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3. Hypertension care cascades and reducing inequities in cardiovascular disease in low- and middle-income countries

Author

Stein, Dorit Talia, Reitsma, Marissa B., Geldsetzer, Pascal, Agoudavi, Kokou, Aryal, Krishna Kumar, Bahendeka, Silver, Brant, Luisa C. C., Farzadfar, Farshad, Gurung, Mongal Singh, Guwatudde, David, Houehanou, Yessito Corine Nadège, Malta, Deborah Carvalho, Martins, João Soares, Saeedi Moghaddam, Sahar, Mwangi, Kibachio Joseph, Norov, Bolormaa, Sturua, Lela, Zhumadilov, Zhaxybay, Bärnighausen, Till, Davies, Justine I., Flood, David, Marcus, Maja E., Theilmann, Michaela, Vollmer, Sebastian, Manne-Goehler, Jennifer, Atun, Rifat, Sudharsanan, Nikkil, and Verguet, Stéphane

Published
2024
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7. Diabetes risk and provision of diabetes prevention activities in 44 low-income and middle-income countries: a cross-sectional analysis of nationally representative, individual-level survey data

Author

Rahim, Nicholas Errol, Flood, David, Marcus, Maja E, Theilmann, Michaela, Aung, Taing N, Agoudavi, Kokou, Aryal, Krishna Kumar, Bahendeka, Silver, Bicaba, Brice, Bovet, Pascal, Diallo, Alpha Oumar, Farzadfar, Farshad, Guwatudde, David, Houehanou, Corine, Houinato, Dismand, Hwalla, Nahla, Jorgensen, Jutta, Kagaruki, Gibson Bernard, Mayige, Mary, Wong-McClure, Roy, Larijani, Bagher, Saeedi Moghaddam, Sahar, Mwalim, Omar, Mwangi, Kibachio Joseph, Sarkar, Sudipa, Sibai, Abla M, Sturua, Lela, Wesseh, Chea, Geldsetzer, Pascal, Atun, Rifat, Vollmer, Sebastian, Bärnighausen, Till, Davies, Justine, Ali, Mohammed K, Seiglie, Jacqueline A, and Manne-Goehler, Jennifer

Published
2023
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8. Diagnostic testing for hypertension, diabetes, and hypercholesterolaemia in low-income and middle-income countries: a cross-sectional study of data for 994 185 individuals from 57 nationally representative surveys

Author

Ochmann, Sophie, von Polenz, Isabelle, Marcus, Maja-Emilia, Theilmann, Michaela, Flood, David, Agoudavi, Kokou, Aryal, Krishna Kumar, Bahendeka, Silver, Bicaba, Brice, Bovet, Pascal, Campos Caldeira Brant, Luisa, Carvalho Malta, Deborah, Damasceno, Albertino, Farzadfar, Farshad, Gathecha, Gladwell, Ghanbari, Ali, Gurung, Mongal, Guwatudde, David, Houehanou, Corine, Houinato, Dismand, Hwalla, Nahla, Jorgensen, Jutta Adelin, Karki, Khem B, Lunet, Nuno, Martins, Joao, Mayige, Mary, Moghaddam, Sahar Saeedi, Mwalim, Omar, Mwangi, Kibachio Joseph, Norov, Bolormaa, Quesnel-Crooks, Sarah, Rezaei, Negar, Sibai, Abla M, Sturua, Lela, Tsabedze, Lindiwe, Wong-McClure, Roy, Davies, Justine, Geldsetzer, Pascal, Bärnighausen, Till, Atun, Rifat, Manne-Goehler, Jennifer, and Vollmer, Sebastian

Published
2023
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10. The Association of Socioeconomic Status With Hypertension in 76 Low- and Middle-Income Countries

Author

Kirschbaum, Tabea K., Sudharsanan, Nikkil, Manne-Goehler, Jennifer, De Neve, Jan-Walter, Lemp, Julia M., Theilmann, Michaela, Marcus, Maja E., Ebert, Cara, Chen, Simiao, Yoosefi, Moein, Sibai, Abla M., Rouhifard, Mahtab, Moghaddam, Sahar Saeedi, Mayige, Mary T., Martins, Joao S., Lunet, Nuno, Jorgensen, Jutta M.A., Houehanou, Corine, Farzadfar, Farshad, Damasceno, Albertino, Bovet, Pascal, Bahendeka, Silver K., Aryal, Krishna K., Andall-Brereton, Glennis, Davies, Justine I., Atun, Rifat, Vollmer, Sebastian, Bärnighausen, Till, Jaacks, Lindsay M., and Geldsetzer, Pascal

Published
2022
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11. Use of statins for the prevention of cardiovascular disease in 41 low-income and middle-income countries: a cross-sectional study of nationally representative, individual-level data

Author

Marcus, Maja E, Manne-Goehler, Jennifer, Theilmann, Michaela, Farzadfar, Farshad, Moghaddam, Sahar Saeedi, Keykhaei, Mohammad, Hajebi, Amirali, Tschida, Scott, Lemp, Julia M, Aryal, Krishna K, Dunn, Matthew, Houehanou, Corine, Bahendeka, Silver, Rohloff, Peter, Atun, Rifat, Bärnighausen, Till W, Geldsetzer, Pascal, Ramirez-Zea, Manuel, Chopra, Vineet, Heisler, Michele, Davies, Justine I, Huffman, Mark D, Vollmer, Sebastian, and Flood, David

Published
2022
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12. Multiple cardiovascular risk factor care in 55 low- and middle-income countries: A cross-sectional analysis of nationally-representative, individual-level data from 280,783 adults

Author

Diallo, Alpha Oumar, primary, Marcus, Maja E., additional, Flood, David, additional, Theilmann, Michaela, additional, Rahim, Nicholas E., additional, Kinlaw, Alan, additional, Franceschini, Nora, additional, Stürmer, Til, additional, Tien, Dessie V., additional, Abbasi-Kangevari, Mohsen, additional, Agoudavi, Kokou, additional, Andall-Brereton, Glennis, additional, Aryal, Krishna, additional, Bahendeka, Silver, additional, Bicaba, Brice, additional, Bovet, Pascal, additional, Dorobantu, Maria, additional, Farzadfar, Farshad, additional, Ghamari, Seyyed-Hadi, additional, Gathecha, Gladwell, additional, Guwatudde, David, additional, Gurung, Mongal, additional, Houehanou, Corine, additional, Houinato, Dismand, additional, Hwalla, Nahla, additional, Jorgensen, Jutta, additional, Kagaruki, Gibson, additional, Karki, Khem, additional, Martins, Joao, additional, Mayige, Mary, additional, McClure, Roy Wong, additional, Moghaddam, Sahar Saeedi, additional, Mwalim, Omar, additional, Mwangi, Kibachio Joseph, additional, Norov, Bolormaa, additional, Quesnel-Crooks, Sarah, additional, Sibai, Abla, additional, Sturua, Lela, additional, Tsabedze, Lindiwe, additional, Wesseh, Chea, additional, Geldsetzer, Pascal, additional, Atun, Rifat, additional, Vollmer, Sebastian, additional, Bärnighausen, Till, additional, Davies, Justine, additional, Ali, Mohammed K., additional, Seiglie, Jacqueline A., additional, Gower, Emily W., additional, and Manne-Goehler, Jennifer, additional

Published
2024
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13. Diabetes mellitus in sub-saharan Africa during the COVID-19 pandemic: A scoping review.

Author

Sseguya, Wenceslaus, Bahendeka, Silver, MacLennan, Sara, Mody, Nimesh, and Guntupalli, Aravinda Meera

Subjects
*SARS-CoV-2, *COVID-19, *COVID-19 pandemic, *DIABETES, *RESOURCE-limited settings, *EMERGING infectious diseases
Abstract

Background: The COVID-19 pandemic impacted the healthcare and outcomes of individuals with various chronic diseases. However, there is a paucity of data on the impact of the COVID-19 pandemic on diabetes mellitus (DM) in low-resource settings. To address this, we conducted a scoping review to explore the literature published on diabetes-related COVID-19 outcomes and care during the COVID-19 pandemic in countries of sub-Saharan Africa. Methods: We applied our search strategy to PubMed, Web of Science, CINAHL, African Index Medicus, Google Scholar, Cochrane Library, Scopus, Science Direct, ERIC and Embase to obtain relevant articles published from January 2020 to March 2023. Two independent reviewers were involved in screening the retrieved articles. Data from eligible articles were extracted from quantitative, qualitative and mixed-methods studies. Quantitative evidence was summarised using descriptive statistics, while a thematic framework was used to identify and categorise themes from qualitative evidence. Results: We found 42 of the retrieved 360 articles eligible, mainly from South Africa, Ethiopia and Ghana (73.4%). The incidence of DM among COVID-19 cases was 13.7/1,000 person-days observation. COVID-19 was associated with increased odds of death (OR 1.30–9.0, 95% CI), hospitalisation (OR 3.30–3.73: 95% CI), and severity (OR: 1.30–4.05, 95% CI) in persons with DM. Challenges in caring for DM during the pandemic were inadequate patient self-management, difficulties in healthcare access, and inadequate healthcare resources. Conclusion: The COVID-19 pandemic was characterised by a high incidence of DM in persons infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and high COVID-19-associated mortality, severity, and hospitalisation among people persons with DM. The pandemic also created difficulties in DM self-management and worsened the quality of DM care services. Policymakers should devise preventive and management strategies for DM during emerging and re-emerging infectious disease epidemics and outbreaks, given that such occurrences are increasingly frequent in the region. [ABSTRACT FROM AUTHOR]

Published
2024
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19. Atherogenic index of plasma and its cardiovascular risk factor correlates among patients with type 2 diabetes in Uganda

Author

Lumu, William, Bahendeka, Silver, Wesonga, Ronald, Kibirige, Davis, Mutebi Kasoma, Ronald, and Ssendikwanawa, Emmanuel

Subjects
Atherogenic index of plasma, Type 2 diabetes, cardiovascular risk factors, Uganda, General Medicine
Abstract

Background: Atherogenic Index of Plasma (AIP) is a reliable predictor of coronary artery disease. There is paucity of data on AIP and its correlates among patients with type 2 diabetes (T2D) in Uganda. Objective: To assess the profile of AIP and its cardiovascular risk factor correlates among patients with T2D in Uganda. Methods: This was a cross-sectional study conducted in 8 health facilities with established T2D clinics in Central-Uganda. The study enrolled 500 patients aged 40 to 79 years. Data was collected on socio-demographic characteristics, lipid profile and glycated haemoglobin (HbA1c). The AIP was derived using log (triglycerides/high-density cholesterol) and further categorised as low cardiovascular disease (CVD) risk if the AIP was

Published
2023

20. Glucocrinology of Modern Sulfonylureas: Clinical Evidence and Practice-Based Opinion from an International Expert Group

Author

Kalra, Sanjay, Das, A. K., Baruah, M. P., Unnikrishnan, A. G., Dasgupta, Arundhati, Shah, Parag, Sahay, Rakesh, Shukla, Rishi, Das, Sambit, Tiwaskar, Mangesh, Vijayakumar, G., Chawla, Manoj, Eliana, Fatimah, Suastika, Ketut, Orabi, Abbas, Rahim, Aly Ahmed Abdul, Uloko, Andrew, Bahendeka, Silver, Abdela, Abdurezak Ahmed, Mohammed, Fariduddin, Pathan, Faruque, Rahman, Muhammed Hafizur, Afsana, Faria, Selim, Shajada, Moosa, Muaz, Murad, Moosa, Shreshtha, Pradeep Krishna, Shreshtha, Dina, Giri, Mimi, Hussain, Wiam, Al-Ani, Ahmed, Ramaiya, Kaushik, Singh, Surender, Raza, Syed Abbas, Aye, Than Than, Garusinghe, Chaminda, Muthukuda, Dimuthu, Weerakkody, Muditha, Kahandawa, Shyaminda, Bavuma, Charlotte, Ruder, Sundeep, Vanny, Koy, Khanolkar, Manish, and Czupryniak, Leszek

Published
2019
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21. BE-SMART (Basal Early Strategies to Maximize HbA1c Reduction with Oral Therapy): Expert Opinion

Author

Bajaj, Sarita, Das, A. K., Kalra, Sanjay, Sahay, Rakesh, Saboo, Banshi, Das, Sambit, Shunmugavelu, M., Jacob, Jubbin, Priya, Gagan, Khandelwal, Deepak, Dutta, Deep, Chawla, Manoj, Surana, Vineet, Tiwaskar, Mangesh, Joshi, Ameya, Shrestha, Pradip Krishna, Bhattarai, Jyoti, Bhowmik, Bishwajit, Latt, Tint Swe, Aye, Than Than, Vijayakumar, G., Baruah, Manash, Jawad, Fatema, Unnikrishnan, A. G., Chowdhury, Subhankar, Pathan, Md. Faruqe, Somasundaram, Noel, Sumanathilaka, Manilka, Raza, Abbas, Bahendeka, Silver K., Coetzee, Ankia, Ruder, Sundeep, Ramaiya, Kaushik, Lamptey, Roberta, Bavuma, Charlotte, Shaikh, Khalid, Uloko, Andrew, Chaudhary, Sandeep, Abdela, Abdurezak Ahmed, Akanov, Zhanay, Rodrìguez-Saldaña, Joel, Faradji, Raquel, Tiago, Armindo, Reja, Ahmed, and Czupryniak, Leszek

Published
2019
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22. Euthymia in Diabetes: Clinical Evidence and Practice-Based Opinion from an International Expert Group

Author

Kalra, Sanjay, Das, A. K., Baruah, M. P., Unnikrishnan, A. G., Dasgupta, Arundhati, Shah, Parag, Sahay, Rakesh, Shukla, Rishi, Das, Sambit, Tiwaskar, Mangesh, Vijayakumar, G., Chawla, Manoj, Eliana, Fatimah, Suastika, Ketut, Orabi, Abbas, Rahim, Aly Ahmed Abdul, Uloko, Andrew, Lamptey, Roberta, Ngugi, Nancy, Bahendeka, Silver, Abdela, Abdurezak Ahmed, Mohammed, Fariduddin, Pathan, Mohammed Faruque, Rahman, Muhammed Hafizur, Afsana, Faria, Selim, Shajada, Moosa, Muaz, Murad, Moosa, Shreshtha, Pradeep Krishna, Shreshtha, Dina, Giri, Mimi, Hussain, Wiam, Al-Ani, Ahmed, Ramaiya, Kaushik, Singh, Surender, Raza, Syed Abbas, Aye, Than Than, Garusinghe, Chaminda, Muthukuda, Dimuthu, Weerakkody, Muditha, Kahandawa, Shyaminda, Bavuma, Charlotte, Ruder, Sundeep, Vanny, Koy, Khanolkar, Manish, and Czupryniak, Leszek

Published
2019
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25. Expert Opinion: Patient Selection for Premixed Insulin Formulations in Diabetes Care

Author

Kalra, Sanjay, Czupryniak, Leszek, Kilov, Gary, Lamptey, Roberta, Kumar, Ajay, Unnikrishnan, A. G., Boudiba, Aissa, Abid, Mohamed, Akanov, Zhanay A., Latheef, Ali, Araz, Mustafa, Audehm, Ralph, Bahendeka, Silver, Balde, Naby, Chaudhary, Sandeep, Deerochanawong, Chaicharn, Fasanmade, Olufemi, Iraqi, Hinde, Latt, Tint Swe, Mbanya, Jean Claude, Rodriguez-Saldana, Joel, Hyun, Ko Seung, Latif, Zafar A., Lushchyk, Maxim, Megallaa, Magdy, Naseri, Mohammed Wali, Bay, Nguyen Quang, Ramaiya, Kaushik, Randeree, Hoosen, Raza, Syed Abbas, Shaikh, Khalid, Shrestha, Dina, Sobngwi, Eugene, Somasundaram, Noel, Sukor, Norlela, and Tan, Rima

Published
2018
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26. Variation in the Proportion of Adults in Need of Blood Pressure–Lowering Medications by Hypertension Care Guideline in Low- and Middle-Income Countries: A Cross-Sectional Study of 1 037 215 Individuals From 50 Nationally Representative Surveys

Author

Sudharsanan, Nikkil, Theilmann, Michaela, Kirschbaum, Tabea K., Manne-Goehler, Jennifer, Azadnajafabad, Sina, Bovet, Pascal, Chen, Simiao, Damasceno, Albertino, De Neve, Jan-Walter, Dorobantu, Maria, Ebert, Cara, Farzadfar, Farshad, Gathecha, Gladwell, Gurung, Mongal Singh, Jamshidi, Kosar, Jørgensen, Jutta M.A., Labadarios, Demetre, Lemp, Julia, Lunet, Nuno, Mwangi, Joseph K., Moghaddam, Sahar Saeedi, Bahendeka, Silver K., Zhumadilov, Zhaxybay, Bärnighausen, Till, Vollmer, Sebastian, Atun, Rifat, Davies, Justine I., and Geldsetzer, Pascal

Published
2021
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27. Subgroups of adult-onset diabetes: a data-driven cluster analysis in a Ghanaian population

Author

Danquah, Ina, primary, Mank, Isabel, additional, Hampe, Christiane S., additional, Meeks, Karlijn A. C., additional, Agyemang, Charles, additional, Owusu-Dabo, Ellis, additional, Smeeth, Liam, additional, Klipstein-Grobusch, Kerstin, additional, Bahendeka, Silver, additional, Spranger, Joachim, additional, Mockenhaupt, Frank P., additional, Schulze, Matthias B., additional, and Rolandsson, Olov, additional

Published
2023
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28. Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis

Author

Barr, Anna Louise, Partap, Uttara, Young, Elizabeth H., Agoudavi, Kokou, Balde, Naby, Kagaruki, Gibson B., Mayige, Mary T., Longo-Mbenza, Benjamin, Mutungi, Gerald, Mwalim, Omar, Wesseh, Chea S., Bahendeka, Silver K., Guwatudde, David, Jørgensen, Jutta M. Adelin, Bovet, Pascal, Motala, Ayesha A., and Sandhu, Manjinder S.

Published
2020
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31. Epigenome-wide association study of plasma lipids in West Africans: the RODAM study

Author

van der Linden, Eva L., primary, Meeks, Karlijn A.C., additional, Chilunga, Felix, additional, Hayfron-Benjamin, Charles, additional, Bahendeka, Silver, additional, Klipstein-Grobusch, Kerstin, additional, Venema, Andrea, additional, van den Born, Bert-Jan, additional, Agyemang, Charles, additional, Henneman, Peter, additional, and Adeyemo, Adebowale, additional

Published
2023
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32. Medication Use for Cardiovascular Disease Prevention in 40 Low- and Middle-Income Countries

Author

Zhu, JingJing Z., primary, Manne-Goehler, Jennifer, additional, Agarwal, Anubha, additional, Bahendeka, Silver K., additional, Damasceno, Albertino, additional, Marcus, Maja E., additional, Saeedi Moghaddam, Sahar, additional, Vollmer, Sebastian, additional, Huffman, Mark D., additional, Flood, David, additional, Andall-Brereton, Glennis, additional, Aryal, Krishna, additional, Atun, Rifat, additional, Bicaba, Brice, additional, Davies, Justine, additional, Dorobantu, Maria, additional, Farzadfar, Farshad, additional, Geldsetzer, Pascal, additional, Gurung, Mongal, additional, Guwatudde, David, additional, Houehanou, Corine, additional, Hwalla, Nahla, additional, Joseph, Kibachio, additional, Karki, Khem, additional, Martins, Joao, additional, Norov, Bolormaa, additional, Quesnel-Crooks, Sarah, additional, Sibai, Abla, additional, Theilmann, Michaela, additional, and Tsabedze, Lindiwe, additional

Published
2023
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33. Subgroups of adult-onset diabetes : a data-driven cluster analysis in a Ghanaian population

Author

Danquah, Ina, Mank, Isabel, Hampe, Christiane S., Meeks, Karlijn A. C., Agyemang, Charles, Owusu-Dabo, Ellis, Smeeth, Liam, Klipstein-Grobusch, Kerstin, Bahendeka, Silver, Spranger, Joachim, Mockenhaupt, Frank P., Schulze, Matthias B., Rolandsson, Olov, Danquah, Ina, Mank, Isabel, Hampe, Christiane S., Meeks, Karlijn A. C., Agyemang, Charles, Owusu-Dabo, Ellis, Smeeth, Liam, Klipstein-Grobusch, Kerstin, Bahendeka, Silver, Spranger, Joachim, Mockenhaupt, Frank P., Schulze, Matthias B., and Rolandsson, Olov

Abstract

Adult-onset diabetes mellitus (here: aDM) is not a uniform disease entity. In European populations, five diabetes subgroups have been identified by cluster analysis using simple clinical variables; these may elucidate diabetes aetiology and disease prognosis. We aimed at reproducing these subgroups among Ghanaians with aDM, and establishing their importance for diabetic complications in different health system contexts. We used data of 541 Ghanaians with aDM (age: 25–70 years; male sex: 44%) from the multi-center, cross-sectional Research on Obesity and Diabetes among African Migrants (RODAM) Study. Adult-onset DM was defined as fasting plasma glucose (FPG) ≥ 7.0 mmol/L, documented use of glucose-lowering medication or self-reported diabetes, and age of onset ≥ 18 years. We derived subgroups by cluster analysis using (i) a previously published set of variables: age at diabetes onset, HbA1c, body mass index, HOMA-beta, HOMA-IR, positivity of glutamic acid decarboxylase autoantibodies (GAD65Ab), and (ii) Ghana-specific variables: age at onset, waist circumference, FPG, and fasting insulin. For each subgroup, we calculated the clinical, treatment-related and morphometric characteristics, and the proportions of objectively measured and self-reported diabetic complications. We reproduced the five subgroups: cluster 1 (obesity-related, 73%) and cluster 5 (insulin-resistant, 5%) with no dominant diabetic complication patterns; cluster 2 (age-related, 10%) characterized by the highest proportions of coronary artery disease (CAD, 18%) and stroke (13%); cluster 3 (autoimmune-related, 5%) showing the highest proportions of kidney dysfunction (40%) and peripheral artery disease (PAD, 14%); and cluster 4 (insulin-deficient, 7%) characterized by the highest proportion of retinopathy (14%). The second approach yielded four subgroups: obesity- and age-related (68%) characterized by the highest proportion of CAD (9%); body fat-related and insulin-resistant (18%) showing the highest

Published
2023
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34. Diabetes risk and provision of diabetes prevention activities in 44 low-income and middle-income countries:a cross-sectional analysis of nationally representative, individual-level survey data

Author

Rahim, Nicholas Errol, Flood, David, Marcus, Maja E., Theilmann, Michaela, Aung, Taing N., Agoudavi, Kokou, Aryal, Krishna Kumar, Bahendeka, Silver, Bicaba, Brice, Bovet, Pascal, Diallo, Alpha Oumar, Farzadfar, Farshad, Guwatudde, David, Houehanou, Corine, Houinato, Dismand, Hwalla, Nahla, Jorgensen, Jutta, Kagaruki, Gibson Bernard, Mayige, Mary, Wong-McClure, Roy, Larijani, Bagher, Saeedi Moghaddam, Sahar, Mwalim, Omar, Mwangi, Kibachio Joseph, Sarkar, Sudipa, Sibai, Abla M., Sturua, Lela, Wesseh, Chea, Geldsetzer, Pascal, Atun, Rifat, Vollmer, Sebastian, Bärnighausen, Till, Davies, Justine, Ali, Mohammed K., Seiglie, Jacqueline A., Manne-Goehler, Jennifer, Rahim, Nicholas Errol, Flood, David, Marcus, Maja E., Theilmann, Michaela, Aung, Taing N., Agoudavi, Kokou, Aryal, Krishna Kumar, Bahendeka, Silver, Bicaba, Brice, Bovet, Pascal, Diallo, Alpha Oumar, Farzadfar, Farshad, Guwatudde, David, Houehanou, Corine, Houinato, Dismand, Hwalla, Nahla, Jorgensen, Jutta, Kagaruki, Gibson Bernard, Mayige, Mary, Wong-McClure, Roy, Larijani, Bagher, Saeedi Moghaddam, Sahar, Mwalim, Omar, Mwangi, Kibachio Joseph, Sarkar, Sudipa, Sibai, Abla M., Sturua, Lela, Wesseh, Chea, Geldsetzer, Pascal, Atun, Rifat, Vollmer, Sebastian, Bärnighausen, Till, Davies, Justine, Ali, Mohammed K., Seiglie, Jacqueline A., and Manne-Goehler, Jennifer

Abstract

Background: The global burden of diabetes is rising rapidly, yet there is little evidence on individual-level diabetes prevention activities undertaken by health systems in low-income and middle-income countries (LMICs). Here we describe the population at high risk of developing diabetes, estimate diabetes prevention activities, and explore sociodemographic variation in these activities across LMICs. Methods: We performed a pooled, cross-sectional analysis of individual-level data from nationally representative, population-based surveys conducted in 44 LMICs between October, 2009, and May, 2019. Our sample included all participants older than 25 years who did not have diabetes and were not pregnant. We defined the population at high risk of diabetes on the basis of either the presence of impaired fasting glucose (or prediabetes in countries with a haemoglobin A1c available) or overweight or obesity, consistent with the WHO Package of Essential Noncommunicable Disease Guidelines for type 2 diabetes management. We estimated the proportion of survey participants that were at high risk of developing diabetes based on this definition. We also estimated the proportion of the population at high risk that reported each of four fundamental diabetes prevention activities: physical activity counselling, weight loss counselling, dietary counselling, and blood glucose screening, overall and stratified by World Bank income group. Finally, we used multivariable Poisson regression models to evaluate associations between sociodemographic characteristics and these activities. Findings: The final pooled sample included 145 739 adults (86 269 [59·2%] of whom were female and 59 468 [40·4%] of whom were male) across 44 LMICs, of whom 59 308 (40·6% [95% CI 38·5–42·8]) were considered at high risk of diabetes (20·6% [19·8–21·5] in low-income countries, 38·0% [37·2–38·9] in lower-middle-income countries, and 57·5% [54·3–60·6] in upper-middle-income countries). Overall, the rea

Published
2023

35. Diagnostic testing for hypertension, diabetes, and hypercholesterolaemia in low-income and middle-income countries:a cross-sectional study of data for 994 185 individuals from 57 nationally representative surveys

Author

Ochmann, Sophie, von Polenz, Isabelle, Marcus, Maja Emilia, Theilmann, Michaela, Flood, David, Agoudavi, Kokou, Aryal, Krishna Kumar, Bahendeka, Silver, Bicaba, Brice, Bovet, Pascal, Campos Caldeira Brant, Luisa, Carvalho Malta, Deborah, Damasceno, Albertino, Farzadfar, Farshad, Gathecha, Gladwell, Ghanbari, Ali, Gurung, Mongal, Guwatudde, David, Houehanou, Corine, Houinato, Dismand, Hwalla, Nahla, Jorgensen, Jutta Adelin, Karki, Khem B., Lunet, Nuno, Martins, Joao, Mayige, Mary, Moghaddam, Sahar Saeedi, Mwalim, Omar, Mwangi, Kibachio Joseph, Norov, Bolormaa, Quesnel-Crooks, Sarah, Rezaei, Negar, Sibai, Abla M., Sturua, Lela, Tsabedze, Lindiwe, Wong-McClure, Roy, Davies, Justine, Geldsetzer, Pascal, Bärnighausen, Till, Atun, Rifat, Manne-Goehler, Jennifer, Vollmer, Sebastian, Ochmann, Sophie, von Polenz, Isabelle, Marcus, Maja Emilia, Theilmann, Michaela, Flood, David, Agoudavi, Kokou, Aryal, Krishna Kumar, Bahendeka, Silver, Bicaba, Brice, Bovet, Pascal, Campos Caldeira Brant, Luisa, Carvalho Malta, Deborah, Damasceno, Albertino, Farzadfar, Farshad, Gathecha, Gladwell, Ghanbari, Ali, Gurung, Mongal, Guwatudde, David, Houehanou, Corine, Houinato, Dismand, Hwalla, Nahla, Jorgensen, Jutta Adelin, Karki, Khem B., Lunet, Nuno, Martins, Joao, Mayige, Mary, Moghaddam, Sahar Saeedi, Mwalim, Omar, Mwangi, Kibachio Joseph, Norov, Bolormaa, Quesnel-Crooks, Sarah, Rezaei, Negar, Sibai, Abla M., Sturua, Lela, Tsabedze, Lindiwe, Wong-McClure, Roy, Davies, Justine, Geldsetzer, Pascal, Bärnighausen, Till, Atun, Rifat, Manne-Goehler, Jennifer, and Vollmer, Sebastian

Abstract

Background Testing for the risk factors of cardiovascular disease, which include hypertension, diabetes, and hypercholesterolaemia, is important for timely and effective risk management. Yet few studies have quantified and analysed testing of cardiovascular risk factors in low-income and middle-income countries (LMICs) with respect to sociodemographic inequalities. We aimed to address this knowledge gap. Methods In this cross-sectional analysis, we pooled individual-level data for non-pregnant adults aged 18 years or older from nationally representative surveys done between Jan 1, 2010, and Dec 31, 2019 in LMICs that included a question about whether respondents had ever had their blood pressure, glucose, or cholesterol measured. We analysed diagnostic testing performance by quantifying the overall proportion of people who had ever been tested for these cardiovascular risk factors and the proportion of individuals who met the diagnostic testing criteria in the WHO package of essential noncommunicable disease interventions for primary care (PEN) guidelines (ie, a BMI >30 kg/m 2 or a BMI >25 kg/m 2 among people aged 40 years or older). We disaggregated and compared diagnostic testing performance by sex, wealth quintile, and education using two-sided t tests and multivariable logistic regression models. Findings Our sample included data for 994 185 people from 57 surveys. 19·1% (95% CI 18·5–19·8) of the 943 259 people in the hypertension sample met the WHO PEN criteria for diagnostic testing, of whom 78·6% (77·8–79·2) were tested. 23·8% (23·4–24·3) of the 225 707 people in the diabetes sample met the WHO PEN criteria for diagnostic testing, of whom 44·9% (43·7–46·2) were tested. Finally, 27·4% (26·3–28·6) of the 250 573 people in the hypercholesterolaemia sample met the WHO PEN criteria for diagnostic testing, of whom 39·7% (37·1–2·4) were tested. Women were more likely than men to be tested for hypertension and diabetes, and people, BACKGROUND: Testing for the risk factors of cardiovascular disease, which include hypertension, diabetes, and hypercholesterolaemia, is important for timely and effective risk management. Yet few studies have quantified and analysed testing of cardiovascular risk factors in low-income and middle-income countries (LMICs) with respect to sociodemographic inequalities. We aimed to address this knowledge gap. METHODS: In this cross-sectional analysis, we pooled individual-level data for non-pregnant adults aged 18 years or older from nationally representative surveys done between Jan 1, 2010, and Dec 31, 2019 in LMICs that included a question about whether respondents had ever had their blood pressure, glucose, or cholesterol measured. We analysed diagnostic testing performance by quantifying the overall proportion of people who had ever been tested for these cardiovascular risk factors and the proportion of individuals who met the diagnostic testing criteria in the WHO package of essential noncommunicable disease interventions for primary care (PEN) guidelines (ie, a BMI >30 kg/m2 or a BMI >25 kg/m2 among people aged 40 years or older). We disaggregated and compared diagnostic testing performance by sex, wealth quintile, and education using two-sided t tests and multivariable logistic regression models. FINDINGS: Our sample included data for 994 185 people from 57 surveys. 19·1% (95% CI 18·5-19·8) of the 943 259 people in the hypertension sample met the WHO PEN criteria for diagnostic testing, of whom 78·6% (77·8-79·2) were tested. 23·8% (23·4-24·3) of the 225 707 people in the diabetes sample met the WHO PEN criteria for diagnostic testing, of whom 44·9% (43·7-46·2) were tested. Finally, 27·4% (26·3-28·6) of the 250 573 people in the hypercholesterolaemia sample met the WHO PEN criteria for diagnostic testing, of whom 39·7% (37·1-2·4) were tested. Women were more likely than men to be tested for hypertension and diabetes, and people in higher wealth quintiles

Published
2023

36. Validation of prevalent diabetes risk scores based on non-invasively measured predictors in Ghanaian migrant and non-migrant populations – The RODAM study

Author

Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Osei-Yeboah, James, Kengne, Andre-Pascal, Owusu-Dabo, Ellis, Schulze, Matthias B., Meeks, Karlijn A.C., Klipstein-Grobusch, Kerstin, Smeeth, Liam, Bahendeka, Silver, Beune, Erik, Moll van Charante, Eric P., Agyemang, Charles, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Osei-Yeboah, James, Kengne, Andre-Pascal, Owusu-Dabo, Ellis, Schulze, Matthias B., Meeks, Karlijn A.C., Klipstein-Grobusch, Kerstin, Smeeth, Liam, Bahendeka, Silver, Beune, Erik, Moll van Charante, Eric P., and Agyemang, Charles

Published
2023

37. Macrovascular and renal microvascular complications in West Africans with intermediate hyperglycemia living in West Africa and Europe: The RODAM study

Author

Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Bannerman-Williams, Emmanuel, Hayfron-Benjamin, Charles F., Atiase, Yacoba, Bahendeka, Silver, Meeks, Karlijn, Klipstein-Grobusch, Kerstin, Addo, Juliet, Mockenhaupt, Frank, Schulze, Matthias B., Beune, Erik, van den Born, Bert-Jan, Agyemang, Charles, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Bannerman-Williams, Emmanuel, Hayfron-Benjamin, Charles F., Atiase, Yacoba, Bahendeka, Silver, Meeks, Karlijn, Klipstein-Grobusch, Kerstin, Addo, Juliet, Mockenhaupt, Frank, Schulze, Matthias B., Beune, Erik, van den Born, Bert-Jan, and Agyemang, Charles

Published
2023

38. Subgroups of adult-onset diabetes: a data-driven cluster analysis in a Ghanaian population

Author

Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Danquah, Ina, Mank, Isabel, Hampe, Christiane S, Meeks, Karlijn A C, Agyemang, Charles, Owusu-Dabo, Ellis, Smeeth, Liam, Klipstein-Grobusch, Kerstin, Bahendeka, Silver, Spranger, Joachim, Mockenhaupt, Frank P, Schulze, Matthias B, Rolandsson, Olov, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Danquah, Ina, Mank, Isabel, Hampe, Christiane S, Meeks, Karlijn A C, Agyemang, Charles, Owusu-Dabo, Ellis, Smeeth, Liam, Klipstein-Grobusch, Kerstin, Bahendeka, Silver, Spranger, Joachim, Mockenhaupt, Frank P, Schulze, Matthias B, and Rolandsson, Olov

Published
2023

39. Epigenome-wide association study of plasma lipids in West Africans: the RODAM study

Author

Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, van der Linden, Eva L, Meeks, Karlijn A C, Chilunga, Felix, Hayfron-Benjamin, Charles, Bahendeka, Silver, Klipstein-Grobusch, Kerstin, Venema, Andrea, van den Born, Bert-Jan, Agyemang, Charles, Henneman, Peter, Adeyemo, Adebowale, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, van der Linden, Eva L, Meeks, Karlijn A C, Chilunga, Felix, Hayfron-Benjamin, Charles, Bahendeka, Silver, Klipstein-Grobusch, Kerstin, Venema, Andrea, van den Born, Bert-Jan, Agyemang, Charles, Henneman, Peter, and Adeyemo, Adebowale

Published
2023

40. Associations of psychosocial stress with type 2 diabetes and glycaemic control among Ghanaians: The RODAM study

Author

Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Chilunga, Felix P, Schwerzel, Pleun S, Meeks, Karlijn A C, Beune, Erik, Bahendeka, Silver, Mockenhaupt, Frank, Klipstein-Grobusch, Kerstin, Agyemang, Charles, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Chilunga, Felix P, Schwerzel, Pleun S, Meeks, Karlijn A C, Beune, Erik, Bahendeka, Silver, Mockenhaupt, Frank, Klipstein-Grobusch, Kerstin, and Agyemang, Charles

Published
2023

42. Peripheral insulin resistance rather than beta cell dysfunction accounts for geographical differences in impaired fasting blood glucose among sub-Saharan African individuals: findings from the RODAM study

Author

Meeks, Karlijn A. C., Stronks, Karien, Adeyemo, Adebowale, Addo, Juliet, Bahendeka, Silver, Beune, Erik, Owusu-Dabo, Ellis, Danquah, Ina, Galbete, Cecilia, Henneman, Peter, Klipstein-Grobusch, Kerstin, Mockenhaupt, Frank P., Osei, Kwame, Schulze, Matthias B., Spranger, Joachim, Smeeth, Liam, and Agyemang, Charles

Published
2017
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43. Migration and Cardiovascular Disease Risk Among Ghanaian Populations in Europe: The RODAM Study (Research on Obesity and Diabetes Among African Migrants)

Author

Boateng, Daniel, Agyemang, Charles, Beune, Erik, Meeks, Karlijn, Smeeth, Liam, Schulze, Matthias, Addo, Juliet, de-Graft Aikins, Ama, Galbete, Cecilia, Bahendeka, Silver, Danquah, Ina, Agyei-Baffour, Peter, Owusu-Dabo, Ellis, Mockenhaupt, Frank P., Spranger, Joachim, Kengne, Andre P., Grobbee, Diederick E., Stronks, Karien, and Klipstein-Grobusch, Kerstin

Published
2017
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44. Atherosclerotic Cardiovascular Disease Risk Among Patients with Type 2 Diabetes in Uganda

Author

Ronald Wesonga, Bahendeka Silver, and William Lumu

Subjects
medicine.medical_specialty, Atherosclerotic cardiovascular disease, business.industry, Internal medicine, medicine, Type 2 diabetes, medicine.disease, business
Abstract

While atherosclerotic cardiovascular disease risk is increased in patients with type 2 diabetes, the magnitude and socio-demographic determinants of this risk are not known in Uganda. We aimed to establish the magnitude of the predicted 10-year atherosclerotic cardiovascular risk and describe its socio-demographic determinants among patients with type 2 diabetes in Uganda. This was a cross-sectional study conducted in eight (8) diabetes clinics from November 2020 to February 2021. We enrolled 500 patients with type 2 diabetes aged between 40 to 79 years. Patients were interviewed on their socio-demographic characteristics. Anthropometric and laboratory measurements were performed. The predicted 10-year atherosclerotic cardiovascular risk was categorized using the Pooled Cohorts Risks Equations. Bivariate and multivariate logistic regression was conducted to establish associated socio-demographic factors. The majority of participants were females (78%), with a mean age of 55.14years (SD±8.96). Of the patients studied, 20% were at low risk (score

Published
2021

46. Rural-Urban Differences in Diabetes Care and Control in 42 Low- and Middle-Income Countries: A Cross-sectional Study of Nationally Representative Individual-Level Data

Author

Flood, David, primary, Geldsetzer, Pascal, additional, Agoudavi, Kokou, additional, Aryal, Krishna K., additional, Brant, Luisa Campos Caldeira, additional, Brian, Garry, additional, Dorobantu, Maria, additional, Farzadfar, Farshad, additional, Gheorghe-Fronea, Oana, additional, Gurung, Mongal Singh, additional, Guwatudde, David, additional, Houehanou, Corine, additional, Jorgensen, Jutta M. Adelin, additional, Kondal, Dimple, additional, Labadarios, Demetre, additional, Marcus, Maja E., additional, Mayige, Mary, additional, Moghimi, Mana, additional, Norov, Bolormaa, additional, Perman, Gastón, additional, Quesnel-Crooks, Sarah, additional, Rashidi, Mohammad-Mahdi, additional, Moghaddam, Sahar Saeedi, additional, Seiglie, Jacqueline A., additional, Bahendeka, Silver K., additional, Steinbrook, Eric, additional, Theilmann, Michaela, additional, Ware, Lisa J., additional, Vollmer, Sebastian, additional, Atun, Rifat, additional, Davies, Justine I., additional, Ali, Mohammed K., additional, Rohloff, Peter, additional, and Manne-Goehler, Jennifer, additional

Published
2022
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47. Rural-Urban Differences in Diabetes Care and Control in 42 Low-and Middle-Income Countries:A Cross-sectional Study of Nationally Representative Individual-Level Data

Author

Flood, David, Geldsetzer, Pascal, Agoudavi, Kokou, Aryal, Krishna K., Brant, Luisa Campos Caldeira, Brian, Garry, Dorobantu, Maria, Farzadfar, Farshad, Gheorghe-Fronea, Oana, Gurung, Mongal Singh, Guwatudde, David, Houehanou, Corine, Jorgensen, Jutta M.Adelin, Kondal, Dimple, Labadarios, Demetre, Marcus, Maja E., Mayige, Mary, Moghimi, Mana, Norov, Bolormaa, Perman, Gastóon, Quesnel-Crooks, Sarah, Rashidi, Mohammad Mahdi, Moghaddam, Sahar Saeedi, Seiglie, Jacqueline A., Bahendeka, Silver K., Steinbrook, Eric, Theilmann, Michaela, Ware, Lisa J., Vollmer, Sebastian, Atun, Rifat, Davies, Justine I., Ali, Mohammed K., Rohloff, Peter, Manne-Goehler, Jennifer, Flood, David, Geldsetzer, Pascal, Agoudavi, Kokou, Aryal, Krishna K., Brant, Luisa Campos Caldeira, Brian, Garry, Dorobantu, Maria, Farzadfar, Farshad, Gheorghe-Fronea, Oana, Gurung, Mongal Singh, Guwatudde, David, Houehanou, Corine, Jorgensen, Jutta M.Adelin, Kondal, Dimple, Labadarios, Demetre, Marcus, Maja E., Mayige, Mary, Moghimi, Mana, Norov, Bolormaa, Perman, Gastóon, Quesnel-Crooks, Sarah, Rashidi, Mohammad Mahdi, Moghaddam, Sahar Saeedi, Seiglie, Jacqueline A., Bahendeka, Silver K., Steinbrook, Eric, Theilmann, Michaela, Ware, Lisa J., Vollmer, Sebastian, Atun, Rifat, Davies, Justine I., Ali, Mohammed K., Rohloff, Peter, and Manne-Goehler, Jennifer

Abstract

Diabetes prevalence is increasing rapidly in rural areas of low- and middle-income countries (LMICs), but there are limited data on the performance of health systems in delivering equitable and effective care to rural populations. We therefore assessed rural-urban differences in diabetes care and control in LMICs, OBJECTIVE Diabetes prevalence is increasing rapidly in rural areas of low-and middle-income countries (LMICs), but there are limited data on the performance of health systems in delivering equitable and effective care to rural populations. We therefore assessed rural-urban differences in diabetes care and control in LMICs. RESEARCH DESIGN AND METHODS We pooled individual-level data from nationally representative health surveys in 42 countries. We used Poisson regression models to estimate age-adjusted differences in the proportion of individuals with diabetes in rural versus urban areas achieving performance measures for the diagnosis, treatment, and control of diabetes and associated cardiovascular risk factors. We examined differences across the pooled sample, by sex, and by country. RESULTS The pooled sample from 42 countries included 840,110 individuals (35,404 with diabetes). Compared with urban populations with diabetes, rural populations had ~15–30% lower relative risk of achieving performance measures for diabetes diagnosis and treatment. Rural populations with diagnosed diabetes had a 14% (95% CI 5–22%) lower relative risk of glycemic control, 6% (95% CI 25 to 16%) lower relative risk of blood pressure control, and 23% (95% CI 2–39%) lower relative risk of cholesterol control. Rural women with diabetes had lower achievement of performance measures relating to control than urban women, whereas among men, differences were small. CONCLUSIONS Rural populations with diabetes experience substantial inequities in the achievement of diabetes performance measures in LMICs. Programs and policies aiming to strengthen global diabetes care must consider the unique challenges experienced by rural populations.

Published
2022

48. Hypertension determinants among Ghanaians differ according to location of residence: RODAM study

Author

Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, van der Linden, Eva L, Meeks, Karlijn A C, Klipstein-Grobusch, Kerstin, Bahendeka, Silver, Beune, Erik J A J, van den Born, Bert-Jan H, Agyemang, Charles, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, van der Linden, Eva L, Meeks, Karlijn A C, Klipstein-Grobusch, Kerstin, Bahendeka, Silver, Beune, Erik J A J, van den Born, Bert-Jan H, and Agyemang, Charles

Published
2022

49. Serum potassium concentration and its association with hypertension among Ghanaian migrants and non-migrants: The RODAM study

Author

Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Ndong, Amie K, van der Linden, Eva L, Beune, Erik J A J, Meeks, Karlijn A C, Danquah, Ina, Bahendeka, Silver, Klipstein-Grobusch, Kerstin, Schulze, Matthias B, Addo, Juliet, van den Born, Bert-Jan H, Agyemang, Charles, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Ndong, Amie K, van der Linden, Eva L, Beune, Erik J A J, Meeks, Karlijn A C, Danquah, Ina, Bahendeka, Silver, Klipstein-Grobusch, Kerstin, Schulze, Matthias B, Addo, Juliet, van den Born, Bert-Jan H, and Agyemang, Charles

Published
2022

50. C-reactive protein and hypertension among Ghanaian migrants and their homeland counterparts: the Research on Obesity and Diabetes among African Migrants study

Author

Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, van Apeldoorn, Joshua A N, van der Linden, Eva L, Bahendeka, Silver, Beune, Erik, Meeks, Karlijn A C, Klipstein-Grobusch, Kerstin, van den Born, Bert-Jan, Agyemang, Charles, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, van Apeldoorn, Joshua A N, van der Linden, Eva L, Bahendeka, Silver, Beune, Erik, Meeks, Karlijn A C, Klipstein-Grobusch, Kerstin, van den Born, Bert-Jan, and Agyemang, Charles

Published
2022

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