Diabetes and obesity in the eastern Morocco

Ramdani, Noureddine; Vanderpas, Jean; Boutayeb, Abdesslam; Meziane, Abdelouafi; Hassani, Benyounès; Zoheir, Jaouhar; Legssyer, Abdelkhaleq; Aziz, Mohammed; Mekhfi, Hassane; Bnouham, Mohammed; Ziyyat, Abderrahim

doi:10.1007/s12349-011-0087-2

Cited by 17 publications

(11 citation statements)

References 19 publications

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“…In Eastern Morocco, diabetes and its complications are major public health problems. The study of our research team revealed a prevalence of 10.2% for diabetes in this region for adults aged 40 and older [23]. To the best of our knowledge, there are no studies that have focused on diabetes complications and its risk factors in Eastern Morocco.…”

Section: Introductionmentioning

confidence: 90%

Risk Factors and Diabetes Related Complications Frequency in the Population of the Northeastern Morocco

Hammoudi¹,

Dahmani²,

Bouanani³

et al. 2018

OJEpi

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Objectives: Diabetes is one of the most challenging health problems in the 21 st century that brings a considerable economic burden on worldwide healthcare resources. Indeed, people with diabetes have a higher lifetime healthcare expenditure due to the long-term complications, which include micro and macrovascular complications. This study sought to estimate the frequency of diabetes complications, and to investigate the associated risk factors. Methodology: Data were obtained from the medical records of 2401 diabetic patients followed at the Reference Center of Diabetes and Chronic Diseases (RCD) in Oujda (Morocco) during the period 2006-2011. Results: Our sample of 2401 diabetic patients include 64.7% women. 32% of patients have one or more complications; retinopathy is the most frequent complication (16.8%), followed by nephropathy (12.4%), cardiovascular diseases (5.4%), neuropathy (3.6%) and diabetes foot (2%). Logistic regression in univariate followed by multivariate analysis has showed that age, duration of diabetes and high albuminuria are the major risk factors for the development of diabetic complications in both type 1 and type 2 diabetes. Conclusions: Nearly one third of diabetic patients were affected by at least one diabetic complication; retinopathy is the most common complication in these patients. Strengthening programs to improve diabetes management and to reduce the risk of these complications should be a high priority in order to control the cost of treatment.

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Section: Introductionmentioning

confidence: 90%

Risk Factors and Diabetes Related Complications Frequency in the Population of the Northeastern Morocco

Hammoudi¹,

Dahmani²,

Bouanani³

et al. 2018

OJEpi

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“…They were recruited during the screening and prevention campaigns organized in collaboration with the health organizations and associations of civil society. They came mainly to test their blood sugar levels, their blood pressure and to identify their weight profile (Ramdani et al 2012 ).…”

Section: Methodsmentioning

confidence: 99%

“…To overcome this problem which prevented us from ensuring a random sampling, we opted for the convenience sampling method. This method has been detailed and discussed in the first article (Ramdani et al 2012 ).…”

Section: Methodsmentioning

confidence: 99%

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Epidemiology of hypertension and its relationship with type 2 diabetes and obesity in eastern Morocco

et al. 2014

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The major objectives of this work are to estimate the hypertension (HT) frequency in the east of Morocco and to study the relationship between HT, type 2 diabetes and obesity. Our sample is composed of 1628 adults aged 40 years and older, recruited voluntarily by using the convenience sampling method through 26 screening campaigns in urban and rural areas of the east of Morocco. We enumerated 516 hypertensive people (31.7%), without significant difference between women (32.5%) and men (30.2%). The known hypertensive people represent 10.1% of the whole sample. The frequency of HT, increases with age and it is more marked in rural (39.9%) than in urban areas (29%) (p < 0.001). It is significantly very high in diabetic subjects (69.9%) than among the non-diabetic ones (27.4%) (p < 0.001). The odd ratio (OR) of the diabetics to HT is 6.16 (IC95% [4.33-8.74]). Among the obese persons, HT is present at (40.8%) vs. (30.2%) among the subjects of normal weight (p < 0.05). The OR of the obese to HT is 1.6 (IC95% [1.26 - 2.04]). In conclusion, our results show a high frequency of HT in the east of Morocco; it affects nearly one third of the adult population aged 40 years and older. The relations between type 2 diabetes and obesity have also been identified and estimated.

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“…For the number of people with Type 2 diabetes, our study was based on values provided by the International Diabetes Federation (IDF) [10], World Health Organization (WHO) [11], Moroccan ministry of Health [12] and studies published in reviewed journals [13][14][15]. All computations of costs were based on the assumption that prevalence of Type 2 diabetes among adult people was 9% and that prevalence of Type 1 diabetes was 70/100,000 among the whole population.…”

Section: Prevalence Of Diabetesmentioning

confidence: 99%

Estimation of direct and indirect cost of diabetes in Morocco

Boutayeb¹,

Lamlili²,

Boutayeb³

et al. 2013

JBiSE

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Due to its chronic nature with severe complications, diabetes needs costly prolonged treatment and care. The high economic burden of diabetes is particularly threatening low and middle income countries. Worldwide, studies have shown that the cost of diabetes per person is much higher than the per capita health expenditure. This study is the first to estimate the direct and indirect cost of diabetes in Morocco. The direct cost of diabetes was computed by assuming three scenarios of prices (low, medium and high) due to different prices of insulin, oral drugs and other items used in diabetes treatment and care. Indirect costs of diabetes were estimated by the lifetime forgone earnings caused by premature death and disability due to diabetes. The direct cost of diabetes in Morocco was estimated to be between US $0.47 and US $1.5 billion whereas the indirect cost was estimated to be around US $2 billion accounting for 57% of the total cost of diabetes under the high cost scenario, 69% under the medium scenario and 81% under the low cost scenario. The average per capita indirect cost was estimated to be US $1113, relatively higher than the direct cost of diabetes which was seen to vary from US$ 259 to US $830. The results yielded by this study were compared to those obtained by similar studies in different regions and countries of the world. As a conclusion, the findings of this study indicate a high economic burden of diabetes and stress the importance that Moroccan health decision makers should give to sensitisation, early diagnosis and treatment of diabetes especially with the crucial growing trend of diabetes prevalence.

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Diabetes and obesity in the eastern Morocco

Cited by 17 publications

References 19 publications

Risk Factors and Diabetes Related Complications Frequency in the Population of the Northeastern Morocco

Risk Factors and Diabetes Related Complications Frequency in the Population of the Northeastern Morocco

Epidemiology of hypertension and its relationship with type 2 diabetes and obesity in eastern Morocco

Estimation of direct and indirect cost of diabetes in Morocco

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