Caractéristiques cliniques des volontaires au dépistage du diabète : pistes pour la prévention au Burkina - Faso

Téné Marceline Yaméogo, Carole Gilberte Kyelem, Macaire S Ouédraogo, Djingri Lankoandé, Marie-Madeleine Rouamba, Maria Elena Cruz, Aimé Arsène Yaméogo, Jean-Baptiste Tougma, Omar Guira, Hervé Tieno, Apollinaire Sawadogo, Athanase Millogo, Youssouf Joseph Drabo

Abstract


 

Voluntary screening for diabetes  in Burkina Faso : Looking for slopes of prevention

Background : Africa experience a high rate of increase in diabetes. Its prevention is necessary.

Methods: We did a cross-sectional study with volunteers by interview, clinical examination, measurement of capillary glycemia and venous blood glucose if necessary.

Results: in total, 295 volunteers were recruited. The average age was 46.4 years [95% CI: 45.1-47.7] and sex ratio 0.7. There were 28.8% of civil servants, 70.5 % educated and 18.9% of cases with family history of diabetes. Mean BMI was 27.6 kg/m2 [95% CI: 26.9-28.2]; 64.1% of cases had an overweight/obesity. Average waist circumference was 91.0 cm [95% CI: 89.5-92.5]; 60.3% of the cases had abdominal obesity, 146 had hypertension (49.5%) and an abdominal obesity  plus HTA in 34.6% of the cases. Only 78 (26.4%) reported regular physical activity. Capillary blood glucose average was 5.5 mmol/l [95% CI: 5.2-5.8]; 34 (17.5%) had a fasting hyperglycemia (n = 194). Only  9 (26.5%) have returned to the venous blood glucose. The latter was higher than 7 mmol at 8/9 tested, i.e. a prevalence of diabetes of 4.1% at least (n = 194).

Conclusion: the volunteers, often educated, exhibited several risk factors and a high prevalence of diabetes. The slopes of prevention could be: the strengthening of the health promotion from primary school, the involvement of health services at work, the development of urban trails for physical exercise.




Keywords


Diabetes mellitus, voluntary testing, prevention, Burkina Faso

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