Contribution to the Study of Irritable Bowel Syndrome in Medical Students at the University of Parakou in Republic of Benin

Introduction: Irritable bowel syndrome is the most common functional gastrointestinal disorder. The objective of this work is to contribute to improving the medical follow-up of medical students at the University of Parakou through a study of irritable bowel syndrome. Study Methods: This was a descriptive and analytical cross-sectional study with prospective data collection. Data were collected from medical students from May 2018 to July 2018 using a pre-established questionnaire. Sampling was probabilistic using a two-stage survey. The diagnostic tools were: Rome IV criteria, Bristol scale and HAD (hospital anxiety and depression) scale. Data analysis was performed using Epi Info 7.1.3.14 software. CDC. Results: Thirty-two (7.55%) of the 424 students included had irritable bowel syndrome. Out of the 32 students with IBS, 24 (75%) were female. Their average age was 21.38 ± 2.39 years. For 24 students (75%), the symptoms occurred at the same time as exam preparation or the intense course period. Of the 32 students with IBS, 1 (3.12%) was regularly physically active. In this series, 8 students (28%) consulted a doctor for their symptoms. The factors associated with this syndrome were female sex (p = 0.022), sleep disorders (p = 0.008) and the presence of a doubtful depression (p = 0.021). Absenteeism due to irritable bowel syndrome was noted in 18 (56.25%) students. Conclusion: Irritable bowel syndrome is a common condition among medical students in Parakou. Support for better management of psychological disorders could improve the quality of life of these students.

Study of the Thermal Characteristics of a Geomaterial:Case of SavèGranites in the Republic of Benin

This work focuses on the valorization of local materials.The rock that is granite,a material used in construction thanks to its mechanical resistance,is the subject of our study.The granite of the commune of Savè,made it possible to appreciate the thermal behavior of this rock studied with a view to its use as a building material.To this end,a thermal diffusivity measurement test was carried out on this material.Thus,we made samples which were then connected to a data acquisition box via thermocouples.A Python script is used to ensure the collection of temperature values over time.From this thermal diffusivity test carried out on the granite taken from the Savèbreasts,we obtained an average diffusivity a=5.84×10^(-6)m^(2)/s.As a result,the thermal effusivity and the heat capacity of the material were determined having respectively the value 1,351.09 J/(K·m^(2)·s^(1/2))and 547,945.21 J/(m^(3)·K).These different results highlight a thermal characterization of Savègranites as a relevant material in the design and construction of an energy-efficient eco-housing.

Geometric Drawing Model of Shape of Water Sections for the Investigation of Solid Flow Transport in the Basin of Mono River in Republic of Benin

The hydrologic and hydraulic changings on the behavior of Mono river are the result of the stress involved by human activities, on one hand and the construction of the dam of Nangbéto and the exploitation of sand in downstream of the dam by the population, between Athiémé and Agbanankin on other hand. That effect had also affected the shape of the sections of the river in the context of climate variability. It shows consequently that area is also a trapping area of sediments eroded in downstream of the dam and is responsible for the trapping of sediments in the river. The slope and the flow rate are the main factors of the real capacity of transport of a watercourse. They also determine the transport of solid flows from upstream to downstream. This drawing model established by taking into account the bathymetry of a transversal section of the Mono river at Athiémé, is the first step of a global investigation of the solid flow transport in the basin of Mono river and the boundary condition for the characterization of its hydro-sedimentary dynamics study. It aims to take into account sections and the used technique which consist to measure on one located section as the representative section of the river at Athiémé, by moving the boat used for bathymetry.

Community Perception of Riparian Corridors Ecosystem Services and Implications for Environmental Education in Upper Oueme Catchment in Benin, West Africa

The assessment of the local community perception of the value of riparian corridors is relevant to understand their attitude towards the conservation of such ecosystem. We conducted a semi-structured survey on the perception and importance attributed to the ecosystem services (ESs) provided by riparian corridors in 368 households across 70 villages located in a buffer zone of 5 km of servitude around the permanent rivers of the Upper Oueme watershed in Benin. We found that local communities easily reported provisioning and cultural ESs than regulating and supporting ones, indicating their misunderstanding of the main role of riparian corridor. Moreover, the supply of cropping areas was perceived as the most important ES. Educated respondents and high-income households had more knowledge of regulating ESs and supporting ESs, respectively. Overall, the highly perceived importance of the provision of cropping areas indicates a potential risk of agricultural encroachment of riparian corridors. We suggest the consideration of the current local perception of riparian corridor’s role in designing a sound environmental education aiming at the change of local population’s perception. This perception shift will promote a sustainable management of the riparian corridors.

Stability Study of Low Voltage Electrical Distribution Network: Audit and Improvement of DJEGBE Mini Solar Photovoltaic Power Plant in the Commune of OUESSE (Benin)

The supply of quality energy is a major concern for distribution network managers. This is the case for the company ASEMI, whose subscribers on the DJEGBE mini-power station network are faced with problems of current instability, voltage drops, and repetitive outages. This work is part of the search for the stability of the electrical distribution network by focusing on the audit of the DJEGBE mini photovoltaic solar power plant electrical network in the commune of OUESSE (Benin). This aims to highlight malfunctions on the low-voltage network to propose solutions for improving current stability among subscribers. Irregularities were noted, notably the overloading of certain lines of the PV network, implying poor distribution of loads by phase, which is the main cause of voltage drops;repetitive outages linked to overvoltage caused by lightning and overcurrent due to overload;faulty meters, absence of earth connection at subscribers. Peaks in consumption were obtained at night, which shows that consumption is greater in the evening. We examined the existing situation and processed the data collected, then simulated the energy consumption profiles with the network analyzer “LANGLOIS 6830” and “Excel”. The power factor value recorded is an average of 1, and the minimum value is 0.85. The daily output is 131.08 kWh, for a daily demand of 120 kWh and the average daily consumption is 109.92 kWh, or 83.86% of the energy produced per day. These results showed that the dysfunctions are linked to the distribution and the use of produced energy. Finally, we proposed possible solutions for improving the electrical distribution network. Thus, measures without investment and those requiring investment have been proposed.

Socioenvironmental Drivers of Farmers’ Perceptions of Climate Change Risk in Agroforestry Parklands of West Atacora in Benin (West Africa)

Throughout the world, climate change is threatening the human population. In West Africa, smallholder farmers in indigenous agricultural societies typically hold considerable knowledge. Therefore, this study was conducted in West Atacora of Benin Republic to assess the drivers of farmers’ perceptions of climate change risk. We used a random sampling technique to select 360 households’ heads who were interviewed regarding different climate change risks perception. Binomial logistic regression was used to assess the drivers of farmers’ perceptions of climate change risks. The results showed that the farmers in drier areas had a higher perception of the global risk of climate change than those in humid areas. The same trend was observed for the seven different individual’s climate change risk investigated. The study identified also membership of farm organizations as main sociodemographic characteristic that explains farmers’ perception of climate change risk perception. These findings are helpful tools to sensitize the local people on climate change risk and cope with the risk in agricultural lands.

Seroprevalence, Importance of Rapid Testing and Factors Associated with HBsAg Carriage in Pregnancy in Three Referral Maternity Hospitals in Mono (Benin), in 2020

Introduction Difficulties in accessing the screening test for viral hepatitis B in maternity wards could be a factor in underestimating the prevalence of anti-HBV antibodies. The rapid diagnostic orientation test (RDOT) could improve seroprevalence and obstetrical prognosis. The aim of this study was to use the rapid diagnostic orientation test (RDOT) to determine the seroprevalence of HBs antigen carriage in pregnant women while highlighting the associated factors. Methods This was a cross-sectional and descriptive study that took place from October to December 2020 (three months) in three (03) reference maternities in western Benin (Mono). Consenting pregnant women received in prenatal consultation had been screened by RDOT. Positive cases were confirmed by ELISA test. The follow-up of these cases made it possible to establish the obstetrical prognosis. Results Of 201 women studied, 11 (5.5%) were positive for RDOT HBV and confirmed by the ELISA test. The factors associated with HBsAg carriage during pregnancy were multiple sexual partnerships (p = 0.01), female circumcision (p = 0.0001), and ignorance of prior HBV serological status (p = 0.0001). No influence of hepatitis B on pregnancy was noted. Conclusion The seroprevalence of hepatitis B in pregnancy was intermediate in the reference maternities of western Benin. The associated factors were multiple sexual partnerships, female circumcision and unawareness of prior HBV status. Free RDOT in maternity wards would improve early detection and management of viral hepatitis B in pregnancy.

Surveillance of Surgical Site Infections: A Public Health Emergency in a Regional Hospital of Northern Benin. A Prospective Observational Pilot Study

Background: Surgical site infections (SSIs) are considered as result of the healthcare quality in hospitals. Objective: to study SSI at Saint Jean de Dieu Hospital Tanguieta (SJDHT), prior to the implementation of a permanent monitoring system. Method: transversal, and descriptive study with prospective data collection was performed from 1 July to 31 janvier 2017 in the department of general surgery of SJDHT. The hospital lacks in a microbiology unit. All patients who underwent surgery during this period were included and the monitoring lasted one month. SSIs diagnostic was carried out according to WHO criteria as described in the Practical Guide for the Prevention of Nosocomial Infections published in 2002. Statistical tests (χ-square and Student’s t-test) were applied and p 0.05 were statistically significant. Results: Of 343 patients recorded, 105 (30.6%) had SSI. Their age averaged 40.3 years and the sex-ratio (men/women) was 2.8. The emergency surgery resulted in a 50.0% rate of SSI (p = 0.00). The SSI rate for clean and clean-contaminated surgery was 6.3% against 94.6% for infected surgery (p = 0.00). The SSI rates were 100% and 66.7% for NNISS = 2 and NNISS = 1 (p = 0.00), respectively. Superficial SSI rate was 13.3%, while deep SSI and organ/space SSI were 46.7% and 40%, respectively. The hospital stay of patients with SSI was three times longer than the length of patients without SSI (p = 0.00). Conclusion: SSIs are real burden at SJDHT. Appropriate measures must be adopted to reduce its prevalence.

Synthesis and Characterization of Local Bio-Sourced Geopolymer Binder:Application to Compressed Earth

The construction industry continues to rely on conventional materials like cement,which often can come with a high cost and significant environmental impact,particularly in terms of greenhouse gas emissions.To tackle the challenges of sustainable development,there is growing interest in using local available materials with low environmental impact.This study primarily focuses on synthesizing and characterizing a geopolymer binder made from local materials found in Benin to stabilize CEB(compressed earth brick).The synthesis involves combining amorphous aluminosilicate powder with a highly concentrated alkaline solution.Local calcined kaolinite clay(metakaolin)and corn cob ash obtained after calcination at 600°C were used with a 12 M sodium hydroxide(NaOH)solution.Different mixtures of geopolymer were formulated substituting metakaolin by corn cob ash at rates of 0%,5%,10%,and 15%of the dry weight of the mixture.Thereafter physical and mechanical characterization tests were conducted on each formulation.Results showed that geopolymer binders containing 85%metakaolin and 15%corn cob ash exhibited the best physical and mechanical performance(e.g.12.08 MPa for compression strength).Subsequently,this geopolymer formulation was used to stabilize CEB.Characterization revealed that CEBs stabilized with 10%geopolymer exhibit good mechanical properties(6.93 MPa),comparable to those of CEBs stabilized with 10%cement(7.40 MPa),justifying their use as load-bearing walls in construction.

Qualitative Assessment of Table Salt Production Techniques in Southern Benin Republic, and Related Mangrove Destruction and Health Issues

This research was conducted in the framework of the feasibility study related to FOCUSED-Benin project, the 5th work package of the YES-PV NIG BEN project financed by the German Government through its Ministry of Research and High Education (BMBF). The FOCUSED Benin project’s major objective is to protect the environment through the utilization of solar energy for drying agricultural products and table salt harvesting. Salt is important in human daily life. It is used for conservation of food, softening water, industrial processes, road de-icing, food seasoning, etc. Seawater evaporation, salt mining, and salt brine are the major sources of salt production worldwide. However, in West Africa, particularly in Benin Republic, table salt is produced using methods that negatively impact the ecology of the mangrove. This study aimed at investigating the current status of salt production in Benin Republic, its impact on the mangrove and its related health issues. Field visits, meeting with associations of women salt producers in the coastal region of the country, allowed to quantify the number of women associations dealing with salt production, their difficulties, and the impacts on the mangrove. Salt is a seasonal activity and is produced from January to May. One kilogram salt production, along with health issues reported by salt producers, requires approximately 1 kg of firewood obtained by cutting down mangrove. Salt price varies from 250CFA (€0.38) to 400FCFA (€0.61) per kg depending on the season. The women salt producers are not aware of the ecological consequences of mangrove destruction. Sources of firewood are becoming increasingly scarce and prices prohibitive. Sensitization is not efficient. An alternative method of harvesting salt by solar drying and new ideas for implementing this activity in a participatory approach was discussed with the different associations of salt producers.

Sleep Disorders among Professional Oil Tanker Drivers in Ouagadougou Burkina Faso

Introduction: Sleep disorders among professional drivers are a major road safety problem. They cause fatigue and drowsiness at the wheel, which can lead to road traffic accidents and even accidents at work. The aim of this study was to assess sleep disorders among professional drivers of oil tankers in Ouagadougou, Burkina Faso. Methods: This was a descriptive and analytical cross-sectional study carried out from 11 April 2020 to 11 September 2020 in the national hydrocarbon company’s fuel depot. All the drivers present at the time were included and accomplished a questionnaire incorporating the commonly scales using to assess sleep disorders, sleep quality and sleep apnoea. Data analysis using R 3.6.1 software enabled to perform univariate and multivariate analyses to identify associated factors. Adjusted odd ratios were used to measure the strength of association. The significance level chosen was p ≤ 0.05. Results: All the 339 respondents were male. A proportion of 33.6% suffered from insomnia, including 12.7% with moderate to severe insomnia, and 18.58% were at risk of sleep apnoea. On the Epworth scale, 26.6% of drivers showed sleep debt and 4.1% excessive daytime sleepiness. The risk factors associated with insomnia were the use of psychostimulants. A history of diabetes and insomnia were risk factors associated with sleep apnoea syndrome. Conclusion: The prevalence of sleep disturbance and insomnia among the respondents were 52.2% and 33.6% respectively. Use of psychostimulants was the identified risk factor. The prevalence of SAS was 4.72%, with diabetes and insomnia as associated factors.

Structure and Composition of Macroinvertebrates during Flood Period of the Nokoue Lake, Benin

The Nokoue Lake is the largest lake of Benin Republic and it is also considered as one of the most productive lagoon ecosystems in West Africa. This productivity is decreasing and thus raises productivity issue for a better management and conservation. Macroinvertebrate can be useful for this purpose. A study was conducted to assess the spatial variation of macroinvertebrates during high flood period. A total of 3892 macroinvertebrates of fresh and brackish water were sampled during the survey. Structural analysis of the macroinvertebrate community revealed that it was made up of 16 orders, 48 families and 66 genera dominated by Insecta compared to Mollusca, Crustacea and the Annelida. Insects were dominated by Diptera (Chironomus sp. and Tanytarsus sp.), Coleoptera (Dystiscidae) and accounted for 57.1% of the sampled population. Mollusca, Crustacea, Annelida and Arachnida were the following most abundant and represented 23.9%, 10.7%, 8.1% and 0.2% of the total population, respectively. The Evenness index of Pielou was higher on the Station 8 (0.91 - 0.97), close to Oueme River. However, no significant difference (p > 0.05) was observed neither between station nor between month on the Shannon-Wiener index (2.06 - 4.31), Simpson index (0.04 - 0.40) and the taxa number (10 - 27). Macroinvertebrate assemblages and composition were primarily due to changes in water quality dependent on hydroclimatic changes and probably to anthropogenic actions. This suggests the need for real investigation of the macroinvertebrate biological capacity when formulating conservation strategies for the Nokoue Lake.

Identity Dynamics and Conflict in Collaborative Processes: The Case of Participatory Management of Protected Areas in Benin

The research reported in this paper investigated the role of identity construction in the emergence and escalation of conflict in the participatory management of protected areas in Benin. The study shows that social identity salience was dynamic and played an important role in the emergence and escalation of conflict in the studied cases. Conflicts emerged when identities became salient as a result of the stake-holders’ framing of contextual factors as a threat to their identity. The conflicts escalated when decisions and actions undertaken in the management process were framed as top-down and as posing a threat to the identities of the stakeholders. We conclude that, although the government in the management of the protected areas introduced participation, unilateral decisions taken about the way the conflicts should be managed caused disappointment and distrust, and thus led to a greater distance between the parties involved and to conflict escalation.

High-Level Circulating Total Calcium and Low Phosphate as Predictors of Insulin Resistance among Non-Diabetic Taxi-Motorbike Drivers Living and Working in Cotonou, Benin

Insulin resistance (IR) is a well-recognized marker of increased cardiovascular diseases (CVDs) and type 2 diabetes (T2D) risk. Therefore, screening for IR predictors would help reduce the likelihood of progression from early stage of IR to T2D or CVDs. However, the knowledge of association between IR and circulating total calcium (CTCa) and phosphate levels among non-diabetic patients in Benin is lacking. We investigated whether CTCa and phosphate levels within the normal ranges are associated with IR risk among taxi-motorbike drivers (TMDs) living and working in Cotonou. We evaluated 134 non-diabetic TMDs (aged 22 - 59 years) based on CTCa, phosphate, glucose, fasting insulin, and IR levels. IR was assessed using the homeostatic model assessment-insulin resistance (HOMA-IR). IR was defined as the 75th percentile of HOMA-IR value. Cardiometabolic factors were analyzed by tertiles of CTCa and phosphate levels (low, middle, and high groups). Logistic regression models evaluated the relationships between IR and CTCa and phosphate levels. Our results showed that participants with high CTCa levels had the highest prevalence of IR, elevated total cholesterol and high-density lipoprotein cholesterol. In a fully adjusted model, the odd ratio (OR) of having IR comparing the highest (>2.50 mmol/L) to the lowest CTCa levels (1.23 mmol/L) and the lowest levels (<1.10 mmol/L) of phosphate was 0.28 (p = 0.037). In conclusion, our study demonstrates that elevated CTCa and low phosphate levels are significant predictors of IR in non-diabetic patients. Continuous monitoring of these markers may help identify earlier individuals at greatest IR risk.

Synergistic Effect of Anthropogenic Disturbances on Offspring Demography of <i>Pentadesma butyracea</i>(Clusiaceae), a Threatened Tree Species in Benin (West-Africa)

Understanding how ecological differences and anthropogenic disturbances synergistically drive population dynamics decline is critical for optimal management strategy definition. Main anthropogenic disturbances such as habitat size reduction, fire and non-timber forest harvest affect demographic processes but our understanding of their interaction effects in contrasted ecological conditions is limited. We investigated the interaction effects of fruit harvest, fire, gallery forest size and distance to streambed on density, recruitment, survival and growth of Pentadesma butyracea offspring in dry and moist ecological conditions. We randomly selected in each ecological region six P. butyracea populations. We then established in each population, 10 subplots of 100 m2 within 1 ha to assess offspring demographic performance from 2015 to 2017. Results showed that fire suppressed the positive effect of large habitat size and amplified the negative effect of increasing local aridity on offspring growth. Fire and harvest synergistically reduced growth whereas offspring growth was resilient to fire in moist ecological region. Moist ecological conditions mitigated the negative effect of harvest on growth. Harvest mitigated the surprise negative effect of large habitat size on survival. However, in large gallery size, high harvest limited clonal recruitment and growth. There was a positive interaction effect between harvest and distance to streambed on survival (High harvest, Z = 2.045, p = 0.041, Medium, Z = 2.060, p = 0.039) but a negative interaction effect on growth (High, t = -2.357, p 0.05). Clonal offspring grew faster than sexual offspring in high harvest populations. In moist region, offspring survived better in large gallery forest size. In 2017, survival and growth were lower in large gallery forest. In 2017, offspring growth was higher near the riverbed where the survival rate low. This study suggests that management strategies should consider the interaction effects of anthropogenic disturbances and climatic conditions.

Sonographic Measurement of the Optic Nerve Sheath Diameter (ONSD) and Eyeball Transversal Diameter (ETD) in Benin Healthy African Adults

Background: Measuring optic nerve sheath diameter (ONSD), a relatively re-cent technique, allows an indirect and non-invasive diagnosis of intracranial hypertension. The ONSD ratio to eyeball transverse diameter (ETD) increases this reliability of the technique. The objective of this study was to determine the normal ONSD and its ratio with ETD in black African adults in Benin. Methods: A descriptive cross-sectional study was conducted between May 2019 and August 2019. Ultrasound ONSD and ONSD/ETD ratio were meas-ured in 210 healthy adults received in the medical imaging department of the Borgou and Alibori University Hospital Center in Benin. The ONSD corre-sponded to the average of 12 measurements (03 horizontal and 03 vertical for each eye) taken 3 mm behind the papilla. The transverse ETD corresponded to the average of 03 measurements. Results: The mean ONSD was 4.20 ± 0.28 mm (95% CI = [4.17;4.24] mm and 95th percentile = 4.70 mm). The mean ETD was 24.25 ± 1.10 mm. The ONSD/ETD ratio was 0.17 ± 0.01 (95% CI = [0.17;0.17] and 95th percentile = 0.19). There was no difference between ver-tical and horizontal ONSD and between right and left ONSD. The ONSD and the ONSD/ETD ratio were not correlated with any of the socio-demographic and anthropometric characteristics studied (sex, age, ethnicity, weight, height, body mass index, head circumference and waist circumference). The ONSD was associated with ETD (p < 0.001 and r = 0.55). Conclusion: An ONSD and an ONSD/ETD ratio respectively greater than 4.70 mm and 0.19 should sus-pect intracranial hypertension. The ONSD/ETD ratio may be a better indicator of HICT because of its small variation.

Contribution of EFAST Ultrasound in the Management of Chest and Abdomen’s Blunt Trauma in the City of Parakou, Benin

Background: Blunt thoracic and abdominal traumas are frequent and have a poor prognosis in the absence of prompt diagnosis and adequate management. An ultrasound performed in the emergency room allows a precise diagnosis and a better orientation of the victims. Objective: To assess the contribution of EFAST ultrasound in the management of blunt thoracic and abdominal traumas. Patients and method: Cross-sectional descriptive and analytical study with prospective data collection carried out from February 20th to August 20th, 2017 in the emergency and intensive care units of the Parakou University Hospital Centre. An ultrasound machine fitted with a 3.5 MHz convex probe was used to search for post-traumatic effusion by the EFAST technique on admission and then as needed over 24 hours and after surgery. Results: Sixty-three patients were collected with an 85.71% male predominance. The average age was 31.36 ± 13.29 years. The time to perform the EFAST ultrasound was 7 ± 3 min. EFAST was positive in 50.79% of patients. Five patients (7.93%) received emergency treatment for hemodynamic instability and positive EFAST within an average of 3.46 ± 2 hours. Eighteen patients (27.58%) received after monitoring by EFAST, surgery within 9 hours 12 minutes (hemoperitoneum) and 27 hours 58 minutes (hemothorax). Two patients were tested positively for EFAST after surgery. Conclusion: The introduction of an EFAST ultrasound as a sorting tool in an environment with limited resources is desirable and feasible.

Inventory of Estuarine and Lagoonal Ecosystems Subjected to Sand-Mining Activities in Southern Benin (West Africa)

Sand is a useful resource for the development of any society. As such, the issues related to its extraction are everywhere present in Benin, especially in the southern part of the country. For the purposes of eventually characterizing those issues, the present study is undertaken with a focus on inventorying estuarine and lagoonal ecosystems which are subjected to sand mining in southern Benin. The study area covers both the Eastern Complex and the Western Complex. The Eastern Complex includes the Porto-Novo Lagoon and the Ouémé River delta;while the Western Complex includes the Coastal Lagoon, the Aheme Lake along with its channels, and the Mono Basin. The method used in this study is a systematic inventorying of all known and documented sites as kept on record with relevant state offices in charge of the management of those resources. Then, the data were completed by combing the whole area for direct census observations and field interviews with stakeholders. All inventoried sites have been geo-referenced using a GARMIN GPS and their surface areas have been established. To date, 43 sand-mining sites have been identified, of which 29 are located in the Oueme Delta and in the Porto-Novo Lagoon, 8 are in the Coastal Lagoon, and 6 are in the Aheme Lake and its channels as well as in the Mono River basin. The areas are small in the Oueme Delta, where extraction is mostly manual, but get to be more than 89-ha wide in other places such as the Coastal Lagoon where the process is rather mechanized.

Low Plasma Potassium and High Iron Levels Increased the Risk of Dyslipidemia among Non-Diabetic Taxi-Motorbike Drivers Living and Working in Cotonou, Benin

Non-traditional cardiovascular risk factors such as iron and potassium may play a role in lipid metabolism. However, information on this association is lacking in populations of Benin. This study evaluated the associations between plasma iron and potassium levels and risk of dyslipidemia among taxi-motorbike drivers (TMDs) in Cotonou. We conducted a cross-sectional study on 134 males TMDs aged ≥20 years old, of whom 39 (29.1%) had dyslipidemia. Plasma biochemistry including measurements of total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C), iron, and potassium were performed. Dyslipidemia was defined as any or combinations of the following: TC > 5.2 mmol/L, LDL-C > 3.4 mmol/L, TG > 1.7 mmol/L, and HDL-C 18.8 μmol/L) to the 1st tertile of plasma iron (<13.6 μmol/L) was 3.85, (95% CI: 1.20 - 12.35, p = 0.023). We observed similar patterns of association in a subgroup analysis restricted to normotensive patients, although the estimates lacked statistical significance. Our findings also revealed that the risk of dyslipidemia decreased when plasma potassium levels increased. The OR (95% CI) for dyslipidemia comparing the 2nd tertile (4.4 - 4.8 μmol/L) to the 1st tertile (<4.3 μmol/L) of potassium was 0.31 (0.11 - 0.86, p = 0.025). Interestingly, the risk of dyslipidemia decreased progressively (81% to 86%) and significantly across plasma potassium tertiles when restricting analysis to normotensive patients. The ORs (95% CI) for dyslipidemia comparing the 2nd and 3rd tertiles to the 1st tertile of plasma potassium were 0.19 (0.04 - 0.87, p = 0.032) and 0.14 (0.02 - 0.93, p = 0.043). In conclusion, our study shows that higher plasma iron and low potassium levels are significant predictors of dyslipidemia in TMDs. As such, the findings have public health implications for predicting and preventing dyslipidemia and associated cardiometabolic diseases. However, longitudinal studies are needed to determine if disturbances in iron and potassium levels, even within the normal range, are precursors or consequences of dyslipidemia.

Higher Plasma Potassium Level Reduces 10-Year Cardiovascular Disease Risk Predicted by the Framingham Risk Score among Taxi-Motorbike Drivers Residing and Working in Cotonou, Benin

Hypertension, obesity, smoking, dyslipidemia, and type 2 diabetes (T2D) are the major risk factors for developing cardiovascular diseases (CVD). Recent studies revealed that taxi-motorbike drivers (TMDs) in Cotonou had higher rates of CVD risk factors, but their impacts on cardiovascular events have rarely been studied. The Framingham risk score (FRS) is an algorithm that considers CVD risk factors and estimates the risk of developing CVD in the next 10 years. Our objectives were to assess the 10-year CVD risk predicted by the FRS, and to examine the relationships of 10-year CVD risk with plasma iron and potassium levels among TMDs. We included 134 TMDs (22 - 59 years old) who had no prior diagnosis of CVD or T2D, and not taking medications affecting iron and potassium homeostasis. Conventional cardiovascular risk factors were used to calculate the 10-year CVD risk, which was categorized as low (20%). FRS > 2%, which corresponded to the 75th percentile of FRS distribution in our study population, was used as a cut-off value to classify participants into two groups. Plasma iron and potassium levels were segregated into tertiles and their associations with 10-year CVD risk were quantified by multivariate-adjusted logistic regression to calculate the odd ratios (ORs) to being above the 75th percentile of 10-year CVD risk with the corresponding 95% confidence intervals (CIs). We found that 62.0% of participants had at least one of cardiovascular risk factors. Approximately 97.8% of TMDs had 10-year CVD risk 4.8 mmol/L led to an 83% risk reduction of having 10-year CVD risk > 2% (OR = 0.17, 95% CI: 0.04 - 0.82, P = 0.027). In conclusion, our findings showed that high plasma potassium levels associate with reduced 10-year CVD risk among TMDs. Interventions focused on monitoring of plasma potassium, particularly in those with existing cardiovascular risk factors, may help prevent CVD.