Hypertension in people with diabetes in sub-Saharan Africa: Revealing the hidden face of the iceberg
Hypertension in people with diabetes in sub-Saharan Africa: Revealing the hidden face of the iceberg
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DOI：
10.1016/j.diabres.2006.11.007
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发表时间：
2007-08-01
影响因子：
5.1
通讯作者：
Mbanya, Jean Claude
中科院分区：
文献类型：
--
作者：
Choukem, Simeon Pierre;Kengne, Andre Pascal;Mbanya, Jean Claude
目的：评价撒哈拉以南非洲国家喀麦隆糖尿病人群中高血压的患病率、认知、治疗和控制。方法：对210例糖尿病患者进行为期6个月的连续研究。进行了问卷调查和体格检查。JNC VI和最新世卫组织标准分别用于诊断高血压和糖尿病，并根据五个不同的目标评估高血压的控制情况。结果：91%的参与者患有2型糖尿病。高血压患病率和知晓率分别为66.7% （n = 140）和87.1% （n = 122）。知晓高血压状况者的治愈率为80.3% （n = 98）。高血压患者年龄较大，超重/肥胖较多，糖尿病持续时间较长。ACE抑制剂和利尿剂是两种最常用的降血压药物。按照ADA/JNC 7的目标，治疗患者的高血压控制率为10.2% （n = 10）。结论：喀麦隆的糖尿病患者高血压患病率非常高，大约是普通人群的三倍。知晓率和治疗率很高，但控制率很低。迫切需要有干预成分的大规模研究。2006爱思唯尔爱尔兰有限公司版权所有。
Aim: To evaluate the prevalence, awareness, treatment and control of hypertension in a diabetic population of Cameroon, a sub-Saharan African country.Methods: Two hundreds and ten diabetic patients were consecutively enrolled over a 6-month period. A questionnaire was administered and physical examination done. The JNC VI and the latest WHO criteria were used to diagnose hypertension and diabetes, respectively, and control of hypertension was assessed against five different targets.Results: Ninety-one percent of the participants had type 2 diabetes. Prevalence and awareness rates for hypertension were 66.7% (n = 140) and 87.1% (n = 122), respectively. Treatment rate among those aware of their hypertension status was 80.3% (n = 98). Patients with hypertension were older, more overweight/obese and had a longer duration of diabetes. ACE inhibitors and diuretics were the two most used blood pressure (BP) lowering drugs. Following the ADA/JNC 7 goal, the control rate of hypertension among treated patients was 10.2% (n = 10).Conclusion: Diabetic patients in Cameroon exhibit a very high prevalence of hypertension and are about three times more affected than the general population. Awareness and treatment rates are high, but the control rate is very low. Large scale studies with intervention component are urgently required. (C) 2006 Elsevier Ireland Ltd. All rights reserved.