Aspects 茅pid茅miologiques du diab猫te au S茅n茅gal: r茅sultats d鈥檜ne enqu锚te sur les facteurs de risque cardiovasculaire dans la ville de Saint-Louis

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• 作者：M.-N. Mbaye¹ ; ; K. Niang² ; A. Sarr¹ ; A. Mbaye³ ; D. Diedhiou¹ ; M.-D. Ndao³ ; A.-D. Kane³ ; S. Pessinaba³ ; B. Diack³ ; M. Kane³ ; M.-S. Ka-Cissé ; ¹ ; M. Diao³ ; S.-N. Diop¹ ; A. Kane³
• 关键词：Diab&egrave ; te ; facteurs de risque cardiovasculaire ; hypertension art&eacute ; rielle ; dyslipid&eacute ; mie ; traitements ; S&eacute ; n&eacute ; gal
• 刊名：M茅decine des Maladies M茅taboliques
• 出版年：2011
• 期刊代码：pca249_19572557
• 类别：med
• 出版时间：December 2011
• 卷：5
• 期：6
• 页码：659-664
• 文件大小：490 K

摘要

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Summary

Introduction

Either isolated or associated with other vascular risk factors, diabetes is responsible of a heavy morbidity and mortality all around the world. Its prevalence is increasing at a pandemic rate but it still remains poorly documented in sub-Saharan Africa. This study provides epidemiological aspects of diabetes together with the other vascular risk factors in urban Saint-Louis of Senegal

Patients and methods

We conducted an observational, transverse, descriptive study, from 3 to 30^th May 2010. The poll units were constituted by Senegalese living in Saint Louis city aged 鈮?5 years. We used a random sampling, stratified in clusters using as base of poll data of the general Saint-Louis鈥?census

Results

The survey included 1424 individuals. The sex-ratio women/men was 2.23. Mean age of the population was 43.4 (17.8) years. Diabetes prevalence was 10.4%including 7.8%of known cases and 2.6%of new cases. It was controlled in 33.3%of cases according to the IDF criteria and 39.6%according to ADA's. The treatment was pharmaceutical in 74.3%of cases and traditional in 54.3%of cases. Other vascular risk factors were:<dl class="listitem" id="list_lis0010"><dt class="label">鈥?/dt><dd>

d="par0030">Dyslipidemia (64.6%), known in 2.4%of cases and detected in 62.2%of cases. Only 20%of the patients were receiving hypolipemiants and 12%were controlleddd><dt class="label">鈥?/dt><dd>

d="par0035">Physical inactivity (64.0%), more frequent in women than in men (p < 0,001);dd><dt class="label">鈥?/dt><dd>

d="par0040">Hypertension (46.0%), known in 23.0%of cases and ignored in the remaining 23.0%; 31.0%of people with hypertension were untreated and 30.5%took a traditional treatmentdd><dt class="label">鈥?/dt><dd>

d="par0045">Obesity (23.0%), predominant in womendd><dt class="label">鈥?/dt><dd>

d="par0050">Tobacco (5.8%) and alcohol consumption were less frequentdd>dl>

Diabetes was associated with hypertension or dyslipidemia in 87.8%of cases; 62.8%of subjects had at least three associated risk factors.

With regard to complications, 16.6%of subjects presented with a renal insufficiency, 17.0%with an arteriopathy of lower limbs and 3.2%had a history of stroke

Conclusion

This survey reveals alarming figures on diabetes prevalence as well as on dyslipidemia, hypertension and even renal insufficiency in the autochtonous population of Saint-Louis (Senegal). These vascular risk factors are probably under estimated in the general population. It is necessary to conduct national scale surveys to set up effective and sustainable prevention policies