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Metabolic syndrome and prediabetes in Ndokwa community of Nigeria: Preliminary study

Nwose, Ezekiel U., Oguoma, Victor M., Bwititi, P. T. and Richards, R. S. (2015). Metabolic syndrome and prediabetes in Ndokwa community of Nigeria: Preliminary study. North American Journal of Medical Sciences,7(2):53-58.

Document type: Journal Article
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IRMA ID 75039815xPUB839
Title Metabolic syndrome and prediabetes in Ndokwa community of Nigeria: Preliminary study
Author Nwose, Ezekiel U.
Oguoma, Victor M.
Bwititi, P. T.
Richards, R. S.
Journal Name North American Journal of Medical Sciences
Publication Date 2015
Volume Number 7
Issue Number 2
ISSN 2250-1541   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84923359587
Start Page 53
End Page 58
Total Pages 6
Place of Publication India
Publisher Medknow Publications and Media Pvt. Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Background: Global prevalence of metabolic syndrome (MS) and diabetes is increasing, but the reference ranges for MS indices have yet to be established for sub-Saharan African countries. As part of the international research collaboration agenda for Prediabetes and Cardiovascular Complications Study (PACCS), a pilot study was conducted in one of the Ndokwa communities of Nigeria in 2013. Aim : The study was to obtain preliminary indication of prevalence and reference values of MS in the rural communities of a low-mid income country.

Materials and Methods
: Seventy-four volunteer participants were recruited, after public lectures in high schools and churches in the community. Body mass index (BMI), blood pressure and waist circumference (WC), blood glucoselevel, and lipid profile were measured. Percentage prevalence MS was determined using commonest three criteria (Third Adult Treatment Panel (ATP III) 2001, International Diabetes Federation (IDF) 2005, and World Health Organization (WHO) 1999).

Results: When individual indices of MS are considered separately; the males seem healthier than females. However, the prevalence of high-density lipoprotein (HDL) cholesterol was higher in males than in females. Equal 3% prevalence of MS was seen in both genders using the WHO standard. Other criteria show prevalence of 8% females and 11% males (ATP III), 5% females and 8% males (IDF 2005 European), and 14% females and 17% males (IDF 2005 Ethnic).

Conclusion: The prevalence of MS is higher in males than females; and relative to ATP III 2001 criteria, either the IDF 2005 European may underestimate MS, or the ethnic specific could overestimate the prevalence. Hence, it is important to define the criteria to be used.
Keywords Cardiovascular disease
Diabetes
Diabetes prevention
Low-mid income communities
Public health
Prediabetes and cardiovascular complications study (PACCS
DOI http://dx.doi.org/10.4103/1947-2714.152079   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)


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