Risk factors for diabetes mellitus
and hypertension among artisans
in Ogun state, Nigeria
Cathrine A. Oladoyinbo, Adenike Mercy Abiodun,
Mariam Oluwatoyin Oyalowo, Irene Obaji,
Abisola Margaret Oyelere and Olufunke Opeyemi Akinbule
Department of Nutrition and Dietetics, Federal University of Agriculture
Abeokuta, Abeokuta, Nigeria, and
Abimbola Abosede Sobo
Faculty of Public Health, University of Ibadan, Ibadan, Nigeria
Abstract
Purpose – This study was designed to assess the risk factors associated with hypertension (HTN) and
diabetes among artisans in Ogun State, Nigeria. Evidences suggest increasing prevalence, incidences and
morbidity of diabetes and HTN in Nigeria. However, the purpose of this study is to plan and prioritize
effective intervention programs, there is need to provide data on the prevalence and risk factors for HTN and
diabetes among local groups.
Design/methodology/approach – In total 300 apparently healthy artisans who have never been
diagnosed of diabetes or HTN were randomly selected from five communities. A structured questionnaire was
used in obtaining information on the personal characteristics of the respondents. An adapted dietary habit
and lifestyle questionnaire were used to assess the dietary habits and lifestyle of the respondents. The WHO
global activity questionnaire was adapted and used to gather information on the physical activity level of the
respondents. Random blood glucose, blood pressure and anthropometric measurements were assessed using
standard instruments. Chi-square ( x
2
), correlations and multinomial logistic regression analysis were
performed to identify significant determinants of diabetes and HTN.
Findings – Mean age was 34.8 6 9.9 and prevalence of diabetes and pre-diabetes were 1 and 4.7 per cent,
respectively, while HTN and pre-HTN were 48.0 and 30.3 per cent, respectively. About half (55.7 per cent) of
the respondents skip at least a meal daily and 31 per cent snack daily. Most (61.4 per cent) consume alcohol
and 65.7 per cent engage in high physical activity. Abdominal obesity was significantly higher among women
(p= 0.004). Using the chi-square analysis, age, abdominal obesity and educational status were factors found to
be significantly associated with diabetes (p= 0.002; p= 0.007; p= 0.004) while age, gender, abdominal obesity
and alcohol consumption had significant association with HTN. Although not statistically significant,
respondents were 0.8, 1.0 and 1.1 times more likely to be diabetic with increasing body mass index, waist
circumference (WC) and age (odd ratio (OR) = 0.78; confidence intervals (CI): 0.51-1.18; OR = 1.04; CI: 0.89-1.21;
OR = 1.06; CI: 0.96-1.18, respectively). Abdominal obesity was significantly associated with HTN (OR = 1.08;
CI: 1.03-1.13; p= 0.001). Also, older respondents were 1.1 times more likely of becoming hypertensive (OR =
1.07; CI: 1.02-1.11; p= 0.003). Increased risk of diabetes and HTN was found among respondents with
increasing age and WC.
Research limitations/implications – This study was cross-sectional in design; it cannot be used
to establish a cause-effect relationship between diabetes, HTN and the observed variables
(anthropometric characteristics, dietary habits and lifestyle risk factors). Because of the few numbers (1
per cent) of respondents identified to be diabetic several important risk factors could not be included in
the model.
Practical implications – An understanding of the risk factors associated with diabetes and HTN among
sub-groups in the population will help to plan effective interventions targeted at specific groups.
Risk factors
for diabetes
mellitus
695
Received 10 January 2019
Revised 29 July 2019
6 September 2019
Accepted 7 September 2019
Nutrition & Food Science
Vol. 50 No. 4, 2020
pp. 695-710
© Emerald Publishing Limited
0034-6659
DOI 10.1108/NFS-01-2019-0007
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