Association between type 2 diabetes mellitus and Helicobacter pylori


ORIGINAL ARTICLE
Year: 2020 |Volume: 27 |Issue: 1 |Page: 8-14

Association between type 2 diabetes mellitus andHelicobacter pyloriinfection among Saudi patients attending National Guard Primary Health Care Centers in the Western Region, 2018

Abdullah M Alzahrani1,Areej A Al Zaidi2,Shahad M Alzahrani2,Sultana A Binmahfouz2,Fayssal M Farahat1
1Department of Family Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, King Abdulaziz Medical City, Jeddah, King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
2Department of Family Medicine, King Abdulaziz Medical City, Jeddah, Saudi Arabia

Correspondence Address:
Dr. Abdullah M Alzahrani
King Abdulaziz Medical City, King Abdullah International Medical Research Center, PO Box: 9515, Jeddah 21423
Saudi Arabia

Source of Support:None,Conflict of Interest:None

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DOI:10.4103/jfcm.JFCM_142_19

BACKGROUND:Reports onHelicobacter pyloriinfection in diabetics are inconsistent and contradictory. This study attempted to identify the possible association between type 2 diabetes andH. pyloriinfection.MATERIALS AND METHODS:Following a cross-sectional design, participants were recruited from four National Guard Primary Health Care Centers in Jeddah City, Saudi Arabia. The study was conducted from December 2017 to November 2018. All participants underwent hemoglobin A1C (HbA1c) assessment and stool antigen test forH. pylori.RESULTS:A total of 212 type 2 diabetic patients aged 40 years or more, and 209 age-matched nondiabetic subjects were included in the study. About one-quarter of the diabetics and nondiabetics were positive forH. pylori(26.9% and 26.3%, respectively). There was no significant difference. The prevalence ofH. pyloridid not differ significantly in the type 2 diabetics, with regard to their age groups, gender, smoking status, body mass index, chronic diseases, their HbA1c level, duration of diabetes, or received type of therapy. The prevalence ofH. pyloriwas significantly higher in overweight and obese nondiabetic subjects (P= 0.013). Obese participants in both groups had the highest prevalence of infection (57.9% and 54.5%, respectively,P= 0.038).CONCLUSION:About one-quarter of type 2 diabetics and nondiabetics in Jeddah City haveH. pyloriinfection. There is no association between diabetes andH. pyloriinfection.H. pyloriwas significantly higher in patients with a high body mass index.


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