ORCID Profile
0000-0002-0738-820X
Current Organisations
Murdoch University
,
Karolinska Institutet
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Publications
National drug policy reform for noncommunicable diseases in low-resource countries: an example from Bangladesh
Publisher: WHO Press
Date: 05-04-2016
Regional Variation in Comorbid Prediabetes and Diabetes and Associated Factors among Hypertensive Individuals in Rural Bangladesh, Pakistan, and Sri Lanka
Publisher: Hindawi Limited
Date: 30-04-2019
DOI: 10.1155/2019/4914158
Abstract: We aimed to explore the cross-country variation in the prevalence of comorbid prediabetes or diabetes and determine the sociodemographic, lifestyle, and clinical factors, especially body mass index (BMI) and waist circumference, associated with comorbid diabetes in in iduals with hypertension in rural South Asia. We analyzed cross-sectional data of 2426 hypertensive in iduals of ≥40 years from 30 randomly selected rural communities in Bangladesh, Pakistan, and Sri Lanka. Prediabetes was defined as fasting plasma glucose (FPG) between 100 and 125 mg/dL without use of antidiabetic treatment and diabetes as FPG ≥126 mg/dL or use of antidiabetic medication. The prevalence (95% CI) of prediabetes or diabetes (53.5% (51.5%, 55.5%)) and diabetes (27.7% (25.9%, 29.5%)) was high in the overall hypertensive study population in rural communities in 3 countries. Rural communities in Sri Lanka had the highest crude prevalence of prediabetes or diabetes and diabetes (73.1% and 39.3%) with hypertension, followed by those in Bangladesh (47.4% and 23.1%) and Pakistan (39.2% and 20.5%). The factors independently associated with comorbid diabetes and hypertension were residing in rural communities in Sri Lanka, higher education, international wealth index, waist circumference, pulse pressure, triglyceride, and lower high-density lipoprotein. The association of diabetes with waist circumference was stronger than with BMI in hypertensive in iduals. Prediabetes or diabetes are alarmingly common among adults with hypertension and vary among countries in rural South Asia. The high prevalence of comorbid diabetes in Sri Lanka among hypertensives is not fully explained by conventional risk factors and needs further etiological research. Urgent public health efforts are needed to integrate diabetes control within hypertension management programs in rural South Asia, including screening waist circumference.
Life-course trajectories of body mass index and subsequent cardiovascular risk among Chinese population
Publisher: Public Library of Science (PLoS)
Date: 10-10-2019
Cascade of diabetes care in Bangladesh, Bhutan and Nepal: identifying gaps in the screening, diagnosis, treatment and control continuum
Publisher: Springer Science and Business Media LLC
Date: 24-06-2023
DOI: 10.1038/S41598-023-37519-W
Abstract: Diabetes has become a major cause of morbidity and mortality in South Asia. Using the data from the three STEPwise approach to Surveillance (STEPS) surveys conducted in Bangladesh, Bhutan, and Nepal during 2018–2019, this study tried to quantify the gaps in diabetes screening, awareness, treatment, and control in these three South Asian countries. Diabetes care cascade was constructed by decomposing the population with diabetes (diabetes prevalence) in each country into five mutually exclusive and exhaustive categories: (1) unscreened and undiagnosed, (2) screened but undiagnosed, (3) diagnosed but untreated, (4) treated but uncontrolled, (5) treated and controlled. In Bangladesh, Bhutan, and Nepal, among the participants with diabetes, 14.7%, 35.7%, and 4.9% of the participants were treated and controlled, suggesting that 85.3%, 64.3%, and 95.1% of the diabetic population had unmet need for care, respectively. Multivariable logistic regression models were used to explore factors associated with awareness of the diabetes diagnosis. Common influencing factors for awareness of the diabetes diagnosis for Bangladesh and Nepal were living in urban areas [Bangladesh-adjusted odd ratio (AOR):2.1 confidence interval (CI):1.2, 3.6, Nepal-AOR:6.2 CI:1.9, 19.9].
Obesity and overweight in Bangladeshi children and adolescents: a scoping review
Publisher: Springer Science and Business Media LLC
Date: 22-01-2014
Prevalence and Risk Factors of Gestational Diabetes Mellitus in Bangladesh: Findings from Demographic Health Survey 2017–2018
Publisher: MDPI AG
Date: 23-02-2022
Abstract: Gestational diabetes mellitus (GDM) has serious consequences for both maternal and neonatal health. The growing number of noncommunicable diseases and related risk factors as well as the introduction of new World Health Organization (WHO) diagnostic criteria for GDM are likely to impact the GDM prevalence in Bangladesh. Our study aimed to assess the national prevalence and identify the risk factors using the most recent WHO criteria. We used the secondary data of 272 pregnant women (weighted for s ling strategy) from the Bangladesh Demographic and Health Survey 2017–2018. Multivariate logistic regression was performed to determine the risk factors of GDM. The overall prevalence of GDM in Bangladesh was 35% (95/272). Increased odds of GDM were observed among women living in the urban areas (adjusted odds ratio (aOR) 2.74, 95% confidence interval (CI) 1.43–5.27) compared to rural areas and those aged ≥25 years (aOR 2.03, 95% CI 1.13–3.65). GDM rates were less prevalent in the later weeks of pregnancy compared to early weeks. Our study demonstrates that the national prevalence of GDM in Bangladesh is very high, which warrants immediate attention of policy makers, health practitioners, public health researchers, and the community. Context-specific and properly tailored interventions are needed for the prevention and early diagnosis of GDM.
Prevalence, pattern, and correlates of dyslipidemia in Bangladeshi individuals
Publisher: Elsevier BV
Date: 09-2023
Prevalence, risk factors, and interventions for chronic obstructive pulmonary disease in South Asia: a scoping review protocol
Publisher: Springer Science and Business Media LLC
Date: 11-01-2021
DOI: 10.1186/S13643-020-01556-7
Abstract: Chronic obstructive pulmonary disease (COPD) is increasingly contributing to the disease burden in South Asia. This review will summarize the prevalence and risk factors of COPD in South Asia and the interventions regarding COPD that have been introduced in South Asian countries. This scoping review will primarily follow Arksey and O’Malley’s six steps of scoping review methodology. Additionally, it will follow the recent upgradation of the scoping review methodology by Levac et al., and the Joanna Briggs Institute. Research questions were already identified at the beginning of the proposed scoping review. Electronic databases will be searched (PubMed, Web of Science, and ProQuest) using search terms. Studies will be screened independently by two reviewers through a two-stage screening process using pre-developed inclusion criteria for this scoping review. Eligible studies will be abstracted and charted in a standardised form. Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) will be used to report the result. Additionally, feedback from South Asia’s experienced COPD researchers on the final literature list will be collected for gap identification in literature search. Two independent reviewers will assess the quality of each included study’s design using the Joanna Briggs Institute’s tool. The proposed scoping review will map the evidence on COPD in South Asia through literature review, and it will focus on prevalence, risk factors, and interventions. This review will contribute to the advancement of research on COPD and will be beneficial for policy-makers, public health specialists, and clinicians.
Factors associated with low medication adherence in patients with Type 2 diabetes mellitus attending a tertiary hospital in Bangladesh
Publisher: Wiley
Date: 07-09-2021
DOI: 10.1002/LIM2.47
Abstract: Adherence to prescribed medication is essential for glycemic control and to delay the onset of complications. However, information on medication adherence among patients with Type 2 diabetes mellitus is sparse in Bangladesh. This study aimed to determine medication adherence and factors associated with low adherence in patients with Type 2 diabetes in Bangladesh. A cross‐sectional study was conducted among 500 consecutive patients with Type 2 diabetes attending a tertiary hospital in Bangladesh between September 2013 and July 2014. Data were collected on sociodemographic and clinical characteristics, medication use and adherence, and blood tests for glycated hemoglobin. Medication adherence was assessed using the 8‐item Morisky Medication Adherence Scale (score range 0–8), and a score 6 was defined as low adherence. Multiple logistic regression modeling was used to investigate factors associated with low medication adherence. The mean age ± standard deviation of the participants was 50.2 ± 10.2 years (56.2% females). Overall, 42.8% (95% confidence interval (CI): 38.5–47.2) of participants reported low medication adherence with no differences by sex. Multiple logistic regression analysis revealed that increased age was negatively associated with low adherence (odds ratio: 0.97 [95% CI 0.95–0.99]). Patients who reported no family history of diabetes had 55% higher odds of having low adherence (1.55 [1.05–2.30]), compared to their counterparts with a family history of diabetes. Almost half of the patients with Type 2 diabetes attending a tertiary hospital in Dhaka had suboptimal medication adherence. Innovative approaches targeting young patients and those with no family history of diabetes could improve medication adherence.
Prevalence and correlates of cardiometabolic multimorbidity among hypertensive individuals: a cross-sectional study in rural South Asia—Bangladesh, Pakistan and Sri Lanka
Publisher: BMJ
Date: 09-2019
DOI: 10.1136/BMJOPEN-2019-030584
Abstract: To determinate the prevalence and correlates of cardiometabolic multimorbidity (CMM), and their cross-country variation among in iduals with hypertension residing in rural communities in South Asia. A cross-sectional study. Rural communities in Bangladesh, Pakistan and Sri Lanka. A total of 2288 in iduals with hypertension aged ≥40 years from the ongoing Control of Blood Pressure and Risk Attenuation- Bangladesh, Pakistan and Sri Lanka clinical trial. CMM was defined as the presence of ≥2 of the conditions: diabetes, chronic kidney disease, heart disease and stroke. Logistic regression was done to evaluate the correlates of CMM. About 25.4% (95% CI 23.6% to 27.2%) of the hypertensive in iduals had CMM. Factors positively associated with CMM included residing in Bangladesh (OR 3.42, 95% CI 2.52 to 4.65) or Sri Lankan (3.73, 95% CI 2.48 to 5.61) versus in Pakistan, advancing age (2.33, 95% CI 1.59 to 3.40 for 70 years and over vs 40–49 years), higher waist circumference (2.15, 95% CI 1.42 to 3.25) for Q2–Q3 and 2.14, 95% CI 1.50 to 3.06 for Q3 and above), statin use (2.43, 95% CI 1.84 to 3.22), and higher levels of triglyceride (1.01, 95% CI 1.01 to 1.02 per 5 mg/dL increase). A lower odds of CMM was associated with being physically active (0.75, 95% CI 0.57 to 0.97). A weak inverted J-shaped association between International Wealth Index and CMM was found (p for non-linear=0.058), suggesting higher risk in the middle than higher or lower socioeconomic strata. CMM is highly prevalent in rural South Asians affecting one in four in iduals with hypertension. There is an urgent need for strategies to concomitantly manage hypertension, cardiometabolic comorbid conditions and associated determinants in South Asia.
Influence of height on blood pressure and hypertension among Bangladeshi adults
Publisher: Elsevier BV
Date: 06-2020
Related Organisations
International Centre For Diarrhoeal Disease Research
Location: Bangladesh
Related Funding Activities
No related grants have been discovered for Md. Tauhidul Islam.