IntroductionThe aim of this study was to estimate the prevalence of Diabetes Mellitus (DM) and Impaired Fasting Glucose (IFG) in the peri-urban adult population living in the island of Anjouan, Comoros and to investigate the factors associated with diabetes mellitus.MethodsThe survey was a cross-sectional study, in which a sample of 902 individuals (540 women and 362 men) aged 25 to 64 was selected using empirical sampling “quotas” or “reasoned choice” survey method. Hypertension and obesity abdominal measurements of these subjects were collected during face-to-face interviews and following day fasting blood glucose was measured in capillary blood.ResultsParticipation rate was 83.5%. The mean age of subjects was 39.5 ± 11.63 years. The sex ratio was 0.67. Overall crude diabetes and IFG prevalence were 8.5% and 8.1%, respectively. The risk factors for diabetes type 2 onset were a family history of diabetes (P = 0.006), older age (P = 0.000), glycemic control (P = 0.010), excess waist circumference (P = 0.03) and hypertension (p = 0.000), were significantly positively associated with DM, contrary to sex (P = 0.142).ConclusionThese high figures confirm that diabetes and factors associated do not spare Anjouan population. Awareness, primary prevention, are to set up for a better control of non-communicable diseases.
Introduction the purpose of this study was to bring out some epidemiological and clinical characteristics of metabolic syndrome. Methods a total of 300 subjects willingly participated in the present study which was conducted at Ibn Zohr regional hospital in Marrakesh. We were interested in socio-demographic variables, body mass index (BMI) which assesses the degree of obesity of each subject. The blood parameters were determined by an adequate biochemistry automaton. All statistical analyses were performed using SPSS software. Results among the 300 subjects who participated in the study, 57.3% were females and 42.7% were males with a sex-ratio of 0.74. The average age was 51.6 ± 13.42 years old. Seventy nine of the participants (26.3%) had a metabolic syndrome, with a predominance of women: 60 women (34.9%) and 19 men (14.8%). Illiterates (33.8%) and married subjects (25.6%) were the most affected by the metabolic syndrome. The high waist circumference found in 97.5% was the predominant criteria in our study. Finally, the statistical analysis showed a significant association between high waist circumference, BMI and the presence of metabolic syndrome (P = 0.001>) and (P < 0.001) respectively. Conclusion the metabolic syndrome is slowly but surely setting. Implementing prevention strategies and encouraging healthy lifestyles will surely minimize serious public health problems in the city.
Introduction le but de cette étude était de faire une corrélation entre le syndrome métabolique et le niveau de l'activité physique chez une population de Marrakech, au Maroc. Méthodes l'étude a été menée à l'Hôpital régional Ibn Zohr de Marrakech. L'indice de masse corporelle (IMC) a été calculé pour évaluer le degré d'obésité de chaque sujet. Pour déterminer le niveau d'activité physique, nous avons utilisé la version courte du questionnaire IPAQ (International Physical Activity Questionnaire); Les paramètres sanguins ont été mesurés par un automate de biochimie. Toutes les analyses statistiques ont été effectuées à l'aide du logiciel SPSS. Résultats au total, 300 sujets ont participé à l'étude, dont 57,3% de femmes et 42,7% d'hommes avec un sex-ratio de 0,74. L'âge moyen de notre population était de 51,6 ± 13,42 ans. Soixante-dix-neuf des participants (26,3%) avaient un syndrome métabolique, avec une prédominance féminine: 60 femmes (34,9%) et 19 hommes (14,8%). Il existe une relation significative entre le niveau d'activité physique et la présence de syndrome métabolique (p = 0,002), entre le niveau d'activité physique et l'IMC et le tour de taille (p < 0,001) et (p = 0,003) respectivement. Conclusion les résultats approuvent l´association significative entre l´obésité, le syndrome métabolique et le niveau de l´activité physique, ce qui nous inciterait à encourager l´application des règles hygiéno-diététiques, notamment l´activité physique, qui reste l´une des meilleures actions de prévention contre cette pathologie.
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