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Diabetes in Borgou Department in Benin: Prevalence and Associated Factors

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DOI: 10.4236/jdm.2015.52011    2,517 Downloads   3,076 Views   Citations

ABSTRACT

An epidemic trend is observed in the evolution the epidemiology of diabetes mellitus worldwide. In a nationwide survey conducted in 2008, prevalence of diabetes was estimated to 2.6% in the hole Beninese population and to 4.6% in Borgou department representing the highest in the country. Aim: To determine the prevalence of diabetes mellitus in the adult population and investigate associated factors in Borgou department. Method: A survey was conducted from September 30th to November 20th 2011. In a random sampling using the STEP wise approach of surveillance of chronic diseases recommended by the World Health Organization, 4597 subjects over 18 years old (1935 men and 2662 women) were selected. After informed consent, every subject was submitted to the STEP questionnaire and anthropometric measures. Capillary blood was drawn in fast condition to determine glycaemia. Diabetes was defined by fasting glycaemia above 1.26 g/l. Chi square test was used for statistical analysis and difference was considered significant with p < 0.05. Results: Prevalence of diabetes was 12.4%. There was not a significant difference between men (8.5%) and women (9.4%), p = 0.33. Prevalence of previously known diabetes was 1.2% suggesting a large proportion of undiagnosed diabetes. Prevalence of diabetes increased significantly with age (p < 0.0001). There was no association with instruction level (p = 0.21). Other factors significantly associated with diabetes were place of residency (p < 0.0001), ethnicity (p = 0.002), marital status (p < 0.0001), obesity (p = 0.017) and high blood pressure (p < 0.0004). Conclusion: There is a rapid increase in diabetes prevalence in Borgou department in Benin confirming the epidemic trend of the disease. A large proportion of these diabetic subjects remained undiagnosed, so untreated and then, exposed to precocious chronic complications and precocious mortality. These results strongly support need for active intervention program with objectives of primary, secondary and tertiary prevention of diabetes mellitus and associated factors.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Djrolo, F. , Adoukonou, T. , Houehanou, C. , Houinato, J. and Houinato, D. (2015) Diabetes in Borgou Department in Benin: Prevalence and Associated Factors. Journal of Diabetes Mellitus, 5, 90-96. doi: 10.4236/jdm.2015.52011.

References

[1] King, H. and Rewers, M. (1992) Au nom du groupe spécial OMS sur la notification du diabète. Le diabète de l’adulte: désormais un problème dans le tiers monde. Bulletin de l’Organisation Mondial de la Santé, 70, 11-16.
[2] Mash, R.J., De Vrie, E. and Abdul, I. (2006) Diabetes in Africa: The New. Report on the 19th World Diabetes Congress, Cape Town.
[3] King, H. and Rewers, M. (1993) Global Estimates for Prevalence of Diabetes Mellitus and Impaired Glucose Tolerance. WHO Ad Hoc Diabetes Reporting Group. Diabetes Care, 16, 157-177.
http://dx.doi.org/10.2337/diacare.16.1.157
[4] Wild, S., Roglic, G., Green, A., Sicree, R. and King, H. (2004) Global Prevalence of Diabetes: Estimates for the Year 2000 and Projection for 2030. Diabetes Care, 27, 1047-1053.
http://dx.doi.org/10.2337/diacare.27.5.1047
[5] Gning, S.B., Thiam, M., Fall, F., Ba-Fall, K., Mbaye, P.S. and Fourcade, L. (2007) Le diabète sucré en Afrique sub- saharienne: Aspect épidémiologique, difficulté de prise en charge. Médecine Tropicale, 67, 607-611.
[6] Djrolo, F., Amoussou-Guenou, K.D., Zannou, D.M., Houinato, D., Ahouandogbo, F. and Houngbé, F. (2003) Prévalence du diabète sucré au Bénin. Louvain Médical, 122, S256-S260.
[7] Organisation Mondiale de la santé (2006) L’approche STEPwise de l’OMS pour la surveillance des facteurs de risque des maladies chroniques: Manuel de surveillance STEP de l’OMS, Genève.
[8] World Health Organization (1999) Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications. Reports of a WHO Consultation. Part 1: Diagnosis and Classification of Diabetes Mellitus. WHO/NCS/99. 2.
[9] Balde, N.-M., Diallo, I., Baldé, M.-D., Barry, I.-S., Kaba, L., Diallo, M.-M., Kaké, A., Camara, A., Bah, D., Bah, D., Barry, M.-M., Sangaré-Bah, M. and Maugendre, D. (2007) Diabetes and Impaired Fasting Glucose in Rural and Urban Population in Futa Djallon (Guinea): Prevalence and Associated Risk Factors. Diabetes and Metabolism, 33, 114-120. http://dx.doi.org/10.1016/j.diabet.2006.10.001
[10] Gharbi, M., Akrout, M. and Zouari, B. (2002) Diabète non insulino-dépendant: prévalence et facteurs de risque en Tunisie. Revue d’Epidémiologie et de Santé Publique, 50, 349-355.
[11] Zahoui, S., Biémont, C. and Meguenni, K. (2007) Approche épidémiologique du diabète urbain et rural dans la région de Tlemcem (Ouest Algérien). Cahier Santé, 17, 15-21.
[12] Bradshaw, D., Norman, R., Pieterse, D. and Levitt, N.M., the South African Comparative Risk Assessment Collaborative Group (2007) Estimating the burden of disease attributable to diabetes in South Africa in 2000. South African Medical Journal, 97, 700-706.
[13] Arhén, B. and Corrigan, C.B. (1984) Prevalence of Diabetes Mellitus in North-Western Tanzania. Diabetologia, 26, 333-336.
[14] Simon, D. (2008) Définition, dépistage et épidémiologie du diabète de type 2. Médecine des Maladies Métaboliques, 2, S5-S9.
[15] Melidonis, A.M., Tournis, S.M., Kompoti, M.K., Lentzas, I.L., Roussou, V.R., Iraclianou, S.L., Michail, I.M. and Mariolis, A.M. (2006) Increase Prevalence of Diabetes Mellitus in a Rural Greek Population. Rural Remote Health, 6, 534.
[16] Nyenwe, A.E., Odia, J.O., Ihekwaba, A.E., Ojule, A. and Babatunde, S. (2003) Type 2 Diabetes in Adult Nigerians: A Study of Its Prevalence and Risk Factors in Port Harcourt, Nigeria. Diabetes Research and Clinical Practice, 62, 177- 185. http://dx.doi.org/10.1016/j.diabres.2003.07.002
[17] Bouguerra, R., Alberti, H., Salem, L.B., Rayana, C.B., Atti, J.E., Gaigi, S., et al. (2007) The Global Diabetes Pandemic: The Tunisian Experience. European Journal of Clinical Nutrition, 61, 160-165.
http://dx.doi.org/10.1038/sj.ejcn.1602478
[18] Latifa, B.H. (2007) Facteurs de risque cardiovasculaire dans la communauté urbaine de Tlemcen. Cahier Santé, 17, 153-158.
[19] Ozturk, Y., Aykut, M., Kelestimur, F., Gunay, O., Cetinkaya, F., Ceyhan, O. and Egri, M. (2000) Prevalence of Diabetes Mellitus and Affected Factors in the District of Kayseri Health Group Area. Turkish Journal of Medical Sciences, 30, 181-185.
[20] Jean-Baptiste, E.D., Larco, P., Charles-Larco, N., Vilgrain, C., Simon, D. and Charles, R. (2007) Glucose Intolerance and Other Cardiovasculaire Risk in Haiti. Prevalence of Diabetes and Hypertension in Haiti. BMC Public Health, 13, 326.
[21] Esteghamati, A., Gouya, M.M., Abbasi, M., Delavari, A., Alikhani, S. and Alaedini, F. (2008) National Survey of Risk Factors for Non-Communicable Disease of Iran. Diabetes Care, 31, 96-98.
[22] Ozdemir, L., Topçu, S., Nadir, I., Nur, N., Arslan, S. and Sümer, H. (2005) The Prevalence of Diabetes and Impaired Glucose Tolerance in Sivas, Central Anatolia, Turkey. Diabetes Care, 28, 795-798.
[23] Hadaegh, F., Bozorgmanesh, M.R., Ghasemi, A., Harati, H., Saadat, N. and Azizi, F. (2008) High Prevalence of Undiagnosed Diabetes and Abnormal Glucose Tolerance in the Iranian Urban Population: Tehran Lipid and Glucose Study. BMC Public Health, 8, 176-178.
http://dx.doi.org/10.1186/1471-2458-8-176
[24] Sobngwi, E., Ndour-Mbaye, M., Boateng, K.A., Ramaiya, K.L., Njenga, E.W., Diop, S.N., et al. (2012) Type 2 Diabetes Control and Complications in Specialized Diabetes Care Centres of Six Sub-Saharan African Countries: The Diabcare Africa Study. Diabetes Research and Clinical Practice, 95, 30-36.

  
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