Diabetes in sub-Saharan Africa

Mbanya, Jean Claude; Motala, Ayesha A.; Sobngwi, Eugène; Assah, Félix; Enoru, Sostanie

doi:10.1016/s0140-6736(10)60550-8

Cited by 606 publications

(606 citation statements)

References 104 publications

Supporting

Mentioning

559

Contrasting

Unclassified

Order By: Relevance

“…74 Fasting serum cholesterol and triglyceride levels are higher in Asian-Indian than African subjects, 75 with type 2 diabetes being more prevalent in the former population group. 76 The reasons for these ethnic differences in disease prevalence rates and cardiovascular risk factors are not fully understood, although it has been suggested that the higher abdominal fat mass observed in Asian-Indian and European compared to African subjects may be involved. 77 It is, however, of note that African subjects tend to be more insulin resistant than Europeans 78,79 even though they have less visceral adiposity.…”

Section: Obesity and Cardiovascular Disease In Africamentioning

confidence: 99%

“…128 The rising levels of obesity in Africa were expected to result in an increase in the prevalence of obesity-related disorders, which seems to be the case. 71,129 Africa is also the centre of an HIV/AIDS epidemic and is therefore suffering a double burden of communicable and non-communicable diseases. Studies have shown that HIV infection and ART can both lead to cardiovascular disease 130 and this will further enhance the current epidemic of obesity-related diseases on the African continent.…”

Section: Fat and The Futurementioning

confidence: 99%

See 1 more Smart Citation

Once fat was fat and that was that : our changing perspectives on adipose tissue

Ferris

Crowther

2011

CardioVascular Journal of Africa

View full text Add to dashboard Cite

Past civilisations saw excess body fat as a symbol of wealth and prosperity as the general population struggled with food shortages and famine. Nowadays it is recognised that obesity is associated with co-morbidities such as cardiovascular disease and diabetes. Our views on the roll of adipose tissue have also changed, from being solely a passive energy store, to an important endocrine organ that modulates metabolism, immunity and satiety. The relationship between increased visceral adiposity and obesity-related co-morbidities has lead to the recognition that variation in fat distribution contributes to ethnic differences in the prevalence of obesity-related diseases. Our current negative view of adipose tissue may change with the use of pluripotent adipose-derived stromal cells, which may lead to future autologous stem cell therapies for bone, muscle, cardiac and cartilage disorders. Here, we briefly review the concepts that adipose tissue is an endocrine organ, that differences in body fat distribution underline the aetiology of obesity-related co-morbidities, and the use of adipose-derived stem cells for future therapies.

show abstract

Section: Obesity and Cardiovascular Disease In Africamentioning

confidence: 99%

Section: Fat and The Futurementioning

confidence: 99%

Once fat was fat and that was that : our changing perspectives on adipose tissue

Ferris

Crowther

2011

CardioVascular Journal of Africa

View full text Add to dashboard Cite

show abstract

“…Information from situation analyses can assist in mapping the areas of greatest need and identifying facilities with the greatest readiness to commence programmes (5). Urban and peri-urban areas of SSA suffer the greatest prevalence of diabetes, (26,27) and therefore represent areas of greatest need for DR prevention services.…”

Section: Geographical Coveragementioning

confidence: 99%

Planning and developing services for diabetic retinopathy in Sub-Saharan Africa

Poore

Foster

Zondervan

et al. 2014

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: Over the past few decades diabetes has emerged as an important non-communicable disease in SubSaharan Africa (SSA). Sight loss from Diabetic Retinopathy (DR) can be prevented with screening and early treatment. The objective of this paper is to outline the required actions and considerations in the planning and development of DR screening services. Methods: A multiple-case study approach was used to analyse five DR screening services in Botswana, Ghana, Tanzania and Zambia. Cases included: two regional screening programmes, two hospital-based screening services and one nationwide screening service. Data was collected using qualitative methodologies including: document analysis, indepth interviews and observation. The World Health Organization (WHO) Health Systems Framework was adopted as the conceptual framework for analysis. Results: Planning for a sustainable and integrated DR screening programme demanded a health systems approach. Collaboration with representatives from a variety of ministerial departments and professional bodies was required. Evolution of DR screening services may occur in a variety of ways including: increasing geographical coverage, integration into the general healthcare system, and stepwise progression from a passive, opportunistic service to one that systematically and proactively seeks to prevent DR. Lessons learned from the implementation of cervical cancer prevention programmes in resource-poor settings may assist the development of DR programmes in similar settings. Conclusion: To promote good planning of DR screening services and ensure limited resources are used effectively, there is a need to learn from screening programmes in other medical specialities and a need to share experiences between newly-developing DR programmes in resource-poor countries. The WHO Health Systems Framework presents an invaluable tool to ensure a systematic approach to planning DR screening services.

show abstract

“…Just like many African countries [6] [7], Côte d'Ivoire is also concerned with this plague. The report on diabetes mellitus is alarming in comparison with data and some sanitary consequences provoked by the disease [8].…”

Section: Introductionmentioning

confidence: 99%

Glycemic Index and Glycemic Load of Juice from Edible Wild Fruits (Adansonia digitata, Tamarindus indica and Parkia biglobosa) Consumed in C&ocirc;te d’Ivoire

Kouassi¹,

Kouassi²,

Beugré³

et al. 2018

JBM

View full text Add to dashboard Cite

The diabetes mellitus is a public health problem in Côte d'Ivoire. The Glycemic index (GI) and the Glycemic load (GL) determination of commonly consumed foods such as juice fruits is an alternative to prevent metabolic diseases. This study carried out three wild fruits locally named Baobab (Adansonia digitata), Tomi (Tamarindus indica) and Néré (Parkia biglobosa) collected at maturity stage. The juices from the pulp of fruits have been elaborated, pasteurized, submitted to microbiological and physicochemical analysis before GIs/GLs determination. Ten healthy subjects with body mass index and age average respectively 21.57 ± 1.06 and 28 ± 2 years old tested the three juices and glucose (50 g) as reference food. Blood samples have been collected at 0, 15, 30, 45, 60, 90 and 120 min after foods consumption. The GIs/GLs has been determined according to ISO/FDI 26642:2010 protocol

show abstract

Diabetes in sub-Saharan Africa

Cited by 606 publications

References 104 publications

Once fat was fat and that was that : our changing perspectives on adipose tissue

Once fat was fat and that was that : our changing perspectives on adipose tissue

Planning and developing services for diabetic retinopathy in Sub-Saharan Africa

Glycemic Index and Glycemic Load of Juice from Edible Wild Fruits (<i>Adansonia digitata</i>, <i>Tamarindus indica</i> and <i>Parkia biglobosa</i>) Consumed in C&ocirc;te d’Ivoire

Contact Info

Product

Resources

About

Diabetes in sub-Saharan Africa

Cited by 606 publications

References 104 publications

Once fat was fat and that was that : our changing perspectives on adipose tissue

Once fat was fat and that was that : our changing perspectives on adipose tissue

Planning and developing services for diabetic retinopathy in Sub-Saharan Africa

Glycemic Index and Glycemic Load of Juice from Edible Wild Fruits (&lt;i&gt;Adansonia digitata&lt;/i&gt;, &lt;i&gt;Tamarindus indica&lt;/i&gt; and &lt;i&gt;Parkia biglobosa&lt;/i&gt;) Consumed in C&amp;ocirc;te d’Ivoire

Contact Info

Product

Resources

About

Glycemic Index and Glycemic Load of Juice from Edible Wild Fruits (<i>Adansonia digitata</i>, <i>Tamarindus indica</i> and <i>Parkia biglobosa</i>) Consumed in Côte d’Ivoire