Evidence map›Paper›PMID 28939566›Full record

ArticleBMJ open2017

Household and familial resemblance in risk factors for type 2 diabetes and related cardiometabolic diseases in rural Uganda: a cross-sectional community sample.

Jannie Nielsen, Silver K Bahendeka, Susan R Whyte, Dan W Meyrowitsch, Ib C Bygbjerg, Daniel R Witte

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Jannie NielsenDepartment of Public Health, Global Health Section, University of Copenhagen, Copenhagen, Denmark.
Silver K BahendekaSt Francis Hospital Nsambya, Kampala, Uganda.
Susan R WhyteDepartment of Anthropology, University of Copenhagen, Copenhagen, Denmark.
Dan W MeyrowitschDepartment of Public Health, Global Health Section, University of Copenhagen, Copenhagen, Denmark.
Ib C BygbjergDepartment of Public Health, Global Health Section, University of Copenhagen, Copenhagen, Denmark.
Daniel R WitteDanish Diabetes Academy, Odense, Denmark.
University of Copenhagen · DKAarhus University · DKNsambya Hospital · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPrevention of type 2 diabetes (T2D) has been successfully established in randomised clinical trials. However, the best methods for the translation of this evidence into effective population-wide interventions remain unclear. To assess whether households could be a target for T2D prevention and screening, we investigated the resemblance of T2D risk factors at household level and by type of familial dyadic relationship in a rural Ugandan community.

methodsThis cross-sectional household-based study included 437 individuals ≥13 years of age from 90 rural households in south-western Uganda. Resemblance in glycosylated haemoglobin (HbA1c), anthropometry, blood pressure, fitness status and sitting time were analysed using a general mixed model with random effects (by household or dyad) to calculate household intraclass correlation coefficients (ICCs) and dyadic regression coefficients. Logistic regression with household as a random effect was used to calculate the ORs for individuals having a condition or risk factor if another household member had the same condition.

resultsThe strongest degree of household member resemblances in T2D risk factors was seen in relation to fitness status (ICC=0.24), HbA1c (ICC=0.18) and systolic blood pressure (ICC=0.11). Regarding dyadic resemblance, the highest standardised regression coefficient was seen in fitness status for spouses (0.54, 95% CI 0.32 to 0.76), parent-offspring (0.41, 95% CI 0.28 0.54) and siblings (0.41, 95% CI 0.25 to 0.57). Overall, parent-offspring and sibling pairs were the dyads with strongest resemblance, followed by spouses.

conclusionsThe marked degree of resemblance in T2D risk factors at household level and between spouses, parent-offspring and sibling dyads suggest that shared behavioural and environmental factors may influence risk factor levels among cohabiting individuals, which point to the potential of the household setting for screening and prevention of T2D.

Indexed as

Family CharacteristicsFamily HealthAdolescentAdultAgedAnthropometryBlood PressureCross-Sectional StudiesDiabetes Mellitus, Type 2ExerciseFemaleGlycated HemoglobinHumansLogistic ModelsMaleMiddle AgedGlycated HemoglobinEpidemiologyGeneral DiabetesPublic Health

Identifiers

PMID28939566
PMCPMC5623496
OpenAlexW2759220417

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.