Evidence map›Paper›PMID 31673340›Full record

ArticleJournal of global health2019

Prevalence and determinants of type 2 diabetes among lean African migrants and non-migrants: the RODAM study.

Felix P Chilunga, Peter Henneman, Karlijn Ac Meeks, Erik Beune, Ana Requena-Méndez, Liam Smeeth, Juliet Addo, Silver Bahendeka, Ina Danquah, Matthias B Schulze and 5 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  10. Why Type 2 Diabetes Risk Factors Are Concerningly High in Slum Areas?International journal of preventive medicine · 2025
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  16. Genes, environment, and African ancestry in cardiometabolic disorders.Trends in endocrinology and metabolism: TEM · 2023
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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

15 authors at 11 institutions in 8 countries.

Felix P ChilungaDepartment of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Peter HennemanDepartment of Clinical Genetics, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Karlijn Ac MeeksDepartment of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Erik BeuneDepartment of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Ana Requena-MéndezISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clinic, University of Barcelona, Barcelona, Spain.
Liam SmeethDepartment of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Juliet AddoDepartment of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Silver BahendekaDepartment of Medicine, MKPGMS-Uganda Martyrs University, Kampala, Uganda.
Ina DanquahDepartment of Molecular Epidemiology, German Institute of Human Nutrition, Nuthetal, Germany.
Matthias B SchulzeInstitute for Social Medicine, Epidemiology and Health Economics, Berlin Institute of Health, University of Berlin, Berlin, Germany.
Joachim SprangerClinic of Endocrinology, Diabetes and Metabolism, Berlin Institute of Health, University of Berlin, Berlin, Germany.
Ellis Owusu-DaboSchool of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Kerstin Klipstein-GrobuschJulius Global Health, Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, the Netherlands.
Marcel Mam MannensDepartment of Clinical Genetics, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Charles AgyemangDepartment of Public Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
University of Amsterdam · NLAmsterdam University Medical Centers · NLLondon School of Hygiene & Tropical Medicine · GBAmsterdam University of Applied Sciences · NLBarcelona Institute for Global Health · ESBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEFaculty of Public Health · GBGerman Institute of Human Nutrition · DEGGD Amsterdam · NLKwame Nkrumah University of Science and Technology · GHUganda Martyrs University · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExposure to adverse conditions earlier in life-course can predispose to type 2 diabetes in adulthood, irrespective of body mass index (BMI). However, the burden of type 2 diabetes in lean Africans is not well understood despite higher exposure to adverse early life conditions. Mirroring ongoing epidemiological transition, we assessed the burden and determinants of type 2 diabetes in a homogenous group of lean Ghanaians residing in rural and urban Ghana, and as migrants in Europe.

methodsBaseline data from 2179 RODAM study participants with BMI<25kg/m

resultsPrevalence of type 2 diabetes in rural, urban and migrant lean participants were 3.5%, 8.9% and 7.5% respectively, representing 55.4%, 35.6%, 13.2% of all participants with type 2 diabetes. Compared with lean rural participants, the odds of type 2 diabetes were higher in lean urban participants (adjusted OR = 8.81, 95% CI = 6.56-11.06), followed by migrants (5.27, 95% CI = 3.51-6.91). Irrespective of site, determinants of type 2 diabetes in lean participants include; presence of hypertension, physical inactivity, hypercholesterolemia and age (>45 years).

conclusionsOur study shows a high prevalence of type 2 diabetes among lean African populations in different geographical settings. Future studies are needed in-order to examine how contextual differences are related to the pathophysiology of type 2 diabetes in lean individuals.

Indexed as

AdultAgedBlack PeopleBody Mass IndexDiabetes Mellitus, Type 2EuropeFemaleGhanaHumansMaleMiddle AgedPrevalenceRisk FactorsThinnessTransients and Migrants

Identifiers

PMID31673340
PMCPMC6815658
OpenAlexW2982206738

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.