Keywords
Diabetic foot
Case-control
OR
Tetouan
Categories
How to Cite
Abstract
Introduction Diabetes is a globally major public health problem. Its evolution is insidious and silent before the appearance of serious complications as a consequence in terms of morbidity than mortality. Complications in the feet are among the most frequent and feared. This study helps identify factors associated with diabetic foot in diabetic patients in the province of Tetouan in the public and private sector.
Methods This is a case-control study in which 136 diabetic patients monitored in the public and private sector in the province of Tetouan were chosen. 68 patients had diabetic foot and 68 were diabetic patients without this complication. Data were collected from patients’ records and supplemented by interviews. The factors compared between the two groups were sociodemographic, biological, and related to diabetes and lifestyle. These risk factors were determined by bivariate and multivariate analyses.
Results Statistically significant associations were found between diabetic foot and several factors including: the irregular monitoring of patients: ORadjusted = 7.7 [1.9-23], the rate of glycated hemoglobin: ORadjusted = 1.7 [1.2-2.3], diabetes duration: ORadjusted = 1.2 [1.03-1.26], and physical activity ORadjusted = 1.1 [0.02-0.9]. However, no association was found between the diabetic foot and the level of education or occupation.
Conclusion To prevent the development of the diabetic foot, more attention should be given to diabetic patients whose diabetes duration is long, patient monitoring should be regular and diabetes control should be optimal. In addition, physical activity is recommended for diabetic patients as part of promoting healthy lifestyles.
References
Bonita R, Winkelmann R, Douglas KA, De Courten M. The WHO Stepwise approach to surveillance (STEPS) of non-communicable disease risk factors. In: McQueen DV, Puska P. Global Behavioral Risk Factor Surveillance. 2003; 9-22. https://doi.org/10.1007/978-1-4615-0071-1_3
Boutayb A, Boutayeb S. The burden of non-communicable diseases in developing countries. Int J Equity Health. 2005 Jan 14; 4(1):2. https://doi.org/10.1186/1475-9276-4-2
Organization WH. Collaborative framework for care and control of tuberculosis and diabetes. 2011. [Accessed 31th èMay 2021]. Available From: https://apps.who.int/iris/bitstream/handle/10665/44698/9789241502252_eng.pdf
Maladies DdlEedLcl. Enquête nationale sur les facteurs de risques cardiovasculaires 2000. Bulletin épidémiologique. 2003(53-54).
Aoufi H. Evaluation du système de surveillance du diabète au Maroc. INAS. 2012.
Richard J-L, Schuldiner S. Epidémiologie du pied diabétique. Rev Med interne. 2008 Sep; 29(2): S222 -30. https://doi.org/10.1016/s0248-8663(08)73949-3
Merza Z, Tesfaye S. The risk factors for diabetic foot ulceration. Foot. 2003 Sep; 13(3):125-9. https://doi.org/10.1016/S0958-2592(03)00031-2
Booya F, Bandarian F, Larijani B, Pajouhi M, Nooraei M, Lotfi J. Potential risk factors for diabetic neuropathy: a case control study. BMC Neurol. 2005 Dec 10; 5(1):24. https://doi.org/10.1186/1471-2377-5-24
Gulliford MC, Mahabir D. Diabetic foot disease and foot care in a Caribbean community. Diabetes Res Clin Pract. 2002 Apr; 56(1):35-40. https://doi.org/10.1016/s0168-8227(01)00343-6
Dorsey RR, Eberhardt MS, Gregg EW, Geiss LS. Control of risk factors among people with diagnosed diabetes, by lower extremity disease status. Prev Chronic Dis. 2009 Oct; 6(4): A114. [Accessed 31th May 2021]. Available From: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2774628/
Sano D, Tieno H, Drabo Y, Sanou A. Prise en charge du pied diabétique à propos de 42 cas au CHU de Ouagadougou. Dakar Med. 1998; 43(1):109 -13. [Accessed 31th May 2021]. Available From: http://www.santetropicale.com/Resume/64604.pdf
Lamchahab F, El Kihal N, Khoudri I, Chraibi A, Hassam B, Ourhroui MA. Factors influencing the awareness of diabetic foot risks. Ann Phys Rehabil Med. 2011 Sep; 54(6):359-65. https://doi.org/10.1016/j.rehab.2011.07.004
Jbour AS, Jarrah NS, Radaideh AM, Shegem NS, Bader IM, Batieha AM, et al. Prevalence and predictors of diabetic foot syndrome in type 2 diabetes mellitus in Jordan. Saudi Med J. 2003 Jul; 24(7):761-4. [Accessed 31th May 2021]. Available From: https://www.researchgate.net/profile/KamelAjlouni2/publication/10641641_Prevalence_and_predictors_of_diabetic_foot_syndrome_in_type_2_diabetes_mellitus_in_Jordan/links/5da4551645851553ff8f5cc0/Prevalence-and-predictors-of-diabetic-foot-syndrome-in-type-2-diabetes-mellitus-in-Jordan.pdf
Singh N, Armstrong DG, Lipsky BA. La prevention des ulceres des pieds chez les diabetiques. JAMA-français. 2005; 293(2):129.
Abolfotouh MA, Alfaifi SA, Al-Gannas AS. Risk factors of diabetic foot in central Saudi Arabia. Saudi Med J. 2011 Jul; 32(7):708-13.
Control D, Group CTR, Nathan DM, Genuth S, Lachin J, Cleary P, et al. The effect of intensive treatment of diabetes on the development and progression of long term complications in insulin-dependent diabetes mellitus. N Engl j Med. 1993 Sep; 329(14):977-86. https://doi.org/10.1056/nejm199309303291401
Lavery LA, Armstrong DG, Vela SA, Quebedeaux TL, Fleischli JG. Practical criteria for screening patients at high risk for diabetic foot ulceration. Arch Intern Med. 1998 Jan 26; 158(2):157-62. https://doi.org/10.1001/archinte.158.2.157
Zubair M, Malik A, Ahmad J. Incidence, risk factors for amputation among patients with diabetic foot ulcer in a North Indian tertiary care hospital. Foot. 2012 Mar; 22(1):24-30. https://doi.org/10.1016/j.foot.2011.09.003
Group UPDS. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). Lancet. 1998 Sep 12; 352(9131):854-65. https://doi.org/10.1016/S0140-6736(98)07037-8
El Alami L, Lazghad A, El Ghomari H, Chadli A, Farouqi A, Marouan F. Pied diabétique: diagnostic et prise en charge. Rev Maroc Chir Orthop Traumato. 2005;23:6-13.
Rhee SY, Chon S, Kwon MK, Park IB, Ahn KJ, Kim IJ, et al. Prevalence of chronic complications in Korean patients with type 2 diabetes mellitus based on the Korean national diabetes program. Diabetes & Metab J. 2011 Oct; 35(5):504-12. https://doi.org/10.4093/dmj.2011.35.5.504
Li X, Xiao T, Wang Y, Gu H, Liu Z, Jiang Y, et al. Incidence, risk factors for amputation among patients with diabetic foot ulcer in a Chinese tertiary hospital. Diabetes Res Clin Pract. 2011 Jul; 93(1):26-30. https://doi.org/10.1016/j.diabres.2011.03.014
De Sonnaville J, Colly L, Wijkel D, Heine R. The prevalence and determinants of foot ulceration in type II diabetic patients in a primary health care setting. Diabetes Res Clin Pract. 1997 Mar;35(2):149- 56. https://doi.org/10.1016/s0168-8227(97)01380-6
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Copyright (c) 2015 Hicham Aoufi et al.
