Assessment of Dietary Pattern, Lifestyle, Vitamin D Status, and Undiagnosed Diabetes Among Traders in Selected Markets Area in Ede, Osun State, Nigeria.

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2023-12

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Lead City University

Abstract

An unhealthy diet is one of the major risk factors responsible for the increased prevalence of non-communicable diseases (NCDs), including diabetes. Recently, low vitamin D status has been linked with Diabetes mellitus. In Nigeria, there is a paucity of data; hence, this study aimed to assess the dietary pattern, lifestyle, vitamin D status, and undiagnosed diabetes among traders in selected market areas in Ede, Osun State, Nigeria. This study adopted a descriptive cross- sectional community base design, involving consenting and eligible 176 traders attending the three selected major markets in Ede. Participants range in age from 20 and 80 years using a stratified sampling method. A structured interviewer-administered questionnaire was used to obtain information, and biochemical and laboratory assessments were determined by collecting blood samples at different stages for random blood glucose, followed by fasting blood glucose using the AccuChek Active® glucometer, and a serum vitamin D assay using the ELISA method. The comparison was done on the serum vitamin D status between normal and abnormal glycaemic profiles. Overall, 18.1 % of dysglycaemia prevalence (4.5 % prevalence of undiagnosed diabetes and 13.6 % prevalence of prediabetes) and 21.6 % prevalence of hypovitaminosis D comprise 9.1 % of vitamin D deficiency and 12.5 % of vitamin D insufficiency. A higher percentage (51.1 %) of low vitamin D concentration was observed among participants with abnormal glucose profiles, with an odd ratio six times (6.64; 95 % CI, 2.88–15.29) increasing the risk of having undiagnosed type 2 Diabetes mellitus. There is a significant relationship (p = 0.000) between vitamin D status and undiagnosed type 2 diabetes. This study demonstrated the magnitude of undiagnosed Diabetes mellitus and surprisingly low vitamin D status in the community, with significant relationships. Hence, serum vitamin D tests should be taken into consideration in a known diabetes mellitus. Keywords: Hypovitaminosis; dysglycaemia; unhealthy diet, non-communicable diseases Word count: 299

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Kate Turabian