Glycaemic control and its associated factors in patients with type 2 diabetes in the Middle East and North Africa: An updated systematic review and meta-analysis.

Al-Ma'aitah, OH; Demant, D; Jakimowicz, S; Perry, L

Glycaemic control and its associated factors in patients with type 2 diabetes in the Middle East and North Africa: An updated systematic review and meta-analysis.

Al-Ma'aitah, OH Demant, D

Jakimowicz, S

Perry, L

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Journal of Advanced Nursing, 2022, 78, (8), pp. 2257-2276
Issue Date:: 2022-08

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Field	Value	Language
dc.contributor.author	Al-Ma'aitah, OH
dc.contributor.author	Demant, D https://orcid.org/0000-0003-3330-2972
dc.contributor.author	Jakimowicz, S https://orcid.org/0000-0002-3029-4252
dc.contributor.author	Perry, L https://orcid.org/0000-0002-8507-1283
dc.date.accessioned	2022-10-10T01:57:10Z
dc.date.available	2022-03-23
dc.date.available	2022-10-10T01:57:10Z
dc.date.issued	2022-08
dc.identifier.citation	Journal of Advanced Nursing, 2022, 78, (8), pp. 2257-2276
dc.identifier.issn	0309-2402
dc.identifier.issn	1365-2648
dc.identifier.uri	http://hdl.handle.net/10453/162416
dc.description.abstract	AIMS: To examine the patient-related factors that have been linked to glycaemic control in people living with type 2 diabetes mellitus in Middle Eastern countries. DESIGN: A systematic review and meta-analysis. DATA SOURCES: A computerized search was conducted using the databases MEDLINE (via PubMed and Ovid), EMBASE, Scopus and CINAHL to identify peer-reviewed articles published in English between 1 January 2010 and 21 May 2020. On 28 June 2021, the search was updated with the same keywords and databases; however, no further relevant studies were identified. REVIEW METHODS: Extracted data were analysed using Review Manager 5.4. RESULTS: The final sample consisted of 54 articles with a total of 41,079 participants. Pooled data showed an increased risk of inadequate glycaemic control in smokers [OR = 1.26, 95% confidence interval (CI): 1.05, 1.52; p = .010], obese patients (OR = 1.30, 95% CI: 1.10, 1.54; p = .002), patients with elevated waist to hip ratio (OR = 1.62, 95% CI: 1.16, 2.26; p = .004) and longer disease duration (OR = 2.01, 95% CI: 1.64, 2.48; p < .001). A lower risk of inadequate control was associated with physical activity (OR = 0.40, 95% CI: 0.24, 0.67; p < .001) and self-management (OR = 0.49, 95% CI: 0.29, 0.82; p = .006). CONCLUSION: These findings highlight the opportunity to address factors to improve glycaemic control. Further longitudinal studies are required to better understand these variations, to assess all predictors of glycaemic control in participants with type 2 diabetes, and to provide a strong basis for future measures to optimize glycaemic control.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Journal of Advanced Nursing
dc.relation.isbasedon	10.1111/jan.15255
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.subject.mesh	Blood Glucose
dc.subject.mesh	Diabetes Mellitus, Type 2
dc.subject.mesh	Glycemic Control
dc.subject.mesh	Humans
dc.subject.mesh	Self-Management
dc.subject.mesh	Time Factors
dc.subject.mesh	Blood Glucose
dc.subject.mesh	Diabetes Mellitus, Type 2
dc.subject.mesh	Glycemic Control
dc.subject.mesh	Humans
dc.subject.mesh	Self-Management
dc.subject.mesh	Time Factors
dc.subject.mesh	Humans
dc.subject.mesh	Diabetes Mellitus, Type 2
dc.subject.mesh	Blood Glucose
dc.subject.mesh	Time Factors
dc.subject.mesh	Self-Management
dc.subject.mesh	Glycemic Control
dc.title	Glycaemic control and its associated factors in patients with type 2 diabetes in the Middle East and North Africa: An updated systematic review and meta-analysis.
dc.type	Journal Article
utslib.citation.volume	78
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-10-10T01:57:07Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	78
utslib.citation.issue	8

Abstract:

AIMS: To examine the patient-related factors that have been linked to glycaemic control in people living with type 2 diabetes mellitus in Middle Eastern countries. DESIGN: A systematic review and meta-analysis. DATA SOURCES: A computerized search was conducted using the databases MEDLINE (via PubMed and Ovid), EMBASE, Scopus and CINAHL to identify peer-reviewed articles published in English between 1 January 2010 and 21 May 2020. On 28 June 2021, the search was updated with the same keywords and databases; however, no further relevant studies were identified. REVIEW METHODS: Extracted data were analysed using Review Manager 5.4. RESULTS: The final sample consisted of 54 articles with a total of 41,079 participants. Pooled data showed an increased risk of inadequate glycaemic control in smokers [OR = 1.26, 95% confidence interval (CI): 1.05, 1.52; p = .010], obese patients (OR = 1.30, 95% CI: 1.10, 1.54; p = .002), patients with elevated waist to hip ratio (OR = 1.62, 95% CI: 1.16, 2.26; p = .004) and longer disease duration (OR = 2.01, 95% CI: 1.64, 2.48; p < .001). A lower risk of inadequate control was associated with physical activity (OR = 0.40, 95% CI: 0.24, 0.67; p < .001) and self-management (OR = 0.49, 95% CI: 0.29, 0.82; p = .006). CONCLUSION: These findings highlight the opportunity to address factors to improve glycaemic control. Further longitudinal studies are required to better understand these variations, to assess all predictors of glycaemic control in participants with type 2 diabetes, and to provide a strong basis for future measures to optimize glycaemic control.

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http://hdl.handle.net/10453/162416