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Biography

Ikeola Adeoye is a public health physician and a lecturer at the Department of Epidemiology and Medical Statistics, University of Ibadan/University College Hospital Ibadan, Nigeria. Her research interest are maternal and child health in Nigeria and more recently metabolic health particularly diabetes and its risk factors among the Nigeria population. She was a recipient of the Bill and Mellinda Gates award for Masters in Public Health with a special focus on population and reproductive health. She is currently a PhD CARTA fellow – Consortium of Advanced Research Training for Africa and the focus of her PhD is the exploring the intersection between maternal and metabolic health among pregnant women in Ibadan through their nutrition and lifestyle during pregnancy.

Abstract

Prediabetes, the reversible precursor of type 2 diabetes (T2DM), among adolescents is becoming a public health concern in low and middle income countries. This increase is attributed partly to the rise in behavioural and cardio-metabolic risk factors. T2DM is a chronic debilitating illness which is associated with life-threatening complications which has a worse prognosis when the illness starts from adolescence. The assessment of the prevalence and risk factors among adolescence is crucial for implementing preventive programs in Nigeria account for the highest burden of T2DM in Africa. A cross-sectional study was conducted using a two stage cluster sampling technique among 500 adolescents from 10 randomly selected secondary schools in Ibadan. Information on the socio-demographic and lifestyle characteristics and certain measures including blood pressure, anthropometric measurements and fasting blood glucose (FBG) levels were assessed. Prediabetes was defined as FBG between 100–125 mg/dl. Data were analysed using descriptive statistics and bivariate logistic regression at 5 % level of significance. The overall prevalence of prediabetes among the adolescents was 4.0 % and the mean FBG of adolescents was 85.3±8.2. Males had significantly higher levels of FBG—mean difference [1.65:95 % CI (0.017–3.14) p=0.03]. Factors that increased the odds for prediabetes included frequent consumption of sugar sweetened beverages (OR=1.45; 95 % CI 0.46–3.30; p=0.48), attending a private school (OR=2.58; 95 % CI 0.77– 9.0; p=0.66) and being overweight or obese (OR=2.91; 95 % CI 0.38–22.3; p=0.30). Similarly, those who skipped breakfast [1.29; 95 % CI (?0.23; ?2.8) p=0.096] had higher FBG, those who walked daily back from school [?2.07; 95 % CI (?3.55; ? 0.59) p=0.01] had significantly lower FBG. Prediabetes and risk factors are prevalent among the secondary school adolescents in Ibadan. Surveillance of potential risk factors through school-based screening among adolescents is crucial for prevention and early intervention.

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