Profile of diabetes and cardiovascular risk factors in adults Anjouan Island (Comoros)

Ali, Rachmat Attoumane Ben; Hannoun, Zineb; Harraqui, Khouloud; Zeghari, Lotfi; Aboussaleh, Youssef; Mohamed, Samir I; Anssoufouddine, Mohamed; Bour, Abdellatif

doi:10.11604/pamj.2019.33.140.19016

Cited by 6 publications

(6 citation statements)

References 31 publications

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“…Compared to other African countries, having 3–7 risk factors for NCDs in this study (36.3% in 2008 and 31.7% in 2019) was higher than in Malawi (3–7 risk factors, 16.5%) ( 8 ) and Zambia (26.7%, 3–10 risk factors) ( 9 ). The prevalence of overweight/obesity in 2019 (51.0%) and the prevalence of diabetes (1.2%) in 2019 was similar or lower than in another island country in Africa in Comoros (50.8% overweight/obesity and 8.5% diabetes) ( 6 , 7 ), but in terms of overweight/obesity higher than in Malawi (26.5%) ( 8 ) and Zambia (24.4%) ( 9 ). The prevalence of hypertension (33.5% in 2019) was similar to Malawi (32.9%) ( 8 ) but higher than in Zambia (18.9%) ( 9 ), the prevalence of current tobacco use (8.8% in 2019) was lower than in Malawi (14.1% current smokers) ( 8 ), and in Zambia (10.7% daily tobacco use) ( 9 ), and the rate of IFVI (53.3% in 2019) was lower than in Zambia (90.4%) ( 9 ).…”

Section: Discussionmentioning

confidence: 75%

“…In another island country in Africa in Comoros, among adults (25–64 years) the prevalence of diabetes was 8.5% ( 6 ), and overweight and obesity was 28.6 and 22.2%, respectively ( 7 ). In other African countries, for example, in Malawi, 16.5% had 3–7 risk factors of NCD (ranging from 5.6% raised blood glucose to 32.9% raised blood pressure) ( 8 ), and in Zambia, 26.7% had 3–10 risk factors of NCD (ranging from 6.2% diabetes to 90.4% insufficient fruit and vegetable intake = IFVI) ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

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Trends in bio-behavioural risk factors of non-communicable diseases among adults in Sao Tome and Principe

Pengpid,

Peltzer

2023

Front. Public Health

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BackgroundUnderstanding national trends in risk factors of noncommunicable diseases (NCDs) may have health policy implications. The aim of the study was to assess the prevalence and social and demographic factors associated with risk factors of NCDs in adults from 2008 to 2019 in Sao Tome and Principe.MethodsIn repeat cross-sectional national STEPS surveys 2,457 adults (median age 37 years) in 2008 and 1,893 adults (median age 38 years) in 2019 in Sao Tome and Principe responded to structured interviews, physical and biochemical measures. Logistic regressions were applied to estimate predictors of NCD risk factors.ResultsHaving three to seven NCD risk factors significantly decreased among men but not women from 36.6% in 2008 to 26.8% in 2019. The proportion of specific risk factors of NCD increased significantly for low physical activity from 17.4% in 2008 to 30.9% in 2019, and overweight/obesity from 37.3% in 2008 to 51.0% in 2019. Insufficient fruit/vegetable consumption decreased from 83.1% in 2008 to 53.3% in 2019, frequent alcohol use from 32.6% in 2008 to 24.8% in 2019, and diabetes from 3.1% in 2008 to 1.2% in 2019, while the proportion of current tobacco use and hypertension remained unchanged from 2008 to 2019. Men engaged more often than women in current tobacco use and frequent alcohol use, and women had higher rates of low physical activity and overweight/obesity than men. Higher educational levels were positively associated with overweight/obesity, and inversely associated with frequent alcohol use and inadequate fruit/vegetable intake.ConclusionBetween 2008 and 2019, the prevalence of seven risk factors for NCDs in Sao Tome and Principe declined among men, but not among women. Several associated variables have been identified for each individual risk factor of NCD that may help guide interventions.

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Section: Discussionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Trends in bio-behavioural risk factors of non-communicable diseases among adults in Sao Tome and Principe

Pengpid,

Peltzer

2023

Front. Public Health

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“…In comparison to other African countries, the proportion of 3–9 NCD risk factors (42.9% in 2007 and 45.7% in 2020) in this study was higher than in Malawi (3–7 NCD risk factors, 16.5%) 9 and in Zambia (26.7%, 3–10 NCD risk factors). 10 The prevalence of overweight/obesity in 2020 (50.4%) and the prevalence of diabetes (5.1%) in 2020 was similar in terms of overweight/obesity (50.8%) in another island country in Africa in Comoros but diabetes was lower than in Comoros (8.5%), 7 8 and overweight/obesity was higher than in Malawi (26.5%) 9 and Zambia (24.4%). 10 The prevalence of hypertension (36.6% in 2020) was higher than in Malawi (32.9%) 9 and in Zambia (18.9%), 10 the prevalence of current tobacco use (11.9% in 2020) was lower than in Malawi (14.1% current smokers) 9 and in Zambia (10.7% daily tobacco use), 10 and the prevalence of insufficient fruit/vegetable consumption (76.8% in 2020) was lower than in Zambia (90.4%).…”

Section: Discussionmentioning

confidence: 88%

“…5 Among adult women in Cabo Verde 18.9% (8.5% in men) lived with obesity in 2010-16. 6 In another island country in Africa in Comoros, among adults (25-64 years), the prevalence of diabetes was 8.5%, 7 and the prevalence of overweight and obesity was 28.6% and 22.2%, respectively. 8 In other African countries, for example, 16.5% had 3-7 NCD risk factors in the Malawi STEPwise approach to NCD risk factor surveillance (STEPS) survey in 2009, 9 and 26.7% had 3-10 NCD risk factors in the Zambia STEPS survey in 2017.…”

Section: Open Accessmentioning

confidence: 99%

Behavioural and biological risk factors of non-communicable diseases among adults in Cabo Verde: a repeated cross-sectional study of the 2007 and 2020 national community-based surveys

Pengpid,

Peltzer

2023

BMJ Open

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ObjectiveThe aim of the study is to estimate trends in the prevalence and associated factors of non-communicable disease (NCD) risk factors in adults from 2007 to 2020 in Cabo Verde.DesignPopulation-based cross-sectional study.SettingNationally representative samples of adult population in Cabo Verde from the 2007 and 2020 STEPwise approach to NCD risk factor surveillance (STEPS) surveys.ParticipantsThe sample included 1760 adults in 2007 and 3721 in 2020.Outcome measuresIncluded fruit/vegetable consumption, low physical activity, sedentary behaviour, current tobacco use, hazardous alcohol use, diabetes, total elevated cholesterol, hypertension and overweight/obesity. Logistic regressions adjusted for sociodemographic factors were applied to estimate predictors of each of the nine NCD risk factors.ResultsCompared with participants in the study year 2007, participants in the study year 2020 had a significantly higher prevalence of low physical activity (adjusted OR (AOR): 2.21, 95% CI: 1.15 to 4.25) and overweight/obesity (AOR: 1.68, 95% CI: 1.26 to 2.23) and significantly lower rate of hypertension (AOR: 0.77, 95% CI: 0.64 to 0.93). Low physical activity (AOR: 1.61, 95% CI: 1.23 to 2.10), overweight/obesity (AOR: 2.59, 95% CI: 2.10 to 3.20), current tobacco use (AOR: 1.94, 95% CI: 1.36 to 2.75), hypertension (AOR: 5.45, 95% CI: 4.24 to 7.00), diabetes (AOR: 8.40, 95% CI: 4.65 to 15.18) and elevated total cholesterol (AOR: 4.58, 95% CI: 2.83 to 7.39) were more common among the 50–64-year-olds. Being male increased the odds of current tobacco use (AOR: 3.64, 95% CI: 2.75 to 4.81) and hazardous alcohol use (AOR: 4.79, 95% CI: 3.15 to 7.27), and decreased the odds of low physical activity (AOR: 0.48, 95% CI: 0.39 to 0.58) and overweight/obesity (AOR: 0.47, 95% CI: 0.40 to 0.56).ConclusionsOf the nine NCD risk factors evaluated from 2007 to 2020 in Cabo Verde, two increased (overweight/obesity and low physical activity) and one decreased (hypertension). Several associated variables were identified for each individual NCD risk factor that can help in guiding interventions.

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“… 22 One of the previous systematic reviews of diabetes conducted in 2011 in sub-Saharan Africa (SSA) indicates that about 12.1 million people are living with diabetes in Africa and if the condition continues in this trend, by 2030, about 23.9 million people will be expected to live with diabetes. 23 …”

Section: Introductionmentioning

confidence: 99%

Predictors for the Longevity of People with Diabetes in Buno Bedele and Illubabor Zones, South-west Ethiopia

Tadege¹,

Misganaw²,

Truneh³

et al. 2023

DMSO

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Introduction Currently, diabetes is a global health problem and it affects many people, especially in the developing continents. As patients’ living conditions improve and the science of medicine advances, the longevity of such patients has increased greatly. Therefore, the purpose of this study was to identify predictors for the association of the longevity of people with diabetes in Buno Bedele and Illubabor Zones, South-west Ethiopia. Methods The study applied a retrospective cohort study design approach. In particular, long rank tests for longevity experience and Cox semi-parametric regression were implemented to compare and investigate the predictors associated with the longevity of patients with diabetes. Results Among all the patients who participated in this study, 56.9% were females and the rest were males. From the Cox regression result, age (AHR = 1.0550, 95% CI: (1.0250, 1.0860), p-value = 0.001), female patients (AHR = 0.2200, 95% CI: (0.0390, 0.5290)), rural patients (AHR = 0.2200, 95% CI: (0.1000, 0.4890), p-value = 0.001), the existence of fasting blood glucose complication (AHR = 1.2040, 95% CI: (1.0930, 1.4460), p-value = 0.001), the existence of blood pressure (AHR = 1.2480, 95% CI: (1.1390, 1.5999), p-value = 0.0180), treatment type, Sulfonylureas (AHR = 4.9970, 95% CI: (1.4140, 17.6550), p-value = 0.0120), treatment type, Sulfonylurea and Metformin (AHR = 5.7200, 95% CI: (1.7780, 18.3990), p-value = 0.0030) were significantly affected the longevity of people with diabetes. Conclusion The findings of the current study showed that the patient’s age, sex of patients, residence area, the existence of complications, existence of pressure, and treatment type were major risk factors related to the longevity of people with diabetes. Hence, health-related education should be given to patients who come to take treatment to have better longevity for people with diabetes. More attention should be given to aged patients, male and urban patients, patients under complication treatment, and patients under treatment with single-treatment medication.

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Profile of diabetes and cardiovascular risk factors in adults Anjouan Island (Comoros)

Cited by 6 publications

References 31 publications

Trends in bio-behavioural risk factors of non-communicable diseases among adults in Sao Tome and Principe

Trends in bio-behavioural risk factors of non-communicable diseases among adults in Sao Tome and Principe

Behavioural and biological risk factors of non-communicable diseases among adults in Cabo Verde: a repeated cross-sectional study of the 2007 and 2020 national community-based surveys

Predictors for the Longevity of People with Diabetes in Buno Bedele and Illubabor Zones, South-west Ethiopia

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