title: Community based diabetes risk assessment in Ogun state, Nigeria (World Diabetes Foundation project 08-321).
abstract: OBJECTIVE
  The study assessed the risk of developing type 2 diabetes Mellitus in Ogun State, Nigeria.
  
  
  METHODS
  Finnish Medical Association diabetes risk score was administered across 25 communities facilitated by non-communicable disease clinics established under a World Diabetes Foundation project. Subjects in the high risk group had blood glucose estimated.
  
  
  RESULTS
  58,567 respondents included 34,990 (59.6%) females and 23,667 (40.3%) males. Majority (61.2%) were between 25 years and 54 years. Considering waist circumference, 34,990 (38.1%) females and 23,667 (5.3%) males had values above 88 cm and 102 cm respectively. Overall, 11,266 (19.2%) were obese and 28.9% overweight using body mass index (BMI). More females had elevated BMI than males. Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) of all subjects were 129.54 mm Hg ± 23.5 mm Hg and 76.21 mm Hg ± 15.5 mm Hg respectively. Prevalence of hypertension (Joint National Committee VII classification) was 27.7%. More subjects had normal DBP than SBP (68.2% vs. 42.5% P < 0.05). Mean fasting blood glucose (FBG) of all subjects was 5.5 mmol/L ± 0.67 mmol/L. Using a casual blood glucose >11.1 mmol/L and/or FBG >7 mmol/L, the total yield of subjects adjudged as having diabetes was 2,956 (5.05%). Mean total risk score was 5.60 ± 3.90; this was significantly higher in females (6.34 ± 4.16 vs. 4.24 ± 3.71, P < 0.05). A total of 2,956 (5.05%) had high risk of developing DM within 10 years.
  
  
  CONCLUSIONS
  The risk of developing DM is high in the community studied with females having a higher risk score. There is urgent need to implement diabetes prevention strategies.
authors: Department of Medicine, Osun State University, Osogbo, Nigeria.
authors: Olutayo C
authors: OC
authors: Alebiosu
authors: Oluranti B
authors: OB
authors: Familoni
authors: Olawale O
authors: OO
authors: Ogunsemi
authors: T H
authors: TH
authors: Raimi
authors: Williams O
authors: WO
authors: Balogun
authors: O
authors: O
authors: Odusan
authors: Segun A
authors: SA
authors: Oguntona
authors: Taiwo
authors: T
authors: Olunuga
authors: Babatope A
authors: BA
authors: Kolawole
authors: Rosemary T
authors: RT
authors: Ikem
authors: Jokotade O
authors: JO
authors: Adeleye
authors: Olubiyi F
authors: OF
authors: Adesina
authors: Peter A
authors: PA
authors: Adewuyi
keywords: Community; Nigeria; diabetes risk; survey
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