Prevalence of anaemia and associated factors among patients with type 2 diabetes mellitus in the Ho municipality in Ghana.

Sylvester Y Lokpo, Daniel Yarboye, Chrisbella T Nkansah, Samuel Ametepe, Francis A Ussher, Michael Appiah, Precious K Kwadzokpui, Esther N Adejumo, Christian Obirikorang, Abigail Ibrahim, James Osei-Yeboah
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Abstract

Objective: This study aimed to determine the prevalence of anaemia and associated factors among type 2 diabetic patients.

Design: This research utilised a hospital-based cross-sectional study design.

Setting: The research was conducted at the Diabetic Clinic of Ho Municipal Hospital.

Participants: The study involved 180 type 2 diabetic patients, aged 20 years or older, who had been on anti-diabetic medications for a minimum of three months before the study. Premenopausal women who had not menstruated in the two weeks before recruitment were also included in the study. Participants were excluded if they were receiving haematinics, had undergone a blood transfusion in the preceding month, were undergoing treatment for malaria or helminthiasis, or had any other chronic complications such as renal failure, liver disease, or stroke. Individuals with type 1 diabetes and pregnant women were excluded from the study.

Results: Approximately a quarter [44 (24.4%)] of the study population had anaemia, with a slight male preponderance [15(25.0%)]. Mild and moderate anaemia were 31 (70.5%) and 13(29.5%), respectively. Microcytic hypochromic anaemia [16 (36.4%)] was the most frequent morphological type of anaemia, followed by normocytic normochromic anaemia [12(27.3%)]. High BMI and low platelet counts were independently associated with reduced odds of developing anaemia in patients with type 2 diabetes mellitus.

Conclusion: Anaemia is a common finding in patients with type 2 diabetes mellitus in the Ho municipality. Mild anaemia and microcytic hypochromic anaemia were predominant among the anaemic patients. High BMI and low platelet count were significant predictors of reduced probability of anaemia.

Funding: None declared.

Abstract Image

Abstract Image

加纳Ho市2型糖尿病患者贫血患病率及相关因素
目的:本研究旨在确定2型糖尿病患者贫血的患病率及其相关因素。设计:本研究采用以医院为基础的横断面研究设计。环境:研究在何市医院糖尿病门诊进行。参与者:该研究涉及180名年龄在20岁或以上的2型糖尿病患者,他们在研究前至少服用了3个月的抗糖尿病药物。在招募前两周内没有月经的绝经前妇女也包括在研究中。如果参与者正在接受血液病治疗,在前一个月接受过输血,正在接受疟疾或寄生虫病治疗,或有任何其他慢性并发症,如肾衰竭、肝病或中风,则被排除在外。1型糖尿病患者和孕妇被排除在研究之外。结果:大约四分之一[44(24.4%)]的研究人群患有贫血,男性略有优势[15(25.0%)]。轻度和中度贫血分别为31例(70.5%)和13例(29.5%)。小细胞性低色贫血[16例(36.4%)]是最常见的贫血形态类型,其次是正红细胞性正色贫血[12例(27.3%)]。高BMI和低血小板计数与2型糖尿病患者发生贫血的几率降低独立相关。结论:贫血是Ho市2型糖尿病患者的常见症状。贫血患者以轻度贫血和小细胞低色素贫血为主。高BMI和低血小板计数是贫血概率降低的重要预测因子。资金:未宣布。
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