The Diabetes-Tuberculosis Co-Epidemic: The Interaction between Individual and Socio-Economic Risk Factors
Worldwide, tuberculosis (TB) is a major cause of morbi-mortality, about 30% of the population having a Mycobacterium tuberculosis infection. Patients with diabetes mellitus (DM) have a threefold increased risk of developing the disease. The prevalence of DM is rapidly increasing, especially in count...
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doaj-29d0945c9c7f47ffb2ea3d8ecea1c4c62021-09-05T14:00:17ZengSciendoRomanian Journal of Diabetes Nutrition and Metabolic Diseases2284-64172017-03-01241717810.1515/rjdnmd-2017-0009rjdnmd-2017-0009The Diabetes-Tuberculosis Co-Epidemic: The Interaction between Individual and Socio-Economic Risk FactorsFirănescu Adela-Gabriela0Popa Adina1Roşu Maria-Magdalena2Protasiewicz Diana Cristina3Popa Simona Georgiana4Ioana Mihai5Moța Maria6 Department of Diabetes, Nutrition and Metabolic Diseases, Clinical County Emergency Hospital, Craiova, Romania Department of Diabetes, Nutrition and Metabolic Diseases, Clinical County Emergency Hospital, Craiova, Romania Department of Diabetes, Nutrition and Metabolic Diseases, Clinical County Emergency Hospital, Craiova, Romania Department of Diabetes, Nutrition and Metabolic Diseases, Clinical County Emergency Hospital, Craiova, Romania Department of Diabetes, Nutrition and Metabolic Diseases, Clinical County Emergency Hospital, Craiova, Romania University of Medicine and Pharmacy, Craiova, Romania Department of Diabetes, Nutrition and Metabolic Diseases, Clinical County Emergency Hospital, Craiova, RomaniaWorldwide, tuberculosis (TB) is a major cause of morbi-mortality, about 30% of the population having a Mycobacterium tuberculosis infection. Patients with diabetes mellitus (DM) have a threefold increased risk of developing the disease. The prevalence of DM is rapidly increasing, especially in countries with low and middle income, where TB incidence is also increased, thus baffling the efforts for TB control. The DM-TB co-epidemic is more frequent in married, older men, with reduced level of education, low income, without a steady job, with lifestyle habits such as alcohol consumption, smoking, sedentarism, living in an urban environment, in crowded areas, in insanitary conditions. These patients have a higher body mass index (BMI) compared with those without DM and frequently present family history of TB, family history of DM, longer duration of DM and reduced glycemic control. TB associated with DM is usually asymptomatic, more contagious, multidrug resistant and is significantly associated with an increased risk of therapy failure, relapse and even death. Thus, the DM-TB comorbidity represents a threat to public health and requires the implementation of urgent measures in order to both prevent and manage the two diseases.https://doi.org/10.1515/rjdnmd-2017-0009diabetes mellitustuberculosisrisk factors |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Firănescu Adela-Gabriela Popa Adina Roşu Maria-Magdalena Protasiewicz Diana Cristina Popa Simona Georgiana Ioana Mihai Moța Maria |
spellingShingle |
Firănescu Adela-Gabriela Popa Adina Roşu Maria-Magdalena Protasiewicz Diana Cristina Popa Simona Georgiana Ioana Mihai Moța Maria The Diabetes-Tuberculosis Co-Epidemic: The Interaction between Individual and Socio-Economic Risk Factors Romanian Journal of Diabetes Nutrition and Metabolic Diseases diabetes mellitus tuberculosis risk factors |
author_facet |
Firănescu Adela-Gabriela Popa Adina Roşu Maria-Magdalena Protasiewicz Diana Cristina Popa Simona Georgiana Ioana Mihai Moța Maria |
author_sort |
Firănescu Adela-Gabriela |
title |
The Diabetes-Tuberculosis Co-Epidemic: The Interaction between Individual and Socio-Economic Risk Factors |
title_short |
The Diabetes-Tuberculosis Co-Epidemic: The Interaction between Individual and Socio-Economic Risk Factors |
title_full |
The Diabetes-Tuberculosis Co-Epidemic: The Interaction between Individual and Socio-Economic Risk Factors |
title_fullStr |
The Diabetes-Tuberculosis Co-Epidemic: The Interaction between Individual and Socio-Economic Risk Factors |
title_full_unstemmed |
The Diabetes-Tuberculosis Co-Epidemic: The Interaction between Individual and Socio-Economic Risk Factors |
title_sort |
diabetes-tuberculosis co-epidemic: the interaction between individual and socio-economic risk factors |
publisher |
Sciendo |
series |
Romanian Journal of Diabetes Nutrition and Metabolic Diseases |
issn |
2284-6417 |
publishDate |
2017-03-01 |
description |
Worldwide, tuberculosis (TB) is a major cause of morbi-mortality, about 30% of the population having a Mycobacterium tuberculosis infection. Patients with diabetes mellitus (DM) have a threefold increased risk of developing the disease. The prevalence of DM is rapidly increasing, especially in countries with low and middle income, where TB incidence is also increased, thus baffling the efforts for TB control. The DM-TB co-epidemic is more frequent in married, older men, with reduced level of education, low income, without a steady job, with lifestyle habits such as alcohol consumption, smoking, sedentarism, living in an urban environment, in crowded areas, in insanitary conditions. These patients have a higher body mass index (BMI) compared with those without DM and frequently present family history of TB, family history of DM, longer duration of DM and reduced glycemic control. TB associated with DM is usually asymptomatic, more contagious, multidrug resistant and is significantly associated with an increased risk of therapy failure, relapse and even death. Thus, the DM-TB comorbidity represents a threat to public health and requires the implementation of urgent measures in order to both prevent and manage the two diseases. |
topic |
diabetes mellitus tuberculosis risk factors |
url |
https://doi.org/10.1515/rjdnmd-2017-0009 |
work_keys_str_mv |
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