Diabetes is a risk factor for pulmonary tuberculosis: a case-control study from Mwanza, Tanzania.

<h4>Background</h4>Diabetes and TB are associated, and diabetes is increasingly common in low-income countries where tuberculosis (TB) is highly endemic. However, the role of diabetes for TB has not been assessed in populations where HIV is prevalent.<h4>Methods</h4>A case-co...

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Autores principales: Daniel Faurholt-Jepsen, Nyagosya Range, George Praygod, Kidola Jeremiah, Maria Faurholt-Jepsen, Martine Grosos Aabye, John Changalucha, Dirk Lund Christensen, Christian Bressen Pipper, Henrik Krarup, Daniel Rinse Witte, Aase Bengaard Andersen, Henrik Friis
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Publicado: Public Library of Science (PLoS) 2011
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spelling oai:doaj.org-article:c675b4198cec49479122b75475d000f22021-11-18T06:47:02ZDiabetes is a risk factor for pulmonary tuberculosis: a case-control study from Mwanza, Tanzania.1932-620310.1371/journal.pone.0024215https://doaj.org/article/c675b4198cec49479122b75475d000f22011-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21912626/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Diabetes and TB are associated, and diabetes is increasingly common in low-income countries where tuberculosis (TB) is highly endemic. However, the role of diabetes for TB has not been assessed in populations where HIV is prevalent.<h4>Methods</h4>A case-control study was conducted in an urban population in Tanzania among culture-confirmed pulmonary TB patients and non-TB neighbourhood controls. Participants were tested for diabetes according to WHO guidelines and serum concentrations of acute phase reactants were measured. The association between diabetes and TB, and the role of HIV as an effect modifier, were examined using logistic regression. Since blood glucose levels increase during the acute phase response, we adjusted for elevated serum acute phase reactants.<h4>Results</h4>Among 803 cases and 350 controls the mean (SD) age was 34.8 (11.9) and 33.8 (12.0) years, and the prevalence of diabetes was 16.7% (95% CI: 14.2; 19.4) and 9.4% (6.6; 13.0), respectively. Diabetes was associated with TB (OR 2.2, 95% CI: 1.5; 3.4, p<0.001). However, the association depended on HIV status (interaction, p = 0.01) due to a stronger association among HIV uninfected (OR 4.2, 95% CI: 1.5; 11.6, p = 0.01) compared to HIV infected (OR 0.1, 95% CI: 0.01; 1.8, p = 0.13) after adjusting for age, sex, demographic factors and elevated serum acute phase reactants.<h4>Conclusion</h4>Diabetes is a risk factor for TB in HIV uninfected, whereas the association in HIV infected patients needs further study. The increasing diabetes prevalence may be a threat to TB control.Daniel Faurholt-JepsenNyagosya RangeGeorge PraygodKidola JeremiahMaria Faurholt-JepsenMartine Grosos AabyeJohn ChangaluchaDirk Lund ChristensenChristian Bressen PipperHenrik KrarupDaniel Rinse WitteAase Bengaard AndersenHenrik FriisPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 8, p e24215 (2011)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Daniel Faurholt-Jepsen
Nyagosya Range
George Praygod
Kidola Jeremiah
Maria Faurholt-Jepsen
Martine Grosos Aabye
John Changalucha
Dirk Lund Christensen
Christian Bressen Pipper
Henrik Krarup
Daniel Rinse Witte
Aase Bengaard Andersen
Henrik Friis
Diabetes is a risk factor for pulmonary tuberculosis: a case-control study from Mwanza, Tanzania.
description <h4>Background</h4>Diabetes and TB are associated, and diabetes is increasingly common in low-income countries where tuberculosis (TB) is highly endemic. However, the role of diabetes for TB has not been assessed in populations where HIV is prevalent.<h4>Methods</h4>A case-control study was conducted in an urban population in Tanzania among culture-confirmed pulmonary TB patients and non-TB neighbourhood controls. Participants were tested for diabetes according to WHO guidelines and serum concentrations of acute phase reactants were measured. The association between diabetes and TB, and the role of HIV as an effect modifier, were examined using logistic regression. Since blood glucose levels increase during the acute phase response, we adjusted for elevated serum acute phase reactants.<h4>Results</h4>Among 803 cases and 350 controls the mean (SD) age was 34.8 (11.9) and 33.8 (12.0) years, and the prevalence of diabetes was 16.7% (95% CI: 14.2; 19.4) and 9.4% (6.6; 13.0), respectively. Diabetes was associated with TB (OR 2.2, 95% CI: 1.5; 3.4, p<0.001). However, the association depended on HIV status (interaction, p = 0.01) due to a stronger association among HIV uninfected (OR 4.2, 95% CI: 1.5; 11.6, p = 0.01) compared to HIV infected (OR 0.1, 95% CI: 0.01; 1.8, p = 0.13) after adjusting for age, sex, demographic factors and elevated serum acute phase reactants.<h4>Conclusion</h4>Diabetes is a risk factor for TB in HIV uninfected, whereas the association in HIV infected patients needs further study. The increasing diabetes prevalence may be a threat to TB control.
format article
author Daniel Faurholt-Jepsen
Nyagosya Range
George Praygod
Kidola Jeremiah
Maria Faurholt-Jepsen
Martine Grosos Aabye
John Changalucha
Dirk Lund Christensen
Christian Bressen Pipper
Henrik Krarup
Daniel Rinse Witte
Aase Bengaard Andersen
Henrik Friis
author_facet Daniel Faurholt-Jepsen
Nyagosya Range
George Praygod
Kidola Jeremiah
Maria Faurholt-Jepsen
Martine Grosos Aabye
John Changalucha
Dirk Lund Christensen
Christian Bressen Pipper
Henrik Krarup
Daniel Rinse Witte
Aase Bengaard Andersen
Henrik Friis
author_sort Daniel Faurholt-Jepsen
title Diabetes is a risk factor for pulmonary tuberculosis: a case-control study from Mwanza, Tanzania.
title_short Diabetes is a risk factor for pulmonary tuberculosis: a case-control study from Mwanza, Tanzania.
title_full Diabetes is a risk factor for pulmonary tuberculosis: a case-control study from Mwanza, Tanzania.
title_fullStr Diabetes is a risk factor for pulmonary tuberculosis: a case-control study from Mwanza, Tanzania.
title_full_unstemmed Diabetes is a risk factor for pulmonary tuberculosis: a case-control study from Mwanza, Tanzania.
title_sort diabetes is a risk factor for pulmonary tuberculosis: a case-control study from mwanza, tanzania.
publisher Public Library of Science (PLoS)
publishDate 2011
url https://doaj.org/article/c675b4198cec49479122b75475d000f2
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