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Serum Lipid Profile and Its Association with Diabetes and Prediabetes in a Rural Bangladeshi Population

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Listed:
  • Bishwajit Bhowmik

    (Department of Community Medicine and Global Health, University of Oslo, 0318 Oslo, Norway
    Centre for Global Health Research, Diabetic Association of Bangladesh, Dhaka 1000, Bangladesh)

  • Tasnima Siddiquee

    (Centre for Global Health Research, Diabetic Association of Bangladesh, Dhaka 1000, Bangladesh)

  • Anindita Mujumder

    (Department of Pathology, Ibrahim Medical College, Diabetic Association of Bangladesh, Dhaka 1000, Bangladesh)

  • Faria Afsana

    (Bangladesh Institute of Research & Rehabilitation of Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka 1000, Bangladesh)

  • Tareen Ahmed

    (Bangladesh Institute of Research & Rehabilitation of Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka 1000, Bangladesh)

  • Ibrahimu A. Mdala

    (Department of Community Medicine and Global Health, University of Oslo, 0318 Oslo, Norway)

  • Nayla Cristina Do V. Moreira

    (Department of Community Medicine and Global Health, University of Oslo, 0318 Oslo, Norway)

  • Abul Kalam Azad Khan

    (Centre for Global Health Research, Diabetic Association of Bangladesh, Dhaka 1000, Bangladesh)

  • Akhtar Hussain

    (Centre for Global Health Research, Diabetic Association of Bangladesh, Dhaka 1000, Bangladesh
    Faculty of Health Science, NORD University, 8049 Bodo, Norway)

  • Gerd Holmboe-Ottesen

    (Department of Community Medicine and Global Health, University of Oslo, 0318 Oslo, Norway)

  • Tone Kristin Omsland

    (Department of Community Medicine and Global Health, University of Oslo, 0318 Oslo, Norway)

Abstract

Dyslipidemia is commonly associated with diabetes (T2DM). This has been demonstrated for the Caucasian population, but few data are available for Asian Indians. The paper aims to investigate serum lipids (separately or in combination) and their association with glucose intolerance status (T2DM and prediabetes) in a rural Bangladeshi population. A sample of 2293 adults (≥20 years) were included in a community based cross-sectional survey in 2009. Anthropometric measures, blood pressure, blood glucose (fasting and 2-h oral glucose tolerance test) and fasting serum lipids (total cholesterol, T-Chol; triglycerides, Tg; low density lipoprotein cholesterol, LDL-C and high density lipoprotein cholesterol, HDL-C) were registered. Analysis of covariance (ANCOVA) and regression analysis were performed. High Tg levels were seen in 26% to 64% of the participants, depending on glucose tolerance status. Low HDL-C levels were seen in all groups (>90%). Significant linear trends were observed for high T-Chol, high Tg and low HDL-C with increasing glucose intolerance ( p for trend <0.001). T2DM was significantly associated with high T-Chol (Odds ratio (OR): 2.43, p < 0.001), high Tg (OR: 3.91, p < 0.001) and low HDL-C (OR: 2.17, p = 0.044). Prediabetes showed a significant association with high Tg (OR: 1.96, p < 0.001) and low HDL-C (OR: 2.93, p = 0.011). Participants with combined high Tg and low HDL-C levels had a 12.75-fold higher OR for T2DM and 4.89 OR for prediabetes. In Asian Indian populations an assessment of serum lipids is warranted not only for T2DM patients, but also for those with prediabetes.

Suggested Citation

  • Bishwajit Bhowmik & Tasnima Siddiquee & Anindita Mujumder & Faria Afsana & Tareen Ahmed & Ibrahimu A. Mdala & Nayla Cristina Do V. Moreira & Abul Kalam Azad Khan & Akhtar Hussain & Gerd Holmboe-Ottese, 2018. "Serum Lipid Profile and Its Association with Diabetes and Prediabetes in a Rural Bangladeshi Population," IJERPH, MDPI, vol. 15(9), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1944-:d:168161
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    References listed on IDEAS

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    1. Nirmal Aryal & Mark Weatherall & Yadav Kumar Deo Bhatta & Stewart Mann, 2017. "Lipid Profiles, Glycated Hemoglobin, and Diabetes in People Living at High Altitude in Nepal," IJERPH, MDPI, vol. 14(9), pages 1-12, September.
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    Cited by:

    1. Simmons, Sally Sonia, 2023. "Strikes and gutters: biomarkers and anthropometric measures for predicting diagnosed diabetes mellitus in adults in low- and middle-income countries," LSE Research Online Documents on Economics 120395, London School of Economics and Political Science, LSE Library.
    2. Elizabeth I. Omodanisi & Yibanathi Tomose & Benjamin I. Okeleye & Seteno K. O. Ntwampe & Yapo G. Aboua, 2020. "Prevalence of Dyslipidaemia among Type 2 Diabetes Mellitus Patients in the Western Cape, South Africa," IJERPH, MDPI, vol. 17(23), pages 1-12, November.

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