of Zimbabwe electronic publication libraries. In the meta-analysis, sub-groups were created for studies conducted before 1980 and after 1980, to understand the potential effect of independence on prevalence.

Results: Seven studies were included in the meta-analysis with a total of 29,514 study participants. The overall pooled prevalence of diabetes before 1980 was 0.44% (95% CI 0.0-1.9%), after 1980 the pooled prevalence was 5.7% (95% CI 3.3-8.6%).

Conclusions: This study showed that the prevalence of diabetes in Zimbabwe has increased significantly over the past three decades. This poses serious challenges to the provision of care and prevention of disabling co-morbidities in an already disadvantaged healthcare setting.

Citing Articles

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References

Zhang P, Zhang X, Brown J, Vistisen D, Sicree R, Shaw J . Global healthcare expenditure on diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010; 87(3):293-301. DOI: 10.1016/j.diabres.2010.01.026. View

Alberti K, Zimmet P . Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med. 1998; 15(7):539-53. DOI: 10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S. View

Higgins J, Thompson S . Quantifying heterogeneity in a meta-analysis. Stat Med. 2002; 21(11):1539-58. DOI: 10.1002/sim.1186. View

Amoah A, Owusu S, Adjei S . Diabetes in Ghana: a community based prevalence study in Greater Accra. Diabetes Res Clin Pract. 2002; 56(3):197-205. DOI: 10.1016/s0168-8227(01)00374-6. View

Mudiayi T, Gelman M . Trends of morbidity in general medicine at United Bulawayo Hospitals, Bulawayo, Zimbabwe. Cent Afr J Med. 1997; 43(8):213-9. View

Hjelm K, Mufunda E, Nambozi G, Kemp J . Preparing nurses to face the pandemic of diabetes mellitus: a literature review. J Adv Nurs. 2003; 41(5):424-34. DOI: 10.1046/j.1365-2648.2003.02548.x. View

Beran D, Yudkin J, de Courten M . Access to care for patients with insulin-requiring diabetes in developing countries: case studies of Mozambique and Zambia. Diabetes Care. 2005; 28(9):2136-40. DOI: 10.2337/diacare.28.9.2136. View

Castle W, Wicks A . A follow-up of 93 newly diagnosed African diabetics for 6 years. Diabetologia. 1980; 18(2):121-3. DOI: 10.1007/BF00290487. View

Dagogo-Jack S . HIV therapy and diabetes risk. Diabetes Care. 2008; 31(6):1267-8. DOI: 10.2337/dc08-0459. View

10.

Gill G, Mbanya J, Ramaiya K, Tesfaye S . A sub-Saharan African perspective of diabetes. Diabetologia. 2008; 52(1):8-16. DOI: 10.1007/s00125-008-1167-9. View

11.

Misra A, Khurana L . Obesity and the metabolic syndrome in developing countries. J Clin Endocrinol Metab. 2008; 93(11 Suppl 1):S9-30. DOI: 10.1210/jc.2008-1595. View

12.

Delamothe T . Aid agencies neglect non-communicable diseases, international health organisations warn. BMJ. 2009; 338:b2102. DOI: 10.1136/bmj.b2102. View

13.

Jha T, Sharma V . Pentamidine-induced diabetes mellitus. Trans R Soc Trop Med Hyg. 1984; 78(2):252-3. DOI: 10.1016/0035-9203(84)90289-x. View

14.

Whiting D, Hayes L, Unwin N . Diabetes in Africa. Challenges to health care for diabetes in Africa. J Cardiovasc Risk. 2003; 10(2):103-10. DOI: 10.1097/01.hjr.0000060846.48106.6d. View

15.

Elamin A, Omer M, Zein K, Tuvemo T . Epidemiology of childhood type I diabetes in Sudan, 1987-1990. Diabetes Care. 1992; 15(11):1556-9. DOI: 10.2337/diacare.15.11.1556. View

16.

Mbanya J, Cruickshank J, Forrester T, Balkau B, Ngogang J, Riste L . Standardized comparison of glucose intolerance in west African-origin populations of rural and urban Cameroon, Jamaica, and Caribbean migrants to Britain. Diabetes Care. 1999; 22(3):434-40. DOI: 10.2337/diacare.22.3.434. View

17.

Townsend L, Flisher A, Gilreath T, King G . A systematic literature review of tobacco use among adults 15 years and older in sub-Saharan Africa. Drug Alcohol Depend. 2006; 84(1):14-27. DOI: 10.1016/j.drugalcdep.2005.12.008. View

18.

Doi S, Barendregt J, Mozurkewich E . Meta-analysis of heterogeneous clinical trials: an empirical example. Contemp Clin Trials. 2010; 32(2):288-98. DOI: 10.1016/j.cct.2010.12.006. View

19.

Larson R, Capili B, Eckert-Norton M, Colagreco J, Anastasi J . Disorders of glucose metabolism in the context of human immunodeficiency virus infection. J Am Acad Nurse Pract. 2006; 18(3):92-103. DOI: 10.1111/j.1745-7599.2006.00109.x. View

20.

Lee C, Huxley R, Wildman R, Woodward M . Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: a meta-analysis. J Clin Epidemiol. 2008; 61(7):646-53. DOI: 10.1016/j.jclinepi.2007.08.012. View