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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Metabolic syndrome in type 2 diabetes: Comparative prevalence according to two sets of diagnostic criteria in sub-Saharan Africans
Diabetology and Metabolic Syndrome, Volume 4, No. 1, Article 22, Year 2012
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Description
Background: Available definition criteria for metabolic syndrome (MS) have similarities and inconsistencies. The aim of this study was to determine the prevalence of MS in a group of Cameroonians with type 2 diabetes, according to the International Diabetes Federation (IDF) and the National Cholesterol Education Programme Adult Treatment Panel III (NCEP-ATP III) criteria, and to assess the concordance between both criteria, and the implications of combining them. Methods: We collected clinical and biochemical data for 308 patients with type 2 diabetes (men 157) at the National Obesity Center of the Yaounde Central Hospital, Cameroon. Concordance was assessed with the use of the Kappa statistic. Results: Mean age (standard deviation) was 55.8 (10.5) years and the median duration of diagnosed diabetes (25th75th percentiles) was 3 years (0.55.0), similarly among men and women. The prevalence of MS was 71.7% according to the IDF criteria and 60.4% according to NCEP-ATP III criteria. The prevalence was significantly higher in women than in men independently of the criteria used (both p<0.001). Overall concordance between both definitions was low to average 0.51 (95% confidence interval: 0.410.61). Combining the two sets of criteria marginally improved the yield beyond that provided by the IDF criteria alone in men, but not in the overall population and in women. Conclusions: The IDF and NCEP-ATP III criteria do not always diagnose the same group of diabetic individuals with MS and combining them merely increases the yield beyond that provided by the IDF definition alone. This study highlights the importance of having a single unifying definition for MS in our setting. © 2012 Kengne et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Kengne, Andre-Pascal Pascal
South Africa, Cape Town
University of Cape Town
Limen, Serge
Cameroon
Higher Institute of Health Sciences
Sobngwi, Eugène
Cameroon, Yaounde
Université de Yaoundé I
United Kingdom, Newcastle
School of Medical Education
Djouogo, Cathérine F.T.
Cameroon
Higher Institute of Health Sciences
Nouédoui, Christophe
Cameroon, Yaounde
Université de Yaoundé I
Statistics
Citations: 68
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1186/1758-5996-4-22
e-ISSN:
17585996
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Locations
Cameroon
Participants Gender
Male
Female