Prevalence of Diabetes and Cardiovascular Risk Factors in Ouagadougou (Burkina-Faso)

Abstract

Background: Diabetes mellitus is a pathological condition whose worldwide prevalence is growing, particularly in Africa, contrasting with an inadequacy of screening and diagnosis. This study aimed to evaluate the prevalence of this ailment in an urban environment of Burkina-Faso, as well as the prevalence of cardiovascular comorbid risk factors, such as arterial hypertension and obesity. Patients and methods: We conducted a descriptive cross-sectional study based on the compilation of clinical and biological data randomly collected from participants to a diabetes screening day organized at Ouagadougou (Burkina-Faso) in December 2012. Participants aged <25 years were excluded. The evaluated parameters were age, gender, waist circumference, body mass index, blood pressure, and random (non) fasting capillary plasma glucose measurement, and presence of a metabolic syndrome. Results: There were overall one hundred and sixty five participants: 107 women and 58 men (sex ratio F/H = 1.84). The mean age (±1 SD) of participants was 42.81 ± 11.7 years. The prevalence of screened diabetes was 7.27%, with a prevalence of undiagnosed diabetes of 4.97%. The prevalence of arterial hypertension was 34.55%. The prevalence of obesity was 15.15% (obesity class 1), 5.45% (obesity class 2) and 1.21% (obesity class 3). About 27% of women were obese versus 19.44% of men (p = 0.01). The prevalence of metabolic syndrome was 6.06%, and its presence was significantly associated with the female gender (9.35% in women vs 0% in men, p = 0.005). 50% of subjects screened with diabetes also had a metabolic syndrome versus 2.61% in non-diabetic subjects (p < 0.01). Conclusion: (Un)diagnosed diabetes was highly-prevalent in this urban environment of Burkina Faso undergoing the nutritional transition phase currently prevailing in sub-Saharan Africa. Its presence was significantly co-morbid with the metabolic syndrome, as well as with other major cardiovascular risk factors such as arterial hypertension and obesity.

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Yanogo, R. , Sagna, Y. , Tieno, H. , Guira, O. and Drabo, Y. (2014) Prevalence of Diabetes and Cardiovascular Risk Factors in Ouagadougou (Burkina-Faso). Open Access Library Journal, 1, 1-5. doi: 10.4236/oalib.1100595.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] International Diabetes Federation (2011) Diabetes Atlas. 5th Edition, International Diabetes Federation, Brussels.
[2] Gning, S.B., Thiam, M., Fall, F., Ba-Fall, K., Mbaye, P.S. and Fourcade, L. (2007) Le diabète sucré en Afrique subsaharienne: Aspects épidémiologiques, difficultés de prise en charge. Med Trop., 67, 607-611.
[3] Mbanya, J.C., Motala, A.A., Sobngwi, E., et al. (2010) Diabetes in Sub-Saharan Africa. Lancet, 375, 2254-2266.
http://dx.doi.org/10.1016/S0140-6736(10)60550-8
[4] Commune de Ouagadougou, Directions des études et de la planification, Annuaire statistique 2010.
[5] Puavilai, G., Kheesukapan, P., Chanprasertyotin, S., Chantraraprasert, S., Suwanvilaikorn, S., Nitiyanant, W., et al. (2001) Random Capillary Plasma Glucose Measurement in the Screening of Diabetes Mellitus in High-Risk Subjects in Thailand. Diabetes Research and Clinical Practice, 51, 125-131.
http://dx.doi.org/10.1016/S0168-8227(00)00223-0
[6] Somannavar, S., Ganesan, A., Deepa, M., et al. (2009) Random Capillary Blood Glucose Cut Points for Diabetes and Pre-Diabetes Derived from Community-Based Opportunistic Screening in India. Diabetes Care, 32, 641-643.
http://dx.doi.org/10.2337/dc08-0403
[7] Djrolo, F. (2009) Prévalence du diabète sucré dans une population urbaine en milieu africain à Cotonou (Bénin). Diabetes & Metabolism, 35, A53.
http://dx.doi.org/10.1016/S1262-3636(09)71903-2
[8] Balde, N.M., Diallo, I., Balde, M.D., et al. (2007) Diabetes and Impaired Fasting Glucose in Rural and Urban Populations in Futa Jallon (Guinea): Prevalence and Associated Risk Factors. Diabetes & Metabolism, 33, 114-120.
http://dx.doi.org/10.1016/j.diabet.2006.10.001
[9] Steyn, K., Sliwa, K., Hawken, S., et al. (2005) Risk Factors Associated with Myocardial Infarction in Africa: The INTERHEART Africa Study. Circulation, 112, 3554-3561.
http://dx.doi.org/10.1161/CIRCULATIONAHA.105.563452
[10] Duboz, P., et al. (2012) Prevalence of Diabetes and Associated Risk Factors in a Senegalese Urban (Dakar) Population. Diabetes & Metabolism, 38, 332-336.
http://dx.doi.org/10.1016/j.diabet.2012.02.011
[11] Payet, M., Sankale, M., Pene, P., et al. (1960) The Chief Aspects of Diabetes Mellitus in an African Environment at Dakar. Bulletin de la societé de pathologie exotique et de ses filiales, 53, 901-910.
[12] Hermans, M.P. and Buysschaert, M. (2004) Prévalence et caractéristiques cliniques de sujets diabétiques de type 2 en fonction de la présence d’un syndrome métabolique selon les critères ATPIII. Diabetes & Metabolism, 30, 104.
[13] Colin, I.M. (2005) Obésité, syndrome métabolique et diabète: les complices désignés d’une épidémie d’un genre nouveau. Louvain Medical, 124, S7-S10.
[14] Popkin, B.M. (2004) Diabète et société: Transition nutritionnelle et évolution mondiale vers l’obésité. Diabetes Voice, 49, 38-40.
[15] Zabsonre, P., Sedogo, B., Lankoande, D. and Dyemkouma, F.X. (2000) Obésité et maladies chroniques en Afrique subsaharienne. Médecine d’Afrique Noire, 47, 5-9.
[16] Nono, C., Fokumlah, P., Sab Fru, C., Sobngwi, E. and Kengne, P. (2010) PP13: Prévalence de l’obésité chez les femmes adultes en milieu urbain en Afrique sub-saharienne: le cas de Limbé au Cameroun. Résumés des communications de la réunion scientifique de la SFD et de la SFD Paramédical. Diabetes Metab., 36, 13.
[17] Ndiaye-Badiane, F. (2003) Prise en charge décentralisée du diabète sucré (Bilan de la première année au centre de santé Nabil Choucair). Thèse Med Dakar.
[18] Niakara, A., et al. (2007) Hypertension, Urbanization, Social and Spatial Disparities: A Cross-Sectional PopulationBased Survey in a West African Urban Environment (Ouagadougou, Burkina Faso). Transactions of the Royal Society of Tropical Medicine and Hygiene, 101, 1136-1142.
http://dx.doi.org/10.1016/j.trstmh.2007.07.002
[19] Niakara, A., et al. (2003) Connaissances d’une population urbaine sur l’hypertension artérielle: enquête prospective menée à Ouagadougou (Burkina Faso). Bulletin de la société de pathologie exotique, 96, 219-222.

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