DSpace Community: Faculty of Clinical Sciences

Psychosocial Stress Among Patients With Type 2 Diabetes: Habitual Physical Activity as a Promising Moderator

2025-06-02T10:03:04Z

Title: Psychosocial Stress Among Patients With Type 2 Diabetes: Habitual Physical Activity as a Promising Moderator Authors: Adeniyi, A.F.; Ogwumike, O.O.; Kolawole, E.B.; Fasanmade, A.A. Abstract: Psychosocial stress is a disabling condition and is common among people with diabetes mellitus in view of the complexity of the disorder. It is however not clear if the psychosocial stress has any link with habitual physical activity, which is an important component in the care of people with diabetes. This study was conducted to investigate the likely connection between habitual physical activity and psychosocial stress among people with type 2 diabetes. A total of 193 adults with type 2 diabetes took part in this study. Psychosocial stress was assessed using the Revised Questionnaire on Stress in patients with Diabetes (QSD-R) while physical activity was assessed using the Baecke Habitual Physical Activity Questionnaire. Data were analysed using descriptive and inferential statistics at p < .05. The mean age of the participants was 58.76 ± 14.27 years with mean duration of diagnosis being 6.41 ± 4. 51 years. With a mean score of 2.8, work activity was the main source of physical activity for the patients with the least activity index of 1.2 coming from sports participation. Hypoglycaemia and self-medication/diet were the most important sources of stress to the patients and the overall psychosocial stress was related to habitual physical activity (r = - .73, p = .002). Significantly, patients with higher physical activity index presented with lower psychosocial stress. Apart from the well-known improvement in glycaemic control, type 2 diabetes patients that participate more in physical activity may be able to reduce their psychosocial stress. Description: Article

Profile of Children with Cerebral Palsy Attending Outpatient Physiotherapy Clinics in Southwest Nigeria

2025-06-02T09:56:58Z

Title: Profile of Children with Cerebral Palsy Attending Outpatient Physiotherapy Clinics in Southwest Nigeria Authors: Ayanniyi, O; Abdulsalam, K.S. Abstract: Cerebral palsy (CP) is a major cause of childhood disability. The objective of this study was to investigate the causes, types, severity, history of pregnancy, delivery, maternal care, demographic and clinical characteristics of children with CP and their parents as seen in outpatient physiotherapy clinics of the selected hospitals in Southwest Nigeria. A cross-sectional survey of children with CP and their parents was conducted in twelve hospitals in Southwest Nigeria. Information about the participants was obtained from hospital case records, physical examination and interviews. Data were summarized using descriptive and Chi-square tests with Alpha level put at 0. 05. Two hundred and thirteen children with CP were seen, aged 18 months to 12 years, and most of them were male (59.2%). The majority (41.0%) of the mothers were in the age range of 28 to 33 years. Jaundice (39.9%), asphyxia (26.8%) and infection (17.4%) were the leading causes of CP and spastic CP was the most common type (81.7%). Quadriplegic CP presentation was predominant (67.1%), and leading co-morbidities were mental retardation (31%) and speech impairment (26.3%). About 50% of the children severely affected by CP fell within Levels 4 and 5 of the Gross Motor Function Classification System (GMFCS) of CP severity. It was concluded that cerebral palsy in Southwest Nigeria is mainly associated with jaundice, asphyxia and infections. Spastic cerebral palsy was most common and quadriplegic affectation was predominant. It is recommended that factors promoting perinatal problems should be curtailed. Description: Article

Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review

2021-09-07T14:53:32Z

Title: Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review Authors: Ogah, Okechukwu S Abstract: To review studies on hypertension in Nigeria over the past five decades in terms of prevalence, awareness and treatment and complications. Following our search on Pubmed, African Journals Online and the World Health Organization Global cardiovascular Infobase, 1060 related references were identified out of which 43 were found to be relevant for this review. The overall prevalence of hypertension in Nigeria ranges from 8%-46.4% depending on the study target population, type of measurement and cut-off value used for defining hypertension. The prevalence is similar in men and women (7.9%-50.2% vs 3.5%-68.8%, respectively) and in the urban (8.1%-42.0%) and rural setting (13.5%-46.4%). The pooled prevalence increased from 8.6% from the only study during the period from 1970-1979 to 22.5% (2000-2011). Awareness, treatment and control of hypertension were generally low with attendant high burden of hypertension-related complications. In order to improve outcomes of cardiovascular disease in Africans, public health education to improve awareness of hypertension is required. Further epidemiological studies on hypertension are required to adequately understand and characterize the impact of hypertension in society. Description: ARTICLE

Interrelationship among physical activity, quality of life, clinical and sociodemographic characteristics in a sample of Nigerian patients with type 2 diabetes

2021-08-26T15:08:10Z

Title: Interrelationship among physical activity, quality of life, clinical and sociodemographic characteristics in a sample of Nigerian patients with type 2 diabetes Authors: Adeniyi, A.F.; Ogwumike, O.O.; Oguntola, D.A; Adeleye, J.O. Abstract: A number of complexities surround the health and well-being of patients with type 2 diabetes. These difficulties relate to self-care efforts and outcomes, and several other factors play regulatory functions. This study was carried out to investigate the inter-relationship among physical activity, quality of life, and clinical and sociodemographic factors in a group of Nigerian patients with type 2 diabetes. The study was conducted at the outpatient clinics of two major healthcare facilities in Ibadan, Southwest Nigeria. Physical activity was assessed using the International Physical Activity Questionnaire, and quality of life was assessed using the Diabetes Quality of Life Brief Clinical Inventory. Clinical and sociodemographic characteristics were also documented. A total of 227 patients with type 2 diabetes with a mean age of 55.83 ± 13.76 years took part in the study. A total of 156 (68.7%) of the participants, had low level of physical activity, while 81 (35.7%) reported quality of life scores below the intermediate score and hypertension was the mo 63 (27.8%) of the participants. Being 50 years and older (OR = 2.5; 95% CI = 1.21-3.67) increased the odds of having lower quality of life, while physical activity of moderate-to-high intensity reduced the odds (OR = 0.4; 95% CI = 0.2-0.8). A substantial proportion of patients with type 2 diabetes had below intermediate level quality of life, and most of them were physically inactive. Lower quality of life was also linked with sociodemographic and clinical variables but patients with moderate-to-high physical activity were likely to reduce by half the risk of poor quality of life.