P84 Prévalence et caractéristiques du syndrome métabolique dans un groupe de patients diabétiques

Ammar, I. Ben; Slimène, J. Ben; Hmida, C.; Mami, F. Ben; Dakhli, Saber; Achour, A.

doi:10.1016/s1262-3636(09)71882-8

Cited by 5 publications

(3 citation statements)

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“…Our data showed that the prevalence of MS in our population was 67.5% according to the IDF 2009 definition, the same result (68.8%) was reported by Ammar et al [ 10 ]. However, the prevalence found remains higher than that reported in Mali in 2014 with the same harmonization consensus (48.9%) [ 7 ].…”

Section: Discussionsupporting

confidence: 91%

Metabolic Syndrome in Patients With Diabetes Mellitus

Essafi¹,

bouabdellaoui²,

Aynaou³

et al. 2022

Cureus

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Aim Our study aims to assess the prevalence of metabolic syndrome (MS) in patients with diabetes mellitus, identify its determinants, and determine the correlation between MS and degenerative complications. Method A retrospective, descriptive and analytic study was conducted at the Endocrinology, Diabetology, and Nutrition department of the Hassan II University Hospital in Fez, over the period between January 2009 and January 2019. We included in our study all type 1 and type 2 diabetic patients. The presence of metabolic syndrome was defined according to the criteria of the International Diabetes Federation (IDF) and American Heart Association/National Heart, Lung and Blood Institute (AHA / NHLBI) Joint Scientific Statement (2009). The data were entered in Microsoft Excel (Microsoft Corporation. 2018). and analyzed using SPSS software (IBM Corp. Released 2015. IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp). Result A total of 1034 patients were included in this study; 78.7% were type 2 diabetics (T2D) and 21.3% were type 1 diabetics (T1D). The average age was 52,06 ± 17,33 years in T2D and 27,04 ± 9,66 years in T1D. 65,5% were females. The prevalence of metabolic syndrome was 78.4% for T2D, and 27.3% for T1D. The most common abnormality was high blood pressure in T2D (87.7%), and visceral obesity in T1D (68.3%). The most common triad was the association of increased waist circumference, hypertension, and diabetes (in 25,5% of T2D and 20% of T1D). By comparing the population of diabetics with metabolic syndrome (MS) and those without, we noticed a significant difference (p<0.05) concerning age, gender, all components of MS (high blood pressure, abdominal obesity, hyper triglyceridemia (TG), and hypo high-density lipoprotein cholesterol (HDL-C). Diabetic retinopathy and ischemic heart disease were the only chronic complications correlated with MS (p <0.05). Conclusion High prevalence of metabolic syndrome in diabetic patients. Its screening and the specific treatment of its various components are essential in order to reduce the complications which jeopardize the functional as well as the vital prognosis of these patients.

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Section: Discussionsupporting

confidence: 91%

Metabolic Syndrome in Patients With Diabetes Mellitus

Essafi¹,

bouabdellaoui²,

Aynaou³

et al. 2022

Cureus

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“…In general, MS corresponds to the combination of several factors as visceral obesity, lipid disturbances, insulin resistance and hypertension [13,14]. Several studies indicate a higher risk of development of diabetic retinitis in diabetic patients with metabolic syndrome [15][16][17]. Its screening, early identification, and initiation of a specific treatment for its various components, such as correct medication intake, and changing lifestyle habits are essential to reduce the complications that compromise the functional and vital prognosis of these patients [15,18].…”

Section: Discussionmentioning

confidence: 99%

Use of digital retinography to detect vascular changes in pre-diabetic patients: a cross-sectional study

Araújo,

Orefice,

Gonçalves

et al. 2023

Diabetol Metab Syndr

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Background Diabetic retinopathy (DR) is a common complication of DM and may go unnoticed until irreversible damage occurs. Its screening can contribute to the early detection. Although, there are no studies which investigate the ability of digital retinography to detect vascular changes in pre-diabetic patients. Objective Identify the prevalence and severity of RD in patients with pre-diabetes. Methods Cross-sectionalstudy carried out in a sample of patients with pre-diabetes and weight excess characterized from January 2020 to April 2023. Sociodemographic and clinical variables were collected, in addition to lifestyle habits. Retinographic evaluation was also performed using a Digital Retinography. For the analysis of all variables, the adopted significance level was 5%. The software used for the analysis was SPSS version 25.0. Results Of 108 patients selected 7.1% have alteration in the exam indicating DR. Among the participants with diabetic retinopathy, four had the moderate form (50%), three the moderate form (37%) and only one participant had the severe form (13%). Conclusions Our findings highlight the importance of preventive measures and adequate control of these conditions in pre-diabetic patients, in order to prevent or delay the progression of diabetic retinopathy and, consequently, reduce the risk of blindness and other ocular complications.

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“…The study GEMCAS realized in Germany showed that 66%, 27.6%, and 6% in men and 64%, 28%, and 8% in women present, respectively, 3, 4, and 5 criteria of MetS [43]. In Tunisia, a study, concerning 90 diabetic patients aged more than 40 years old, showed that 46.7% of those with MetS had an association of 4 criteria and only 8% of the patients presented all the criteria of MetS, according to IDF 2005 definition [44].…”

Section: Prevalence Of the Metabolic Syndrome According To Thementioning

confidence: 99%

Metabolic Syndrome according to Three Definitions in Hammam-Sousse Sahloul Heart Study: A City Based Tunisian Study

Boumaiza

Omezzine

Romdhane

et al. 2014

Advances in Epidemiology

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Objectives. Metabolic syndrome (MetS) is a major risk factor of CVD. The aim of the present study is to determine the prevalence of the MetS, its components, and its different profiles according to NCEP-ATP III 2001, IDF 2005, and JIS 2009 definitions in Hammam-Sousse Sahloul Heart Study (HSHS).Study Design. The study involved 1121 participants (364 men and 757 women; sex-ratio = 0.48; mean age = 47.49 ± 16.24 years) living in Hammam Sousse city, located in the east of Tunisia.Methods. Anthropometric parameters, blood pressure, lipids levels, glycemia, insulinemia, and body mass index were measured. Statistical analyses were performed by SPSS16.0.Results. The percentage of participants who had MetS defined according to NCEP ATP III, IDF 2005, and JIS 2009 definitions was respectively, 29.5%, 38.4%, and 39.6%. With regard to gender, the prevalence of MetS is higher in men than in women according to IDF 2005 definition (38.5% men versus 38.3% women,P=0.961) and according to JIS 2009 definition (41.8% men versus 38.6% women,P=0.307), whereas, according to NCEP ATP III definition, the prevalence of MetS is higher in women than in men (30% versus 28.6%,P=0.627). The prevalence of MetS increased with increasing age according to the three definitions (P<0.001) and peaked in the oldest age group (≥70 years) according to IDF 2005 and JIS 2009. Furthermore, a significant difference in the prevalence of MetS components according to gender was observed. Indeed, the abdominal obesity is the most frequent MetS compound in women group, but hypertension and low HDL-C are the most frequent in men. In addition, according to the three definitions, the most frequent MetS profile in our study is “higher waist circumference, hypertension, and low HDL-C.”Conclusion. The high prevalence of MetS is a serious public health problem in Hammam-Sousse Sahloul community. Higher waist circumference, hypertension, and low HDL-C were the most frequent profile in our study.

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P84 Prévalence et caractéristiques du syndrome métabolique dans un groupe de patients diabétiques

Cited by 5 publications

References 0 publications

Metabolic Syndrome in Patients With Diabetes Mellitus

Metabolic Syndrome in Patients With Diabetes Mellitus

Use of digital retinography to detect vascular changes in pre-diabetic patients: a cross-sectional study

Metabolic Syndrome according to Three Definitions in Hammam-Sousse Sahloul Heart Study: A City Based Tunisian Study

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