Prevalence of metabolic abnormalities in the Tunisian adults: a population based study

Bouguerra, R; Salem, L. Ben; Alberti, Hugh; Rayana, C. Ben; Atti, J. El; Blouza, S.; Gaigi, S.; Achour, A.; Slama, C. Ben; Zouari, B.

doi:10.1016/s1262-3636(07)70271-9

Cited by 45 publications

(40 citation statements)

References 29 publications

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“…The resting blood pressure was determined once on the right arm after the patient had been seated for at least 5 min with an automatic oscillometric blood pressure recorder. Blood pressure and waist circumference results are being reported elsewhere (Bouguerra et al, 2006).…”

Section: Methodsmentioning

confidence: 99%

The global diabetes pandemic: the Tunisian experience

et al. 2006

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Objective: The prevalence of diabetes mellitus is known to be increasing rapidly worldwide, but few population-based surveys have been undertaken in Africa or the Middle East. The aims of this study are to report the prevalence of diabetes mellitus and impaired fasting glucose (IFG) in Tunisia, to compare the prevalence to previous studies and to analyse the relationship between diabetes and age, sex, area of residency and body mass index (BMI). Subjects and setting: We have used data from the Tunisian National Nutrition Survey, a cross-sectional health study providing a large nationally representative sample of the Tunisian population including 3729 adults. We used the American Diabetes Association diagnostic criteria to determine the prevalence of diabetes mellitus and IFG. Results: The overall diabetes prevalence was 9.9% (9.5% in men and 10.1 in women) giving age-adjusted prevalence of diabetes of 8.5% (7.3% in men and 9.6% in women).Step-wise logistic regression showed age of more than 40 years, urban residency and high BMI to each be significantly and independently related to diabetes prevalence. The prevalence of diabetes mellitus has more than doubled in Tunisia over a 15-year period. Conclusions: Our study has demonstrated a high prevalence of diabetes in the adult population with a wide difference among the rural and urban areas with an increased prevalence compared to previous studies. The results underline the need to increase public awareness and to emphasize the benefit of lifestyle modification in order to prevent type II diabetes.

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Section: Methodsmentioning

confidence: 99%

The global diabetes pandemic: the Tunisian experience

et al. 2006

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“…Indeed, more than 500 million adults have obesity affecting more women than men and 43 million preschool children are overweight with high rate in North Africa (7) . The continuous increase of obesity is associated with health consequences leading to high prevalence of CVD risks such as hypertension, diabetes, dyslipidaemia and metabolic syndrome and affecting even Mediterranean countries (19,24,(28)(29)(30)(31) .…”

Section: Epidemiological Transitionmentioning

confidence: 99%

Nutrition transition and food sustainability

Belahsen

2014

Proc. Nutr. Soc.

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The aim of the present paper is to review nutrition transition (NT) ongoing in low and middle income countries and the associated dietary changes. NT is accompanied by demographic and epidemiological transition associated with economic development and urbanisation. In these countries, while the problems of hunger and undernourishment persist, there is an escalation of diet-related non-communicable diseases; making them face both problems of malnutrition, under and overnutrition. Indeed, in addition to protein energy malnutrition underweight and micronutrient deficiencies affect a high proportion of children and women. Conversely, changes in dietary habits and physical activity patterns have led to emergence of chronic diseases such as obesity, diabetes, hypertension, stroke, hyperlipidaemia, CHD and cancer. One possible explanation of weight gain and its associated health consequences is the trend of the consumption of already prepared meals and the restaurants that are in continuous development leading to high consumption of foods rich in sugar and fat. The health problems associated with NT have not spared populations in the Mediterranean area where the type of diet is reported to be healthy and to protect against cardiovascular risks. This is seen in North Africa that belongs also to the Mediterranean basin, where the nutritional situation raises the problem of traditional foods sustainability. Accurate nutritional policy and education are needed to redress the effects of malnutrition related to NT on health.

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“…In the present study HDL-cholesterol (HDL-C) was not determined because at the time of the survey the method of dosage was the precipitation method, which was known for its large variability, and serum was not kept to measure it. Since TC has been shown to be directly related to mortality from coronary heart diseases, even in populations with low cholesterol concentrations [15], we used TC instead of HDL-C as previously reported [16][17][18][19]. The cut-off point used for TC was ≥5.2 mmol/L in men and women.…”

Section: Measurementsmentioning

confidence: 99%

Menopause and metabolic syndrome in Tunisian women

Ali¹,

Belfki²,

Skhiri³

et al. 2012

Revue d'Épidémiologie et de Santé Publique

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Objectives. This study aimed to evaluate the effect of menopausal status on the risk of metabolic syndrome (MetS) in Tunisian women. Methods. We analyzed a total of 2680 women aged between 35 and 70 years. Blood pressure, anthropometric indices, fasting glucose, and lipid profile were measured. The MetS was assessed by the modified NCEP-ATPIII definition. Results. The mean values of waist circumference, blood pressure, plasma lipids, and fasting glucose were significantly higher in postmenopausal than in premenopausal women, a difference that was no longer present when adjusting for age. Except for hypertriglyceridaemia, the frequency of central obesity, hyperglycemia, high blood pressure, and high total cholesterol was significantly higher in postmenopausal than in premenopausal women. After adjusting for age, the significance persisted only for hyperglycemia. The overall prevalence of MetS was 35.9%, higher in postmenopausal (45.7% versus 25.6%) than in premenopausal women. A binary logistic regression analysis showed that menopause was independently associated with MetS (OR = 1.41, 95% CI 1.10-1.82) after adjusting for age, residence area, marital status, family history of cardiovascular disease, education level, and occupation. Conclusions. The present study provides evidence that the MetS is highly prevalent in this group of women. Menopause can be a predictor of MetS independent of age in Tunisian women.

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Prevalence of metabolic abnormalities in the Tunisian adults: a population based study

Cited by 45 publications

References 29 publications

The global diabetes pandemic: the Tunisian experience

The global diabetes pandemic: the Tunisian experience

Nutrition transition and food sustainability

Menopause and metabolic syndrome in Tunisian women

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