Evidence map›Paper›PMID 30498584›Full record

ArticleBMJ global health2018

Distribution of diabetes, hypertension and non-communicable disease risk factors among adults in rural Bangladesh: a cross-sectional survey.

Edward Fottrell, Naveed Ahmed, Sanjit Kumer Shaha, Hannah Jennings, Abdul Kuddus, Joanna Morrison, Kohenour Akter, Badrun Nahar, Tasmin Nahar, Hassan Haghparast-Bidgoli and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
13.3field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 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

13 authors at 2 institutions in 4 countries.

Edward FottrellInstitute for Global Health, University College London, London, UK.
Naveed AhmedDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Sanjit Kumer ShahaDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Hannah JenningsInstitute for Global Health, University College London, London, UK.
Abdul KuddusDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Joanna MorrisonInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-9241-8863
Kohenour AkterDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Badrun NaharDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Tasmin NaharDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Hassan Haghparast-BidgoliInstitute for Global Health, University College London, London, UK.
A K Azad KhanDiabetic Association of Bangladesh, Dhaka, Bangladesh.
Anthony CostelloInstitute for Global Health, University College London, London, UK.
Kishwar AzadDiabetic Association of Bangladesh, Dhaka, Bangladesh.
University College London · GBWorld Health Organization - Pakistan · PK

Funding

Medical Research Council MR/M016501/1World Health Organization 001
6 · The paper itself

Abstract

backgroundNon-communicable diseases (NCDs) are increasing in low-income settings. We conducted a survey of risk factors, blood pressure and blood glucose in rural Bangladesh and assessed variations by age, sex and wealth.

methodsWe surveyed a random sample of 12 280 adults aged >30 years in 96 villages in rural Bangladesh. Fieldworkers measured blood glucose and conducted an insulin tolerance test with a repeat blood test 120 min post glucose ingestion. Blood pressure, anthropometric, socioeconomic, lifestyle and behavioural risk factors data were also collected. Data were analysed to describe the prevalence of diabetes, intermediate hyperglycaemia, hypertension and NCD risk factors by age, sex and wealth.

resultsWomen had higher levels of overweight or obesity and lower levels of physical activity and fruit and vegetable consumption than men; 63% of men used tobacco compared with 41.3% of women. Overweight or obesity and abdominal obesity (waist to hip ratio) increased with socioeconomic status (least poor vs most poor: OR (95% CI) 3.21 (2.51 to 4.11) for men and 2.83 (2.28 to 3.52) for women). Tobacco use, passive smoke exposure and salt consumption fell with increasing socioeconomic status in both sexes. Clustering of risk factors showed more than 70% of men and women reported at least three risk factors. Women in the least poor group were 33% more likely to have three or more risk factors compared with women in the most poor group (1.33 (95% CI 1.17 to 1.58)). The combined prevalence of impaired fasting glucose, impaired glucose tolerance and diabetes was 26.1% among men and 34.9% among women, and increased with age. The prevalence of prehypertension and hypertension was 30.7% and 15.9% among men and 27.2% and 22.5% among women, with similar rising prevalence with age.

conclusionNCD risk factors, hyperglycaemia and raised blood pressure are an immediate health threat in rural Bangladesh. Initiatives to improve detection, treatment and prevention strategies are needed.

Indexed as

Bangladeshcommunity-based surveycross-sectional surveydiabetesepidemiologyhypertensionnon-communicable diseaserural

Identifiers

PMID30498584
PMCPMC6242007
OpenAlexW2901789666

What OpenQuestion holds

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LicenceCC BY
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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.