Lifestyle determinants of diabetes mellitus amongst people living with HIV in the Eastern Cape province, South Africa

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Lifestyle determinants of diabetes mellitus amongst people living with HIV in the Eastern Cape province, South Africa
 
Creator Bam, Nokwanda E. Chitha, Wezile Ntsaba, Jafta Nomatshila, Sibusiso C. Apalata, Teke Mabunda, Sikhumbuzo A.
 
Subject family medicine; general practice; primary care; education lifestyle; people living with HIV; PLWHIV; type 2 DM; HIV/AIDS; patients; ARV
Description Background: Type 2 diabetes mellitus (DM) has serious consequences for those affected. Little is documented on the lifestyle determinants of type 2 DM in people living with human immunodeficiency virus (PLWHIV).Aim: This study aimed to assess the lifestyle determinants of type 2 DM amongst PLWHIV who were on antiretroviral treatment (ARV).Setting: This study was undertaken in 10 community health clinics and 140 clinics in South Africa’s Eastern Cape province.Methods: This case control study was undertaken amongst PLWHIV who were on ARV in OR Tambo district.Results: Cases and controls showed statistically significant differences on the duration of time on ARV (p  0.0001), vigorous work (p = 0.019), participation in moderate sport (p = 0.007) and consuming daily fruit and vegetable servings (p = 0.021). Those reporting to be on ARVs for 6 to 10 years were three times more likely to be diabetic than those who had only been on ARV for a year or less (odds ratio [OR] = 3.0; p = 0.017) and in comparison, to participants who reported having one serving, participants who had four fruit and vegetable servings daily were 3.2 times more likely to be diabetic (OR = 3.2; p = 0.002).Conclusion: This study revealed significant nutritional imbalances on fruit and vegetable servings and on participation in moderate sport resulting in poor diabetic control. Routine screening and measurements need to focus on dietary and physical lifestyle determinants of type 2 DM in order to counsel patients on ARV on balanced nutrition and optimise outcomes in the quality care of PLWHIV.
 
Publisher AOSIS
 
Contributor
Date 2022-05-12
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quantitative approach using Case control methods
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v14i1.3256
 
Source African Journal of Primary Health Care & Family Medicine; Vol 14, No 1 (2022); 7 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/3256/5340 https://phcfm.org/index.php/phcfm/article/view/3256/5341 https://phcfm.org/index.php/phcfm/article/view/3256/5342 https://phcfm.org/index.php/phcfm/article/view/3256/5343
 
Coverage South Africa 2010-2021 177 cases; 354 controls (531) participants; 87% females and 15% males; mainly africans from rural health facilities
Rights Copyright (c) 2022 Nokwanda E. Bam https://creativecommons.org/licenses/by/4.0
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