Obesity is a CVD risk factor that can be modulated for massive reduction in morbi-mortality. Traditional indices measuring it have been inconsistent and the most commonly used;BMI has proved inappropriate for Africans...Obesity is a CVD risk factor that can be modulated for massive reduction in morbi-mortality. Traditional indices measuring it have been inconsistent and the most commonly used;BMI has proved inappropriate for Africans, not attending specifically to body fat and its distribution. With the consensus that intra-abdominal fat is the most critical for cardio-metabolic diseases, various attempts were made to measure it for risk estimation. These however require costly equipments not easily amenable for population studies. The abdominometer conceptualized by BNO has shown promise in isolated cases. This pilot study was undertaken in this restricted population to compare its utility with existing anthropometric measures of cardiovascular disease.展开更多
Background: There is paucity of data on cardiovascular disease (CVD) risk factors among stroke patients in our population. This study aimed at assessing CVD risk factors amongst stroke patients compared with apparentl...Background: There is paucity of data on cardiovascular disease (CVD) risk factors among stroke patients in our population. This study aimed at assessing CVD risk factors amongst stroke patients compared with apparently healthy controls. Methods: This was a case-control study conducted at Aminu Kano Teaching Hospital Kano. One hundred stroke subjects were consecutively recruited and compared with 100 age and sex matched controls. The CVD risk factors assessed were hypertension, diabetes mellitus, dyslipidemia, obesity, cigarette smoking, alcohol consumption, socioeconomic status (SES), increased age, male gender and Human Immunodeficiency Virus (HIV) status. Results: Mean age was 56.4 ± 15.8 years for cases and 54.5 ± 15.4 years for controls (p = 0.39), and 53% of the former and 52% of the latter were males (p = 0.887). The most prevalent CVD risk factor was hypertension, found in 71% of cases and 42% of the controls, (p = 0.01). All heart diseases were found in 70% of cases and 21% of controls (p < 0.001), and hypertensive heart disease (HHD) was the commonest, found in 55% of cases and 18% of controls (p < 0.001). Dyslipidemia was found in 53% of cases and 37% of the controls (p = 0.023), diabetes mellitus/hyperglycemia in 23% of the cases and 6% of the controls (p = 0.01), history of transient ischemic attack (TIA) in 19% of cases and 1% of the controls (p = 0.01), while atrial fibrillation was found in 9% of cases only. Other risk factors were uncommon. Conclusion: The most frequent CVD risk factors among Nigerians with stroke were systemic hypertension, heart diseases, male sex and dyslipidemia, while HIV and other risk factors were uncommon. Thus medical attention and public enlightenment should focus on the common ones as detected in this study.展开更多
文摘Obesity is a CVD risk factor that can be modulated for massive reduction in morbi-mortality. Traditional indices measuring it have been inconsistent and the most commonly used;BMI has proved inappropriate for Africans, not attending specifically to body fat and its distribution. With the consensus that intra-abdominal fat is the most critical for cardio-metabolic diseases, various attempts were made to measure it for risk estimation. These however require costly equipments not easily amenable for population studies. The abdominometer conceptualized by BNO has shown promise in isolated cases. This pilot study was undertaken in this restricted population to compare its utility with existing anthropometric measures of cardiovascular disease.
文摘Background: There is paucity of data on cardiovascular disease (CVD) risk factors among stroke patients in our population. This study aimed at assessing CVD risk factors amongst stroke patients compared with apparently healthy controls. Methods: This was a case-control study conducted at Aminu Kano Teaching Hospital Kano. One hundred stroke subjects were consecutively recruited and compared with 100 age and sex matched controls. The CVD risk factors assessed were hypertension, diabetes mellitus, dyslipidemia, obesity, cigarette smoking, alcohol consumption, socioeconomic status (SES), increased age, male gender and Human Immunodeficiency Virus (HIV) status. Results: Mean age was 56.4 ± 15.8 years for cases and 54.5 ± 15.4 years for controls (p = 0.39), and 53% of the former and 52% of the latter were males (p = 0.887). The most prevalent CVD risk factor was hypertension, found in 71% of cases and 42% of the controls, (p = 0.01). All heart diseases were found in 70% of cases and 21% of controls (p < 0.001), and hypertensive heart disease (HHD) was the commonest, found in 55% of cases and 18% of controls (p < 0.001). Dyslipidemia was found in 53% of cases and 37% of the controls (p = 0.023), diabetes mellitus/hyperglycemia in 23% of the cases and 6% of the controls (p = 0.01), history of transient ischemic attack (TIA) in 19% of cases and 1% of the controls (p = 0.01), while atrial fibrillation was found in 9% of cases only. Other risk factors were uncommon. Conclusion: The most frequent CVD risk factors among Nigerians with stroke were systemic hypertension, heart diseases, male sex and dyslipidemia, while HIV and other risk factors were uncommon. Thus medical attention and public enlightenment should focus on the common ones as detected in this study.
