Choukem Simeon Pierre, Kengne Andre Pascal, Dehayem Yefou Mesmin, Simo Nenwouo Leonie, Mbanya Jean Claude
Department of Internal Medicine and Subspecialties, Faculty of Medicine and Biomedical Sciences, Yaounde, Cameroon.
Diabetes Res Clin Pract. 2007 Aug;77(2):293-9. doi: 10.1016/j.diabres.2006.11.007. Epub 2006 Dec 20.
To evaluate the prevalence, awareness, treatment and control of hypertension in a diabetic population of Cameroon, a sub-Saharan African country.
Two hundreds and ten diabetic patients were consecutively enrolled over a 6-month period. A questionnaire was administered and physical examination done. The JNC VI and the latest WHO criteria were used to diagnose hypertension and diabetes, respectively, and control of hypertension was assessed against five different targets.
Ninety-one percent of the participants had type 2 diabetes. Prevalence and awareness rates for hypertension were 66.7% (n=140) and 87.1% (n=122), respectively. Treatment rate among those aware of their hypertension status was 80.3% (n=98). Patients with hypertension were older, more overweight/obese and had a longer duration of diabetes. ACE inhibitors and diuretics were the two most used blood pressure (BP) lowering drugs. Following the ADA/JNC 7 goal, the control rate of hypertension among treated patients was 10.2% (n=10).
Diabetic patients in Cameroon exhibit a very high prevalence of hypertension and are about three times more affected than the general population. Awareness and treatment rates are high, but the control rate is very low. Large scale studies with intervention component are urgently required.
评估撒哈拉以南非洲国家喀麦隆糖尿病患者人群中高血压的患病率、知晓率、治疗率及控制率。
在6个月期间连续纳入210例糖尿病患者。进行问卷调查并开展体格检查。分别采用美国国家联合委员会第六版（JNC VI）和世界卫生组织最新标准诊断高血压和糖尿病，并依据五个不同目标评估高血压的控制情况。
91%的参与者患有2型糖尿病。高血压的患病率和知晓率分别为66.7%（n = 140）和87.1%（n = 122）。知晓自己高血压状况的患者中治疗率为80.3%（n = 98）。高血压患者年龄更大，超重/肥胖情况更严重，糖尿病病程更长。血管紧张素转换酶抑制剂和利尿剂是最常用的两种降压药物。按照美国糖尿病协会/美国国家联合委员会第七版（ADA/JNC 7）目标，接受治疗患者的高血压控制率为10.2%（n = 10）。
喀麦隆的糖尿病患者高血压患病率非常高，受影响程度约为普通人群的三倍。知晓率和治疗率较高，但控制率很低。迫切需要开展有干预措施的大规模研究。
