Colegiado PPGSP-FAMED-UFC

Hussain Akhtar

President-Elect of the International Diabetes Federation. Major education: Medicine/Endocrinology/Epidemiology and Behavioural/Educational science. Fields of expertise: Diabetes, Clinical Epidemiology, Nutrition, Public Health, Preventive Health, Health Education, Evaluation Research. Key Experience: Work experience from Norway, UK, Bangladesh, India, Pakistan, Nepal, China, Sudan, Tanzania and Zimbabwe. Education from Bangladesh, Norway and USA. Have been working with the challenges to identify differential risk factors in different population with the immigrants in Europe as a point of departure. Involved in community based intervention programme in Bangladesh (Nutritional Blindness Prevention Programme) since 1984. Working with Urban Migration and Public Health problems in Bangladesh since 1991 and for the prevention of ?onchocerciasis? (River blindness) and rehabilitation for the blind in Sudan since 1986. Have initiated scientific collaboration between the University of Bergen and Oslo, University of Dhaka and Director General of Health, Govt. of Bangladesh and Pakistan. Have been involved in the investigation of sexually transmitted diseases (STD) and HIV in Tanzania (Dr. Sia E. Msuya, Dr. E. Sam in KCMC) and Zimbabwe (Dr. Elizabeth M Mbizvo, Prof. K. Mahomed, Parirenyatwa University Hospital) since 1998. Introduced the discipline of ?Non-Communicable Diseases (NCDs) and Diabetes? in the curriculum of the Master's Program in International Community Health, under the Faculty of Medicine, at UiO in 1998. Have successfully trained a large number of health professionals from all over the world, supervised approximately 50 Master's and 13 PhD's students. Between 2006-2013, was the principal coordinator of the NORAD's (Norwegian Agency for Development Cooperation) Program for Master's Studies - NOMA, in which the first Master of Philosophy course in Public Health (2 years) with a prime focus on NCD-Diabetes in Asia was successfully developed. With the intention of encouraging cooperation between North to South, but especially between South to South, the program was located in Bangladesh with partner Institutions from Pakistan, India, Nepal, Bhutan, and China. (Texto informado pelo autor)

http://lattes.cnpq.br/0857203355969538 (16/02/2021)

Rótulo/Grupo: Professor(a) Visitante

Bolsa CNPq:

Período de análise: 1994-HOJE

Endereço:

Grande área: Ciências da Saúde

Área: Medicina

Citações: Google Acadêmico

Produção bibliográfica

Artigos completos publicados em periódicos (108)
1. KESAVADEV, JOTHYDEV ; MISRA, ANOOP ; SABOO, BANSHI ; ARAVIND, S.R. ; Hussain, Akhtar ; CZUPRYNIAK, LESZEK ; RAZ, ITAMAR. Blood glucose levels should be considered as a new vital sign indicative of prognosis during hospitalization. Diabetes & Metabolic Syndrome (Print). v. 15, p. 221-227, issn: 1871-4021, 2021.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B2
2. Hussain, Akhtar; DO VALE MOREIRA, NAYLA CRISTINA. Letter to the editor in response to article: -Clinical considerations for patients with diabetes in times of COVID-19 epidemic (Gupta et al.). Diabetes & Metabolic Syndrome (Print). v. 14, p. 363, issn: 1871-4021, 2020.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B2
3. Hussain, Akhtar; BHOWMIK, BISHWAJIT ; DO VALE MOREIRA, NAYLA CRISTINA. COVID-19 and diabetes: Knowledge in progress. DIABETES RESEARCH AND CLINICAL PRACTICE. v. 162, p. 108142, issn: 0168-8227, 2020.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B1
4. DO VALE MOREIRA, NAYLA CRISTINA ; Hussain, Akhtar ; BHOWMIK, BISHWAJIT ; MDALA, IBRAHIMU ; SIDDIQUEE, TASNIMA ; FERNANDES, VIRGÍNIA OLIVEIRA ; MONTENEGRO, RENAN MAGALHÃES ; MEYER, HAAKON E.. Prevalence of Metabolic Syndrome by different definitions, and its association with type 2 diabetes, pre-diabetes, and cardiovascular disease risk in Brazil. Diabetes & Metabolic Syndrome (Print). v. 14, p. 1217, issn: 1871-4021, 2020.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B2
5. YAN, ALICE F. ; SUN, XIAOMIN ; ZHENG, JINGE ; MI, BAIBING ; ZUO, HUI ; RUAN, GUORUI ; Hussain, Akhtar ; WANG, YOUFA ; SHI, ZUMIN. Perceived risk, behavior changes and Health-related outcomes during COVID-19 pandemic: Findings among adults with and without diabetes in China. DIABETES RESEARCH AND CLINICAL PRACTICE. v. 167, p. 108350, issn: 0168-8227, 2020.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B1
6. UNNIKRISHNAN, R. ; SABOO, B. ; KESAVADEV, J. ; DESHPANDE, N. ; ARAVIND, S. R. ; JOSHI, S. ; ANJANA, R. M. ; Akhtar Hussain ; MOHAN, V.. Diabetes and coronavirus disease (COVID-19). Journal of Diabetology. v. 11, p. 52, issn: 2078-7685, 2020.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (JOURNAL OF DIABETOLOGY)
7. GUO, LI ; SHI, ZUMIN ; ZHANG, YA ; WANG, CUICUI ; DO VALE MOREIRA, NAYLA CRISTINA ; ZUO, HUI ; Hussain, Akhtar. Comorbid diabetes and the risk of disease severity or death among 8807 COVID-19 patients in China: A meta-analysis. DIABETES RESEARCH AND CLINICAL PRACTICE. v. 166, p. 108346, issn: 0168-8227, 2020.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B1
8. BHOWMIK, BISHWAJIT AHMED, TAREEN AFSANA, FARIA QURESHI, NAZMULKABIR SIDDIQUEE, TASNIMA PATHAN, FARUQUE AMIN, FIROZ VALE MOREIRA, NAYLACRISTINA DO SAMAD, MA ASHRAFUZZAMAN, SM AHMED, TOFAIL LATIF, ZAFARAHMED BHUIYAN, ABULMAJID ALIM, ABDUL MUNIR, SANJIDABINTE KARMOKAR, RAJATKANTI CHOUDHURY, KAISERALAM ZABEEN, BEDOWRA ISLAM, KHALEDA RAHMAN, MOHAMMADMAHBUBUR RAHMAN, MOFIZUR MILON, SAROWARUDDIN OZAKI, RIE ALAM, MD. Guide on diabetes and COVID-19 for healthcare professionals in Bangladesh. Journal of Diabetology. v. 11, p. 137, issn: 2078-7685, 2020.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (JOURNAL OF DIABETOLOGY)
9. Hussain, Akhtar; BOULTON, ANDREW J.M.. COVID-19 and diabetes: International Diabetes Federation perspectives. DIABETES RESEARCH AND CLINICAL PRACTICE. v. 167, p. 108339, issn: 0168-8227, 2020.
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  Qualis: B1
10. GUPTA, RITESH ; Hussain, Akhtar ; MISRA, ANOOP. Diabetes and COVID-19: evidence, current status and unanswered research questions. EUROPEAN JOURNAL OF CLINICAL NUTRITION. v. 74, p. 864-870, issn: 0954-3007, 2020.
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  Qualis: A2
11. PENAFORTE-SABOIA, JAQUELLYNE GURGEL ; COURI, CARLOS EDUARDO BARRA ; FERNANDES, VIRGINIA OLIVEIRA ; MONTENEGRO, ANA PAULA DIAS RANGEL ; BATISTA, LÍVIA ALINE DE ARAÚJO ; ZAJDENVERG, LENITA ; NEGRATO, CARLOS ANTONIO ; MALMEGRIM, KELEN CRISTINA RIBEIRO ; MORAES, DANIELA APARECIDA ; DIAS, JULIANA BERNARDES ELIAS ; OLIVEIRA, MARIA CAROLINA ; Hussain, Akhtar ; GOMES, MARILIA BRITO ; MONTENEGRO, RENAN MAGALHÃES. Lower Insulin-Dose Adjusted A1c (IDAA1c) Is Associated With Less Complications in Individuals With Type 1 Diabetes Treated With Hematopoetic Stem-Cell Transplantation and Conventional Therapy. Frontiers in Endocrinology. v. 10, p. 1-7, issn: 1664-2392, 2019.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (FRONTIERS IN ENDOCRINOLOGY)
12. BHOWMIK, BISHWAJIT ; SIDDIQUE, TASNIMA ; MAJUMDER, ANINDITA ; MDALA, IBRAHIMU ; HOSSAIN, ISRAT A. ; HASSAN, ZAHID ; JAHAN, ISHRAT ; MOREIRA, NAYLA CRISTINA DO V. ; ALIM, ABDUL ; BASIT, ABDUL ; HITMAN, GRAHAM A. ; KHAN, ABUL KALAM A. ; Hussain, Akhtar. Maternal BMI and nutritional status in early pregnancy and its impact on neonatal outcomes at birth in Bangladesh. BMC Pregnancy and Childbirth. v. 19, p. 413, issn: 1471-2393, 2019.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A2
13. DO VALE MOREIRA, NAYLA CRISTINA ; MONTENEGRO, RENAN M. ; MEYER, HAAKON E. ; BHOWMIK, BISHWAJIT ; MDALA, IBRAHIMU ; SIDDIQUEE, TASNIMA ; OLIVEIRA FERNANDES, VIRGÍNIA ; Hussain, Akhtar. Glycated Hemoglobin in the Diagnosis of Diabetes Mellitus in a Semi-Urban Brazilian Population. International Journal of Environmental Research and Public Health. v. 16, p. 3598, issn: 1660-4601, 2019.
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  Qualis: A2
14. BHOWMIK, BISHWAJIT ; SIDDIQUEE, TASNIMA ; MUJUMDER, ANINDITA ; AFSANA, FARIA ; AHMED, TAREEN ; MDALA, IBRAHIMU ; DO V. MOREIRA, NAYLA ; KHAN, ABUL ; Hussain, Akhtar ; HOLMBOE-OTTESEN, GERD ; OMSLAND, TONE. Serum Lipid Profile and Its Association with Diabetes and Prediabetes in a Rural Bangladeshi Population. International Journal of Environmental Research and Public Health. v. 15, p. 1944, issn: 1660-4601, 2018.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A2
15. RIAZ, MUSARRAT ; SHAIKH, FAREEHA ; FAWWAD, ASHER ; HAKEEM, RUBINA ; SHERA, A. SAMAD ; HITMAN, GRAHAM A. ; BHOWMIK, BISHWAJIT ; DO VALE MOREIRA, NAYLA CHRISTINA ; BASIT, ABDUL ; Hussain, Akhtar. Maternal Nutrition during Early Pregnancy and Cardiometabolic Status of Neonates at Birth. Journal of Diabetes Research. v. 2018, p. 1-8, issn: 2314-6745, 2018.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B2
16. DE ALMEIDA BARRETO, FRANCISCA KALLINE ; MONTENEGRO, RENAN MAGALHÃES ; FERNANDES, VIRGINIA OLIVEIRA ; OLIVEIRA, RHAQUEL ; DE ARAÚJO BATISTA, LÍVIA ALINE ; Hussain, Akhtar ; DE GÓES CAVALCANTI, LUCIANO PAMPLONA. Chikungunya and diabetes, what do we know?. Diabetology & Metabolic Syndrome. v. 10, p. 1-6, issn: 1758-5996, 2018.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B1
17. BHOWMIK, BISHWAJIT ; SIDDIQUEE, TASNIMA ; MUJUMDER, ANINDITA ; AHMED, TOFAIL ; MAHTAB, HAJERA ; AZAD KHAN, ABULKALAM ; Hussain, Akhtar ; HOLMBOE-OTTESEN, GERD ; OMSLAND, TONEKRISTIN. Diabetes risk score for identifying cardiometabolic risk factors in adult Bangladeshi population. Journal of Diabetology. v. 9, p. 95, issn: 2078-7685, 2018.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (JOURNAL OF DIABETOLOGY)
18. Hussain, Akhtar. Diabetes in Asia: Special challenges and solutions. Journal of Diabetology. v. 9, p. 70, issn: 2078-7685, 2018.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (JOURNAL OF DIABETOLOGY)
19. PENAFORTE-SABOIA, JAQUELLYNE G. ; MONTENEGRO, RENAN M. ; COURI, CARLOS E. ; BATISTA, LIVIA A. ; MONTENEGRO, ANA PAULA D. R. ; FERNANDES, VIRGINIA O. ; AKHTAR, HUSSAIN ; NEGRATO, CARLOS A. ; MALMEGRIM, KELEN CRISTINA RIBEIRO ; MORAES, DANIELA APARECIDA ; DIAS, JULIANA B. E. ; SIMÕES, BELINDA P. ; GOMES, MARILIA BRITO ; OLIVEIRA, MARIA CAROLINA. Microvascular Complications in Type 1 Diabetes: A Comparative Analysis of Patients Treated with Autologous Nonmyeloablative Hematopoietic Stem-Cell Transplantation and Conventional Medical Therapy. Frontiers in Endocrinology. v. 8, p. 1-8, issn: 1664-2392, 2017.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (FRONTIERS IN ENDOCRINOLOGY)
20. HAUGVIK, SEVERINA ; BERAN, DAVID ; KLASSEN, PAMELA ; Hussain, Akhtar ; HAALAND, ANE. -My heart burns- - A qualitative study of perceptions and experiences of type 1 diabetes among children and youths in Tajikistan. Chronic Illness. v. 13, p. 128-139, issn: 1742-3953, 2017.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (CHRONIC ILLNESS)
21. Hussain, Akhtar; LINDTJØRN, BERNT ; KVÅLE, GUNNAR. Protein energy malnutrition, vitamin A deficiency and night blindness in Bangladeshi children. Annals of Tropical Paediatrics: International Child Health. v. 16, p. 319-325, issn: 1465-3281, 2016.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (ANNALS OF TROPICAL PAEDIATRICS: INTERNATIONAL CHILD HEALTH)
22. BHOWMIK, B. ; SIDDIQUEE, T. ; MUJUMDER, A. ; RAJIB, M. ; DAS, C. ; KHAN, M. ; KHAN, A. ; HUSSAIN, AKTHAR. Identifying Insulin Resistance by Fasting Blood Samples in Bangladeshi population with Normal Blood Glucose. Journal of Diabetology. v. 7, p. 1, issn: 2078-7685, 2016.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (JOURNAL OF DIABETOLOGY)
23. AKHTER, AFROZA ; ALI, LIAQUAT ; AHMED, TOFAIL ; PATHAN, FARUQUE ; MAHTAB, HAJERA ; KHAN, ABUL KALAM AZAD ; HUSSAIN, AKHTAR. Simple risk score to detect rural Asian Indian (Bangladeshi) adults at high risk for type 2 diabetes. J DIABETES INVEST. v. 6, p. 670-677, issn: 2040-1116, 2015.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (J DIABETES INVEST)
24. BHOWMIK, BISHWAJIT ; AFSANA, FARIA ; SIDDIQUEE, TASNIMA ; MUNIR, SANJIDA B ; SHEIKH, FAREEHA ; WRIGHT, ERICA ; BHUIYAN, FARJANA R ; ASHRAFUZZAMAN, SHEIKH MOHAMMAD ; MAHTAB, HAJERA ; AZAD KHAN, ABUL KALAM ; HUSSAIN, AKHTAR. Comparison of the prevalence of metabolic syndrome and its association with diabetes and cardiovascular disease in the rural population of Bangladesh using the modified National Cholesterol Education Program Expert Panel Adult Treatment Panel III and Inte. J DIABETES INVEST. v. 6, p. 280-288, issn: 2040-1116, 2015.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (J DIABETES INVEST)
25. MBANYA, VIVIAN ; HUSSAIN, AKHTAR ; KENGNE, ANDRE PASCAL. Application and applicability of non-invasive risk models for predicting undiagnosed prevalent diabetes in Africa: A systematic literature search. Primary Care Diabetes. v. 9, p. 317-329, issn: 1751-9918, 2015.
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  Qualis: B1
26. MBANYA, VIVIAN N ; ECHOUFFO-TCHEUGUI, JUSTIN B ; AKHTAR, HUSSAIN ; MBANYA, JEAN-CLAUDE ; KENGNE, ANDRE P. Obesity phenotypes in urban and rural Cameroonians: a cross-sectional study. Diabetology & Metabolic Syndrome. v. 7, p. 21, issn: 1758-5996, 2015.
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  Qualis: B1
27. MBANYA, V.N. ; KENGNE, A.P. ; MBANYA, J.C. ; AKHTAR, H.. Body mass index, waist circumference, hip circumference, waist-hip-ratio and waist-height-ratio: Which is the better discriminator of prevalent screen-detected diabetes in a Cameroonian population?. Diabetes Research and Clinical Practice (Print). v. 108, p. 23-30, issn: 0168-8227, 2015.
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  Qualis: B1
28. NATASHA, KHURSHID ; HUSSAIN, AKHTAR ; AZAD KHAN, A. K. ; BHOWMIK, BISHWAJIT. Prevalence of Depression and Glucose Abnormality in an Urbanizing Rural Population of Bangladesh. Diabetes & Metabolism Journal. v. 39, p. 218, issn: 2233-6079, 2015.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (DIABETES & METABOLISM JOURNAL)
29. SIDDIQUEE, TASNIMA ; BHOWMIK, BISHWAJIT ; KARMAKER, RAJAT KANTI ; CHOWDHURY, ABHIJIT ; MAHTAB, HAJERA ; AZAD KHAN, A.K. ; HUSSAIN, AKHTAR. Association of general and central obesity with diabetes and prediabetes in rural Bangladeshi population. Diabetes & Metabolic Syndrome (Print). v. 9, p. 247-251, issn: 1871-4021, 2015.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B2
30. SIDDIQUEE, TASNIMA ; BHOWMIK, BISHWAJIT ; DA VALE MOREIRA, NAYLA CRISTINA ; MUJUMDER, ANINDITA ; MAHTAB, HAJERA ; KHAN, A. K. AZAD ; HUSSAIN, AKHTAR. Prevalence of obesity in a rural Asian Indian (Bangladeshi) population and its determinants. BMC Public Health (Online). v. 15, p. 860, issn: 1471-2458, 2015.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A1
31. SHAIKH, F. ; BASIT, A. ; HAKEEM, R. ; FAWWAD, A. ; HUSSAIN, A.. Maternal nutrition in pregnancy and metabolic risks among neonates in a Pakistani population, a pilot study. Journal of Developmental Origins of Health and Disease (Print). v. 6, p. 272-277, issn: 2040-1744, 2015.
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  Qualis: B1
32. NATASHA, KHURSHID ; Hussain, Akhtar ; KHAN, A. K. AZAD. Prevalence of depression among subjects with and without gestational diabetes mellitus in Bangladesh: a hospital based study. Journal of Diabetes & Metabolic Disorders. v. 14, p. 64, issn: 2251-6581, 2015.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (JOURNAL OF DIABETES & METABOLIC DISORDERS)
33. ZUO, HUI ; SHI, ZUMIN ; HUSSAIN, AKHTAR. Prevalence, trends and risk factors for the diabetes epidemic in China: A systematic review and meta-analysis. Diabetes Research and Clinical Practice (Print). v. 104, p. 63-72, issn: 0168-8227, 2014.
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  Qualis: B1
34. SHAIKH, FAREEHA ; ZEESHAN, FARIHA ; HAKEEM, RUBINA ; BASIT, ABDUL ; FAWWAD, ASHER ; HUSSAIN, AKHTAR. Maternal Dietary Intake and Anthropometric Measurements of Newborn at Birth. The Open Diabetes Journal. v. 7, p. 14-19, issn: 1876-5246, 2014.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (THE OPEN DIABETES JOURNAL)
35. BHOWMIK, BISHWAJIT ; MUNIR, SANJIDA B. ; AHMED, KAZI R. ; SIDDIQUEE, TASNIMA ; DIEP, LIEN M. ; WRIGHT, ERICA ; HASSAN, ZAHID ; DEBNATH, PUROBI R. ; MAHTAB, HAJERA ; AZAD KHAN, A.K. ; HUSSAIN, AKHTAR. Anthropometric indices of obesity and type 2 diabetes in Bangladeshi population: Chandra Rural Diabetes Study (CRDS). Obesity Research & Clinical Practice (Print). v. 8, p. e220-e229, issn: 1871-403X, 2014.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B2
36. BHOWMIK, BISHWAJIT ; AFSANA, FARIA ; MY DIEP, LIEN ; BINTE MUNIR, SANJIDA ; WRIGHT, ERICA ; MAHMOOD, SHARIF ; KHAN, A. K. AZAD ; HUSSAIN, AKHTAR. Increasing Prevalence of Type 2 Diabetes in a Rural Bangladeshi Population: A Population Based Study for 10 Years. Diabetes & Metabolism Journal. v. 37, p. 46, issn: 2233-6079, 2013.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (DIABETES & METABOLISM JOURNAL)
37. BHOWMIK, B. ; DIEP, L. M. ; MUNIR, S. B. ; RAHMAN, M. ; WRIGHT, E. ; MAHMOOD, S. ; AFSANA, F. ; AHMED, T. ; KHAN, A. K. A. ; HUSSAIN, A.. HbA as a diagnostic tool for diabetes and pre-diabetes: the Bangladesh experience. Diabetic Medicine. v. 30, p. e70-e77, issn: 0742-3071, 2013.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B1
38. BHOWMIK, BISHWAJIT ; MUNIR, SANJIDA B ; DIEP, LIEN M ; SIDDIQUEE, TASNIMA ; HABIB, SAMIRA H ; SAMAD, MOHAMMAD A ; AZAD KHAN, ABUL KALAM ; HUSSAIN, AKHTAR. Anthropometric indicators of obesity for identifying cardiometabolic risk factors in a rural Bangladeshi population. J DIABETES INVEST. v. 4, p. 361-368, issn: 2040-1116, 2013.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (J DIABETES INVEST)
39. ZUO, HUI ; SHI, ZUMIN ; YUAN, BAOJUN ; DAI, YUE ; PAN, XIAOQUN ; WU, GAOLIN ; HUSSAIN, AKHTAR. Dietary patterns are associated with insulin resistance in Chinese adults without known diabetes. British Journal of Nutrition. v. 109, p. 1662-1669, issn: 0007-1145, 2013.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A1
40. ASGHAR, SHAHEEN ; MAGNUSSON, A. ; HUSSAIN, AKHTAR ; DIEP, LIEN M. ; BHOWMIK, BISHWAJIT ; THORSBY, PER M.. Depression and Insulin Resistance in Non-Diabetic Subjects: An Intervention Study with Insulin Clamp Technique. International Journal of Clinical Medicine. v. 03, p. 575-581, issn: 2158-284X, 2012.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (INTERNATIONAL JOURNAL OF CLINICAL MEDICINE)
41. SADOWSKI, DANIEL ; DEVLIN, MICHELE ; HUSSAIN, AKHTAR. Diabetes Self-Management Activities for Latinos Living in Non-metropolitan Rural Communities: A Snapshot of an Underserved Rural State. Journal of Immigrant and Minority Health. v. 14, p. 990-998, issn: 1557-1912, 2012.
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  Qualis: A2
42. ZUO, HUI ; SHI, ZUMIN ; YUAN, BAOJUN ; DAI, YUE ; HU, GANG ; WU, GAOLIN ; HUSSAIN, AKHTAR. Interaction between physical activity and sleep duration in relation to insulin resistance among non-diabetic Chinese adults. BMC Public Health (Online). v. 12, p. 247, issn: 1471-2458, 2012.
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  Qualis: A1
43. IQBAL HYDRIE, MUHAMMAD ZAFAR ; BASIT, ABDUL ; SHERA, A. SAMAD ; HUSSAIN, AKHTAR. Effect of Intervention in Subjects with High Risk of Diabetes Mellitus in Pakistan. Journal of Nutrition and Metabolism. v. 2012, p. 1-7, issn: 2090-0724, 2012.
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  Qualis: B1
44. AHMED, KAZI RUMANA ; KARIM, MD NAZMUL ; BHOWMIK, BISHWAJIT ; HABIB, SAMIRA HUMAIRA ; BUKHT, MD SADAAT ; ALI, LIAQUAT ; HUSSAIN, AKHTAR. Incidence of diabetic retinopathy in Bangladesh: A 15-year follow-up study*. Journal of Diabetes. v. 4, p. 386-391, issn: 1753-0393, 2012.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (JOURNAL OF DIABETES)
45. BHOWMIK, BISHWAJIT ; BINTE MUNIR, SANJIDA ; ARA HOSSAIN, ISRAT ; SIDDIQUEE, TASNIMA ; DIEP, LIEN MY ; MAHMOOD, SHARIF ; MAHTAB, HAJERA ; KHAN, A. K. AZAD ; HUSSAIN, AKHTAR. Prevalence of Type 2 Diabetes and Impaired Glucose Regulation with Associated Cardiometabolic Risk Factors and Depression in an Urbanizing Rural Community in Bangladesh: A Population-Based Cross-Sectional Study. Diabetes & Metabolism Journal. v. 36, p. 422, issn: 2233-6079, 2012.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (DIABETES & METABOLISM JOURNAL)
46. AHMED, KAZI R. ; KARIM, MD N. ; BUKHT, MOHAMMAD S. ; BHOWMIK, BISHWAJIT ; ACHARYYA, AMITAVA ; ALI, LIAQUAT ; HUSSAIN, AKHTAR. Risk factors of diabetic retinopathy in Bangladeshi type 2 diabetic patients. Diabetes & Metabolic Syndrome (Print). v. 5, p. 196-200, issn: 1871-4021, 2011.
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  Qualis: B2
47. ASGHAR, SHAHEEN ; AZAD KHAN, ABUL KALAM ; ALI, SHA MOHAMMED KERAMAT ; SAYEED, MOHAMMED ABU ; BHOWMIK, BISHWAJIT ; DIEP, MY LIEN ; SHI, ZUMIN ; HUSSAIN, AKHTAR. Incidence of diabetes in Asian-Indian subjects: A five year follow-up study from Bangladesh. Primary Care Diabetes. v. 5, p. 117-124, issn: 1751-9918, 2011.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B1
48. ZAHID, NAEEM ; MEYER, HAAKON E. ; KUMAR, BERNADETTE N. ; CLAUSSEN, BJØRGULF ; HUSSAIN, AKHTAR. High Levels of Cardiovascular Risk Factors among Pakistanis in Norway Compared to Pakistanis in Pakistan. Journal of Obesity (Print). v. 2011, p. 1-5, issn: 2090-0708, 2011.
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  Qualis: B1
49. SADOWSKI, DANIEL ; DEVLIN, MICHELE ; HUSSAIN, AKHTAR. Better Care at Safety Net Providers?: Utilization of Recommended Standards of Diabetes Care for Rural Latinos in One Midwestern State. Journal of Health Care for the Poor and Underserved. v. 22, p. 995-1013, issn: 1548-6869, 2011.
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  Qualis: A2
50. FAISAL, FAREEHA ; ASGHAR, SHAHEEN ; IQBAL HYDRIE, M. ZAFAR ; FAWWAD, ASHER ; BASIT, ABDUL ; SHERA, A. SAMAD ; HUSSAIN, AKHTAR. Depression and Diabetes in High-Risk Urban Population of Pakistan~!2009-10-08~!2010-03-04~!2010-04-22~!. The Open Diabetes Journal. v. 3, p. 1-5, issn: 1876-5246, 2010.
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  Qualis: Não identificado (THE OPEN DIABETES JOURNAL)
51. IQBAL HYDR, M. ZAFAR ; BASIT, ABDUL ; SAMAD SHER, A. ; HAKEEM, RUBINA ; HUSSAIN, AKHTAR. Dietary Patterns Associated with Risk for Metabolic Syndrome in Urban Community of Karachi Defined by Cluster Analysis. Pakistan Journal of Nutrition. v. 9, p. 93-99, issn: 1680-5194, 2010.
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  Qualis: Não identificado (PAKISTAN JOURNAL OF NUTRITION)
52. MØRKRID, KJERSTI ; ALI, LIAQUAT ; HUSSAIN, AKHTAR. Risk factors and prevalence of diabetic peripheral neuropathy: A study of type 2 diabetic outpatients in Bangladesh. International Journal of Diabetes in Developing Countries. v. 30, p. 11, issn: 0973-3930, 2010.
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  Qualis: Não identificado (INTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES)
53. MUNJOMA, MARSHALL W ; KUREWA, EDITH N ; MAPINGURE, MUNYARADZI P ; MASHAVAVE, GRACE V ; CHIRENJE, MIKE Z ; RUSAKANIKO, SIMBARASHE ; HUSSAIN, AKHTAR ; STRAY-PEDERSEN, BABILL. The prevalence, incidence and risk factors of herpes simplex virus type 2 infection among pregnant Zimbabwean women followed up nine months after childbirth. BMC Women'S Health (Online). v. 10, p. 2, issn: 1472-6874, 2010.
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  Qualis: B1
54. BERG, MARIE ; JAHNSEN, REIDUN ; FRØSLIE, KATHRINE FREY ; HUSSAIN, AKTAHR. Reliability of the Pediatric Evaluation of Disability Inventory (PEDI). Physical & Occupational Therapy in Pediatrics. v. 24, p. 61-77, issn: 0194-2638, 2010.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS)
55. Talukder, MSH ; Khan, AK ; ALI, SMK ; VAALER, S. ; Hussain A.. Consistency of fasting blood glucose. Journal of Diabetology. v. 1, p. 1, issn: 2078-7685, 2010.
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  Qualis: Não identificado (JOURNAL OF DIABETOLOGY)
56. A. Hussain; M.Z.I. Type 2 Diabetes and obesity: A review. Journal of Diabetology. v. 2, p. 1-7, issn: 2078-7685, 2010.
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  Qualis: Não identificado (JOURNAL OF DIABETOLOGY)
57. ZUO, HUI ; SHI, ZUMIN ; HU, XIAOSHU ; WU, MING ; GUO, ZHIRONG ; HUSSAIN, AKHTAR. Prevalence of metabolic syndrome and factors associated with its components in Chinese adults. Metabolism, Clinical and Experimental (Print). v. 58, p. 1102-1108, issn: 0026-0495, 2009.
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  Qualis: Não identificado (METABOLISM, CLINICAL AND EXPERIMENTAL (PRINT))
58. MSUYA, SIA E ; URIYO, JACQUELINE ; HUSSAIN, AKHTAR ; MBIZVO, ELIZABETH M ; JEANSSON, STIG ; SAM, NOEL E ; STRAY-PEDERSEN, BABILL. Prevalence of sexually transmitted infections among pregnant women with known HIV status in northern Tanzania. Reproductive Health. v. 6, p. 4, issn: 1742-4755, 2009.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A2
59. MMBAGA, ELIA ; LEYNA, GERMANA ; MNYIKA, KAGOMA ; HUSSAIN, AKHTAR ; KLEPP, KNUT-INGE. Prevalence and predictors of failure to return for HIV-1 post-test counseling in the era of antiretroviral therapy in rural Kilimanjaro, Tanzania: challenges and opportunities. Aids Care (Print). v. 21, p. 160-167, issn: 0954-0121, 2009.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A1
60. HUSSAIN, AKHTAR; CLAUSSEN, BJØRGULF ; HOLMBOE-OTTESEN, GERD ; JERVELL, JAK. Hvor går norsk innsats i internasjonal helseforskning?. Tidsskrift for Den norske legeforening. v. 129, p. 124-125, issn: 0029-2001, 2009.
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  Qualis: Não identificado (TIDSSKRIFT FOR DEN NORSKE LEGEFORENING)
61. IQBAL HYDRIE, M. ZAFAR ; SHERA, A. SAMAD ; FAWWAD, ASHER ; BASIT, ABDUL ; HUSSAIN, AKHTAR. Prevalence of Metabolic Syndrome in Urban Pakistan (Karachi): Comparison of Newly Proposed International Diabetes Federation and Modified Adult Treatment Panel III Criteria. Metabolic Syndrome and Related Disorders. v. 7, p. 119-124, issn: 1540-4196, 2009.
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  Qualis: B1
62. RAHIM, M.A. ; KHAN, A.K. AZAD ; ALI, S.M.K. ; NAHAR, Q. ; SHAHEEN, A. ; HUSSAIN, A.. Glucose tolerance in rural population of Bangladesh. Diabetes & Metabolic Syndrome (Print). v. 3, p. 24-28, issn: 1871-4021, 2009.
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  Qualis: B2
63. BERG, M. ; AAMODT, G. ; STANGHELLE, J. ; KRUMLINDE-SUNDHOLM, L. ; HUSSAIN, A.. Cross-cultural validation of the Pediatric Evaluation of Disability Inventory (PEDI) norms in a randomized Norwegian population. Scandinavian Journal of Occupational Therapy (Print). v. 15, p. 143-152, issn: 1103-8128, 2009.
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  Qualis: Não identificado (SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY (PRINT))
64. BERG, M. ; JAHNSEN, R. ; HOLM, I. ; HUSSAIN, A.. Translation of a Multi-disciplinary Assessment - Procedures to Achieve Functional Equivalence. Advances in Physiotherapy. v. 5, p. 57-66, issn: 1403-8196, 2009.
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  Qualis: Não identificado (ADVANCES IN PHYSIOTHERAPY)
65. BERG, MARIE ; FRØSLIE, KATHRINE FREY ; Hussain, Akhtar. Applicability of Pediatric Evaluation of Disability Inventory in Norway. Scandinavian Journal of Occupational Therapy (Print). v. 10, p. 118-126, issn: 1103-8128, 2009.
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  Qualis: Não identificado (SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY (PRINT))
66. MMBAGA, ELIA J. ; LEYNA, GERMANA H. ; HUSSAIN, AKHTAR ; MNYIKA, KAGOMA S. ; SAM, NOEL E. ; KLEPP, KNUT-INGE. The role of in-migrants in the increasing rural HIV-1 epidemic: results from a village population survey in the Kilimanjaro region of Tanzania. International Journal of Infectious Diseases. v. 12, p. 519-525, issn: 1201-9712, 2008.
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  Qualis: B1
67. ZAHID, NAEEM ; ASGHAR, SHAHEEN ; CLAUSSEN, BJØRGULF ; HUSSAIN, AKHTAR. Depression and diabetes in a rural community in Pakistan. Diabetes Research and Clinical Practice (Print). v. 79, p. 124-127, issn: 0168-8227, 2008.
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  Qualis: B1
68. MSUYA, S.E. ; MBIZVO, E.M. ; HUSSAIN, A. ; URIYO, J. ; SAM, N.E. ; STRAY-PEDERSEN, B.. Low male partner participation in antenatal HIV counselling and testing in northern Tanzania: implications for preventive programs. Aids Care (Print). v. 20, p. 700-709, issn: 0954-0121, 2008.
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  Qualis: A1
69. RAHIM, MA ; AZAD KHAN, AK ; ALI, SMK ; NAHAR, Q ; SHAHEEN, A ; HUSSAIN, A. Glucose tolerance in a rural population of Bangladesh. International Journal of Diabetes in Developing Countries. v. 28, p. 45, issn: 0973-3930, 2008.
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  Qualis: Não identificado (INTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES)
70. ZAHID, NAEEM ; CLAUSSEN, BJØRGULF ; Hussain, Akhtar. Diabetes and impaired glucose tolerance in a rural area in Pakistan and associated risk factors. Diabetes & Metabolic Syndrome (Print). v. 2, p. 125-130, issn: 1871-4021, 2008.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B2
71. ZAHID, NAEEM ; CLAUSSEN, BJØRGULF ; Hussain, Akhtar. High prevalence of obesity, dyslipidemia and metabolic syndrome in a rural area in Pakistan. Diabetes & Metabolic Syndrome (Print). v. 2, p. 13-19, issn: 1871-4021, 2008.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B2
72. MMBAGA, ELIA J ; HUSSAIN, AKHTAR ; LEYNA, GERMANA H ; MNYIKA, KAGOMA S ; SAM, NOEL E ; KLEPP, KNUT-INGE. Prevalence and risk factors for HIV-1 infection in rural Kilimanjaro region of Tanzania: Implications for prevention and treatment. BMC Public Health (Online). v. 7, p. 58, issn: 1471-2458, 2007.
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  Qualis: A1
73. MMBAGA, ELIA J ; HUSSAIN, AKHTAR ; LEYNA, GERMANA H ; HOLM-HANSEN, CAROL ; MNYIKA, KAGOMA S ; SAM, NOEL E ; KLOUMAN, ELISE ; KLEPP, KNUT-INGE. Trends in HIV-1 prevalence and risk behaviours over 15 years in a rural population in Kilimanjaro region of Tanzania. AIDS Research and Therapy. v. 4, p. 23, issn: 1742-6405, 2007.
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  Qualis: B2
74. ASGHAR, S. ; HUSSAIN, A. ; ALI, S. M. K. ; KHAN, A. K. A. ; MAGNUSSON, A.. Prevalence of depression and diabetes: a population-based study from rural Bangladesh. Diabetic Medicine. v. 24, p. 872-877, issn: 0742-3071, 2007.
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  Qualis: B1
75. MSUYA, S. E. ; MBIZVO, E. M. ; STRAY-PEDERSEN, B. ; URIYO, J. ; SAM, N. E. ; RUSAKANIKO, S. ; HUSSAIN, A.. Decline in HIV prevalence among women of childbearing age in Moshi urban, Tanzania. International Journal of STD & AIDS. v. 18, p. 680-687, issn: 0956-4624, 2007.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A2
76. MMBAGA, ELIA J. ; LEYNA, GERMANA H. ; MNYIKA, KAGOMA S. ; HUSSAIN, AKTHAR ; KLEPP, KNUT-INGE. Education Attainment and the Risk of HIV-1 Infections in Rural Kilimanjaro Region of Tanzania, 1991-2005: A Reversed Association. Sexually Transmitted Diseases. v. 34, p. 947-953, issn: 0148-5717, 2007.
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  Qualis: A1
77. RAHIM, M.A. ; AZAD KHAN, A.K. ; SAYEED, M.A. ; AKHTAR, BANU ; NAHAR, Q. ; ALI, S.M.K. ; HUSSAIN, A.. Metabolic syndrome in rural Bangladesh: Comparison of newly proposed IDF, modified ATP III and WHO criteria and their agreements. Diabetes & Metabolic Syndrome (Print). v. 1, p. 251-257, issn: 1871-4021, 2007.
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  Qualis: B2
78. LEYNA, GERMANA H ; MNYIKA, KAGOMA S ; MMBAGA, ELIA J. ; HUSSAIN, A. ; KLOUMAN, ELISE ; HOLM-HANSEN, CAROL ; KLEPP, KNUT-INGE. Food insufficiency in rural Kilimanjaro, Tanzania. East African Medical Journal. v. 84, p. 163-171, issn: 0012-835X, 2007.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (EAST AFRICAN MEDICAL JOURNAL)
79. HUSSAIN, A.; VAALER, S. ; SAYEED, M. A. ; MAHTAB, H. ; ALI, S. M. K. ; KHAN, A. K. A.. Type 2 diabetes and impaired fasting blood glucose in rural Bangladesh: a population-based study. European Journal of Public Health. v. 17, p. 291-296, issn: 1101-1262, 2007.
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  Qualis: A1
80. HUSSAIN, A.; CLAUSSEN, B. ; RAMACHANDRAN, A. ; WILLIAMS, R.. Prevention of type 2 diabetes: A review. Diabetes Research and Clinical Practice (Print). v. 76, p. 317-326, issn: 0168-8227, 2007.
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  Qualis: B1
81. RAHIM, M.A. ; Hussain, Akhtar ; AZAD KHAN, A.K. ; SAYEED, M. ABU ; KERAMAT ALI, S.M. ; VAALER, S.. Rising prevalence of type 2 diabetes in rural Bangladesh: A population based study. Diabetes Research and Clinical Practice (Print). v. 77, p. 300-305, issn: 0168-8227, 2007.
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  Qualis: B1
82. MSUYA, SIA E ; MBIZVO, ELIZABETH ; HUSSAIN, AKHTAR ; URIYO, JACQUELINE ; SAM, NOEL E ; STRAY-PEDERSEN, BABILL. HIV among pregnant women in Moshi Tanzania: the role of sexual behavior, male partner characteristics and sexually transmitted infections. AIDS Research and Therapy. v. 3, p. 27, issn: 1742-6405, 2006.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B2
83. MMBAGA, ELIA J ; Hussain, Akhtar ; LEYNA, GERMANA H ; KLOUMAN, ELISE ; MASENGA, ELISANTE ; SAM, NOEL ; MNYIKA, KAGOMA S ; KLEPP, KNUT-INGE. Incidence of HIV-1 infection and changes in prevalence of reproductive tract infections and sexual risk behaviours: a population-based longitudinal study in rural Tanzania. AJAR-AFR J AIDS RES. v. 5, p. 281-288, issn: 1608-5906, 2006.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (AJAR-AFR J AIDS RES)
84. MSUYA, SIA E. ; MBIZVO, ELIZABETH ; URIYO, JACQUELINE ; STRAY-PEDERSEN, BABILL ; SAM, NOEL E. ; Hussain, Akhtar. Predictors of Failure to Return for HIV Test Results Among Pregnant Women in Moshi, Tanzania. Journal of Acquired Immune Deficiency Syndromes (1999). v. 43, p. 85-90, issn: 1525-4135, 2006.
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  Qualis: A1
85. MSUYA, SIA E ; MBIZVO, ELIZABETH M ; Hussain A. ; SAM, NOEL E. ; STRAY-PEDERSEN, B.. Seroprevalence of hepatitis B and C viruses among women of childbearing age in Moshi Urban, Tanzania. East African Medical Journal. v. 83, p. 91-94, issn: 0012-835X, 2006.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (EAST AFRICAN MEDICAL JOURNAL)
86. SYED, HAMMAD RAZA ; DALGARD, ODD STEFFEN ; DALEN, INGVILD ; CLAUSSEN, BJØRGULF ; HUSSAIN, AKTHAR ; SELMER, RANDI ; AHLBERG, NORA. Psychosocial factors and distress: a comparison between ethnic Norwegians and ethnic Pakistanis in Oslo, Norway. BMC Public Health (Online). v. 6, p. 182, issn: 1471-2458, 2006.
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  Qualis: A1
87. SYED, HAMMAD ; DALGARD, ODD ; Hussain, Akhtar ; DALEN, INGVILD ; CLAUSSEN, BJORGULF ; AHLBERG, NORA L. Inequalities in health: a comparative study between ethnic Norwegians and Pakistanis in Oslo, Norway. International Journal for Equity in Health (Online). v. 5, p. 7, issn: 1475-9276, 2006.
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  Qualis: A2
88. MBIZVO, ELIZABETH MUKUZE ; MSUYA, SIA ; Hussain, Akhtar ; CHIRENJE, MIKE ; MBIZVO, MICHAEL ; SAM, NOEL ; STRAY-PEDERSEN, BABILL. HIV and Sexually Transmitted Infections among Women Presenting at Urban Primary Health Care Clinics in Two Cities of sub-Saharan Africa. African Journal of Reproductive Health. v. 9, p. 88, issn: 1118-4841, 2005.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (AFRICAN JOURNAL OF REPRODUCTIVE HEALTH)
89. MBIZVO, E. M. ; MSUYA, S. E. ; STRAY-PEDERSEN, B. ; CHIRENJE, M. Z. ; HUSSAIN, A.. Cervical dyskaryosis among women with and without HIV: prevalence and risk factors. International Journal of STD & AIDS. v. 16, p. 789-793, issn: 0956-4624, 2005.
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  Qualis: A2
90. HUSSAIN, A.; RAHIM, M. A. ; AZAD KHAN, A. K. ; ALI, S. M. K. ; VAALER, S.. Type 2 diabetes in rural and urban population: diverse prevalence and associated risk factors in Bangladesh. Diabetic Medicine. v. 22, p. 931-936, issn: 0742-3071, 2005.
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  Qualis: B1
91. RAHIM, MA ; Vaaler, S ; Keramat, Ali SM ; KHAN, A. K. A. ; HUSSAIN, A. ; NAHAR, Q. Prevalence of type 2 diabetes in urban slums of Dhaka, Bangladesh. Bangladesh Medical Research Council Bulletin. v. 30, p. 60-70, issn: 0377-9238, 2004.
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  Qualis: Não identificado (BANGLADESH MEDICAL RESEARCH COUNCIL BULLETIN)
92. SAYEED, MOHAMMED ABU ; MAHTAB, HAJERA ; Khanam, PA ; Keramat, Ali SM ; Chowdhury, RI ; Vaaler, S ; HUSSAIN, A ; AZAD KHAN, A. K.. Fasting cut-offs in determining the prevalence of diabetes and intermediate glucose abnormality in a non-obese population. Bangladesh Medical Research Council Bulletin. v. 30, p. 105-114, issn: 0377-9238, 2004.
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  Qualis: Não identificado (BANGLADESH MEDICAL RESEARCH COUNCIL BULLETIN)
93. MBIZVO, E.M. ; MSUYA, S. E. ; STRAY-PEDERSEN, B. ; CHIRENJE, M. Z. ; HUSSAIN, A. Bacterial vaginosis and intravaginal practices: association with HIV. The Central African journal of medicine. v. 50, p. 41-46, issn: 0008-9176, 2003.
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  Qualis: Não identificado (THE CENTRAL AFRICAN JOURNAL OF MEDICINE)
94. MBIZVO, E. M. ; MSUYA, S. E. ; HUSSAIN, A. ; CHIRENJE, M. Z. ; STRAY-PEDERSEN, B.. HIV prevalence in Zimbabwean women: 54-67% knowledge and perceived risk. International Journal of STD & AIDS. v. 14, p. 202-207, issn: 0956-4624, 2003.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A2
95. MSUYA, SIA E. ; MBIZVO, ELIZABETH ; Hussain, Akhtar ; SAM, NOEL E. ; JEANSSON, STIG ; STRAY-PEDERSEN, BABILL. Seroprevalence and Correlates of Herpes Simplex Virus Type 2 Among Urban Tanzanian Women. Sexually Transmitted Diseases. v. 30, p. 588-592, issn: 0148-5717, 2003.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A1
96. MBIZVO, E. M. ; MSUYA SIA, E. ; STRAY-PEDERSEN, B. ; CHIRENJE, M. Z. ; MUNJOMA, M. ; HUSSAIN, A.. Association of herpes simplex virus type 2 with the human immunodeficiency virus among urban women in Zimbabwe. International Journal of STD & AIDS. v. 13, p. 343-348, issn: 0956-4624, 2002.
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  Qualis: A2
97. MSUYA, SIA E. ; MBIZVO, ELIZABETH ; STRAY-PEDERSEN, BABILL ; SUNDBY, JOHANNE ; SAM, NOEL E. ; Hussain, Akhtar. Reproductive tract infections and the risk of HIV among women in Moshi, Tanzania. Acta Obstetricia et Gynecologica Scandinavica. v. 81, p. 886-893, issn: 0001-6349, 2002.
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  Qualis: A2
98. MSUYA, S.E. ; Mbizuo, E ; STRAY-PEDERSEN, BABILL ; Sundby, J ; SAM, NOEL E ; Hassain, A. Reproductive tract infections among women attending primary health care facilities in Moshi, Tanzania. East African Medical Journal. v. 79, p. 16-21, issn: 0012-835X, 2002.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (EAST AFRICAN MEDICAL JOURNAL)
99. MSUYA, SIA E. ; MBIZVO, ELIZABETH ; Hussain, Akhtar ; SUNDBY, JOHANNE ; SAM, NOEL E. ; STRAY-PEDERSEN, BABILL. Female genital cutting in Kilimanjaro, Tanzania: changing attitudes?. TM & IH. Tropical Medicine and International Health (Print). v. 7, p. 159-165, issn: 1360-2276, 2002.
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  Qualis: A1
100. MBIZVO, E. M. ; MSUYA, S. E. ; STRAY-PEDERSEN, B. ; SUNDBY, J. ; CHIRENJE, M. Z. ; HUSSAIN, A.. HIV seroprevalence and its associations with the other reproductive tract infections in asymptomatic women in Harare, Zimbabwe. International Journal of STD & AIDS. v. 12, p. 524-531, issn: 0956-4624, 2001.
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  Qualis: A2
101. Kibriya, MG ; Hussain A. ; Islam, MF ; Farzana, A ; Rahman, F ; MAHTAB, H.. Ischaemic heart disease in type-2 diabetic patients in Bangladesh: BIRDEM DCCS. Diabetes Research and Clinical Practice (Print). v. 50, p. 117, issn: 0168-8227, 2000.
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  Qualis: B1
102. ALMENDINGEN, K ; HOFSTAD, B ; TRYGG, K ; HOFF, G ; HUSSAIN, A ; VATN, M H. Smoking and colorectal adenomas. European Journal of Cancer Prevention. v. 9, p. 193-204, issn: 0959-8278, 2000.
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  Qualis: A1
103. Hussain, Akhtar; ALI, S. M. KERAMAT ; KVALE, GUNNAR. Determinants of mortality among children in the urban slums of Dhaka city, Bangladesh. TM & IH. Tropical Medicine and International Health (Print). v. 4, p. 758-764, issn: 1360-2276, 1999.
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  Qualis: A1
104. HUSSAIN, A. Impact of a health education program to promote consumption of vitamin A rich foods in Bangladesh. Health Promotion International. v. 12, p. 103-109, issn: 1460-2245, 1997.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: Não identificado (HEALTH PROMOTION INTERNATIONAL)
105. HUSSAIN, A.; KVÅLE, G.. Sustainability of a nutrition education programme to prevent night-blindness in Bangladesh. TM & IH. Tropical Medicine and International Health (Print). v. 1, p. 43-51, issn: 1360-2276, 1996.
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  Qualis: A1
106. Hussain, Akhtar; KVALE, GUNNAR. Environmental conditions, health behavior, and mortality in siblings as risk indicators of night blindness. The American Journal of Tropical Medicine and Hygiene. v. 54, p. 309, issn: 0002-9637, 1996.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: A1
107. HUSSAIN, A; KVÅLE, G. Serum vitamin A in relation to socio-economic, demographic and dietary characteristics in Bangladeshi children. Acta Paediatrica (Oslo). v. 85, p. 971-976, issn: 0803-5253, 1996.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
  Qualis: B1
108. HUSSAIN, A; KVÅLE, G ; ODLAND, M.. Diagnosis of night blindness and serum vitamin A level: a population-based study. American Journal of Ophthalmology. v. 121, p. 233, issn: 0002-9394, 1996.
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  Qualis: Não identificado (AMERICAN JOURNAL OF OPHTHALMOLOGY)
Livros publicados/organizados ou edições (0)
Capítulos de livros publicados (5)
1. AKHTAR, HUSSAIN; BHOWMIK, BISHWAJIT ; SHAIKH, FAREEHA ; DA VALE MOREIRA, NAYLA CRISTINA ; AZAD KHAN, A. K.. Epidemiological Trends, Risk Factors and Prevention of Diabetes: Special Focus on South Asians and Migrants. Em: Dr. Michael Bergman. (Org.). Global Health Perspectives in Prediabetes and Diabetes Prevention. 1ed.Singapore. : World Scientific Publishing Co. Pte. Ltd.. 2014.p. 181.
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2. AKHTAR, HUSSAIN. Diabetes I et Global Perspektiv. Em: Vaaler, Stein; Møinichen, Terje. (Org.). Diabeteshåndboken. 1ed.Oslo. : Gyldendal akademisk, 2014. 2014.p. 30.
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3. AKHTAR, HUSSAIN; BHOWMIK, BISHWAJIT ; HJELLSET, V. T.. Global migration and prevention of diabetes. Em: Schwarz Peter; Prasanna Reddy. (Org.). Prevention of Diabetes. 1ed.London. : John Wiley & Sons, Ltd. 2013.p. 1.
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
4. HUSSAIN, A; CLAUSSEN, B.. . Em: . 0..
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5. HUSSAIN, A; CLAUSSEN, B.. . Em: . 0..
  [ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
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Projetos de pesquisa

Total de projetos de pesquisa (48)
1. 2016-Atual. DIABETES CARE MANAGEMENT PROJECT: (DCMP) Empowerment of Primary Health Care Physicians through Early Detection and Monitoring of Diabetic Retinopathy and its Impact on Diabetes Care
  Descrição: Costly and burdensome, diabetes is now a huge-scale pandemic and one of the most challenging public health problems in the 21st century. Diabetic retinopathy (DR) is the most common chronic complication and a major cause of visual loss in all countries. Since a great proportion of the patients with diabetes have never been exposed to a proper ophthalmic evaluation, many DR cases are only diagnosed when severe vision loss has already taken place.In order to prevent vision loss due to DR, health and eye care services should be improved in all societies, particularly in low- and middle-income countries (LMICs). The proposed research project, by incorporating available technologies for routine DR screening into the primary care settings, through centralized telemedicine services, ultimately aims to provide the basis for the development of a primary healthcare model for improved diabetes management. The project will take place in three different countries: Bangladesh, China and Cambodia. In Bangladesh, the study will be composed by two work packages (WP 1: Baseline and post-intervention surveys, that is, prevalence and incidence study; and WP 2: Randomized facility-based intervention), while in Cambodia and China only WP 2 will be implemented. In Bangladesh, at the outset, a random sample will be taken from the population both in the control and intervention areas, in order to assess the occurrence of diabetes and DR. Blood tests, anthropometric / blood pressure measurements, and screening for detecting diabetic retinal changes will be performed. In the end of the third year, the participants of the baseline survey will be again investigated (WP 1). In all three countries, primary healthcare physicians (PHPs) in the intervention areas will receive training in eye fundus photography using digital retinal camera (each physician/centre will receive one camera) and associated software tools. All fundus images will be automatically sent to a third-party independent service provider (through the use of "Cloud Technology"), where they will be analysed. A timely feed-back will be then received by the PHP. Technicians will also be trained to take the fundus pictures with the digital camera and all diabetic patients included in the study (both in the intervention and control groups) will be screened for DR at the outset and evaluated again at the end of the project. The most recent version of the guidelines developed by the American Diabetes Association (ADA) and the International Diabetes Federation will be provided to the PHPs in the intervention and control areas and they will be asked to study and apprehend the knowledge.At baseline and in the end of the third year, the PHPs? knowledge regarding diabetes management will be assessed by a semi-structured questionnaire, whereas the PHPs? clinical practice for diabetes care will be evaluated through patients? records at baseline and in the end of each year. Furthermore, a clinical information management system and a standardized quality-controlled clinical laboratory tests support will be provided to both the intervention and control areas. The patients will be regularly followed-up according to the locally applied guidelines for retinal changes and diabetes control. At baseline and in the end of each year, a clinical and socio-demographic questionnaire together with questionnaires to collect information concerning the patient utilization of the healthcare services, food habits and physical activity will be conducted in the intervention and control areas. Blood tests, anthropometric and blood pressure measurements will be also taken in both intervention and controls (WP 2). In a second phase, the same project will be implemented in Brazil and Tanzania.. Situação: Em andamento; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (2) . Integrantes: Hussain Akhtar - Coordenador / AZAD KHAN, A. K. - Integrante / Renan Magalhaes Montenegro Junior - Integrante / Nam Cho - Integrante / Xipu Liu - Integrante. Financiador(es): GaoXinDaAn Health Industry Investment Limited Company - Auxílio financeiro.
  Membro: Hussain Akhtar.
2. 2014-2016. Factors associated with diabetic retinopathy among patients diagnosed with type 2 diabetes in Bangladeshi population
  Descrição: Background: Diabetes mellitus (DM) is associated with micro vascular complications, such as diabetic retinopathy (DR). DR is a serious problem that is well characterised by impaired vision; a condition known as sight threatening retinopathy (STR).The incidence and prevalence of STR have been noticed and well recognised in developed countries. However, there was only one national survey that emphasised on causes of visual impairment and blindness among adults in Bangladesh, but it revealed that DR is not the main cause for blindness or visual loss among this population. No other studies have been conducted in Bangladesh that estimates the magnitude of STR, and the impact of prognostic indicators on STR, visual impairment and blindness. Moreover there is no study that identifies the determinants of severity and progression of DR among early and late diagnosed type 2DM. Aim: To assess the determinants of progression of diabetic retinopathy( DR) among diagnosed type 2 diabetic, and to assess the proportion of sight threatening and visual impairment among type 2 diabetes patients who attended BIRDEM hospital in Bangladesh. Methods: A cross sectional study was conducted in outpatient ophthalmic clinic at BIRDEM, Dhaka in a period from 25th September 2014 till 17th November 2014. Dilated color fundus photography was performed in all patients who have type 2 diabetes, and were over 30 years old .Those who was showing some degree of retinopathy were included. DR was classified according to the changes in the worse eye into three stages based on EDTRS classification as the following: 1) Patients with Non-Proliferative Retinopathy (NPDR) 2) Patients with CSME stage (in the presence of NPDR) 3) Patients with PDR stage (in presence or absence of CSME). Sight threatening was defined as the presence of CSME, or PDR in either or both eyes. Visual Acuity (VA) was classified following the International Statistical Classification of Diseases (ICD) and World Health Organisation (WHO) . VA was classified as normal 6/6 to 6/18, moderate visual impairment (6/18 to ? 6/60) in the better eye, and severe visual impairment (6/60 to ? 3/60) in the better eye. Data on socio-demographic characteristics, anthropometric measures and blood pressure were obtained from patients meeting the eligibility criteria. Biochemistry blood test was recorded from the patient book file. Results: Two hundred and fifty seven patients (110 female, 147 men) with type 2 diabetic were included in the study. Diabetic retinopathy was distributed as follows; NPDR (36%), CSME (43%), and PDR (21%). The proportion of patients with STR and visual impairment (moderate and severe) were 64% and 56.4% respectively. . Severe visual impairment (VI) was observed in 11.7% of the cases. Systolic blood pressures (SBP), urban residency, were associated with VI. Limited studies have evaluated BMI and VI; interestingly, high BMI (over weight) was inversely associated with VI in this study. The risk of STR was associated with age, HDL, LDL (P 0.05). The median time to STR onset was estimated at 17 years for females, and 15 years for men. DR prognosis was associated with SBP, female gender, urban residency. A surprising result was that BMI particularly over weight inversely associated with the development of PDR versus NPDR, CSME combined. HbA1c was not significantly associated with STR, visual impairment or progression of DR. Conclusion: Our study showed that the prevalence of visual impairment among DR patients was much higher than the national estimate of 13.8%. In resource limited countries like Bangladesh, regular screening for diabetic complications should be supported fully by government health institutions if the prevalence of STR and visual impairment are to be reduced substantially. The support should be extended to health awareness programs on modifiable causes of diabetes. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / PURABI RANI DEB NATH - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
3. 2014-2015. Association between hormonal Contraceptive use and the risk of Gestation Diabetes Mellitus in Bangladeshi women
  Descrição: With increasing prevalence of gestational diabetes mellitus, prevalence of contraceptive use is also in rise in Bangladesh. This quantitative study was designed with the objectives to estimate the proportion of hormonal contraceptive users and non-users among patients with gestational diabetes mellitus and observe the glycemic level in relation to Hormonal Contraceptive use. The findings suggested no role of hormonal contraceptive in altering glycemic status in patients with gestational diabetes mellitus and hormonal contraceptive user group comprised 44.6% participants whereas non-user group comprised 55.4%.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador.
  Membro: Hussain Akhtar.
4. 2013-2015. Prevalence of overweight and obesity among school children of low socio-economic groups in Nagpur, India
  Descrição: 753 children from the general public schools in Nagpur, India were included. M.Phil thesis: Prevalence of overweight and obesity among school children of low socio-economic groups in Nagpur, India. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador.
  Membro: Hussain Akhtar.
5. 2013-2014. Diabetic Retinopathies and their associated factors; a study in a tertiary care hospital in Karachi Pakistan
  Descrição: Objectives: To study the frequency of Diabetic Retinopathy and Diabetic Macular Edema in Type 1 & Type 2 Diabetes Mellitus patients using fundus photography and factors associated with them in a tertiary care hospital in Karachi, Pakistan. Methods: A retrospective cross-sectional analysis of diabetic patients? records undergoing fundus photography between May 2010 & December 2013 at Dow University Hospital was done. A total of 1167 diabetic patients were identified for the study. Data was retrieved from hospital records using Medical Record numbers of patients who underwent fundus photography. Patients were identified as having (1) No Diabetic Retinopathy (No DR), (2) Mild Non-Proliferative Diabetic Retinopathy (Mild NPDR), (3) Moderate Non-Proliferative Diabetic Retinopathy (Moderate NPDR), (4) Severe Non-Proliferative Diabetic Retinopathy (Severe NPDR) or (5) Proliferative Diabetic Retinopathy (PDR). Presence of Diabetic Macular Edema was identified separately as (6) retinopathy patients without Diabetic Macular Edema (No DME), (7) patients with Diabetic Macular Edema but no Clinically Significant Macular Edema (DME only) and (8) patients with Clinically Significant Macular Edema (CSME). Statistical analyses were performed using IBM SPSS v 20 for Windows. The records revealed 36% cases with missing data in 20 variables. The data was missing at random therefore Multiple Imputations was employed to handle missing values. The variables retained their characteristics and there was no statistically significant difference in the mean values of all 20 variables before and after multiple imputations. Therefore, we used all 1167 patients? data for analyses (using pooled values after multiple imputations). Means and corresponding 95% confidence intervals were calculated for continuous variables while frequencies and percentages were computed for categorical variables. One-Way ANOVA and Pearson?s ChiSquared test were used to identify statistically significant difference in these variables for all categories of retinopathy. Binary Logistic Regression was employed to calculate Crude and Adjusted Odds Ratios with 95% confidence intervals for the factors associated with Diabetic Retinopathy and Diabetic Macular Edema. Results: A total of 853(73.1%) were found to have Diabetic Retinopathy with Mild Non Proliferative Diabetic Retinopathy in 395 (34%), Moderate Non Proliferative Diabetic Retinopathy in 321 (27.5%), Severe Non Proliferative Diabetic Retinopathy in 45 (3.9%) and Proliferative Diabetic Retinopathy in 92 (7.9%) patients. Diabetic Macular Edema was present in 214 (25.1%) of these 853 patients while Clinically Significant Macular Edema was present in 130 (15.2%). Ninety two (11%) patients had Clinically Significant Macular Edema in both eyes. Univariate analyses using Binary Logistic Regression revealed that Fasting Blood Glucose, Random Blood Glucose, Glycosylated Hemoglobin, Duration of Diabetes Mellitus, presence of Hypertension, Bod Mass Index, Urinary Micro Albumin excretion Waist Circumference and Waist-Hip Ratio were positively associated with any form of Retinopathy in diabetics, whereas High Density Lipoprotein levels were negatively associated with Diabetic Retinopathy. However, on multivariable analyses, only Fasting Blood Glucose, Glycosylated Hemoglobin, Duration of Diabetes, presence of hypertension, High Density Lipoprotein levels and Urinary Micro Albumin excretion retained their statistically significant associations. For Diabetic Macular Edema, Univariate analyses showed Glycosylated Hemoglobin, presence of Hypertension and Lower levels of High Density Lipoprotein levels were significantly associated. However, in multivariable model, only HbA1c and presence of Hypertension retained their statistically significant association with Diabetic Macular Edema.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / Abdur Rasheed Khokar - Integrante. Financiador(es): Norwegian Agency for Development Cooperation - Bolsa.
  Membro: Hussain Akhtar.
6. 2013-2014. Prevalence of gestational diabetes mellitus and its associated risk indicators: A hospital based srtudy in Nepal
  Descrição: Background: Gestational diabetes mellitus is increasing enormously worldwide in the recent decades especially in developing countries. The prevalence of Gestational Diabetes mellitus (GDM) differs depending on the regions and the country. Nearly half of women with a history of GDM develop type 2 diabetes within five to ten years after delivery. Out of 25 pregnancies 1 develop GDM which is associated with complications in the period immediately before and after birth. It is one of the causes of maternal and fetal mortality and morbidity. Due to lack of data on prevalence of GDM, particularly from Nepal we conducted the study. Objectives: The goal of the study is to determine the prevalence and to identify associated risk indicators of GDM. Methods: Design & source of data: A cross sectional epidemiological study was conducted in urban antenatal clinic in Nepal for 6 months (1st July-31st December 2013). 510 eligible pregnant women who were willing to take part in the study between 24 and 28 weeks of pregnancy were the recruited participants. All of them underwent 50gm GCT followed by 75gm OGTT, if the value of GCT? 140mg/dl, to confirm GDM. Descriptive, univariate and multivariate binary logistic regression was done to see the effect modification of GDM on different variables. Results: GDM was diagnosed in 22 (4.3%) women. In this study, the progressing maternal age was independent risk indicators for GDM in univariate and multivariate analysis. In overweight and obesity BMI was found significant in univariate analysis. The non-vegetarians had 70% risk of being overweight and obese and 3 folds probability to develop GDM than vegetarians. No significant association with GDM was found for physical activity, parity, education, occupation, socio-economic status. Conclusion: Appropriate intervention is needed for control and risk indicator modification for GDM. Absence of association of GDM with important risk indicators is due to lack of statistical power.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Norwegian Agency for Development Cooperation - Bolsa.
  Membro: Hussain Akhtar.
7. 2013-2014. Prevalence of obesity and its associated risk of diabetes in a rural Bangladeshi Population
  Descrição: Background: People in the developing countries are increasingly vulnerable to the worldwide epidemic of obesity. It is a common modifiable risk factor for all the cardiometabolic diseases including type 2 diabetes (T2DM). Population-based data on the prevalence of obesity in rural Bangladeshi adults based on newly proposed cut off points for Asian population have scarce until recently. Objective: To assess the prevalence of general and central obesity in a rural Bangladeshi population and their association with T2DM. Methods: This study data have retrieved from Chandra Rural Diabetes Study, a population-based cross-sectional study which was conducted in a rural community called Chandra, 40 km. north of Bangladesh s capital, Dhaka in 2009. The survey was carried out in two phases. The first phase consisted of household census of the total population residing in the study locations. Based on the census results, a list of all men and women aged 20 years and above was selected in the second phase. Required numbers of individuals were selected following a random procedure. Ten villages were randomly selected from five areas. The total population of these villages was approximately 20,000 aged ?20 years. For this study, 3000 individuals were randomly selected and among them 2376 (79.2%) participated. Structured questionnaires including socio-demographic parameters, anthropometric measurements, blood pressure (BP), and blood glucose values were recorded. Age adjusted data for anthropometric indices and diabetes risks were assessed and their relationships were examined. Newly proposed cut off points for Asian population had been used to define general obesity defined by body mass index (BMI) and central obesity defined by both waist circumference (WC) and waist hip ratio (WHR). Results: The age standardized prevalence of overweight (BMI 23-25 kg/m2) and obesity (BMI ?25 kg/m2) were 17.7 (95% confidence interval (CI): 16.1, 19.2%) and 26.2% (95% CI: 24.4, 27.9%), respectively. The age standardized prevalence of central obesity based on WC (M ?90 & F ?80 cm) and WHR (M ?0.90 & F ?0.80) were 39.8% (95% CI: 37.9, 41.7%) and 71.6% (95% CI: 69.8, 73.4%) respectively. Among the study population 88% had both high BMI (?25 Kg/m2) and high WC (M ?90 & F ?80 cm) and on the other hand, 92.7% had both high BMI (?25 Kg/m2) and high WHR (M ?0.90 & F ?0.80). The result shows that prevalence of central obesity was more in female than male. Study shows middle age, medium and high socioeconomic status (SES), illiterate, primary and secondary education levels, physical inactivity, high consumption of carbohydrate, protein and fat, were some significant risk indicators for general and central obesity. The adjusted odd ratio (OR) was highest for BMI ?25 (OR: 2.12, P0.001) for predicting T2DM compared to BMI ?23 (OR: 1.26, P = 0.228), BMI ?27.5 (OR: 1.93, P = 0.0.002) and BMI ?30 (OR: 1.78, P = 0.098). Study also indicates that WHR predicted better T2DM risk than WC and BMI for both men and women. ROC analysis showed the optimal cut-off points for T2DM detection were at a BMI of 21.2 kg/m2 in men and 21.8 kg/m2 in women, WC 82 cm in men and women and WHR 0.93 and 0.87, respectively. Conclusions: It is apparent that obesity is increasing even in poor rural population. In rural Bangladeshi population, the prevalence of both general and central obesity was high among both sexes with the use of newly proposed cut off points for Asian population. Women presented with more central obesity than men. Gender, diet, physical activity, education level, socioeconomic condition, and smoking were associated with the prevalence of obesity. Compared with BMI, measures of central obesity, WHR and WC showed a better association with the risk of T2DM for both gender. Longitudinal follow-up studies are needed to confirm the risk indicators for obesity found in this study.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / AZAD KHAN, A. K. - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
8. 2012-2015. Prevalence of diabetes and depression, and their association: a population-based study in northeastern Brazil.
  Descrição: Diabetes and depression are common non-communicable diseases (NCDs) in today`s society. The association between these two conditions has been found by several; however, the transcultural validity of these findings still needs to be demonstrated. Previous studies may have been biased since many have used self-reported data on diabetes and / or hospital-based samples. In Brazil, there are few studies published about this topic, despite the increase in both conditions and the poorer health outcomes related to this comorbidity. The main purpose of this cross-sectional, population-based study is to assess the prevalence of depression and diabetes, and their association in northeastern Brazil. By providing such information, the study ultimately aims to optimize prevention and health promotion strategies, patients? care and promote a more cost-effective allocation of resources. Six hundred thirty-two subjects above 20 years of age were randomly selected to participate. Depression was assessed by the Montgomery-Åsberg Depression Rating Scale (MADRS) and the Hamilton Depression Rating Scale (HDRS). The Fasting Blood Glucose (FBG) measurement and also the Oral Glucose Tolerance Test (OGTT) were undertaken to investigate the prevalence of diabetes. Socio-demographic and economic information were obtained by interviewer guided questionnaires. Anthropometric and blood pressure measurements were also recorded.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / SHAHEEN, A - Integrante / Renan Magalhaes Montenegro Junior - Integrante / Fábio Gomes de Matos e Souza - Integrante. Financiador(es): University of Oslo - Auxílio financeiro / Secretaria de Saude de Pindoretama - Cooperação / Ivar Helles Foundation - Auxílio financeiro.
  Membro: Hussain Akhtar.
9. 2011-2013. Helseulikheter, etnisitet og forekomst av type 2- diabetes og fedme blandt Hispanics i New York
  Descrição: 700 Hispanics diagnosed with type 2 diabetes were included. M.Phil Thesis: Health disparities, Ethnicity and ?Diabesity? in New York City. Elucidation of possible risk indicators for a U-shaped prevalence curve for diabetes (type 2) and obesity among Hispanics in a megacity like NYC, despite increasing socioeconomic status (SES). Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Lånekassen - Bolsa.
  Membro: Hussain Akhtar.
10. 2011-Atual. Genomic and lifestyle predictors of foetal outcome relevant to diabetes and obesity and their relevance to prevention strategies in south Asian peoples (GIFTS)
  Descrição: Since 2011, I have been the Deputy/Scientific Coordinator of a research project entitled: "Genomic and lifestyle predictors of foetal outcome relevant to diabetes and obesity and their relevance to prevention strategies in South Asian people (GIFTS)". Currently, we are analyzing the data and writing articcles for publication. With a total budget of EUR 4 million (financed by the EU), and involving 11 countries and 17 partner institutions, this large-scale program aimed to investigate lifestyle and nutritional patterns from pre-conception to early childhood, gene and environment interactions, as well as the clinical translations of the program's findings. Current diabetes/obesity prevention strategies are focused on adult life and target overnutrition with interventions designed to reduce obesity in high-risk adults. However, for many population groups across the globe, such strategies ignore many key principles that underlie the increasing global prevalence of these diseases. A substantial portion of the South Asian people living in their home countries experience nutritional deprivation, while after migration to Europe, may encounter nutritional abundance resulting in imbalance during their life course. These conditions are of particular importance during foetal and early developmental stages when environmental insults may interact with genetic risk to induce "foetal programming" of adult metabolic disease. An increasing contextual understanding of South Asian populations at home and emigrant populations highlights the existence of these adverse conditions during these susceptible periods, further compounded by extreme environmental and social deprivation. Key examples include poor uptake of pre- and peri-conceptual pregnancy planning and low uptake of routine folic acid supplementation in women of South Asian origin. Foetal growth during pregnancy may be also restricted or excessive due to genetic factors, exposure to maternal undernutrition, weight gain or dysglycaemia. Mothers from some South Asian groups are also less likely to breastfeed and more likely to introduce solid foods earlier than recommended, increasing the risk of rapid postnatal catch-up growth and childhood obesity. Although a new WHO guideline has begun to address these complex issues, it still leaves a significant knowledge gap with regard to ideal weight during pregnancy, notably for South Asian women who are between the extremes of underweight or overweight, or for specific nutritional guidelines for key developmental regulators such as vitamin D and one-carbon metabolites (folate and vitamin B12 in particular). More notable is the absence of clear international guidance on how to achieve optimal conditions during this reproductive and early childhood period. Thus, by investigating the convergence of these genetic and environmental factors, their transmission through parent-child units, and the complex array of molecular, behavioral and societal causes of later disease risk, the results will provide essential data regarding the windows of opportunity and specific targets for prevention of obesity, metabolic syndrome and diabetes on a population-wide scale. Furthermore, by putting these key early life influences into context of an increasingly divergent postnatal life at home and emigrant populations, this collaborative program will strike at the heart of adult metabolic disease susceptibility and tailored prevention strategies. Situação: Em andamento; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (3) Doutorado: (2) . Integrantes: Hussain Akhtar - Coordenador / KHAN, A.K. AZAD - Integrante / Graham Hitman - Integrante / Jaakko Tuomilehto - Integrante / Abdul Basit - Integrante / Peter Schwartz - Integrante / Ranjan Yajnik - Integrante. Financiador(es): European Union - Auxílio financeiro.
  Membro: Hussain Akhtar.
11. 2010-2011. MALNUTRITION AND ASSOCIATED RISK FACTORS FOR CHILDREN AGED 6-59 MONTHS IN URBAN INDONESIA
  Descrição: ackground There has been made substantial progress in Indonesia by reducing the magnitude of malnutrition during the last decades. However, great disparities exists among areas and malnutrition remains a significant public health problem in many parts of Indonesia. Our study will provide an understanding of risk factors in a specific population in Medan so that a local NGO and local policy makers can plan targeted and appropriate interventions. Objectives To identify the prevalence and associated risk factors of stunting, wasting and underweight in children aged 6-59 months in an urban community Indonesia, with a main emphasis on breastfeeding, complementary feeding and acute watery diarrhea. Methods The study was a cross-sectional survey with a structured questionnaire conducted between August and December 2010 on 405 households. All households with children between 6-59 months were included in the survey. Anthropometric measurements were performed on one randomly selected child from each household. Nutritional status was determined according to the WHO new growth reference. Results The prevalence of stunting and severe stunting was 21.7% (95%CI¡À4.0) and 4.4% (95%CI¡À2.0). The prevalence of wasting and severe wasting was 12.6% (95%CI¡À3.2 ) and 2.7% (95%CI¡À1.6). The prevalence of underweight and severe underweight were 21.8% (95%CI¡À 4.0) and 3.5% (95%CI¡À1.8)Risk factor for stunting were: Consumption of ¡Ý4 snacks per day, increased feeding during diarrhea, ¡Ý5 children in the household, short maternal stature (150cm)and LBW (2500g). Protective factors for stunting were: Higher maternal education and knowledge about breastfeeding. Risk factors for wasting were: Consumption of carrot or yellow/orange fruit or vegetables within last 24h, age 6-23 months, treating acute watery diarrhea with traditional/herbal medicine and receiving vitamin A supplements within last 6 months. Protective factors for wasting were: Higher income ($200) and washing children¡¯s hands before eating. Risk factors for underweight were: Short maternal stature (150cm), LBW(2500g) and receiving vitamin A supplements within last 6 months. Protective factors for underweight were: Higher paternal education and maternal knowledge about good complementary feeding. Conclusion We failed to identify any significant association between breastfeeding practices or acute watery diarrhea and malnutrition. However, some dietary practices were significantly associated with malnutrition.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
12. 2009-2012. Foetal Programmming for Metabolic Disregulation
  Descrição: The link between suboptimum fetal growth and higher risk of CVD, hypertension, and insulin resistance syndrome or type-2 diabetes are now demonstrated in several populations and age groups and based on review of evidence, a WHO report concludes that intrauterine programming is likely a third underlying factor of CVD and major markers of risk, along with genetic predisposition and lifestyle. Maternal undernutrition, infants low birth weight and rapid post-natal child growth are all associated with increased risk of diabetes in offspring and these factors might be especially relevant to developing countries. Maternal nutrition and other factors especially nutritional status and dietary intake, most likely play an important role in fetal programming of these diseases. The major aim of this study was to explore the impact of fetal under nutrition on the indications of cardio metabolic disease risk at various stages of infancy.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / BASIT, A. - Integrante / Samad Shera - Integrante / Abdallah Al-Hamak - Integrante. Financiador(es): Qatar Foundation - Auxílio financeiro.
  Membro: Hussain Akhtar.
13. 2009-2012. Diabetes and Depression
  Descrição: Diabetes and depression are both commonly occurring conditions and are associated with the modern lifestyles of today?s society. The total number of people with diabetes is projected to rise from 171 million in 2000 to 366 million in 2030. Adults with depression have a 37% increased risk of developing type 2 diabetes and evidence from cross-sectional and prospective studies suggests that depressive symptoms negatively influence glucose metabolism. Studies have shown that diabetes was twice as likely to develop in depressed individuals compared with non-depressed individuals after 13 and 8 years of follow-up, respectively. Depression may contribute to metabolic abnormalities preceding the development of diabetes, although the evidence is still conflicting. Therefore we have employed an intervention study design with a particularly sensitive method hyperinsulinemic euglycemic clamp to quantify changes in insulin sensitivity with remission of depression. We hypothesized that a reduction in depressive symptoms would lead to a better insulin sensitivity, and possibly changes in other parameters of the metabolic syndrome.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / MAGNUSSON, A. - Integrante / SHAHEEN, A - Integrante / Per M. Thorsby - Integrante. Financiador(es): Norwegian Medical Association - Auxílio financeiro / Oslo Health Region - East - Auxílio financeiro / University of Oslo - Bolsa. Número de produções C, T & A: 1
  Membro: Hussain Akhtar.
14. 2009-2010. An assessment of diabetes care for Latinos living in non-metropolitan Iowa : Iowa, United States of America
  Descrição: Latinos are nationally overrepresented among the uninsured, and rural Latinos are shown to face a variety of barriers to accessing quality health care. The Latino community continues to grow in the rural Midwest, and diabetes is a pertinent disease for research in this demographic. Diabetes care encompasses processes of care provided by health care professionals and personal health behavior including self-management activities, both of which may mitigate complications. The present research project investigated the degree to which the study population receives the recommended diabetes care services and executes self-management activities vis-àvis access to care. A quantitative, cross-sectional survey yielded responses from 134 participants on socio-demographic, access to care, and diabetes-related questions. The study sample was predominantly foreign-born with low income and educational attainment. Participants with a community health clinic as the source of diabetes care and those in advanced disease progression were more likely to receive the appropriate care services. This study population demonstrated higher proportions of most individual services received when compared with a national sample of Latinos but still warrants significant improvement in the delivery of the recommended preventive and monitorial diabetes care services. Improvements are also needed in all four of the self-management activities investigated.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador.
  Membro: Hussain Akhtar.
15. 2009-2010. Prevalence and risk factor of childhood overweight and obesity in primary school children of Dhaka city
  Descrição: Childhood obesity has become a serious public health problem because of its strong association with adulthood obesity and the related adverse health consequences. No published information is available on the prevalence of childhood obesity in Bangladeshi population. Objective: The aim of the study is to determine the prevalence of childhood overweight and obesity and its risk factors in primary school children of Dhaka city. Methods: This is a cross-sectional study which was focused on the prevalence of childhood obesity and overweight in primary school children of Dhaka city of Bangladesh. This study include 1200 participants (both boys and girls aged 6 to 13 years old) by following simple random procedure. The participation rate was 85.5%. On the basis of predefined scoring, subjects were classified as underweight, normal, overweight and obese if their weight-for-height values were (90.99% under weight, 91-110% normal weight, 111-120% overweight and 120% obese) of median values for study children. Univariate multinominal regression models were used to estimate the odds ratios (ORs) and the 95% confidence intervals (95% CI) for the three categories of weight-for-height (underweight, overweight and obese). Multivaiate multinominal regression models were used to estimate adjusted OR and the 95% CI for the three categories of weight-for-height. Results: The prevalence of overweight and obesity was found 13.2% (95% CI: 11.33 - 15.17) and 17.8 % (95% CI: 15.59 - 19.91) in the present study, respectively and also the prevalence of overweight and obesity among boys and girls were 13.6% (95% CI: 10.83 - 16.41), 22.1% (95% CI: 18.69 - 25.45), 12.9% (95% CI: 10.26 - 15.54) and 13.7% (95% CI: 11 - 16.42) respectively. There were significant difference found in weight for height (p = 0.015) and weight (p 0.001) between boys and girls. Mean fat intake of the obese group was significantly higher in overweight and underweight group (p=0.008). The odd for obesity was higher for boys compared to the girls. The (p=0.003 and 95% CI 1.19 - 2.29). The household monthly income and parents education has a significant risk for obesity, even after adjusted with, age, income, parent?s education, and physical activities compared to the reference groups. Conclusion: These data shows that a high prevalence of overweight and obesity in primary school children of Dhaka city Bangladesh. Positive energy balance with higher fat intake, family high income, parents high education seem to be among the underlying factors for increasing prevalence of childhood obesity. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / ALI, LIAQUAT - Integrante. Financiador(es): Norwegian Agency for Development Cooperation - Bolsa.
  Membro: Hussain Akhtar.
16. 2008-2009. Diabetes Mellitus and Retinopathy in Rural Bangladesh: A Population Based Study
  Descrição: Objective: The study aimed to estimate the prevalence of diabetes and retinopathy in people with normal and abnormal glucose metabolism in rural Bangladesh and to identify the associated risk factors for developing diabetes and retinopathy in this population. Methods: This population based cross-sectional study was conducted through screening in camp settings, which included a total of 836 participants (aged ?d25 years) by following simple random procedure. Fasting blood glucose (FBG) and oral glucose tolerance test (OGTT) were performed for all participants to diagnosis diabetes according to the diagnostic criteria of World Health Organization. Retinopathy was determined by ophthalmoscopy and fundus photography. Anthropometric measurements (BMI and WHR), glycosylated hemoglobin, blood pressure, lipid profile and urine albumin creatinine ratio were also observed. Logistic regression analysis was used, without and with adjustment for potential confounders. Results: An increased prevalence of diabetes and retinopathy was found with 7.2% (95% CI 5.4-9.0) and 5.4% (95% CI 3.9-6.9) in the present study, respectively. Moreover, the prevalence of retinopathy among the diabetic, prediabetic and nondiabetic subjects were 21.6% (95% CI 11.2-32.0), 13% (95% CI 3.4-22.6) and 3.5% (95% CI 2.2-4.8), respectively. A superior agreement was observed between FBG and OGTT (Kappa value 0.86) among the study participants. After adjusting for potential confounders BMI, WHR, serum creatinine, triglyceride, total cholesterol and UACR were found as significant independent risk indicators for the occurrence of diabetes and age, BMI, hypertension, HbA1c, serum creatinine total cholesterol and UACR were also found as significant independent risk indicators for the occurrence of retinopathy in this population. Conclusion: The indices of obesity (increased BMI and WHR), hyperlipidemia (increased triglyceride and cholesterol), serum creatinine and urine ACR may at least in part explain the high prevalence of diabetes mellitus and retinopathy in this rural population of Bangladesh.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / ALI, LIAQUAT - Integrante. Financiador(es): Norwegian Agency for Development Cooperation - Bolsa.
  Membro: Hussain Akhtar.
17. 2008-2009. Incidence of diabetic retinopathy : a 15 year follow up in a hospital population (Bangladesh)
  Descrição: Objective: The study was designed to estimate the incidence and factors of diabetic retinopathy among Bangladeshi type 2 diabetic subjects. Methods: A random sample of 977 diabetic patients were recruited in 2008 from amongst those who were first time diagnosed in 1993 in the outpatient department of the Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine & Metabolic Disorders (BIRDEM). From Patient Guide Books baseline data on clinical, anthropometric and biochemical parameters were collected and, at the time of the study, ie at the end of 15 year follow up blood glucose, lipid profile, HbA1c and serum creatinine were measured in addition to clinical and anthropometric features. A structured questionnaire was administered to collect dietary history and socio-demographic information. Diabetes was diagnosed following the WHO diagnostic criteria. Diabetic Retinopathy (DR) was diagnosed by retinal color photography and classified according to the Early Treatment Diabetic Retinopathy Study (ETDRS). All patients were examined by an Ophthalmologist and were reconfirmed by a senior Ophthalmologist. Data were first compiled through a custom made software and imported into SPSS version 12.0. Appropriate formula was used to estimate stratified incidence rate per 1000 person-years and 95% confidence intervals. To reduce time the formula was put into SPSS 16.0 using syntax to perform the calculation. Student?s t test was performed to compare between Diabetic Retinopathy and No Diabetic Retinopathy. Univariate and multivariate generalized linear models were used to assess the associations of clinical, biochemical and anthropometric variables with retinopathy. The associations were presented in the form of relative risks (RRs) and 95% Confidence Intervals (CIs). When the univariate analyses showed significant relationship (p 0.25) between exposure variables and retinopathy, then these exposure variables (risk factors) were further included into the multivariate analysis. A p-value less than 0.05 was considered to be statistically significant. All p-values presented are two tailed. The data were analyzed using a computer program Statistical Package for Social Science (SPSS) (Windows version 16.0). Results: The incidence rates of DR (95% CI) were 23.54 (19.61-28.26), 17.52 (14.93-20.55) and 21.47 (18.86-24.44) per 1000 person-years at 5, 10 and 15 years respectively. The study showed a high incidence of DR at 5 years and relatively lower incidence at 10 years and an increased incidence at 15 years after diagnosis. Incidence of DR increased with increasing age, but this was more prominent in female subjects. Most of the moderate to severe NPDR cases were identified at 15 years after diagnosis. Patients with retinopathy had worse glycemic control during three different time periods than patients without retinopathy (HbA1c 9.6±2.6 vs 7.7±2.3%, 9.9±2.1 vs 8.0±2.3% and 10.38±2.1 vs 7.27±1.5%, respectively; P0.05). Glycaemic control, measured either by FBG or OGTT and HbA1C, was found to be the strongest risk factors for 5, 10 and 15 years of incidental cases of diabetic retinopathy controlling for potential confounding factors. It was also noted that age, area of residence, occupation, total cholesterol, triglycerides, the serum creatinine level and hypertension were significantly associated with the development of retinopathy in this study. Nevertheless multivariate model showed increasing age, FBG, 2 hr BG, A1C, TG and SBP were important independent risk factors for the development of DR. Measures of obesity like BMI and intake of nutrients were not found to be associated with the incidental cases of DR. Conclusion: Bangladeshi type 2 diabetic subjects show a fairly high rate of DR and NPDR. The incidence increases with age with predominance in female and the severity of the condition increases with the duration of DM.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / ALI, LIAQUAT - Integrante. Financiador(es): Norwegian Agency for Development Cooperation - Bolsa.
  Membro: Hussain Akhtar.
18. 2007-2013. Insulin resistance and lipid profile; trends in sequelae of impaired glucose tolerance among subjects from Karachi, Pakistan
  Descrição: The aim of this study was to find the association between serum lipid ratios and insulin resistance among subjects with impaired glucose tolerance in Pakistan. It was also sought how effective was FBG to identify IGT subjects in context of using FBG as a screening tool for primary prevention. Research design and methods: Cross sectional analysis was conducted by utilizing the data from primary prevention project conducted within collaboration of Baqai Institute of Diabetology and Endocrinology (BIDE), Diabetic Association of Pakistan (DAP) and University of Oslo (UiO). Data analysis was divided into two section; the screening data, comprises of OGTT values of 1565 study participants after being short listed by using risk assessment form during the initial phase of project; and the baseline data, that constituted the anthropometric and biochemical variables of 242 subjects, included on basis of availability of all the required variables. Results: The prevalence of IFG, combined IFG-IGT and isolated IGT was found to be 10.9%, 11.3% and 12.1% respectively. The specificity and sensitivity of fasting blood glucose to diagnose IGT was 48.6% and 82.6%, while the positive predictive value was 50.7% and negative predictive value was found 81.1%. Data analysis at baseline showed no difference between mean ages and gender of combined IFG-IGT and isolated IGT group, however waist to hip ratio was significantly higher (p0.05) in combined IFG-IGT group. Also, the levels of 2-hr blood glucose and serum triglycerides were higher in combined IFG-IGT group while fasting insulin levels were higher in isolated IGT group. All the lipid ratios (TC/HDL,TG/HDL and HDL/HDL) were found significantly correlated with fasting insulin levels and HOMA-IR in isolated IGT group. The AUC for TG/HDL ratio was 0.707 against the 75th percentile of fasting insulin level and HOMA-IR, while the cut off level 3.36 of TG/HDL ratio was found to have 65.5% sensitivity and 70% specificity with respect to the cut off of insulin resistance Conclusion: We have found significant correlation between serum lipid ratio and surrogate markers of insulin resistance in isolated IGT group. Due to the weak predictability of fasting blood glucose to diagnose IGT status, it is therefore suggested to use better option for the diagnosis of IGT in clinical practice. However, serum lipid ratios could be a potential option if used in conjunction with fasting blood glucose to identify subjects with isolated IGT who are found significantly more insulin resistant, and thus, can be more benefited by primary prevention of diabetes.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / BASIT, ABDUL - Integrante. Financiador(es): Norwegian Agency for Development Cooperation - Bolsa.
  Membro: Hussain Akhtar.
19. 2007-2012. Risk factors for Type 2 Diabetes Mellitus: Metabolic Syndrome, Insulin Resistance and Primary Prevention
  Descrição: Aims: The purpose of the study was to identify the extent of metabolic syndrome on the basis of ATP III and IDF definition in subjects aged 25 years and above from an urban population of Karachi. Also to see the association of risk factors related to diabetes and metabolic syndrome in this population. And finally to prove the hypothesis of intervention effect on the onset of type 2 diabetes in a high risk urban population and evaluate the rate of conversion of IGT to diabetes by these interventions in this population. Results: The prevalence of diabetes was 9.4%, whereas 5.6% had impaired fasting glucose (abnormal glucose tolerance 15%). The prevalence of metabolic syndrome according to the IDF definition and modified ATP III criteria was 34.8% and 49%, respectively. Inclusion of modified waist circumference and specific body mass index (BMI) cut offs for Asians might have helped in this increased prevalence of the metabolic syndrome. Dietary data about specific food items was available for 867 adults. Participants also completed a health and lifestyle questionnaire and 363 subjects provided fasting blood samples for glucose and lipids. Dietary intake was assessed by a questionnaire to identify consumption of 33 specific food items and the dietary patterns categorized into 6 food groups was assessed by cluster analysis. Five dietary patterns were identified through cluster analysis. Cluster 1 had the lowest proportion of persons with metabolic syndrome i.e. 42.7% while cluster 2 had the highest percentage of metabolic syndrome subjects (56.3%) (p=0.09). Consumption of fat and calorie dense foods was significantly higher among highest risk group (cluster 2) compared to lowest risk group (cluster 1) (p = 0.0001). The consumption of food groups containing fruit, milk and meat was also more than twice in high risk compared to low risk group (p = 0.0001). Even within the same population there are marked differences in dietary patterns and these apparently contribute to the risk of developing metabolic syndrome. Insulin Resistance (IR) was defined at 75th percentile cut off of insulin levels (9.25 U/mL) and HOMA-IR (1.82). The 25th percentile cut off was used for defining IR in QUICKI (0.347) and McAuley Index (6.77). In the second study which was the primary prevention trial 273 subjects out of 317 subjects completed the study giving a compliance rate of 86%. A total of 47 incident cases of diabetes were diagnosed during the study. The overall incidence of diabetes was 4 cases per 1000 person-months with the incidence of diabetes as 8.6 cases in the control group, 2.5 cases in the Life Style Modification (LSM) group and 2.3 cases per 1000 person-months in the LSM+drug group.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / BASIT, ABDUL - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
20. 2007-2008. Diabetes and Depression: A comparative study of tsunami affected and non affected population in Sri Lanka
  Descrição: Background: Diabetes and depression are common non communicable diseases increasing rapidly and exert tremendous community health problems in developing countries like Sri Lanka. Disaster related experiences can be traumatic and can have lasting effects on people, resulting increased prevalence of depression and thereby double burden of diabetes. Objectives: This study is focussed on the prevalence of diabetes and depression and its relationship in a tsunami affected area and a non affected area in Sri Lanka after 3 years of tsunami catastrophe. Methods: A cross sectional population based study was performed in a two analogous communities representing tsunami effected and a non effected population in the Hambantota district of Sri Lanka. A total of 740 people both male and female above 20 years of age participated representing tsunami non effected (425) and effected (315) areas. Prevalence of diabetes was determined by Fasting Blood Glucose (FBS) values according to the WHO guidelines in1999. Additionally, 2 hour post glucose test. (2h BG) after 75g glucose drink was also measured. The prevalence of depressive symptoms was determined using Montgomery Åsburg Depression Rating Scale (MARDS). Potential socio demographic characteristics measured by interviewer administered questionnaire and anthropometric indicators measured by body measurements according to WHO criteria. (BMI, waist to hip ratio, Blood pressure,) 8 Results: In total population studied (740), prevalence of diabetes was 10.5%. Prevalence of diabetes was higher in the tsunami effected (11.7%) than that of tsunami none effected participants. (9.6%), (95% CI=0.77-1.9). Prevalence of diabetes was increased with increasing age and also with increasing BMI. In both tsunami effected and non effected areas, prevalence of diabetes was higher in females than males. A substantial agreement was found (Kappa 0.628, P 0.001) between FBG values and 2h BG values. Significant risk factors for development of diabetes were higher age, high BMI, high WHR (in females), high total cholesterol levels, higher weight, and Depression. Prevalence of Depression was 17.3% in the total population. It was significantly higher in tsunami effected (22.5%) than non effected (13.4%). Prevalence of depression increased with increasing age. In both tsunami effected and non effected population, depression was higher in females than males. Diabetes, tsunami affected people, higher age, higher BMI and higher Systolic Blood pressure were identified as significant risk factors for depression. There was a strong relationship between prevalence of diabetes and depression. Conclusion: Prevalence of Diabetes and depression was higher in the tsunami effected than that of non effected population. There is a significant relationship between depression and diabetes. It is prime important that disaster management plans include management of non communicable diseases including diabetes and depression in developing countries like Sri Lanka. Further, psychiatric interventions may be needed to overt the exponential rise in the prevalence of diabetes mellitus in this population.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Norwegian Quota Scholarship Program - Bolsa / Norwegian Agency for Development Cooperation - Auxílio financeiro.
  Membro: Hussain Akhtar.
21. 2006-2015. Norad's Programme for Master Studies, NOMA. Integrated Masters Programs (M.Phil.) in Public Health Research in Asia (Bangladesh- Nepal, Bhutan, India and Pakistan)
  Descrição: There is an urgent need to develop strategies with a focus to the development of manpower to prevent or delay the onset of Non Communicable Diseases like Diabetes, Obesity, Cardio-Vascular Diseases and Mental Health as well as infectious diseases in the countries where resource is already at an alarmingly low level to cope with the challenges that will require an increased portion of the health budget in the years to come. But there is no public health strategy particularly in the developing country armed with necessary qualified manpower to meet the challenges. Moreover, there is an urgent need to collaborate with the neighbouring countries to meet these challenges where the environment and the infrastructure is comparable. Therefore, we proposed to develop a regional competence centre in Dhaka in collaboration with Pakistan, India, Nepal, Bhutan and Sri-Lanka to develop necessary manpower to cope with the challenges of developing effective public health policies from health delivery system to the prevention of the condition with measures suitable for local conditions. An Integrated Master?s Program and courses in Health Sciences in Asia was developed in collaboration with Diabetic Association of Bangladesh (DAB) with Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) and Bangladesh Institute of Health Sciences (BIHS), as the key and coordinating partner. Other partners were Baqai Medical University (BMU) with its Baqai Institute of Diabetology & Endocrinology in Karachi Pakistan, Diabetic Association of Nepal together with Kathmandu University and the Ministry of health-Bhutan. The consortium enjoys an unique history of scientific collaboration with India, Sri-Lanka and China in the region. In this Master Program, it has been envisaged to generate postgraduate manpower in five of the most demanding disciplines of Public Health. The disciplines are as follows: a) Epidemiology & Biostatistics, b) Nutrition, c) Health Education & Health Promotion (HE & HP), d) Noncommunicable Diseases (NCD) and e) Health Informatics.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (86) . Integrantes: Hussain Akhtar - Coordenador / ALI, LIAQUAT - Integrante / BASIT, ABDUL - Integrante / AZAD KHAN, AK - Integrante / RAMACHANDRAN, A. - Integrante / Gerd Holmboe-Ottesen - Integrante / Samad Shera - Integrante / Dag Bruusgård - Integrante / B. L. Sing - Integrante. Financiador(es): Norwegian Agency for Development Cooperation - Auxílio financeiro.
  Membro: Hussain Akhtar.
22. 2006-2010. Intervention for Prevention of Diabetes ? Bangladesh (Lifediab)
  Descrição: One thousand and five hundred with Impaired Glucose Tolerance were recruited for intervention and followed for 18 months. Those willing to participate were then stratified randomly by Age and BMI (Normal and Overweight/Obese) into four different arms. The study was a prospective intervention to assess the impact of different intervention modules to find out how to appropriately prevent the diabetes among high risk groups. Objective: To assess the outcome of different intervention (lifestyle, metformin and glibenclamide) models to prevent diabetes among high risk group in Bangladesh.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / AZAD KHAN, A. K. - Integrante. Financiador(es): Norwegian Research Council - Auxílio financeiro.
  Membro: Hussain Akhtar.
23. 2006-2010. Epidemiology of type 2 diabetes - Pakistan (Lifediab)
  Descrição: Immigrants from developing countries in Europe have changed their lifestyle, popularly called ?westernization?, and this may be the eliciting factor for high prevalence of type 2 diabetes (T2DM) and obesity. Such changes in adult age may be a burden to metabolism, and South Asians may have a genetic susceptibility to lifestyle change. Diet and physical activity are in the next turn important determinants for cardiovascular mortality which is high in South Asian immigrants in Europe. By studying lifestyle and genetics among South Asians in Europe and in their homeland we may gain insight in the general mechanisms of T2DM that may explain the increasing prevalence rates all over the world today. Most of the immigrants in Norway is from Pakistan and the district of Guzrat in particular. Therefore, we have conducted a study in Pakistan in the district of Guzrat and the area called ?Kharian?. The data was contrasted against the data from the Pakistani immigrants in Norway to understanding the risk factors and finding effective preventive measures of diabetes. The programme has resulted in the followings: - Identification of risk indicators for Diabetes Mellitus among the rural population of Pakistan namely ?Kharian?. The vast majority of the Pakistan immigrants in Norway originate from this area. We have already analyzed the data and published the differences in the risk of diabetes and cardiovascular diseases between Pakistanis in Pakistan compared to the Pakistanis in Norway. Further analysis on the genetic predisposition is also possible (future plan).. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (2) . Integrantes: Hussain Akhtar - Coordenador / BASIT, ABDUL - Integrante / AZAD KHAN, AK - Integrante / Zumin Shi - Integrante. Financiador(es): Norwegian Research Council - Auxílio financeiro.
  Membro: Hussain Akhtar.
24. 2006-2010. Epidemiology of type 2 diabetes - China (Lifediab)
  Descrição: Diabetes and metabolic syndrome have been increasing as one of the major public health challenges in China nowadays. They are more serious in Jiangsu Province, east China where dramatic urbanization and nutrition transition are occurring. In order to develop sound health policy to cope with such challenges, we need to identify the extent of the problem and its risk indicators. The objective of this study was to evaluate the prevalence of diabetes and metabolic syndrome among adults in Jiangsu province, China. Furthermore, associated factors like demographic factors, diet, and physical activity were also identified. The etiological role of some cytokines and inflammation factors were analyzed as well. It was a cross-sectional community-based survey. The study population was adults (both males and females) aged ?18 years from both urban and rural areas in Jiangsu province, China. Multistage stratified cluster random sampling was applied. Data were collected through questionnaire interviews, anthropometric examination, dietary assessment and blood sample analysis.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / AZAD KHAN, A.K. - Integrante / Abdul Basit - Integrante / Zumin Shi - Integrante. Financiador(es): Norwegian Research Council - Auxílio financeiro.
  Membro: Hussain Akhtar.
25. 2006-2010. Epidemiology of type 2 diabetes - Bangladesh (Lifediab)
  Descrição: Body mass index, waist circumference, and waist/hip ratio have been shown to be associated with type 2 diabetes. But this association was found to be highly ethnically sensitive. In most epidemiological studies, high waist-to-hip ration (WHR) or central obesity has been found significantly related to insulin resistance which in turn relates to diabetes, hypertension, dyslipidemia like high triglycerides (TG), high total cholesterol (T-cho) and low high density-lipoprotein-c (HDL-C). Nevertheless, all these information were derived from cross-sectional data. Previous reports showed that Asian Indian and Bangladeshi subjects were more sensitive to central adiposity for the development of diabetes. Most of the data are based on cross-sectional studies and therefore are not liable to identify risks in Asian subjects for diabetes. Therefore, a study has been conducted including 5,000 populations to estimate the occurrence of new cases (incidence) of diabetes based on five and ten-year follow-up. The biophysical (blood pressure and anthropometrical, height, weight, BMI, waist and hip circumference) and biochemical (T-cho, TG, HDL-cho) risks have been measured. In addition to these known risk factors, their family history of diabetes, physical activity level related occupation, and food habits have been assessed as a lifestyle factor.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / AZAD KHAN, A.K. - Integrante / BASIT, ABDUL - Integrante / Zumin Shi - Integrante. Financiador(es): Norwegian Research Council - Auxílio financeiro.
  Membro: Hussain Akhtar.
26. 2006-2010. Intervention for Prevention of Diabetes ? Pakistan (Lifediab)
  Descrição: A high risk group identified on the basis of a questionnaire developed for identifying IGT cases was invited from the outpatient clinic of BIRDEM in Bangladesh and Baqai Institute of Diabetology and Endocrinology and its peripheral clinics in Pakistan. They were further screened by OGTT, after which they might have been recruited for the study if found to be having IGT. A one and a half year prospective randomized study involving four treatment modules was initiated. Subjects in the age groups of 20-59 years of either gender were included. Objectives for the preventive trials 1. To observe the rate of conversion of IGT to diabetes 2. To note the usefulness of an insulin sensitizer (Metformin 500 mg) in this population 3. To register the benefits of combining lifestyle modification and Metformin 4. To evaluate the impact of intervention with lifestyle modification in relatively non-obese IGT subjects in whom weight reduction may not be feasible as a part of lifestyle modification. 5 To examine the possible differences in intervention results in Pakistan compared to the intervention results of the Pakistani migrants in Oslo, and with that of Bangladesh and India in order to identify impact of intervention in different environmental conditions 6. To develop methods of intervention when it comes to diet and physical activity tailored for the local culture (Oslo, Pakistan and Bangladesh) 7. To develop guidelines for primary health care - to prevent lifestyle related diseases - to develop proficiency for lifestyle counseling. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / Abdul Basit - Integrante / Samad Shera - Integrante. Financiador(es): Norwegian Research Council - Auxílio financeiro.
  Membro: Hussain Akhtar.
27. 2006-2010. Intervention for Prevention of Diabetes ? Norway (Lifediab)
  Descrição: A culturally adapted lifestyle intervention approach with main focus on blood glucose regulation improved the risk profile for type 2 diabetes in Pakistani immigrant women. This study was a randomized controlled trial to improve the risk profile of Type 2 diabetes (T2D) in a group of Pakistani immigrant women living in Oslo, using a nondirective and culturally adapted education program about blood glucose regulation via physical activity, diet, and coping. At baseline there were no significant differences between the control and intervention group in blood variables, BMI or waist circumference. About 55 % of the 198 participants were overweight, 40 % obese, 41 % had MetS, and 12 % T2D. Participants with the Metabolic Syndrome (MetS) had poorer general health, lower physical function, and more bodily pain than those without MetS, but physical function, vitality, social functioning, emotional function, and mental health were similar in the two groups. Effects of the intervention: Fasting plasma glucose and insulin concentrations were reduced in the intervention group only. The reductions in 2 hour glucose, IAUC (Incremental Area Under the blood glucose vs. time Curve), 2 hour C-peptide, diastolic blood pressure, and BMI did not differ between the groups. At baseline there was no significant difference in proportion of women with MetS in the two groups (44% versus 42%). During the study period, as many as 23 controls (20%) had developed MetS, compared to 11 (12%) in the intervention group. Those attending 4 or more teaching sessions improved more than control subjects in BMI, fasting glucose, insulin, and triglycerides.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / CLAUSSEN, BJØRGULF - Integrante / Gerd Holmboe-Ottesen - Integrante. Financiador(es): Norwegian Research Council - Auxílio financeiro.
  Membro: Hussain Akhtar.
28. 2006-2008. Type 2 Diabetes and associated Lifestyle Factors
  Descrição: BACKGROUND: The increase of communicable and non- communicable diseases in Africa and the world today have been attributed to changes in human behaviour and lifestyles in generally susceptible individuals. Cameroonian lifestyle results in extreme risk of type 2 diabetes. The prevalence of type 2 diabetes is predicted to increase extensively in sub- Saharan Africa, and predict to double in Cameroon, especially in the urban area, due to changes in human behaviour. OBJECTIVE: To provide baseline data that will contribute to the surveillance of diabetes in Cameroon and develop policies to prevent the occurrence of type 2 diabetes RESEARCH DESIGN AND METHODS: It was a population based, cross sectional study of 1279 people. Data was collected using steps 1, 2 and 3 of the WHO STEPS instrument (Version 1.3) for NCDs and their risk factor surveillance that was adapted for the Cameroon Burden of Diabetes (CAMBoD) project with respect to local specifications. The prevalence of diabetes and lifestyle factors was assessed according to standardized methods. RESULTS: The age standardized prevalence rate of diabetes and IFG was 9.0% and 6.8%, respectively. Generally, worsening glycaemic status was associated with increasing age, body mass index, systolic blood pressure and diastolic blood pressure. Overweight and obesity emerged as a strong independent risk factor for diabetes, irrespective of the measure used. Diabetes was more common in the female than the male p0.005). The older age groups (46-55 and 56+) had twice and thrice the risk of having diabetes, than the younger and the normal population (adjusted OR=3.1, p0.001). Diabetes was found more in those who ate more servings of fruits and vegetables. Other lifestyles factors like physical activity and smoking was not a predictor of diabetes in this study, though revealing that smoker and those who are physically inactive has a higher risk of having diabetes. CONCLUSION: With the increasing associated lifestyle factors to diabetes mellitus in Cameroon, diabetes was found to be highly prevalent in middle and elderly Cameroonians. Our findings therefore highlight the need to adopt policies to reduce the burden of diabetes mellitus and obesity through health care services; special focus should be projected to women and special care should be taken for those who are in transition of lifestyle.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
29. 2006-2008. Diabetes and metabolic syndrome in middle-aged and elderly adults: a population-based Study in Jiangsu Province, China
  Descrição: BACKGROUND: Chronic diseases like diabetes and metabolic syndrome are increasing rapidly in China. The present study was a part of an ongoing prospective follow-up project aiming to develop necessary health strategy. OBJECTIVE: The aim of this study was to evaluate the prevalence of diabetes and metabolic syndrome and to identify their associated risk factors among middle-aged and elderly participants in Jiangsu province, China. RESEARCH DESIGN AND METHODS: As the baseline survey of a follow-up programme, this population-based cross-sectional study was performed on 3914 adults aged 35-74 years living in urban and rural areas of 4 cities in Jiangsu province, eastern China. The prevalence of diabetes and metabolic syndrome was assessed according to WHO, IDF and modified ATP III criteria. Potential socio-demographic and lifestyle risk factors were also analyzed. Data was collected by interviewer-administered questionnaire, biophysical assessment and biochemical examination. RESULTS: Age-Standardized prevalence of diabetes and IFG was 6.8% and 21.0% respectively. Family history of diabetes was an important predictor of diabetes in the study population. However, BMI was found as the strongest significant risk factor for the development of diabetes. The adjusted prevalence of metabolic syndrome defined by WHO, IDF and modified ATP III criteria was 12.3%, 21.8% and 31.5%, respectively. Gender, age and BMI status were significant risk factors for metabolic syndrome independent of definition, while higher education level for WHO MetS, habit of tea consumption for modified ATP III MetS were protective factors in the study population. The diabetes and metabolic syndrome were more common in female than in male (p0.05). Substantial agreement (?=0.79) was found between IDF and modified ATP III definitions. In addition, weight gain was particularly risk factor for each disorder among originally normal weight population (p0.001). CONCLUSIONS: Diabetes and metabolic syndrome were highly prevalent in middle-aged and elderly Chinese population. Community-based strategies for lifestyle modification are of great necessity to address the problems.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / Zumin Shi - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
30. 2006-2007. The prevalence of and risk factors for diabetic peripheral neuropathy among type 2 diabetic outpatients in Bangladesh
  Descrição: Aims/hypothesis: The purpose of the study was to estimate the prevalence and risk factors for diabetic peripheral neuropathy (DPN), and additionally, evaluate the sensory and musculoskeletal lower-leg function, in type 2 diabetic outpatients, attending the BIRDEM hospital in Bangladesh. Materials and methods: Type 2 diabetic outpatients, diagnosed 5-11 years prior the investigation was randomly drawn. The Neuropathy Symptom Score (NSS) and the Neuropathy Disability Score (NDS) was employed to assess DPN. Data about socio-demographic characters, blood pressure, height, weight, waist and hip circumference, and random blood and urine samples were collected. For the lower-leg function evaluation, the plantar cutaneous sensation (Semmer-Weinstein 5.07 g monofilament), 1st MTP and ankle joint rang of motion (ROM) (goniometry) and muscle function (Kendall?s muscle test) in addition to balance (one and two leg static balance, tandem walk) was examined. Results: Two hundred and ninety four (139 men, 155 women) type 2 diabetic outpatients were studied. The overall DPN prevalence was 19.7 %, male (20.9%) and female (18.7 %). The prevalence rate increased with increasing age (from 11.1% in the 23-40 year-old group to 32.3% in the 60-80 year-old group) and duration of diabetes (from 14.1% in patients with 5 years to 29.2% in patients with 9-11 years duration). Age 60 years (OR 4.2, 95% CI 1.4 ? 12.3), low/normal WHR (OR 3.8, 95%CI 1.6-9.3), treatment with insulin (OR 2.0, 95% CI 1.0-4.0) and income 800 TK (OR 3.1, 95% CI 1.1-9.3) were independent, statistically significant risk factors for the occurrence of DPN, longer duration of diabetes (OR 1.2, 95% CI 1.0-1.4) and higher HbA1c (OR 1.1, 95% CI 1.0-1.3) were independent, borderline statistically significant risk factors for DPN. The 1st MTP dorsal (p=0.03) and plantar flexion (p=0.003) joint ROM, the Tibialis anterior (p=0.03) and Flexor hallucis (p=0.02) strength, balance (0.001) and protective sensation (p0.001) was statistically significant diminished in the DPN group compared to the non-DPN-group. After controlling for age, protective sensation, balance, 1st MTP plantar and dorsal flexion ROM, and Tibialis anterior and Flexor hallucis strength in a multivariate logistic regression model, the DPN-group still had reduced balance (OR 1.4, 95% CI 1.1-1.6), diminished protective sensation (OR2.0, 95% CI 1.5-2.6) and Flexor hallucis weakness (OR 3.2, 95% CI 1.1-9.4). Conclusions/interpretations: We observed a DPN prevalence of 19.7%. Higher age, low socioeconomic status and treatment with insulin were statistically significant risk factors, while longer duration of diabetes and poor glycemic control were borderline statistically significant risk factors for DPN. The DPN subjects preformed worse on all the lower-leg function tests, especially for the protective sensation and balance test. They may therefore be at high risk for developing foot complications. In societies like Bangladesh, where the resources are scare, the awareness among patients and professionals should be raised. Necessary measures ought to be taken to prevent diabetes complication and secure the quality of care to reduce the burden and costs for both the individual family and the society at large.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / ALI, LIAQUAT - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
31. 2006-Atual. An Epidemiological study of Diabetes Mellitus/Cardiometabolic risk Prediction in an adult Population of Cameroon
  Descrição: The data are from the Cameroon Burden of Diabetes 2006 Survey (Phase 2), conducted in three ecological zone with a population size of 8663 (3469 men and 5194 women; aged ? 25 years) and from the Cross Sectional Survey conducted in 1994 in three villages of Evodoula [rural (786 participants)] and cite Verte [urban (1160 participants); aged 25-74 years] health areas of Cameroon. Situação: Em andamento; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / Andre Pascal Kengne - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
32. 2005-2007. Metabolic Syndrome and Insulin Resistance in Pakistan: a population based study in adults 25 years and above in Karachi
  Descrição: Background : Sedentary lifestyle along with easy access to fast foods have resulted in a global epidemic of diabetes with a prediction that it will rise from the current estimate of 190 million to 324 million in 2025. WHO predicts that 170% increase of diabetes will be in the developing countries. Type 2 diabetes (T2DM) has become one of the major causes of premature illness and death and cardiovascular disease (CVD) will be responsible for up to 80% of these deaths. So it seems that at the moment we are faced with the twin pandemic of T2DM and CVD and the brunt of this would be borne by the developing countries. The clustering of central obesity, dyslipidaemia, hypertension, and hyperglycaemia known as metabolic syndrome has been associated with a 2-3 fold increase in T2DM and CVD. It is recognized that the features of the metabolic syndrome can be present 10 years preceding T2DM and CVD. The prevalence rates of metabolic syndrome appear varied using the WHO, EGIR, AACE, ATP III and IDF definitions. Therefore it is needed to study the suitability of metabolic syndrome definitions in this population. Objective: To estimate the prevalence of metabolic syndrome in adults aged 25 years and above from an urban population of Karachi. Methods: The survey was conducted from July to December 2004 by generating a computerized random sample of 500 households from houses in Lyari Town using a Geographical Imaging System (GIS). The survey activities were divided into two phases?the household interview and blood sample collection. Field work entailed visits to the selected household by a field team (medical students and health worker), introduction to the purpose of the research study, consent, interviews and physical measurements. In the 532 households visited 867 adults 25 years old consented to take part in the survey out of which 363 gave blood samples. Results: Prevalence of Diabetes was 9.4% while 5.6% had impaired fasting glucose (Abnormal glucose tolerance 15%). Prevalence of metabolic syndrome was found to be 49% by modified ATP III, 34.8% by IDF, 16.9% by AACE, 15.2% by EGIR and 7.4% by WHO definition. Insulin resistance defined by 75th percentile of HOMA-IR was measured as 1.94. Conclusion: Inclusion of modified waist circumference and BMI cutoffs may help to predict metabolic syndrome more precisely as incorporated in modified ATP III and IDF definition. The rising prevalence of obesity and metabolic syndrome has received increased attention in recent years as both place individuals at risk for T2DM and CVD. Thus epidemiological and intervention trial studies which support lifestyle changes as the main modifiable risk factor in the treatment of individual components of the metabolic syndrome can then be initiated.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / BASIT, ABDUL - Integrante / Samad Shera - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
33. 2005-2006. Cost of Diabetes Care in the Out-patient Department of a Tertiary Care Hospital in Bangladesh
  Descrição: Background and Aims: Global distribution, determinants, and financial aspects of type 2 diabetes mellitus from data in developed countries depict it as a major health problem increasing at an alarming rate. But to the best of my knowledge, a comprehensive study regarding cost burden in developing countries is almost non-existent though it is a similar menace. The present study aimed to investigate and determine the cost of care among patients with diabetes, in the BIRDEM Hospital, the central institute of the Diabetic Association of Bangladesh (DAB), providing diabetes care to a large no of diabetic patients in one centre of the world (total number of registered patients are 0.29 million up to end of 2005). Materials and Methods: Three hundred uncomplicated diabetes patients registered within two years attending the Out-Patient Department (OPD) were interviewed with a preset questionnaire including scrutinizing guide book records regarding the direct cost (cost of medical advice, investigations, medical treatment), indirect cost [travel cost, cost of productivity loss, and cost of accompanying person(s)] along with an in-depth interview was collected through August-December 2005. A comparison was made between patients undergoing three different treatment modalities (Insulin, oral hypoglycemic agents and lifestyle management). An in-depth interview of the subjects was taken to know the effects of diabetes in life, the value of money they spend for diabetes and responses regarding future. Results: All T2DM patients in the OPD are taken care of by 78 OPD physicians, 5 Nutrition Officers, 12 social welfare Officers, 6 Health education officers, 128 Health Assistants, and 101 Technicians. Services provided to the patients include medical care, biochemical investigations, nutrition and health education, social welfare support in applicable cases. The total number of visit events in 2004-2005 was 0.04 million. The average cost per patient came to US$ 142 (US$ 88 to patient and US$ 54 to provider). The difference in mean cost of patients with different management groups was found significant (p = 0.000). Lifestyle management is cost sparing to other treatment modalities, and Insulin is costlier to other two. The in-depth interview provided supplementary support to the least cost model. Conclusion: Findings showed that i) cost of diabetes care is huge even at a reasonable BIRDEM rate ii) cost of treatment with insulin is high and lifestyle management is effective. The study provides a background for policy researchers to advanced studies on economic evaluation. Providing diabetes care to the population is a challenging task particularly in developing countries like Bangladesh. The huge burden despite comprehensive care is only the tip of iceberg and needs resource mobilization and careful health planning.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / ALI, LIAQUAT - Integrante / JERVELL, JAK - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
34. 2004-2005. Risk factors and pregnancy outcomes among gestational diabetic mothers
  Descrição: ackground: Gestational diabetes mellitus (GDM) most of which progress to type 2 diabetes mellitus (T2DM) is increasing world wide. An apprehensive increase of GDM is also observed in Bangladesh in line with growing prevalence of T2DM. GDM predisposes mother and offspring to increased risk of complication during pregnancy. Identification of GDM and control of glucose in pregnancy can reduce such complications and improve maternal and neonatal health. A standard guideline on screening of GDM is yet to be developed in Bangladesh. Objectives: To identify risk factors and to examine the relationship of maternal and neonatal complications associated with GDM in a group of hospital population. Methods: A case control study was carried out in BIRDEM and MCHTI hospital from 1st of July to 15th October 2004. 106 pregnant women with a diagnosis of GDM and 196 without GDM were included in this study. Data on risk factors and pregnancy outcomes were collected through a face to face interview with the mothers and checking antenatal and delivery records at postnatal word. Results: Maternal age 25 years, pregnancy BMI 23 kg/m2, positive family history of diabetes were found to be independent risk factor for GDM in multivariate analysis. Women who were diagnosed in the first half of the pregnancy were most likely to be treated with insulin [OR 3.7; 95% CI (1.6-8.9)]. Prevalence of hypertension was higher in GDM compared to NonGDM (12.3% vs. 4.1%). Anaemia was less prevalent in the GDM group. Preterm delivery, caesarean section, birth weight 3.5 kg were seen to be independently associated with GDM. No significant difference was found in maternal, fetal or neonatal complications either according to time of diagnosis of GDM or type of treatment they received. Only the occurrence of hypoglycemia in the neonates born to mothers with GDM has been seen to be higher in the women who were diagnosed early (75.8% vs. 52%) and also who received insulin (74.5% vs. 36.7%). Hypertension in pregnancy appeared to be significantly associated (p value 0.01) with the women who were diagnosed of GDM in early stage of pregnancy. Women who were treated with insulin had higher prevalence of birth weight more than 3.5 kg. Conclusion: This study suggests that relatively older woman; woman with a family history of diabetes or increased BMI possess independent risk for GDM in the study population. Women with GDM have increased risk of preterm birth, caesarean section and larger baby. GDM diagnosed early or treated with insulin in pregnancy predict higher risk of adverse effects in mother and newborn. Therefore, these findings should be given particular importance during antenatal period to initiate a screening programme and treatment protocol for GDM.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / AZAD KHAN, A.K. - Integrante. Financiador(es): Norwegian Agency for Development Cooperation - Auxílio financeiro / Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
35. 2004-2005. Where is the change of Behavior? Assessment on the integrated early school adolescent's sexual and reproductive Health(HIV/AIDS)education
  Descrição: Second cycle primary school students aged 10-14 years and teachers in Bahir Dar Town were recruited between September 2004- to December 2004. Master thesis: Where is the change of Behavior? Assessment on the integrated early school adolescent's sexual and reproductive Health(HIV/AIDS)education. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Norwegian Agency for Development Cooperation - Auxílio financeiro / Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
36. 2003-2004. Characteristics of the T2DM Patients with and without Microalbuminuria in Bangladesh
  Descrição: Cross-sectional study among 902 T2DM patients (30 to 60 years of age). In a second phase, the participants were divided into cases and controls (240 subjects in each group). Among the cases: 213 males and 27 females. Controls: 214 males and 26 females.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / AZAD KHAN, A. K. - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
37. 2003-2004. Environmental, demographic and socio-economic factors associated with diarrhea morbidity in children under five in rural Malawi. A study of Solola-Mzimba
  Descrição: Diarrhea has been one of the major causes of morbidity in under-five children in Malawi. About 86% of the population lives in rural areas where poverty is very rife. The aim of the study was to investigate environmental, demographic and socio-economic factors associated with diarrheal morbidity in under-five children in Solola, one of rural areas of Malawi. A cross-sectional study was conducted in seven villages of Solola area, from 10th November to 29th November 2003. A total of seven from thirty-three villages, and thereafter 302 children were recruited using systematic sampling whose mothers totaling 261 were interviewed using a questionnaire. An observational guide was used to gather more information regarding environmental factors. About 41% of the children had diarrhea out of which 73% and 27% were watery and bloody diarrhea respectively. Only 36% was ongoing diarrhea. About 60.3% (182/302) of children were living in an environment of an overall poor sanitation/rubbish disposal; 72.1% (217/301) in that of poor food hygiene related practices; and 80.4% (242/251) in that of poor drinking water handling practices. Low education and poor knowledge (about diarrhea) among mothers, inadequate breastfeeding, poor care of hands after defecating, shorter distance to latrine from house, sharing of latrines, unsafe disposal of feces/garbage, unsafe water source, sharing hand-washing water at meals, and uncleanliness of kitchen were significantly associated with diarrhea morbidity in the children (X² test = p0.05). The unavailability of safe water, lack of knowledge and having been used to not treating water before use, laziness and not being used to using a rubbish pit, and gender were the main reasons among mothers for not using good practices regarding water and sanitation/rubbish disposal. The community including mothers must be adequately educated or informed about the importance of using good hygiene practices regarding water, sanitation and food preparation to reduce or control diarrhea. Provision of safe water and more education to women is also important in combating diarrhea in rural areas.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
38. 2003-2004. Hypertensive Disorders of Pregnancy: Prevalence, Maternal Complications and Perinatal Outcomes at Lilongwe Central Hospital, Malawi
  Descrição: Objectives of the study were to determine the prevalence, maternal complications and perinatal outcomes of pregnancy in patients with Hypertensive Disorders of Pregnancy (HDP). Materials and Methods: A retrospective study was done by reviewing patients? journals at Lilongwe Central Hospital (LCH) Maternity wing from January 2003 to June 2003. Those with HDP were then selected for the study. Results: From a total of 5248 deliveries during the period of study, 70 HDP cases were identified. Only 36 (51%) booked for antenatal care. The overall prevalence was 13 per 1000 deliveries. The mean age of the cases was 23.9 years. Among the cases 47 (67.1%) were younger women of the age group 16-25 years. Thirty-five (50%) of the 70 cases were primigravidae and 65 (93%) were married women. Of the five single mothers, eclampsia affected 4 while 45 married women were preeclamptic. There were similarities in the distribution of pre-eclampsia and eclampsia amongst the residential areas with higher number of urban cases compared to rural cases. There were 8 cases who had pregnancy induced hypertension (PIH) in their previous pregnancies. Maternal complications included 17 cases of severe preeclampsia, 24 cases of eclampsia, 3 cases of disseminated intravascular coagulation (DIC), 3 cases of acute renal failure (ARF), 1 case of pulmonary oedema, and 1 case of maternal death. Perinatal outcomes included 34 preterm deliveries, 27 low birth weight babies, 7 stillbirths and 1 neonatal death. Conclusion: The prevalence rate of HDP is lower than those of South Africa and Zimbabwe. This finding may be attributed to underutilization of maternity services (55% deliver in hospitals in Malawi). Primigravidae were the most affected group in this study (50%) of all the cases, a finding that is similar to findings of various studies.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
39. 2002-2008. Women and infants at risk: The epidemiology of HIV and sexually transmitted infections among pregnant women and challenges facing preventive programs in Northern Tanzania.
  Descrição: 2654 pregnant women (mean age: 24.61, range: 14-43) recruited in the third trimester in Moshi urban district (Kilimanjaro, Tanzania). Prospective cohort study following the women until 18 months after the delivery (The participants received pre- and post- test counseling, and the follow-up after the delivery was scheduled for 1, 3, 6, 9, 12, 15 and 18 months). PhD Thesis: Women and infants at risk: The epidemiology of HIV and sexually transmitted infections among pregnant women and challenges facing preventive programs in Northern Tanzania. (By Sia E. Msuya). Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / STRAY-PEDERSEN, BABILL - Integrante / SAM, NOEL E - Integrante. Financiador(es): The Letten Foundation - Auxílio financeiro / Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
40. 2002-2005. IMMIDIAB
  Descrição: Background: The epidemiology of type 2 diabetes and its complications vary significantly between ethnic groups. Immigrants particularly from the South-Asian countries in Western Europe appear to represent the epidemic challenge to understand the genetic predisposition and its interfaces with the adaptability to new environmental conditions for the development of type 2 diabetes mellitus (T2DM). Communities undergoing transitory lifestyle offer an ideal opportunity to gain insight in the patterns of genetic predispositions and its complex interplay with the lifestyles that may explain the increasing prevalence of obesity and T2DM in Europe and the rest of the world today. The relationships between the conditions like obesity, T2DM, insulin resistance and impaired insulin secretion are complex. They may have some common genetic traits and endocrinological features but the pathophysiology responsible for the development of hyperglycaemia in type 2 diabetes is yet to be established. Obesity stands out as a risk factor for T2DM, but lean type 2 diabetes has also observed in India and Bangladesh. Recent observations of extremely lean, lipoatrophic models have revealed a similar predisposition to developing diabetes as with the increased adiposity. Further investigations are needed in the adipose tissue and its dysfunction in the pathogenesis of diabetes. Proteomics are necessary in these investigations. The thrifty phenotype hypothesis, introduced by Hales and Barker in 1992, proposed the concept that environmental factors acting in early life might influence later risk of type 2 diabetes. This may obviously have played a role in the increased development of type 2 diabetes among immigrants to Europe. Reduction of obesity is the core point in the treatment of diabetes in all ethnic groups. Reduced calorie intake and increased physical activity are the main treatment issues for both the conditions. Individualization of treatment may be enhanced by further studies in genetical epidemiology. The understanding of the etiology and mechanism causing increased hyperglycaemia in this population will provide clues to more effective treatment and prevention of diabetes and obesity. Furthermore, the information may help in understanding the pathophysiology of T2DM in other population and thereby methods of treatment and prevention in general. Since the ethnic mix of the European population is changing rapidly, the identification of the mechanism involved in type 2 diabetes is also important for the other ethnic groups. There is a need to organize cohesive efforts from various specialties like obesity and T2DM in genetics, bioinformatics, cell biology, clinics, epidemiology, and prevention. Problem - To understand the genetic predisposition and its interfaces with the adaptability to new environmental conditions for the development of type 2 diabetes mellitus. - Complex interplay with the lifestyles that may explain the increasing prevalence of obesity and T2DM in Europe and the rest of the world today. - To explain the pathophysiology responsible for the development of hyperglycaemia in T2DM. - To provide clues to more effective treatment and prevention of diabetes and obesity. Aim: Create a Network of specialists of obesity and T2DM in genetics, bioinformatics and cell biology, clinics, epidemiology and prevention through three workshops, two training program and one international conference. 1. Train new researchers 2. To conduct a small-scale genetical study of obesity and T2DM and of lifestyle in available immigrant populations in Oslo, London and Helsinki (funded outside the present project) 3. Contribute to develop bioinformatics 4. Plan a bigger study of genetics and lifestyle across ethnicity. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Integrante / ALI, LIAQUAT - Integrante / MBANYA, JEAN-CLAUDE - Integrante / BASIT, ABDUL - Integrante / CLAUSSEN, BJØRGULF - Coordenador / JERVELL, JAK - Integrante / AZAD KHAN, AK - Integrante / Graham Hitman - Integrante / Jaakko Tuomilehto - Integrante / Samad Shera - Integrante / Paul McKeigue - Integrante / Ambady Ramachandran - Integrante / V. Mohn - Integrante / Kåre Birkeland - Integrante / Leif Groop - Integrante / Massi Benedetti - Integrante / Renato Lauro - Integrante / Pierre Maechler - Integrante / Eckel Jurgen - Integrante. Financiador(es): European Union - Auxílio financeiro.
  Membro: Hussain Akhtar.
41. 2002-2003. Malnutrition among children in Madagascar: a study on knowledge and child bearing practices
  Descrição: Cross-sectional survey was conducted on 143 households with children between 6 and 36 months. Areas of Study - villages in Madagascar: Tsaramasoandro, Mangarivotra, Ambaravaranala, Tsarahoenana, Morafeno and Anjoma Ramartina. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
42. 2000-2001. The effect of health and nutrition training among the health workers on anaemia in rural areas of Tanzania
  Descrição: The study utilised two sets of data. Data on haemoglobin levels (secondary data) for under five children and pregnant women attending maternal and child health clinics at the sentinel district hospital was obtained from Tanzania Food and Nutrition Centre (TFNC). Primary data on knowledge, attitudes and practices among health workers and community members on anaemia were obtained through a cross-sectional study in the intervention and control areas. Primary data: Cross-sectional study. 97 health workers and 319 household members in the Intervention Area (IA), while in the Control Area (CA) there were 104 health workers and 322 household representatives who participated in the study (The mean age for health workers was 39.1 ± 6.2 in the IA and 38.7 ± 7.1 in the CA. For the households females constituted the majority, about 80 percent of the interviewee in both areas). Secondary data: 930 under five children of whom, 618 and 317 were from the intervention and the control area, respectively. Of the 618 children from the IA, 241 were from 1997 and 377 from 1998. For the CA there were 110 children in 1997 and 207 in 1998. For both areas, children aged less than 2 years (0-23 months) constituted more than 50% of the study population. A total of 515 pregnant women were recruited. 127 were from the IA, 78 of them being those recruited in 1997 and 49 in 1998. The CA recruited 196 in 1997 and 192 in 1998. For the secondary data: Twenty-five district hospitals were chosen to represent at least each of the 20 regions of the mainland Tanzania.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / Kagoma S. Mnyika - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
43. 1999-2013. Ten years follow-up study for Diabetes in Indian-Asian Population: A Study from Bangladesh (1999-2009)
  Descrição: Three cross sectional surveys (1999, 2004 and 2009). Rural Bangladeshi population: 1999 (4757 subjects: 2037 male and 2720 female aged=20 yrs), 2004 (3981 subjects: 1598 male and 2383 female aged =20 yrs) and 2009 (2293 subjects: 842 male and 1451 female aged =18 yrs). Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / AZAD KHAN, AK - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
44. 1999-2005. Women's Reproductive Health and HIV: Seizing the Opportunity
  Descrição: The study presented a cross-sectional design and involved 393 women, pregnant and non pregnant, ages 15-49 years of age in Harare, Zimbabwe. PhD thesis: Women's Reproductive Health and HIV: Seizing the Opportunity. Student: Elizabeth Mukuze - Mbizvo.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / MBIZVO, ELIZABETH MUKUZE - Integrante / MSUYA, SIA - Integrante. Financiador(es): The Letten Foundation - Auxílio financeiro / Norwegian Cancer Association - Auxílio financeiro / Norwegian Quota Scholarship Program - Bolsa.
  Membro: Hussain Akhtar.
45. 1999-2003. Day to day variability of different diagnostic criteria among the newly diagnosed Type 2 diabetic patients in Bangladesh
  Descrição: 218 newly diagnosed type 2 diabetes patients (107 males and 111 females), age ? 20 years (Mean age: 45.3). The investigations were performed in 2 days on the same subjects. Master Thesis: Day to day variability of different diagnostic criteria among the newly diagnosed Type 2 diabetic patients in Bangaldesh. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / AZAD KHAN, A.K. - Integrante / Vaaler, S - Integrante / ALI, S. M. KERAMAT - Integrante. Financiador(es): Norwegian International Health Association - Auxílio financeiro / Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine - Auxílio financeiro / Rikshospitalet - University of Oslo - Auxílio financeiro / Ivar Helles Foundation - Auxílio financeiro.
  Membro: Hussain Akhtar.
46. 1999-2000. Prevalence and risk factors of sexually transmitted infections among women of reproductive age in Moshi urban district
  Descrição: Masters Thesis: ?Reproductive tract infections and HIV, among women in Moshi, Tanzania?.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador / STRAY-PEDERSEN, BABILL - Integrante / SAM, NOEL E. - Integrante. Financiador(es): Norwegian Quota Scholarship Program - Bolsa / Norwegian Cancer Society - Auxílio financeiro.
  Membro: Hussain Akhtar.
47. 1997-2008. Norwegian validation of the Pediatric Evaluation of Disability Inventory
  Descrição: The Pediatric Evaluation of Disability Inventory (PEDI) is one of the most commonly used assessments for children with a disability. Normative data from the US are used to determine whether a deficit or delay exists with regard to functional skill development. The purpose of this study was to analyse the cross-cultural validity of the PEDI American normative data for a general Norwegian population. A random selection of 174 typically developed Norwegian children between 1.0 and 5.9 years participated. The results for capability and caregiver assistance in the domains of self-care, mobility, and social function ranged from a mean of 38.0?46.8 against an expected 50. The Norwegian sample scored significantly lower than the US reference values for functional skills and caregiver assistance, and the results had less fit, especially for self-care. For mobility and social function, the magnitudes of the differences were smaller than self-care. Specific items deviated, suggesting necessary adjustments for the applicability of the norm-referenced scores of the PEDI in the Norwegian culture. The result of this research confirms other findings of cultural influence of the age norms in PEDI. Even though interpretations of the normative score results must be made with some caution, the option of using the scaled scores of PEDI is useful and recommended to describe and measure abilities and to evaluate change. This finding highlights the importance of cultural validation of norm-referenced tests.. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Doutorado: (1) . Integrantes: Hussain Akhtar - Coordenador / R Jahnsen - Integrante / I Holm - Integrante / K Frey-Frøslie - Integrante / G Aamodt - Integrante / J. Stanghelle - Integrante / L. Krumlinde-Sundholm - Integrante. Financiador(es): Oslo University Hospital - Auxílio financeiro / Norwegian Occupatonal Therapy Association - Auxílio financeiro / Sunnaas sykehus minnefond - Auxílio financeiro.
  Membro: Hussain Akhtar.
48. 1996-2000. The Santal Mission Norwegian Board (SMNB) Community Health Project ? impact on the people's beliefs and practices regarding health and disease
  Descrição: Population of 50 000 of Brahmonbazar and Kadirpur unions, Kulaura Upazilla, Sylhet District, Bangladesh. Master thesis: The SMNB Community Health Project ? impact on the people's beliefs and practices regarding health and disease. Situação: Concluído; Natureza: Pesquisa. Alunos envolvidos: Mestrado acadêmico: (1) . Integrantes: Hussain Akhtar - Coordenador. Financiador(es): Santal Mission Norwegian Board - Auxílio financeiro.
  Membro: Hussain Akhtar.

Prêmios e títulos

Total de prêmios e títulos (2)

Bangladesh National Award in Diabetes and Endocrinology, Bangladesh Endocrine Society.. 2013.
Membro: Hussain Akhtar.
Bangladesh National Award in Diabetes and Endocrinology, Bangladesh Endocrine Society.. 2011.
Membro: Hussain Akhtar.

Participação em eventos

Total de participação em eventos (0)

Organização de eventos

Total de organização de eventos (0)

Lista de colaborações

Colaborações endôgenas (3)

Hussain Akhtar ⇔ Renan Magalhaes Montenegro Junior (5.0)
DO VALE MOREIRA, NAYLA CRISTINA ; Hussain, Akhtar ; BHOWMIK, BISHWAJIT ; MDALA, IBRAHIMU ; SIDDIQUEE, TASNIMA ; FERNANDES, VIRGÍNIA OLIVEIRA ; MONTENEGRO, RENAN MAGALHÃES ; MEYER, HAAKON E.. Prevalence of Metabolic Syndrome by different definitions, and its association with type 2 diabetes, pre-diabetes, and cardiovascular disease risk in Brazil. Diabetes & Metabolic Syndrome (Print). v. 14, p. 1217, issn: 1871-4021, 2020.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: B2
DO VALE MOREIRA, NAYLA CRISTINA ; MONTENEGRO, RENAN M. ; MEYER, HAAKON E. ; BHOWMIK, BISHWAJIT ; MDALA, IBRAHIMU ; SIDDIQUEE, TASNIMA ; OLIVEIRA FERNANDES, VIRGÍNIA ; Hussain, Akhtar. Glycated Hemoglobin in the Diagnosis of Diabetes Mellitus in a Semi-Urban Brazilian Population. International Journal of Environmental Research and Public Health. v. 16, p. 3598, issn: 1660-4601, 2019.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: A2
PENAFORTE-SABOIA, JAQUELLYNE GURGEL ; COURI, CARLOS EDUARDO BARRA ; FERNANDES, VIRGINIA OLIVEIRA ; MONTENEGRO, ANA PAULA DIAS RANGEL ; BATISTA, LÍVIA ALINE DE ARAÚJO ; ZAJDENVERG, LENITA ; NEGRATO, CARLOS ANTONIO ; MALMEGRIM, KELEN CRISTINA RIBEIRO ; MORAES, DANIELA APARECIDA ; DIAS, JULIANA BERNARDES ELIAS ; OLIVEIRA, MARIA CAROLINA ; Hussain, Akhtar ; GOMES, MARILIA BRITO ; MONTENEGRO, RENAN MAGALHÃES. Lower Insulin-Dose Adjusted A1c (IDAA1c) Is Associated With Less Complications in Individuals With Type 1 Diabetes Treated With Hematopoetic Stem-Cell Transplantation and Conventional Therapy. Frontiers in Endocrinology. v. 10, p. 1-7, issn: 1664-2392, 2019.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: Não identificado (FRONTIERS IN ENDOCRINOLOGY)
DE ALMEIDA BARRETO, FRANCISCA KALLINE ; MONTENEGRO, RENAN MAGALHÃES ; FERNANDES, VIRGINIA OLIVEIRA ; OLIVEIRA, RHAQUEL ; DE ARAÚJO BATISTA, LÍVIA ALINE ; Hussain, Akhtar ; DE GÓES CAVALCANTI, LUCIANO PAMPLONA. Chikungunya and diabetes, what do we know?. Diabetology & Metabolic Syndrome. v. 10, p. 1-6, issn: 1758-5996, 2018.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: B1
PENAFORTE-SABOIA, JAQUELLYNE G. ; MONTENEGRO, RENAN M. ; COURI, CARLOS E. ; BATISTA, LIVIA A. ; MONTENEGRO, ANA PAULA D. R. ; FERNANDES, VIRGINIA O. ; AKHTAR, HUSSAIN ; NEGRATO, CARLOS A. ; MALMEGRIM, KELEN CRISTINA RIBEIRO ; MORAES, DANIELA APARECIDA ; DIAS, JULIANA B. E. ; SIMÕES, BELINDA P. ; GOMES, MARILIA BRITO ; OLIVEIRA, MARIA CAROLINA. Microvascular Complications in Type 1 Diabetes: A Comparative Analysis of Patients Treated with Autologous Nonmyeloablative Hematopoietic Stem-Cell Transplantation and Conventional Medical Therapy. Frontiers in Endocrinology. v. 8, p. 1-8, issn: 1664-2392, 2017.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: Não identificado (FRONTIERS IN ENDOCRINOLOGY)

Hussain Akhtar ⇔ Virgínia Oliveira Fernandes (5.0)
DO VALE MOREIRA, NAYLA CRISTINA ; Hussain, Akhtar ; BHOWMIK, BISHWAJIT ; MDALA, IBRAHIMU ; SIDDIQUEE, TASNIMA ; FERNANDES, VIRGÍNIA OLIVEIRA ; MONTENEGRO, RENAN MAGALHÃES ; MEYER, HAAKON E.. Prevalence of Metabolic Syndrome by different definitions, and its association with type 2 diabetes, pre-diabetes, and cardiovascular disease risk in Brazil. Diabetes & Metabolic Syndrome (Print). v. 14, p. 1217, issn: 1871-4021, 2020.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: B2
DO VALE MOREIRA, NAYLA CRISTINA ; MONTENEGRO, RENAN M. ; MEYER, HAAKON E. ; BHOWMIK, BISHWAJIT ; MDALA, IBRAHIMU ; SIDDIQUEE, TASNIMA ; OLIVEIRA FERNANDES, VIRGÍNIA ; Hussain, Akhtar. Glycated Hemoglobin in the Diagnosis of Diabetes Mellitus in a Semi-Urban Brazilian Population. International Journal of Environmental Research and Public Health. v. 16, p. 3598, issn: 1660-4601, 2019.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: A2
PENAFORTE-SABOIA, JAQUELLYNE GURGEL ; COURI, CARLOS EDUARDO BARRA ; FERNANDES, VIRGINIA OLIVEIRA ; MONTENEGRO, ANA PAULA DIAS RANGEL ; BATISTA, LÍVIA ALINE DE ARAÚJO ; ZAJDENVERG, LENITA ; NEGRATO, CARLOS ANTONIO ; MALMEGRIM, KELEN CRISTINA RIBEIRO ; MORAES, DANIELA APARECIDA ; DIAS, JULIANA BERNARDES ELIAS ; OLIVEIRA, MARIA CAROLINA ; Hussain, Akhtar ; GOMES, MARILIA BRITO ; MONTENEGRO, RENAN MAGALHÃES. Lower Insulin-Dose Adjusted A1c (IDAA1c) Is Associated With Less Complications in Individuals With Type 1 Diabetes Treated With Hematopoetic Stem-Cell Transplantation and Conventional Therapy. Frontiers in Endocrinology. v. 10, p. 1-7, issn: 1664-2392, 2019.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: Não identificado (FRONTIERS IN ENDOCRINOLOGY)
DE ALMEIDA BARRETO, FRANCISCA KALLINE ; MONTENEGRO, RENAN MAGALHÃES ; FERNANDES, VIRGINIA OLIVEIRA ; OLIVEIRA, RHAQUEL ; DE ARAÚJO BATISTA, LÍVIA ALINE ; Hussain, Akhtar ; DE GÓES CAVALCANTI, LUCIANO PAMPLONA. Chikungunya and diabetes, what do we know?. Diabetology & Metabolic Syndrome. v. 10, p. 1-6, issn: 1758-5996, 2018.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: B1
PENAFORTE-SABOIA, JAQUELLYNE G. ; MONTENEGRO, RENAN M. ; COURI, CARLOS E. ; BATISTA, LIVIA A. ; MONTENEGRO, ANA PAULA D. R. ; FERNANDES, VIRGINIA O. ; AKHTAR, HUSSAIN ; NEGRATO, CARLOS A. ; MALMEGRIM, KELEN CRISTINA RIBEIRO ; MORAES, DANIELA APARECIDA ; DIAS, JULIANA B. E. ; SIMÕES, BELINDA P. ; GOMES, MARILIA BRITO ; OLIVEIRA, MARIA CAROLINA. Microvascular Complications in Type 1 Diabetes: A Comparative Analysis of Patients Treated with Autologous Nonmyeloablative Hematopoietic Stem-Cell Transplantation and Conventional Medical Therapy. Frontiers in Endocrinology. v. 8, p. 1-8, issn: 1664-2392, 2017.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: Não identificado (FRONTIERS IN ENDOCRINOLOGY)

Hussain Akhtar ⇔ Luciano Pamplona de Goes Cavalcanti (1.0)
DE ALMEIDA BARRETO, FRANCISCA KALLINE ; MONTENEGRO, RENAN MAGALHÃES ; FERNANDES, VIRGINIA OLIVEIRA ; OLIVEIRA, RHAQUEL ; DE ARAÚJO BATISTA, LÍVIA ALINE ; Hussain, Akhtar ; DE GÓES CAVALCANTI, LUCIANO PAMPLONA. Chikungunya and diabetes, what do we know?. Diabetology & Metabolic Syndrome. v. 10, p. 1-6, issn: 1758-5996, 2018.
[ citações Google Scholar | citações Microsoft Acadêmico | busca Google ]
Qualis: B1

Data de processamento: 17/02/2022 15:49:43

Relatório gerado por scriptLattes V8.11. Os resultados estão sujeitos a falhas devido a inconsistências no preenchimento dos CVs Lattes. E-mail de contato: msp@ufc.br