South African Dyslipidaemia Guideline Consensus Statement

Klug, Eric

doi:10.7196/samj.5502

Cited by 29 publications

(17 citation statements)

References 7 publications

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“…According to the 2012 South African Dyslipidaemia Guidelines, 24 target levels in patients with type 2 diabetes are: TC < 4.5 mmol/l; TG < 1.7 mmol/l; HDL-C > 1.0 mmol/l in men and > 1.2 mmol/l in women; LDL-C < 1.8 mmol/l.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and pattern of dyslipidaemia in type 2 diabetes mellitus patients at a tertiary care hospital

Daya

Bayat

Raal

2017

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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Background: Diabetes mellitus (DM) is a common secondary cause of dyslipidaemia, particularly if glycaemic control is poor, which in turn is an important risk factor for atherosclerosis and coronary artery disease. Objectives: (1) To study the prevalence and pattern of dyslipidaemia in patients with type 2 DM. (2) To determine the relationship (if any) between HbA 1C and the lipid profile in type 2 diabetic patients. Methods: This was a cross-sectional study done in 200 type 2 diabetic patients attending the Diabetic Clinic at the Helen Joseph Hospital. Patients suffering from other known causes of secondary dyslipidaemia were excluded. Each patient's HbA 1C and lipid profile results were recorded from their clinic files. The lipid profile included total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C) and calculated low-density lipoprotein cholesterol (LDL-C). Patients with one or more of the above parameters outside the targets recommended by the 2012 South African Dyslipidaemia Guidelines were considered to have uncontrolled dyslipidaemia. Results: Of the 200 type 2 DM patients studied, 86 (43%) were male and 114 (57%) female. Despite all patients being treated with lipid-lowering therapy (simvastatin at a mean daily dose of 20 mg), 187 patients (93.5%) did not achieve all their lipid targets. The most prevalent lipid parameter not at target was an LDL-C of ≥ 1.8 mmol/l in nearly 80% of patients. The most common pattern of dyslipidaemia was a combined dyslipidaemia (any two abnormal lipid parameters) affecting a total of 82 out of the 187 patients (43.8%) not reaching recommended targets. No significant relationship was found between HbA 1C and any of the lipid parameters. Conclusion: The vast majority of the type 2 diabetic patients studied had dyslipidaemia not meeting recommended targets, despite the use of lipid-lowering therapy in all patients. There is a need for more intensive lipid-lowering therapy, particularly statin therapy in patients with dyslipidaemia. Measures aimed at combating obesity and other lifestyle-related risk factors are also vital and need to be implemented for effectively controlling dyslipidaemia and reducing the burden of CVD.

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Section: Methodsmentioning

confidence: 99%

Prevalence and pattern of dyslipidaemia in type 2 diabetes mellitus patients at a tertiary care hospital

Daya

Bayat

Raal

2017

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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“…[43] Dyslipidaemia was defined as a TC level of >6.21 mmol/L or an HDL level of <1.19 mmol/L, while a fasting glucose level of >5.5 mmol/L was considered to indicate impaired fasting glucose. [44,45] BP was calculated using the average between the second and third BP readings. Hypertension was defined using BP readings alone and categorised as normal blood pressure (systolic <120 mmHg and diastolic <80 mmHg), category 1 (systolic 120 -139 mmHg or diastolic 80 -89 mmHg), category 2 (systolic 140 -159 mmHg or diastolic 90 -99 mmHg) or category 3 (systolic ≥160 mmHg or diastolic ≥100 mmHg).…”

Section: Researchmentioning

confidence: 99%

Prevalence of comorbidities in women with and without breast cancer in Soweto, South Africa: Results from the SABC study

et al. 2019

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“…[24][25][26] Waist circumference was considered normal if < 80 cm for females and < 94 cm for males.…”

Section: Discussionmentioning

confidence: 99%

Staff and student health and wellness at the Faculty of Medicine and Health Sciences, Stellenbosch University: current status and needs assessment

Koen

Philips

Potgieter

et al. 2017

South African Family Practice

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Background: Emphasis is currently placed on the importance of employee and student wellness initiatives. The aim was to assess staff and student health status at the Faculty of Medicine and Health Sciences (FMHS), Stellenbosch University (SU), and to conduct a wellness needs assessment. Methods: Online, self-administered questionnaires were used to collect data concerning staff and students. Additionally, students' anthropometric and biochemical parameters were assessed. Summary statistics, correlation coefficients and appropriate analysis of variance were used for data analyses. Results: Data were obtained from staff (survey: n = 300) and students (screening: n = 536; survey: n = 330). Some 58% (n = 174) of staff had a self-reported BMI of ≥ 25 kg/m 2 whilst mean screening values for all variables fell within normal reference ranges for students. In all, 78% (n = 232) of staff reported to exercise < 150 min/week and 28% (n = 91) of students were sedentary for > 8 h/day; 63% (n = 188) of staff expressed the need to make better food choices, 17% (n = 55) of students were aware of the need to change but experienced reluctance, and both staff and students felt dietary assistance would be beneficial (43% vs. 46%). In addition, 79% of staff (n = 208) and 42% of students (n = 138) reported being under constant pressure. Conclusion: Much can be done to improve the health and well-being of both staff and students at the FMHS, SU. Wellness is a multifactorial concept; as such, health-promotional strategies for classrooms and workplaces should consider all factors in order to provide a holistic approach and potentially identify those who are at risk of a sub-optimal wellness status.Keywords: health sciences, health screening, online survey, staff and student wellness IntroductionThe World Health Organization (WHO) defines wellness as not only the absence of illness but a state of complete physical, mental and social well-being.1 Wellness is a multifaceted concept that incorporates seven dimensions, namely social, emotional, physical, intellectual, spiritual, environmental and occupational wellness.2 These aspects are believed to be a worthy focus for employee and student wellness programmes, as they exist as a holistic model wherein the diverse dimensions are interdependent.1 It is important to be able to identify these dimensions and implement a programme that addresses these within an organisation. From the standpoint of an employee, not only is each dimension of wellness important, but the ability to balance these dimensions is fundamental.3 Employees of an organisation should have access to wellness programmes, along with incentives that encourage participation. This change in behaviour can be beneficial in improving organisational culture, 4 decreasing absenteeism, reducing medical costs and improving well-being of employees. Similarly, many studies have been conducted worldwide emphasising the unhealthy behaviour and lifestyles of university students. [6][7][8][9][10][11][12][13][14][15][16] Behaviours and lifestyle...

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South African Dyslipidaemia Guideline Consensus Statement

Cited by 29 publications

References 7 publications

Prevalence and pattern of dyslipidaemia in type 2 diabetes mellitus patients at a tertiary care hospital

Prevalence and pattern of dyslipidaemia in type 2 diabetes mellitus patients at a tertiary care hospital

Prevalence of comorbidities in women with and without breast cancer in Soweto, South Africa: Results from the SABC study

Staff and student health and wellness at the Faculty of Medicine and Health Sciences, Stellenbosch University: current status and needs assessment

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