{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:21:39Z","timestamp":1787016099767,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,2,23]],"date-time":"2017-02-23T00:00:00Z","timestamp":1487808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Christian Larsen and Dommer Ellen Larsens legat"},{"name":"Thorvalden Madsens legat til laegevidenskabens fremme"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2017,4]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n \n In Pakistan, the prevalence of diabetes (\n DM<\/jats:styled-content>\n ) among adults is 6.9% and expected to double by 2040.\n DM<\/jats:styled-content>\n may facilitate transmission and halter the elimination of tuberculosis (\n TB<\/jats:styled-content>\n ). We aimed to determine the prevalence of\n DM<\/jats:styled-content>\n among patients with\n TB<\/jats:styled-content>\n in Pakistan, and to investigate anthropometric biochemical and haemodynamic associations between\n TB<\/jats:styled-content>\n patients with and without\n DM<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We conducted a cross\u2010sectional study at Gulab Devi Chest Hospital in Lahore, Punjab. A total of 3027 newly diagnosed smear\u2010positive\n TB<\/jats:styled-content>\n patients \u226525 years of age were screened for\n DM<\/jats:styled-content>\n by HbA1c regardless of previous\n DM<\/jats:styled-content>\n history.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The prevalence of screen\u2010detected\n DM<\/jats:styled-content>\n and known\n DM<\/jats:styled-content>\n among the\n TB<\/jats:styled-content>\n participants was 13.5% and 26.1%, respectively, resulting in a combined\n DM<\/jats:styled-content>\n prevalence of 39.6%. Most participants were male (64.4%). Using bivariate analyses, participants with\n DM<\/jats:styled-content>\n were significantly older (49.8\n vs<\/jats:italic>\n . 40.6 years) with higher haemoglobin (men, 12.1\n vs<\/jats:italic>\n . 11.8 g\/dl, women 11.5\n vs<\/jats:italic>\n . 10.7 g\/dl), body mass index (21.0\n vs<\/jats:italic>\n . 17.6 kg\/m\n 2<\/jats:sup>\n ) and waist\u2013hip ratio (men, 0.87\n vs<\/jats:italic>\n . 0.81, women, 0.87\n vs<\/jats:italic>\n . 0.79) (all\n P<\/jats:italic>\n < 0.05) than participants without\n DM<\/jats:styled-content>\n . Stratifying by screen\u2010detected and known\n DM<\/jats:styled-content>\n , these differences remained significant when using multivariate analysis.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n We report a high prevalence of\n DM<\/jats:styled-content>\n among patients with\n TB<\/jats:styled-content>\n who may be anthropometrically and biochemically distinct from\n TB<\/jats:styled-content>\n patients without\n DM<\/jats:styled-content>\n , and this heterogeneity further transcends the different\n DM<\/jats:styled-content>\n groups.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/tmi.12842","type":"journal-article","created":{"date-parts":[[2017,1,19]],"date-time":"2017-01-19T10:26:08Z","timestamp":1484821568000},"page":"465-473","source":"Crossref","is-referenced-by-count":16,"title":["High prevalence of diabetes and anthropometric heterogeneity among tuberculosis patients in Pakistan"],"prefix":"10.1111","volume":"22","author":[{"given":"Huma","family":"Aftab","sequence":"first","affiliation":[{"name":"Section of Global Health Department of Public Health University of Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atiqa","family":"Ambreen","sequence":"additional","affiliation":[{"name":"Gulab Devi Chest Hospital Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Jamil","sequence":"additional","affiliation":[{"name":"Gulab Devi Chest Hospital Lahore Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Garred","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular Medicine Rigshospitalet Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f8rgen H.","family":"Petersen","sequence":"additional","affiliation":[{"name":"Section of Biostatistics Department of Public Health University of Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne D.","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Copenhagen University Hospital Rigshospitalet Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ib C.","family":"Bygbjerg","sequence":"additional","affiliation":[{"name":"Section of Global Health Department of Public Health University of Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk L.","family":"Christensen","sequence":"additional","affiliation":[{"name":"Section of Global Health Department of Public Health University of Copenhagen 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