Parité et risque du syndrome métabolique chez la femme congolaise du Sud-Kivu, République Démocratique du Congo

Baguma, Marius; Ilimbizi, B.; Katchunga, Philippe Bianga

doi:10.1007/s11690-014-0428-7

Cited by 3 publications

(2 citation statements)

References 29 publications

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“… 2 Besides, several authors have shown that multiparous women have higher risk of developing metabolic syndrome; this may be associated with the proven correlation between multiparity and the development of abdominal obesity that leads to adipose tissue mediated dysregulation of insulin sensitivity and other metabolic pathways. 29–31 …”

Section: Discussionmentioning

confidence: 99%

Metabolic Syndrome During Pregnancy: Prevalence and Determinants Among Pregnant Women Followed-Up at the Dschang District Hospital, West Region of Cameroon

Dabou

Ongbayokolak

Sama

et al. 2022

DMSO

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Purpose Metabolic syndrome (MS) during pregnancy constitutes a serious threat to the mother and child health that will shortly become a major public health issue, especially in developing countries. However, in Cameroon, epidemiological data on MS during pregnancy are still scarce. The aim of this study was to determine the prevalence and determinants of MS among pregnant women followed-up at the Dschang District Hospital (DDH), in the west region of Cameroon. Patients and Methods This study was a hospital based cross-sectional study, carried out among pregnant women followed-up at the antenatal care unit of the DDH, from September 2019 to June 2020. Participants were assessed on sociodemographic, lifestyle parameters, and dietary habits using standardized and structured questionnaires. Anthropometric parameters, blood pressure, and biochemical markers were measured using standard procedures. Metabolic syndrome was diagnosed using the HNLBI/AHA definition, modified for pregnant women by Chatzi et al. A participant was recorded as having MS if presenting at least three of the following criteria: Pre-gestational BMI >30 kg/m2; triglycerides ≥150 mg/dl; HDL cholesterol <50 mg/dl; SBP ≥130/DBP ≥85 mm/Hg; and fasting blood glucose ≥100 mg/dl. Results Six hundred and four (604) pregnant women were included in the study. The prevalence of MS was 17.88% (95% CI: 15.03–21.14) and its most frequent individual components were low levels of HDL-cholesterol (66.23% (95% CI: 62.36–69.88)) and hypertriglyceridemia (28% (95% CI: 54.31–62.15)). Grand multiparous shows a higher risk of presenting MS (OR:3.06, 95% CI: 1.24–7.12; p = 0.011) compared to nulliparous. Pregestational BMI appears to be the best predictor of MS during pregnancy even after adjustment on age, parity, lifestyle and dietary habits (OR: 46.46, 95% CI: 15.58–138.49; p ˂ 0.0001). Conclusion The prevalence of MS on pregnant women in the Dschang health district is 17.88% (95% CI: 15.03–21.14) and its major determinant is pre-gestational obesity. This work provides quality preliminary data for the design and improvement of prevention strategies.

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Section: Discussionmentioning

confidence: 99%

Metabolic Syndrome During Pregnancy: Prevalence and Determinants Among Pregnant Women Followed-Up at the Dschang District Hospital, West Region of Cameroon

Dabou

Ongbayokolak

Sama

et al. 2022

DMSO

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“…However, some studies show that the threshold values for pathological WC need to be adjusted to African people, especially for the female gender [13-17]. Thus, relying on WC threshold values currently recommended for sub-Saharan Africa remains inadequate and would certainly over predict insulin resistance, especially in hypertensive subjects.…”

Section: Introductionmentioning

confidence: 99%

Bioelectrical impedance outperforms waist circumference for predicting cardiometabolic risk in Congolese hypertensive subjects: a cross-sectional study

Katchunga

Bapolisi

M'Buyamba-Kabangu

et al. 2015

BMC Cardiovasc Disord

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BackgroundWaist circumference threshold values used in sub-Saharan Africa correspond to those of European populations and are therefore inappropriate. Thus, they may over predict insulin resistance, especially in hypertensive Africans, in whom there is often no association between blood pressure and insulin resistance. Using bioelectrical impedance measurement in sub-Saharan Africa could possibly be advantageous to overcome the shortcomings of waist circumference measurement. The aim of this study was to evaluate the contribution of body composition estimation by bioelectrical impedance to predict cardiometabolic risk in Congolese hypertensive subjects.MethodsCardiovascular profiling and body composition analysis by bioelectrical impedance was measured in 400 patients (men = 40%; age = 51.1 ± 12.6 years). Patients were diagnosed with a metabolic syndrome (MS) according to the IDF Criteria with and without the “blood pressure” criterion to remove any confounding autocorrelation bias, a visceral fat-MS (with and without the “blood pressure” criterion) being defined by the presence of ≥ 2 criteria with the precondition of excess visceral fat defined by a bio impedance measurement score >10/30. Total cardiovascular risk was assessed using the criteria of Framingham-2008.ResultsThe frequencies of enlarged waist circumference (71.9% vs 68.9%, p = 0.52) and IDF-MS without blood pressure criterion (24.9% vs 21.9%, p = 0.48) were similar among hypertensive vs. non hypertensive however excess visceral fat (57.6% vs 33.8%, p <0.0001) as well as visceral fat-MS without blood pressure criterion (18.9% vs 11.3%, p = 0.04) were more prevalent among hypertensive. Finally, total cardiovascular risk as well as arterial hypertension risk were associated with visceral fat, but not with waist circumference (p > 0.05).ConclusionsPending the determination of thresholds values for pathological waist circumference adapted to sub-Saharan populations, using bioelectrical impedance measurement may contribute to better characterize the cardiometabolic risk and the insulin resistant phenotype of hypertensive sub-Saharan Africans.

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La parité a-t-elle une influence sur la prévalence du syndrome métabolique chez la femme d’Afrique noire diabétique de type 2 ?

Hué

Koffi-Dago

Danho

et al. 2020

Médecine des Maladies Métaboliques

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Parité et risque du syndrome métabolique chez la femme congolaise du Sud-Kivu, République Démocratique du Congo

Cited by 3 publications

References 29 publications

Metabolic Syndrome During Pregnancy: Prevalence and Determinants Among Pregnant Women Followed-Up at the Dschang District Hospital, West Region of Cameroon

Metabolic Syndrome During Pregnancy: Prevalence and Determinants Among Pregnant Women Followed-Up at the Dschang District Hospital, West Region of Cameroon

Bioelectrical impedance outperforms waist circumference for predicting cardiometabolic risk in Congolese hypertensive subjects: a cross-sectional study

La parité a-t-elle une influence sur la prévalence du syndrome métabolique chez la femme d’Afrique noire diabétique de type 2 ?

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