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尼日利亚的糖尿病前期和心血管并发症筛查:一个家庭病例报告

Prediabetes and cardiovascular complications screening in Nigeria: A family case presentation.

作者信息

Anyasodor Anayochukwu Edward, Nwose Ezekiel Uba, Richards Ross Stuart, Bwititi Phillip Taderera, Mudiaga Luke Itietie, Aganbi Eferhire

机构信息

School of Community Health, Charles Sturt University, NSW, Australia.

School of Community Health, Charles Sturt University, NSW, Australia; School of Biomedical Sciences, Charles Sturt University, NSW, Australia; Department of Public & Community Health, Novena University, Delta State, Nigeria.

出版信息

Diabetes Metab Syndr. 2017 Oct-Dec;11(4):273-275. doi: 10.1016/j.dsx.2016.12.006. Epub 2016 Dec 9.

Abstract

Metabolic disorders are on the increase globally, and the need for screening remains imperative. This case report is of a 48-year-old man who was screened as dyslipidaemic and on metabolic syndrome prevention, precipitating screening of family relatives. The extended family members (N=11) were invited for screening, of which 4 were hyperglycaemic, 3 had hypercholesterolaemia; and the HDL levels of 6 participants were abnormal. All family members had normal plasma triglyceride levels, and 4 people had high blood pressure. There was an indication that 55% members of a family had up to two metabolic disorders or risk factors including dyslipidaemia that may predispose them to CVD; as well as family history of periodontitis in the family. This pilot study plans to follow-up its association with dyslipidaemia as well as with prediabetes. The feasibility of using simple and affordable screening test for diabetes in oral health clinics and vice versa, including review of observations of technical importance relevant to pathology logistics will be investigated.

摘要

代谢紊乱在全球范围内呈上升趋势,因此筛查的必要性依然迫切。本病例报告的对象是一名48岁男性,他被筛查出血脂异常并处于代谢综合征预防阶段,这促使对其家庭成员进行筛查。该大家庭的成员(共11人)被邀请参加筛查,其中4人血糖过高,3人患有高胆固醇血症;6名参与者的高密度脂蛋白水平异常。所有家庭成员的血浆甘油三酯水平均正常,4人患有高血压。有迹象表明,该家族55%的成员患有多达两种代谢紊乱或危险因素,包括可能使他们易患心血管疾病的血脂异常;此外,该家族还有牙周炎家族史。这项初步研究计划追踪其与血脂异常以及糖尿病前期的关联。将研究在口腔健康诊所使用简单且经济实惠的糖尿病筛查测试的可行性,反之亦然,包括审查与病理后勤相关的重要技术观察结果。

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