Impact of physical activity, BMI and sociodemographic and lifestyle factors on the risk of diabetes in 9,511 Ghanaian adults

Authors

  • Guillermo Felipe López Sánchez Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain
  • María Rosa Vigueras Hernández Reina Sofía University General Hospital, Murcia, Spain
  • Pablo Lucas Casas Reina Sofía University General Hospital, Murcia, Spain
  • Roksana Zauder Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw, Poland
  • Joanna Jastrzębska Department of Pediatrics, Diabetology and Endocrinology, Gdansk Medical University, Gdansk, Poland
  • Maria Skalska Department of Pediatrics, Diabetology and Endocrinology, Gdansk Medical University, Gdansk, Poland
  • Lukasz Radzimiński Department of Physiology and Biochemistry, Gdansk University of Physical Education and Sport, Gdansk, Poland
  • Zbigniew Jastrzębski Department of Physiology and Biochemistry, Gdansk University of Physical Education and Sport, Gdansk, Poland
  • Shahina Pardhan Vision and Eye Research Institute, School of Medicine, Faculty of Health, Education, Medicine and Social Care, Cambridge Campus, Anglia Ruskin University, Cambridge, UK
DOI: https://doi.org/10.6018/sportk.518091
Keywords: Diabetes, Risk factors, Ghana, Physical activity, Physical education, Obesity, Gender, Older adults, Public health

Abstract

The aim of this study was to analyze the impact of physical activity, BMI, sociodemographic and life-style factors on the risk of diabetes in Ghana. We analyzed data from 9,511 Ghanaian adults that had participated in Waves 0 and 1 of the World Health Organization Study on Global Ageing and Adult Health. To assess diabetes participants were asked: “Have you ever been diagnosed with diabetes (high blood sugar)?”. The impact of nine exposure variables (physical activity, BMI, sex, age, marital status, education, smoking, alcohol intake, and fruit and vegetables consumption) on the risk of diabetes was analyzed with chi-square tests and multivariate regression analyses, separately in each wave to observe the evolution of diabetes risk factors in Ghana. In both adjusted and unadjusted analyses, the exposure characteristics significantly associated (p<0.05) with dia-betes were < 600 MET-minutes/week of physical activity (wave 1), obesity (wave 0), female sex (wave 1), age ≥ 60 years (waves 0 and 1) and education (wave 1). Therefore, these factors should be taken into account to develop public health strategies to reduce diabetes in Ghana. Considering the results of this study, an adequate strategy might be the implementation of physical education programs in people with obesity, women and older adults from Ghana.

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References

American Diabetes Association. (2020). Statistics about diabetes. Retrieved from https://www.diabetes.org/resources/statistics/statistics-about-diabetes

Amoah, A. G. (2003). Obesity in adult residents of Accra, Ghana. Ethnicity & Disease, 13(2 Suppl 2), 97.

Amoah, A. (2002). Undiagnosed diabetes and impaired glucose regulation in adult Ghanaians using the ADA and WHO diagnostic criteria. Acta Diabetologica, 39(1), 7-13.

Armstrong, T., & Bull, F. (2006). Development of the world health organization global physical activity questionnaire (GPAQ). Journal of Public Health, 14(2), 66-70.

Asamoah-Boaheng, M., Sarfo-Kantanka, O., Tuffour, A. B., Eghan, B., & Mbanya, J. C. (2019). Prevalence and risk factors for diabetes mellitus among adults in Ghana: A systematic review and meta-analysis. International Health, 11(2), 83-92.

Biritwum, R. B., Gyapong, J., & Mensah, G. (2005). The epidemiology of obesity in Ghana. Ghana Medical Journal, 39(3), 82.

Bull, F. C., Maslin, T. S., & Armstrong, T. (2009). Global physical activity questionnaire (GPAQ): Nine country reliability and validity study. Journal of Physical Activity and Health, 6(6), 790-804.

Centers for Disease Control and Prevention. (2021). Diabetes risk factors. Retrieved from https://www.cdc.gov/diabetes/basics/risk-factors.html

Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., . . . Sallis, J. F. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise, 35(8), 1381-1395.

Duncan, I., Birkmeyer, C., Coughlin, S., Li, Q., Sherr, D., & Boren, S. (2009). Assessing the value of diabetes education. The Diabetes Educator, 35(5), 752-760.

Ford, E. S., & Mokdad, A. H. (2001). Fruit and vegetable consumption and diabetes mellitus incidence among US adults. Preventive Medicine, 32(1), 33-39.

Geiss, L. S., Pan, L., Cadwell, B., Gregg, E. W., Benjamin, S. M., & Engelgau, M. M. (2006). Changes in incidence of diabetes in US adults, 1997–2003. American Journal of Preventive Medicine, 30(5), 371-377.

González-Carcelén, C. M., López, J. N., & Sánchez, G. F. L. (2020). Levels of physical activity in people with diabetes residing in Spain. Atena Journal of Public Health, 2, 2.

Hansen, T. (2002). (2002). Type 2 diabetes mellitus--a multifactorial disease. Paper presented at the Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina, 57(1), 544-549.

Huerta, J. M., Tormo, M. J., Egea-Caparrós, J. M., Ortolá-Devesa, J. B., & Navarro, C. (2009). Accuracy of self-reported diabetes, hypertension, and hyperlipidemia in the adult spanish population. DINO study findings. Revista Española De Cardiología (English Edition), 62(2), 143-152.

International Diabetes Federation. (2019). Diabetes in africa. Retrieved from https://www.idf.org/our-network/regions-members/africa/diabetes-in-africa.html

IPAQ group. (2005). Guidelines for data processing and analysis of the international physical activity questionnaire (IPAQ). Retrieved from https://sites.google.com/site/theipaq/scoring-protocol

Kautzky-Willer, A., Harreiter, J., & Pacini, G. (2016). Sex and gender differences in risk, pathophysiology and complications of type 2 diabetes mellitus. Endocrine Reviews, 37(3), 278-316.

Kowal, P., Chatterji, S., Naidoo, N., Biritwum, R., Fan, W., Lopez Ridaura, R., . . . Williams, S. (2012). Data resource profile: The world health organization study on global AGEing and adult health (SAGE). International Journal of Epidemiology, 41(6), 1639-1649. doi:https://doi.org/10.1093/ije/dys210

Laakso, M., & Pyörälä, K. (1985). Age of onset and type of diabetes. Diabetes Care, 8(2), 114-117.

Leong, K. S., & Wilding, J. P. (1999). Obesity and diabetes. Best Practice & Research Clinical Endocrinology & Metabolism, 13(2), 221-237.

López Sánchez, G. F., Smith, L., Zheng, D., Sapkota, R. P., Yang, L., Chen, Z., & Pardhan, S. (2019). Physical activity behaviour in people with diabetes residing in china: A cross-sectional analysis. Science and Sports, 34(3), 178-180.

López, J. N., Carcelén, C. M. G., & Sánchez, G. F. L. (2020). Barriers to physical activity in people with diabetes residing in Spain. Atena Journal of Public Health, 2, 3.

López-Sánchez, G. F., Sánchez-Castillo, S., López-Bueno, R., Pardhan, S., Zauder, R., Skalska, M., . . . Smith, L. (2020). Comparison of physical activity levels in Spanish people with diabetes with and without cataracts. European Journal of Public Health, 30(6), 1201-1205.

Muche, A. A., Olayemi, O. O., & Gete, Y. K. (2019). Prevalence and determinants of gestational diabetes mellitus in africa based on the updated international diagnostic criteria: A systematic review and meta-analysis. Archives of Public Health, 77(1), 1-20.

Nordström*, A., Hadrévi, J., Olsson, T., Franks, P. W., & Nordström, P. (2016). Higher prevalence of type 2 diabetes in men than in women is associated with differences in visceral fat mass. The Journal of Clinical Endocrinology & Metabolism, 101(10), 3740-3746.

Oppong, A. K., & Oti-Boadi, M. (2013). HIV/AIDS knowledge among undergraduate university students: Implications for health education programs in Ghana. African Health Sciences, 13(2), 270-277.

Pastorino, S., Richards, M., Hardy, R., Abington, J., Wills, A., Kuh, D., & Pierce, M. (2015). Validation of self-reported diagnosis of diabetes in the 1946 British birth cohort. Primary Care Diabetes, 9(5), 397-400.

Rodriguez-Munoz, S., Corella, C., Abarca-Sos, A., & Zaragoza, J. (2017). Validation of three short physical activity questionnaires with accelerometers among university students in Spain. The Journal of Sports Medicine and Physical Fitness, 57(12), 1660.

Sánchez, G. L., Smith, L., Raman, R., Jaysankar, D., Singh, S., Sapkota, R., . . . Pardhan, S. (2019). Physical activity behaviour in people with diabetes residing in India: A cross-sectional analysis. Science & Sports, 34(1), e59-e66.

Scheen, A. J. (2000). From obesity to diabetes: Why, when and who? Acta Clinica Belgica, 55(1), 9-15.

Schneider, A. L., Pankow, J. S., Heiss, G., & Selvin, E. (2012). Validity and reliability of self-reported diabetes in the atherosclerosis risk in communities study. American Journal of Epidemiology, 176(8), 738-743.

Suastika, K., Dwipayana, P., Semadi, M. S., & Kuswardhani, R. T. (2012). Age is an important risk factor for type 2 diabetes mellitus and cardiovascular diseases. Glucose Tolerance, 67-80.

Tawiah, E. O. (2011). Population ageing in Ghana: A profile and emerging issues. African Population Studies, 25(2), 623-645.

Teratani, T., Morimoto, H., Sakata, K., Oishi, M., Tanaka, K., Nakada, S., . . . Suwazono, Y. (2012). Dose–response relationship between tobacco or alcohol consumption and the development of diabetes mellitus in Japanese male workers. Drug and Alcohol Dependence, 125(3), 276-282.

The Economist. (2016). Diabetes is no longer a rich-world disease. Retrieved from https://www.economist.com/graphic-detail/2016/11/14/diabetes-is-no-longer-a-rich-world-disease

The New Indian Express. (2017). Bitter truth: Diabetes a rich people disease. Retrieved from https://www.newindianexpress.com/cities/chennai/2017/jul/29/bitter-truth-diabetes-a-rich-people-disease-1635100.html

United Kingdom National Health Service. (2018). 5 A day portion sizes. Retrieved from https://www.nhs.uk/live-well/eat-well/5-a-day-portion-sizes/

Vach, W., & Blettner, M. (1998). Missing data in epidemiological studies. In P. Armitrage, & T. Colton (Eds.), Encyclopedia of biostatistics (pp. 2641-2654). Chichester: Wiley.

Walker, K. Z., O’Dea, K., Gomez, M., Girgis, S., & Colagiuri, R. (2010). Diet and exercise in the prevention of diabetes. Journal of Human Nutrition and Dietetics, 23(4), 344-352.

Wolla, S. A., & Sullivan, J. (2017). Education, income, and wealth. Page One Economics®,

World Health Organization. (2010). Global recommendations on physical activity for health. Retrieved from https://www.who.int/dietphysicalactivity/factsheet_recommendations/en/

World Health Organization. (2018). Ageing and health. Retrieved from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

World Health Organization. (2020a). Diabetes. Retrieved from https://www.who.int/health-topics/diabetes

World Health Organization. (2020b). Healthy diet. Retrieved from https://www.who.int/news-room/fact-sheets/detail/healthy-diet

World Health Organization. (2021a). Global physical activity questionnaire (GPAQ) analysis guide. Retrieved from https://www.who.int/ncds/surveillance/steps/resources/GPAQ_Analysis_Guide.pdf

World Health Organization. (2021b). Moderate and severe thinness, underweight, overweight and obesity. Retrieved from https://apps.who.int/nutrition/landscape/help.aspx?menu=0&helpid=392&lang=EN

Yang, L., Shao, J., Bian, Y., Wu, H., Shi, L., Zeng, L., . . . Dong, J. (2016). Prevalence of type 2 diabetes mellitus among inland residents in china (2000–2014): A meta‐analysis. Journal of Diabetes Investigation, 7(6), 845-852.

Published
03-04-2022
How to Cite
López Sánchez, G. F., Vigueras Hernández , M. R. ., Lucas Casas , P. ., Zauder, R., Jastrzębska , J. ., Skalska , M. ., … Pardhan , S. . (2022). Impact of physical activity, BMI and sociodemographic and lifestyle factors on the risk of diabetes in 9,511 Ghanaian adults. SPORT TK-EuroAmerican Journal of Sport Sciences, 11, 15. https://doi.org/10.6018/sportk.518091
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