Diabetes in Ghana: a community based prevalence study in Greater Accra
Diabetes in Ghana: a community based prevalence study in Greater Accra
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DOI：
10.1016/s0168-8227(01)00374-6
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发表时间：
2002-06-01
影响因子：
5.1
通讯作者：
Adjei, S
中科院分区：
文献类型：
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作者：
Amoah, AGB;Owusu, SK;Adjei, S
关于加纳糖尿病患病率的数据很少，也不可靠。在本研究中，我们从加纳大阿克拉地区随机整群抽样调查了25岁及以上加纳人中糖尿病、空腹血糖受损(IFG)和糖耐量受损(IGT)的患病率。根据美国糖尿病协会和世界卫生组织的标准对糖尿病、IFG和IGT进行定义。4733名受试者的平均年龄为44.3+/-14.7岁，参与率为75%。糖尿病的粗患病率为6.3%。在300名糖尿病患者中，209人(69.7%)以前没有糖尿病病史。糖尿病、糖耐量低减及IFG和IGT合并症随年龄增长而增加。年龄最大(+岁)的人群糖尿病患病率最高(13.6%)。糖尿病的年龄调整患病率IFG和IGT分别为6.4%、6.0%和10.7%。糖尿病在男性中比女性更常见(7.7%比5.5%)[P<；0.05]。血糖状况恶化往往与年龄、体重指数、收缩压和舒张压的增加有关。然而，加纳人糖尿病预测因素的确定以及相对较高的IFG和IGT发生率的意义仍有待确定。(C)2002爱思唯尔科学爱尔兰有限公司。保留所有权利。
Data on the prevalence of diabetes in Ghana is scanty and unreliable. In the present study we have ascertained the prevalence of diabetes, impaired fasting glycaemia (IFG) and impaired glucose tolerance (IGT) in a random cluster sample of Ghanaians aged 25 years and above from the Greater Accra area of Ghana. Diabetes, IFG and IGT were defined by criteria of the American Diabetes Association and World Health Organization. The mean age of the 4733 subjects involved in the study was 44.3 +/- 14.7 years, and participation rate was 75%. The crude prevalence of diabetes was 6.3%. Out of 300 subjects with diabetes, 209 (69.7%) had no prior history of the disease. Diabetes, IGT and combined IFG and IGT increased with age. The oldest age group (64 + years) had the highest diabetes prevalence (13.6%). The age-adjusted prevalence of diabetes, IFG and IGT, were 6.4, 6.0 and 10.7%, respectively. Diabetes was more common in males than females (7.7 vs. 5.5%) [P < 0.05]. Worsening glycaemic status tended to be associated with increase in age, body mass index, systolic and diastolic blood pressures. Ascertainment of predictors for diabetes in Ghanaians and the significance of the relatively high rates of and IFG and IGT however, remain to be determined. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.