Investigating the Prevalence Rates and Cardiometabolic Determinants of Diabetes Mellitus and Pre-diabetes with Projected Coronary Heart Disease at Bank Site of Brazzaville | Chapter 7 | Highlights on Medicine and Medical Research Vol. 8

 Background: The aim of this study is to find out why Congolese bank employees are often inactive due to a lack of accurate information on the burden of dysglycemia and cardiometabolic risk. The aim of this study is to determine the prevalence of diabetes mellitus (DM) and pre-diabetes among Congolese bank employees, as well as the environmental, genetic, and cardiometabolic risk factors associated with T2DM and pre-diabetes. Physical inactivity, diet transfer, and epidemiological transition can all play a role in the high prevalence of metabolic disorders.

Methods: Abdominal obesity, dyslipidemia, and metabolic syndrome (MetS) were described by IDF for Europe, NCEP-ATPIII, and IDF criteria updated for Central Africa in 126 bank employees from Brazzaville, Congo, Central Africa. Framingham scores were used to measure a projected high 10-year average risk of coronary heart disease (CHD) of 20%.

Results: DM and pre-diabetes were found in 16 percent and 21.4 percent of the staff, respectively. T2DM was reported to be present in 90% of diabetics. Prediabetes was substantially correlated with ageing, high total cholesterol, high LDL-cholesterol, high conicity index, and longer urban residency after migration. Physical inactivity, smoking, excessive alcohol consumption, abdominal obesity, female gender, low HDL-C, hypertension, CHD, estimated high 10-year total CHD risk, age 55 years, urban residence, Southern area residence, high socioeconomic status, single status, MetS/NCEP, MetS/NCEP, MetS/NCEP, MetS/NCEP, MetS/NCEP, MetS/NCEP, MetS/NCEP, MetS/NCEP, MetS/NCEP, Met, T2DM was substantially correlated with MetS/IDF for Europe and MetS/IDF for Africa. The only independent determinant of T2DM in Africa was MetS/IDF.

Conclusion: To combat the troubling rise in diabetes mellitus (DM), type 2 diabetes mellitus (T2DM), and pre-diabetes, an immediate preventive and intervention programme is needed.

Author (s) Details

Gombet Thierry
Service des Urgences, CHU de Brazzaville, Brazzaville, Congo.

Longo-Mbenza Benjamin
Faculty of Health Sciences, Walter Sisulu University, Eastern Cape, South Africa.

Ellenga-Mbolla Bertrand
Service des Urgences, CHU de Brazzaville, Brazzaville, Congo.

Ikama M. Stephan
Service de cardiologie et Médecine Interne, CHU de Brazzaville, Brazzaville, Congo.

Kimbally-Kaky Gisèle
Service de cardiologie et Médecine Interne, CHU de Brazzaville, Brazzaville, Congo.

Nkoua Jean-Louis
Service de cardiologie et Médecine Interne, CHU de Brazzaville, Brazzaville, Congo.

Nge Okwe Augustin
Biostatistics Unit, Lomo Medical Center and Heart of Africa Center of Cardiology, Kinshasa, Congo.

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