Metabolic syndrome, aging, physical inactivity, and incidence of type 2 diabetes in general African population

被引:32
作者
Longo-Mbenza, B. [1 ]
On'kin, J. B. Kasiam Lasi [1 ]
Okwe, A. Nge [2 ]
Kabangu, N. Kangola [2 ]
Fuele, S. Mbungu [2 ]
机构
[1] Univ Kinshasa, Dept Internal Med, Kinshasa, DEM REP CONGO
[2] LOMO MED, Clin Epidemiol & Res Ctr, Kinshasa, DEM REP CONGO
关键词
sub-Saharan Africa; metabolic syndrome; lifestyle changes; type; 2; diabetes; RISK-FACTORS; CARDIOVASCULAR-DISEASE; FASTING GLUCOSE; PREVALENCE; ADULTS; PREDICTOR; MELLITUS; IMPACT; CARE;
D O I
10.1177/1479164109346362
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The first objective of this study was to determine the baseline prevalence of metabolic syndrome and its individual components using the NCEP-R/ATPIII criteria, IDF criteria for Europe, and IDF criteria for Africa: waist circumference of at least 94 cm for men and women. The second objective was to investigate the incidence and the determinants of type 2 diabetes in a prospective cohort of 807 non-diabetic Central Africans aged >= 40 years from December 2004 to September 2008. During 3,156 person-years of median follow up, there were 93 type 2 diabetes cases (11.5%), corresponding to an incidence of 29 (95% CI 15-43) per 1,000 person-years. The independent predictors of incident type 2 diabetes were age >= 45 years, physical inactivity, non-diabetic hyperglycaemia and metabolic syndrome regardless of criteria used. In conclusion, urgent prevention strategies are needed to curb the type 2 diabetes epidemic in Africa.
引用
收藏
页码:28 / 39
页数:12
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