Background: Cardiovascular events, the leading cause of death among diabetic patients, are usually under-diagnosed due to subclinical presentation. Methods: We conducted a cross-sectional study from March-2019 to Sept...Background: Cardiovascular events, the leading cause of death among diabetic patients, are usually under-diagnosed due to subclinical presentation. Methods: We conducted a cross-sectional study from March-2019 to September-2020, in two reference hospitals in Yaoundé, Cameroon, to assess the prevalence of asymptomatic Left Ventricular Diastolic Dysfunction (LVDD) and Silent Myocardial Infarction (SMI) and potentially associated factors. Results: Out of 95 participants (mean age ± SD: 43 ± 7 years;M/F sex-ratio 1.6), 22 (23.1%;95% CI: 15.8% - 32.6%) had LVDD and fewer (n = 13, 13.6%;95% CI: 8.2% - 22.0%) had SMI, p = 0.86. Though not statistically significant, patients with ≥5 years diabetes duration, as well as patients with HbA1C ≥ 7.5% had two-fold increased risk of LVDD (p = 0.22 and p = 0.15 respectively). LVDD was significantly higher in patients with SMI (29% vs 6.3%, p Conclusion: The significant presence of asymptomatic cardiovascular manifestations in this population entails mandatory preventive screening, especially, in patients with long standing diabetes and poor glycemic control, to allow timely detection and management.展开更多
Objective:We examined the effect of silent myocardial ischemia(SMI)on functional fitness levels and physical independence in 60–79-year-old individuals.Methods:We conducted a cross-sectional study with 716 older adul...Objective:We examined the effect of silent myocardial ischemia(SMI)on functional fitness levels and physical independence in 60–79-year-old individuals.Methods:We conducted a cross-sectional study with 716 older adults and used an electrocardiograph and an ambulatory electrocardiogram to diagnose those with SMI.Physical independence was assessed using the Composite Physical Function scale,whereas physical fitness was assessed using the Senior Fitness Test battery.Results:The 60-79-year-old females and males with SMI were more likely to have lower scores for lower and upper body strength,agility/dynamic balance,and aerobic endurance(p<0.05)than those without SMI.The scores for lower and upper body flexibility in all age groups for both genders were not significant(p>0.05).Binary logistic regression analysis revealed that old adults with SMI had a higher risk of losing physical independence later in life than those without SMI(p<0.05).Conclusion:This study showed that individuals with SMI have lower fitness levels and increased risk of losing physical independence than those without SMI.展开更多
文摘Background: Cardiovascular events, the leading cause of death among diabetic patients, are usually under-diagnosed due to subclinical presentation. Methods: We conducted a cross-sectional study from March-2019 to September-2020, in two reference hospitals in Yaoundé, Cameroon, to assess the prevalence of asymptomatic Left Ventricular Diastolic Dysfunction (LVDD) and Silent Myocardial Infarction (SMI) and potentially associated factors. Results: Out of 95 participants (mean age ± SD: 43 ± 7 years;M/F sex-ratio 1.6), 22 (23.1%;95% CI: 15.8% - 32.6%) had LVDD and fewer (n = 13, 13.6%;95% CI: 8.2% - 22.0%) had SMI, p = 0.86. Though not statistically significant, patients with ≥5 years diabetes duration, as well as patients with HbA1C ≥ 7.5% had two-fold increased risk of LVDD (p = 0.22 and p = 0.15 respectively). LVDD was significantly higher in patients with SMI (29% vs 6.3%, p Conclusion: The significant presence of asymptomatic cardiovascular manifestations in this population entails mandatory preventive screening, especially, in patients with long standing diabetes and poor glycemic control, to allow timely detection and management.
基金sponsored by the National General Administration of Sport,China(2015B015,Study on the demonstration community how to keep seniors fit through exercise,2016.1-2018.12).
文摘Objective:We examined the effect of silent myocardial ischemia(SMI)on functional fitness levels and physical independence in 60–79-year-old individuals.Methods:We conducted a cross-sectional study with 716 older adults and used an electrocardiograph and an ambulatory electrocardiogram to diagnose those with SMI.Physical independence was assessed using the Composite Physical Function scale,whereas physical fitness was assessed using the Senior Fitness Test battery.Results:The 60-79-year-old females and males with SMI were more likely to have lower scores for lower and upper body strength,agility/dynamic balance,and aerobic endurance(p<0.05)than those without SMI.The scores for lower and upper body flexibility in all age groups for both genders were not significant(p>0.05).Binary logistic regression analysis revealed that old adults with SMI had a higher risk of losing physical independence later in life than those without SMI(p<0.05).Conclusion:This study showed that individuals with SMI have lower fitness levels and increased risk of losing physical independence than those without SMI.
