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Nwose EU, Richards RS, Bwititi PT, Igumbor EO, Oshionwu EJ, Okolie K, Onyia IC, Pokhrel A, Gyawali P, Okuzor JN, Oguoma VM, Gardiner FW, Wang L. Prediabetes and cardiovascular complications study (PACCS): international collaboration 4 years' summary and future direction. BMC Res Notes 2017; 10:730. [PMID: 29228975 PMCID: PMC5725921 DOI: 10.1186/s13104-017-3017-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2017] [Accepted: 11/28/2017] [Indexed: 11/10/2022] Open
Abstract
Objective The prediabetes and cardiovascular complications studies proposes to develop a screening protocol for diabetes cardiovascular risk, and strategies for holistic management amongst others. Over 500 participants were recruited in the first 2 years of rural community research screening. Specific for this report, various published findings were reviewed. The objective is to summarize research outcomes and itemize limitations as they constitute basis of future directions. Results Affordability and availability are major confounding behavioural change wheel factors in the rural community. 4.9% prevalence of prediabetes, which may be lower or non-significantly different in urban areas. Hyperglycaemia co-morbidity with dyslipidaemia (5.0%), obesity (3.1%) and hypertension (1.8%) were observed. Limitation of the study includes participants being mostly over 60 years old, which has created impetus for the Global Alliance on Chronic Diseases agenda on vulnerability of older adults to diabetes being a new direction of the collaboration. Other directions in Australia and Nepal focus on patients with chronic kidney disease with or without cardiovascular complications. This report highlights the need to translational research. Electronic supplementary material The online version of this article (10.1186/s13104-017-3017-7) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- E U Nwose
- School of Community Health, Faculty of Sciences, Charles Sturt University, Orange Campus, Leeds Parade, Orange, NSW, Australia. .,Public & Community Health Department, Novena University, Ogume, Kwale, Nigeria. .,Global Medical Research & Development Organization, Catholic Hospital Abbi, Albury, NSW, Australia.
| | - R S Richards
- School of Community Health, Faculty of Sciences, Charles Sturt University, Orange Campus, Leeds Parade, Orange, NSW, Australia
| | - P T Bwititi
- School of Biomedical Sciences, Faculty of Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia
| | - E O Igumbor
- Public & Community Health Department, Novena University, Ogume, Kwale, Nigeria
| | - E J Oshionwu
- Global Medical Research & Development Organization, Catholic Hospital Abbi, Albury, NSW, Australia.,California Department of State Hospital, Stockton, CA, 95215, USA
| | - K Okolie
- Global Medical Research & Development Organization, Catholic Hospital Abbi, Albury, NSW, Australia
| | - I C Onyia
- Global Medical Research & Development Organization, Catholic Hospital Abbi, Albury, NSW, Australia.,Onyx Hospital & Maternity, Lagos, Nigeria
| | - A Pokhrel
- Nepal Medical College & Teaching Hospital, Kathmandu, Nepal
| | - P Gyawali
- University of Montreal, Montreal, Canada
| | - J N Okuzor
- Global Medical Research & Development Organization, Catholic Hospital Abbi, Albury, NSW, Australia.,Laboratory Department, Texas Health Resources (HMH-HEB), Bethesda, TX, 76022, USA
| | - V M Oguoma
- School of Psychological & Clinical Sciences, Charles Darwin University, Wagga Wagga, NSW, Australia
| | - F W Gardiner
- School of Community Health, Faculty of Sciences, Charles Sturt University, Orange Campus, Leeds Parade, Orange, NSW, Australia.,Calvary Public Hospital, Bruce, ACT, Australia
| | - L Wang
- School of Biomedical Sciences, Faculty of Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia
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Nwose EU, Onodu BC, Anyasodor AE, Sedowo MO, Okuzor JN, Culas RJ. Ethnopharmacological values of cassava and its potential for diabetes and dyslipidemia management: Knowledge survey and critical review of report. J Intercult Ethnopharmacol 2017; 6:260-266. [PMID: 28894623 PMCID: PMC5580950 DOI: 10.5455/jice.20170606094119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Accepted: 05/14/2017] [Indexed: 12/12/2022]
Abstract
Background: Beyond nutritional values are the pharmacological potentials of cassava comparative with other staple carbohydrate plant-based foods such as wheat. The knowledge of applicability to diabetes and its cardiovascular complications management seems not just limited but unacknowledged. As a preliminary study, a community’s knowledge of pharmacological value of cassava is investigated. Methods: Descriptive observational study using questionnaire-based “cross-sectional” survey was conducted. 136 Participants completed the survey and 101 respondents were selected for evaluation. Open-ended questions were used qualitatively to generate experience and view cassava values for diabetes and dyslipidemia. While categorical (yes or no) questions were used quantitatively to generate numerical results for diabetes, critical reanalysis of a report data was performed, especially comparing carbohydrate/fiber and fat/fiber ratios of cassava with wheat in view of dyslipidemia. Result: On the positive side, 42% of the participants believe that cassava has medicinal values. This includes 6% (among the 42) who believes that the plant is useful in treating diabetes and 24% who do not know it may be useful in diabetes management. Critical review showed that cassava may contribute up to sixteen times more fiber and four times less digestible sugar, as well as carbohydrate/fiber and fat/fiber ratios being 14 and 55 times less than wheat. Conclusion: There is evidence that relative to wheat flour meal, for instance, cassava contributes less fat and much more fiber. Since fat is pro-obesity, which in turn is pro-diabetic/metabolic syndrome; and fiber is anti-dyslipidemic; cassava has pharmacological values to be appreciated over some carbohydrate plant-based foods.
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Affiliation(s)
- Ezekiel Uba Nwose
- School of Community Health, Charles Sturt University, New South Wales, Australia
| | - Bonaventure C Onodu
- School of Agricultural and Wine Sciences, Charles Sturt University, New South Wales, Australia
| | | | - Mathew O Sedowo
- School of Agricultural and Wine Sciences, Charles Sturt University, New South Wales, Australia
| | - John N Okuzor
- Laboratory Department, Texas Health Resources, Bethesda, United States of America
| | - Richard J Culas
- School of Agricultural and Wine Sciences, Charles Sturt University, New South Wales, Australia
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