scholarly journals Anthropometric indices as predictors of 10-year cardiovascular risk among Sub-Sahara Africans with type 2 diabetes

2021 ◽  
Vol 8 (4) ◽  
pp. 072-078
Author(s):  
TA Azeez
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Cardiovascular Risk ◽  
Curve Analysis ◽  
Roc Curve Analysis ◽  
Anthropometric Indices

Background: Body mass index, waist circumference, waist-hip ratio and waist-height ratio are simple clinical tools for determining obesity. Type 2 diabetes mellitus is often associated with multiple cardiovascular risk factors and increased cardiovascular death. The study was aimed at determining the relationship between these anthropometric indices and 10-year cardiovascular risk among sub-saharan Africans with type 2 diabetes mellitus. Methods: It was a cross-sectional study involving 67 adults (with 50.7% females) managed for type 2 diabetes mellitus in a referral hospital in Nigeria. Ethical approval was obtained at the institution review board and the participants also gave written consent. Anthropometric indices were determined using standard protocols. Fasting lipid profile, fasting plasma glucose, glycated haemoglobin and plasma creatinine were assayed using standard laboratory techniques. Atherogenic index of plasma, estimated glomerular filtration rate and the WHO-ISH cardiovascular risk score were also determined. Data was analyzed with SPSS version 22. Pearson correlation coefficient, Students’ t test, Chi square test, ROC curve analysis were performed as appropriate. Results: The mean age was 54.12±9.03 years. Obesity was found in 37.3%, 66.5%, 70.1% and 95.5% of the participants using BMI, WHR, WC and WHtR respectively. Intermediate/high cardiovascular risk was found in 38.2% and 24.2% of the males and females respectively. BMI and WC significantly correlated with blood pressure. There was no significant correlation between anthropometric indices and other cardiovascular risk factors studied. Using ROC curve analysis, BMI and WHtR had the highest AUC of 0.613 and 0.577 respectively. Conclusion: Among sub-sahara Africans with type 2 diabetes mellitus, there is a significant association between WC and BMI with the blood pressure. BMI and WHtR have the highest 10-year cardiovascular risk predictability among the anthropometric indices in this cohort of individuals. Larger and prospective studies are needed to validate these findings.

scholarly journals CONTROL OF GLYCEMIA AND CARDIOVASCULAR RISK FACTORS IN PATIENTS WITH TYPE 2 DIABETES IN PRIMARY CARE IN MONTENEGRO

2018 ◽  
pp. 016
Author(s):  
Milena M. Cojić ◽  
Ljiljana Cvejanov-Kezunović ◽  
Jelena Stanković ◽  
Nebojša Kavarić ◽  
Maja Koraćević ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Diabetic Patients ◽  
The Mean

Some observational studies have shown that only a small number of diabetic patients achieve optimum control of glycaemia and cardiovascular risk factors. The aim of this study was to analyze whether patients with type 2 diabetes mellitus treated in primary care achieve adequate control of glycemic levels and cardiovascular risk factors. This was a retrospective, record-based, cross-sectional study that included eligible patients from 35 to 90 years old with type 2 diabetes mellitus treated in Primary Health Care Center in Podgorica. We investigated electronic records of 531 diabetic patients. The observed prevalence of type 2 diabetes mellitus among individuals between ages 35 and 90 years, was 11,84 %. Half of the patients were female. The mean age was 65,88±9,86 years. The mean value of HbA1c was 7,56±1,71. Fifty-nine percents of patients achieved optimal levels of HbA1c ≤ 7 %. Also, more than half of patients achieved target levels of blood pressure while 27.9% achieved LDL ≤ 2.6 mmol/L. Fifty percent of patients were non-smokers and 45.1 % were obese. Among patients on primary prevention only 5.7 % had met all target levels while on secondary prevention that number was even smaller 3.7 %. Our study showed that control of HbA1c and blood pressure was similar to other studies but reaching target levels of LDL was challenging for our patients. Further analysis are needed in order to discover the reasons for poor control of certain CVRF and to develop strategies for its optimal management.

Beneficial effects of rosiglitazone on novel cardiovascular risk factors in patients with Type 2 diabetes mellitus

2008 ◽  
Vol 25 (3) ◽  
pp. 333-340 ◽  
Author(s):  
N. P. E. Kadoglou ◽  
F. Iliadis ◽  
N. Angelopoulou ◽  
D. Perrea ◽  
C. D. Liapis ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Beneficial Effects

scholarly journals Risk Factors for Type 2 Diabetes Mellitus in Children

2010 ◽  
Vol 18 (5) ◽  
pp. 936-942 ◽  
Author(s):  
Suyanne Freire de Macêdo ◽  
Márcio Flávio Moura de Araújo ◽  
Niciane Pessoa Bandeira Marinho ◽  
Adman Câmara Soares Lima ◽  
Roberto Wagner Freire de Freitas ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Public Schools ◽  
Demographic Data ◽  
Healthy Habits ◽  
Capillary Glucose

This study investigates risk factors for type 2 diabetes mellitus in a population of children in public schools, Fortaleza, CE, Brazil. A total of 727 children aged 6 to 11 years old from 12 schools were evaluated between March and June 2008. A form addressing socio-demographic data, body mass index, blood pressure, capillary blood glucose and waist circumference was applied. A total of 54.1% of the children were female, 21.7% were overweight, 6.6% were obese, 27% had central obesity, 6.2% showed altered capillary glucose, and 17% high blood pressure. In relation to risk factors, 53.4% presented no risk factors; 24.3% had at least one factor and 18.8% two risk factors. Nurses can intervene in schools through educational health programs encouraging the adoption of healthy habits and identifying children at risk of type 2 diabetes mellitus.

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