Original Research

Magnitude of missed opportunities for prediabetes screening among non-diabetic adults attending the family practice clinic in Western Nigeria: Implication for diabetes prevention

Oluwaseun S. Ojo, Ademola O. Egunjobi, Adefemi J. Fatusin, Bolatito B. Fatusin, Odunola O. Ojo, Farouq A. Ololade, Patience A. Eruzegbua, Oluseyi A. Afolabi, Ayomiposi A. Adesokan
South African Family Practice | Vol 62, No 1 : Part 4| a5082 | DOI: https://doi.org/10.4102/safp.v62i1.5082 | © 2020 Oluwaseun S. Ojo, Ademola O. Egunjobi, Adefemi J. Fatusin, Bolatito B. Fatusin, Odunola O. Ojo, Farouq A. Ololade, Patience A. Eruzegbua, Oluseyi A. Afolabi, Ayomiposi A. Adesokan | This work is licensed under CC Attribution 4.0
Submitted: 13 January 2020 | Published: 21 September 2020

About the author(s)

Oluwaseun S. Ojo, Department of Family Medicine, Federal Medical Centre, Abeokuta, Nigeria
Ademola O. Egunjobi, Department of Family Medicine, Federal Medical Centre, Zamfara, Nigeria
Adefemi J. Fatusin, Department of Family Medicine, Federal Medical Centre, Zamfara, Nigeria
Bolatito B. Fatusin, Department of Family Medicine, Federal Medical Centre, Zamfara, Nigeria
Odunola O. Ojo, Department of Nursing, School of Nursing, Abeokuta, Nigeria
Farouq A. Ololade, Department of Family Medicine, Federal Medical Centre, Abeokuta, Nigeria
Patience A. Eruzegbua, Department of Family Medicine, Federal Medical Centre, Abeokuta, Nigeria
Oluseyi A. Afolabi, Department of Family Medicine, Federal Medical Centre, Abeokuta, Nigeria
Ayomiposi A. Adesokan, Department of Family Medicine, Federal Medical Centre, Abeokuta, Nigeria


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Abstract

Background: For many decades, hypertension guidelines recommended dual-arm blood pressure measurement. However, this practice is poor in Nigeria and its significance is largely unidentified. Hence, this study was done to determine the point prevalence of inter-arm blood pressure difference and its relationship with hypertension and diabetes mellitus.

Methods: A cross-sectional study was conducted among 214 respondents at the general outpatient clinic of a tertiary hospital in Nigeria. Demographic characteristics and anthropometric indices were obtained. Blood pressure readings were obtained through sequentially repeated measurements in respondents’ arms.

Results: One-hundred and eighty-six respondents had complete data given a completion rate of 86.9%. Systolic blood pressure was higher on the right and left arm in 102 (54.8%) and 56 (30.1%) of the respondents, respectively. Diastolic blood pressure was higher on the right and left arm in 73 (39.2%) and 63 (33.9%) of the respondents, respectively. The overall prevalence of significant systolic inter-arm difference (≥ 10 mmHg) and diastolic inter-arm difference (≥ 10 mmHg) were 24.2% and 18.8%, respectively. Significant systolic inter-arm difference (p = 0.033) and diastolic inter-arm difference (p = 0.01) were significantly more among respondents with hypertension and/or diabetes mellitus.

Conclusion: The blood pressure readings in both arms were different among the majority of the respondents, being higher on the right arm in many of them. The prevalence of significant inter-arm difference was high in the unselected primary care patients studied especially among patients with hypertension and/or diabetes mellitus. Blood pressure measurement in both arms should become a routine practice during initial patients’ visits in primary care.


Keywords

prediabetes; diabetes; missed opportunity; missed diagnosis; primary care; primary care physicians; family practice clinic

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