ssnimcj2026v11i2s13


Original
Prevalence and Determinants of Type-2 Diabetes Mellitus in Selected Diabetes Centers of Coastal Bangladesh
*Rabeya S,1 Jharna DE,2 Muttalib MA,3 Uddin ME,4 Mehnaz F,5 Sarkar MRA6

  1. *Dr. Sultana Rabeya, MBBS, MPhil (Biochemistry, MMC), PhD Fellow, Department of Biochemistry and Molecular Biology, Patuakhali Science and Technology University, Patuakhali- 8660, Bangladesh. src762001@yahoo.com. ORCID: https://orcid.org/0009-0009-6153-1079.
  2. Professor Dr. Dilruba Easmin Jharna, PhD, Professor of Biochemistry and Molecular Biology, Patuakhali Science and Technology University, Patuakhali- 8660, Bangladesh, jharnabcm@pstu.ac.bd. ORCID:https://orcid.org/0009-0006-5574-4623
  3. Professor Dr. Mohammed Abdul Muttalib, MBBS, MPhil (Biochemistry), Ex-Professor & Head, Biochemistry, Mymensingh Medical College and Ex-Director, Laboratory Services, BIRDEM, dramuttalib007@gmail.com. ORCID:https://orcid.org/0009-0002-2206-047X
  4. Professor Md. Ektear Uddin. PhD, Professor of Agricultural Extension and Rural Development, Patuakhali Science and Technology University Dumki, Patuakhali- 8660, Bangladesh Email: ektear@pstu.ac.bd. ORCID: https://orcid.org/0000-0002-8003-8134
  5. Farin Mehnaz, Zainul Haque Sikder Women’s Medical College, Dhaka – 1209. fmehnaz973@gmail.com. ORCID:https://orcid.org/0009-0001-2298-0308
  6. Ripon Ali Sarker, PhD Fellow, Department of Biochemistry and Molecular Biology, Patuakhali Science and Technology University, Patuakhali-8660. riponalisarkar@gmail.com. ORCID:https://orcid.org/ 0000-0000-7988-1952.

*For correspondence

Abstract
Background: Diabetes mellitus is a major health problem worldwide and it is growing at an alarming rate in the underprivileged regions and developing countries as well. Early detection of diabetes is an important tool for identifying the risk factors and applying the preventive measures. Based on the reviews, this research focused on detecting the prevalence and associated risk factors of prediabetes and diabetes in patients attending four diabetes centers in Barishal coast of Bangladesh.
Objectives: The general objective of this research was to ascertain the prevalence rate of diabetes mellitus along with its sociodemographic, biochemical and anthropometric risk factors.
Methods: A cross-sectional study with 432 study subjects was conducted in four diabetes centers viz. Barishal, Bakerganj, Patuakhali and Dumki. Socio-demographic information, clinical data and biochemical information were collected by using a structured questionnaire, clinical measurements and laboratory investigations through standard procedures. Criteria of glycaemia were utilized to diagnose diabetes mellitus and prediabetes. Multivariate and bivariate logistic regression analyses were performed to identify T2DM associated risk factors.
Results: Among the subjects, the prevalence rate of diabetes was 68.8% wherein the contribution of individual centers were 26.9, 15.0, 17.1 and 10.0% in Barishal, Bakergonj, Patuakhali and Dumki, respectively. Diabetes was more prevalent among female individuals age >51years, with a positive family history of diabetes, elevated total cholesterol and triglyceride levels. Multivariate logistic regression showed that high total cholesterol and triglyceride levels were strongly associated with diabetes. Participants with high total cholesterol had more than eight fold higher odds of diabetes (AOR = 8.16, 95%CI: 3.89-20.03), while elevated triglyceride levels were associated with 8.74 times increased risk (AOR = 8.74, 95%CI: 5.41-14.36). Individuals with a positive family history of diabetes were also found to have higher odds of diabetes (AOR = 3.54, 95%CI: 1.92-6.79). Moderate association existed between age and diabetes. On the other hand, there was a significant relationship between prediabetes with age, education status and smoking. Higher education appeared to exerts protective effect against diabetes.
Conclusion: In general, this study shows high prevalence of diabetes and prediabetes among the subjects visiting the selected diabetes centers. Diabetes is highly dependent on positive family history followed by higher cholesterol and triglyceride levels. In order to restrict the rate of prevalence and associated risk factors of diabetes, increasing awareness along with systematic lifestyle and early interventions are crucial for the studied area.

[Shaheed Syed Nazrul Islam Med Col J 2026, July; 11 (2):199-211]
DOI: https://www.doi.org/10.69699/ssnimcj.2026.11.2.13

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SSNIMCJ 2023 v8 i2 a6

Original Contribution

Prevalence and Spectrum of Congenital Heart Disease in Children Admitted
into Tertiary Care Hospital of Kishoreganj: A Multicenter Study

1. *Dr Mohammad Nuruzzaman, Senior Consultant (Paediatrics), Shaheed Syed Nazrul Islam Medical College
Hospital, Kishoreganj. nuruzzamansomc31@gmail.com
2. Dr Mohammad Solaiman Tanveer, Assistant Professor(Cardiology), Shaheed Syed Nazrul Islam Medical
College, Kishoreganj
3. Dr AKM Masudul Gani Bhuiyan, Junior consultant (Paediatrics), Shaheed Syed Nazrul Islam Medical College
Hospital, Kishoreganj
4. Dr AHM Muslima Akter, Assistant professor(Paediatrics), President Abdul Hamid Medical College, Kishoreganj
5. Dr Md. Arafat Rahman Royal, Registrar(Paediatrics),Jahurul Islam Medical College Hospital, Kishoreganj
*For correspondence

Abstract
Background: Birth defect is one of the important cause of morbidity and mortality in children.
Congenital heart disease (CHD) is the most common birth defect that causes significant childhood
mortality. This study was done to find out the prevalence of CHD and their type in Children
admitted into district tertiary care hospital of Kishoreganj.
Methods: This prospective cross sectional study was carried out in the department of Pediatrics of
3 medical college hospital of Kishoreganj. This study was done over a period of 1year from
January 2022 to December 2022. Children with the confirmed diagnosis of CHD with the age
ranging from 1st day of life to 12 years were analyzed considering the type of CHD.
Results: In our study prevalence of CHD was 12.56 per 1000 admitted child. In the present study
total 267 cases of CHD were found. Maximum cases of CHD were admitted between 2 month
to12month age group. Out of 267 cases 125(46.82%) were male and 142 (53.18%) were female.
The male-female ratio was 1:1.4.In the present study 75.66% (202) patient had acyanotic CHD and
24.34% (65) patient had cyanotic CHD. The commonest CHD was found VSD (28.46%) which
was followed by ASD (18.35%), Multiple acyanotic CHD (13.11%), PDA(11.24%), TOF and it
variant Pentalogy of Fallot (10.5%), Complex cyanotic CHD (6%), d-TGA (4%) and PS(3%).
Conclusion: In the present study wide ranges and significant number of CHD cases were found.
Acyanotic CHD is the commonest type of CHD. Increase number of multiple acyanotic CHDand
complex cyanotic CHD found in the present study.

[Shaheed Syed Nazrul Islam Med Col J 2023, Jul; 8 (2):107-114]
Keywords: Prevalence,Congenital heart disease, Echocardiography

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