Ofem Enang

Ofem Enang
University of Calabar | unical · Department of Internal Medicine

MBBch; MPH, FMCP, FACE; FACP Cert in Clinical Research (Harvard)

About

66
Publications
30,145
Reads
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682
Citations
Additional affiliations
May 2013 - present
University of Calabar
Position
  • Senior Lecturer
May 2013 - present
University of Calabar
Position
  • Senior Lecturer

Publications

Publications (66)
Article
Full-text available
Summary Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data...
Article
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Fasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) are both used to diagnose diabetes, but these measurements can identify different people as having diabetes. We used data from 117 population-based studies and quantified, in different world regions, the prevalence of diagnosed diabetes, and whether those who were previously undiagnosed and de...
Article
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Objective: The objective is to determine the pattern and prevalence of diabetic retinopathy (DR) among patients living with diabetes mellitus. Methodology: Descriptive cross-sectional study in a tertiary hospital. Questionnaires were used to obtain data from eligible participants. Visual acuity measurement, fundal examination, and photography wer...
Article
Full-text available
Background Globally, diabetes is a leading cause of impairment of quality of life. In the sub-Saharan African region, there is a need for studies that provide more valid assessment of effect of diabetes on quality of life (QoL). This study aimed at assessing quality of life among patients with diabetes attending a tertiary health service in Nigeria...
Article
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Objective: This study assessed cognitive and mood disorders in patients with type 1 and 2 Diabetes Mellitus (DM). Materials and Methods: This cross-sectional observational study evaluated cognitive function in 113 patients with DM. We excluded patients with delirium, visual impairments, stroke or severe traumatic brain injury. Consenting patients w...
Article
Background: Chronic lymphocytic leukemia (CLL) is a heterogeneous group of monoclonal forms of lymphoproliferative disorder, which is usually common among older adults. There is an increasing trend in the number of patients presenting with the disease. Aim: This study aims to determine the epidemiology pattern of CLL in Cross River state. Metho...
Article
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Introduction: among hypertensive patients, the comorbidity of diabetes is not uncommon. Yet, little is known about diabetes prevention among non-diabetic hypertensive patients. This study sought to assess such patients' knowledge about diabetes and its risk factors. Methods: a cross-sectional descriptive study design and random sampling were use...
Article
Background: This study aimed to identify the unmet sexual health needs of the patients with diabetes seen in a tertiary healthcare facility in Nigeria. Methods: Case-control study design and random sampling method were utilized to recruit type 2 diabetic cases from the University of Calabar Teaching Hospital (UCTH), Calabar, Nigeria. Female Sexu...
Article
Background There has been a rise in burden and risk factors for development and progression of diabetes mellitus in developing countries. The associated multisystemic complications and the burden of care potentially impair mental health status of sufferers. This study was aimed at assessing mental health status among diabetic patients in a developi...
Article
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Background: Sickle cell disease (SCD) is the commonest genetic disorder worldwide with a global prevalence of 20-25 million. About 12-15 million affected persons are in Sub-Sahara Africa with Nigeria bearing the highest burden of people living with sickle cell disease. SCD is a disease characterized as an autosomal, recessive, heterogeneous, and a...
Article
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Background: Sickle cell disease (SCD) is often associated with liver disease. The constant state of haemolysis, multiple blood transfusion, viral hepatitis, hepatic sinusoidal congestion, haemosiderosis and cholestasis, are all conditions which may eventually evolve into liver disease. Sickle cell disease is a heterogeneous group of disorders that...
Article
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Background: The burden of the people living with human immunodeficiency virus (HIV) infection and the acquired immunodeficiency syndrome (AIDS) is largely borne by communities in Sub-Saharan Africa. The rate of kidney disease is increasing amongst HIV patients and occurs more often in patients with advanced stage of the disease with lower CD4 count...
Conference Paper
Full-text available
INTRODUCTION Physicians’ migration has existed for decades. Current trend however reveals an exponentially increasing migration of physicians from Nigeria to high income countries such as the UK and USA amongst others.
Article
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Background: Waist circumference (WC) thresholds derived from western populations continue to be used in sub-Saharan Africa (SSA) despite increasing evidence of ethnic variation in the association between adiposity and cardiometabolic disease and availability of data from African populations. We aimed to derive a SSA-specific optimal WC cut-point f...
Article
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The International Diabetes Federation estimates that 1.6 million (1 in 53) Nigerian adults have diabetes mellitus while 60.7% (949,900) of Nigerian adults with diabetes are undiagnosed. In spite of these worrying projections, current nationwide data on diabetes prevalence to aid policy formulation in Nigeria is non-existent. This was a cross-sectio...
Article
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Objective: To assess the knowledge, beliefs, and practices among participants with diabetes mellitus (DM) receiving care at a tertiary government hospital in Calabar, Nigeria, on DM and diabetic eye disease. Materials and Methods: A hospital-based, cross-sectional study where serial recruitment of consenting participants was performed. Ethical appr...
Article
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BACKGROUND: Excess weight gain is common in people with type 2 diabetes mellitus (DM) but little is known about its ethno-geographic variation among the Nigerian populace. We aimed to report the prevalence and regional variation of overweight/obesity among subjects with type 2 DM in all the six geo-political regions of Nigeria. METHOD: Basic demogr...
Article
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Objective: To determine the prevalence and pattern of obesity among health workers in LUTH, Lagos. Nigeria. Methods: A cross-sectional survey was conducted in sample of 200 Nigerian adults in LUTH, Lagos. Bodyweight, height waist circumference and blood pressure were measured using standard methods. Overweight and obesity were defineaccording to th...
Article
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Human immunodeficiency virus (HIV)-infected individuals have been shown to have a high prevalence of sleep disturbances. Both the effects of the virus and the antiretroviral drugs may cause sleep disturbances. We sought to determine the prevalence and predictors of sleep disorders among HIV seropositive adult subjects presenting at an outpatient ho...
Research
A retrospective study which data were reviewed from an electronic database of a fully automated tertiary clinical laboratory. The aim was to describe the pattern and prevalence of thyroid dysfunction among patients evaluated using thyroid function tests.
Article
Full-text available
Background The introduction of highly active antiretroviral therapy (HAART) has remarkably improved the prognosis of human immunodeficiency virus (HIV)-infected patients, at the expense of the development of long-term complications such as cardiovascular and renal diseases. Hypertension (HTN) is a major risk factor for cardiovascular diseases and i...
Article
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Background Diabetes is now a global epidemic, but most cases are now in low- and middle-income countries. Diabetes self-management education (DSME) is key to enabling patients to manage their chronic condition and can reduce the occurrence of costly and devastating complications. However, there is limited evidence on the effectiveness of different...
Article
Full-text available
Background Waist circumference (WC) is a simple tool for measuring central obesity in routine clinic settings. Gender- and ethnic-specific optimal cutoff points for WC are encouraged for populations lacking such data. Objectives To derive WC cutoff values, predictive of overweight and obesity in Nigerians and to evaluate the performance of current...
Article
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Key Clinical Message While chronic pulmonary aspergillosis ( CPA ), pulmonary tuberculosis ( PTB ), and Klebsiella pneumoniae pneumonia co‐infection is rare, we present a 50‐year‐old woman with uncontrolled diabetes who presented with these three diseases. There is considerable overlap in symptoms of PTB and CPA . Treatment with antifungals, anti‐t...
Article
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Insulin resistance, found in type 2 diabetes mellitus is often associated with increased triglyceride (TG) and decreased HDL-cholesterol (HDL-C) and LDL-cholesterol (LDL-C). The atherogenic index of plasma (AIP), defined as logarithm [log] of (TG/HDL-C), has recently been proposed as a predictive marker for plasma atherogenicity and is positively c...
Article
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Background: Disease burden from communicable and noncommunicable diseases is a significant health challenge facing many developing nations. Among the noncommunicable diseases, is obesity, which has become a global epidemic associated with urbanization. Objective: The aim was to evaluate the prevalence of weight abnormalities, their pattern of di...
Article
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Background: Obesity is a risk factor for type 2 diabetes mellitus which may be addressed by application of intensive lifestyle interventions. Thus, establishing normative values of anthropometric indices in our environment is crucial. This study aimed to determine normative values of anthropometric indices of nutrition among residents of Calabar. M...
Article
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Background: Obesity is a risk factor for type 2 diabetes mellitus which may be addressed by application of intensive lifestyle interventions. Thus, establishing normative values of anthropometric indices in our environment is crucial. This study aimed to determine normative values of anthropometric indices of nutrition among residents of Calabar....
Article
Background: There is a relationship between the indices of nutriture-BMI, waist circumference (WC), waist–hip ratio (WHR) and the development of glucose intolerance. Objectives: To determine the normative values of the indices of nutriture and the inter relationship between these indices in male and female residents of a Calabar, South East Nigeria...
Article
Full-text available
Population data on dysglycemia are scarce in West Africa. This study aimed to determine the pattern of dysglycemia in Calabar city in South East Nigeria. This was a cross-sectional observational study. 1134 adults in Calabar were recruited. A multistage sampling method randomly selected 4 out of 22 wards, and 50 households from each ward. All adult...
Conference Paper
Full-text available
Objectives: To determine the mean and normative values of anthropometry among the inhabitants of a coastal Nigerian city. Methods: A cross sectional survey comprising 1134 subjects (645 males and 489 females) representative of the entire population of Calabar metropolis aged 15–79 was studied. A multistage sampling method was applied to select the...
Article
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Diabetic foot disease is a major medical, social, and economic problem. This retrospective study assessed the profile of diabetes mellitus patients with foot ulcers in the University of Calabar Teaching Hospital (UCTH), Nigeria. Admission records of all patients admitted unto the medical wards of UCTH over a 5 year period were analysed. The records...
Article
Full-text available
Background: The world's adult population is increasing rapidly. This increase is expected to lead to an increase in the prevalence of diabetes especially in developing countries like Nigeria. Diabetes places a large burden on the society more so when it becomes complicated. This study is designed to provide information on hospitalisation trends and...

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