Department of Environmental Health Sciences, School of Community Health Sciences, Njala University, Bo, Sierra Leone.
Department of Biological Sciences, School of Environmental Sciences, Njala University, Bo, Sierra Leone.
Diabetes Metab Res Rev. 2017 Oct;33(7). doi: 10.1002/dmrr.2904. Epub 2017 Jun 16.
The goal of this study was to measure the prevalence of diabetes among adults in urban Bo, Sierra Leone, and to compare the new results to the diabetes prevalence rates reported from studies across West Africa.
A total of 694 outpatients ages 18 and older at Bo Government Hospital were tested for diabetes between January 2012 and December 2014. Diabetes was defined as a fasting blood sugar level of ≥126 mg/dL (≥7.0 mmol/L).
The overall prevalence of diabetes was 6.2% (43/694). Diabetes prevalence increased from 0.8% (2/256) among patients ages 18 to 29 years to 3.9% (8/204) among patients ages 30 to 39, 8.4% (11/131) among patients ages 40 to 49, 19.0% (12/63) among patients ages 50 to 59, and 25.0% (10/40) among patients ages 60 and older. The prevalence of diabetes was 5.2% among females and 7.4% among males. After adjusting the study population to the age and sex distribution of the national population, the standardized prevalence of diabetes was 7.0%. The only previously published study of diabetes in Sierra Leone found a much lower 2.4% prevalence rate in 1997. A comprehensive literature search identified studies from across West Africa (including Benin, Burkina Faso, Cabo Verde, Côte d'Ivoire, the Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Mali, Mauritania, Niger, Nigeria, Senegal, Sierra Leone, and Togo) that illustrate an increasing rate of diabetes and impaired glucose tolerance in the region.
It is important for hospitals and clinics across West Africa to increase their ability to diagnose, monitor, and treat type 2 diabetes in urban and rural areas.
本研究旨在测量塞拉利昂城市博城成年人的糖尿病患病率，并将新结果与整个西非研究报告的糖尿病患病率进行比较。
2012 年 1 月至 2014 年 12 月，博政府医院对 694 名年龄在 18 岁及以上的门诊患者进行了糖尿病检测。糖尿病的定义为空腹血糖水平≥126mg/dL（≥7.0mmol/L）。
总体糖尿病患病率为 6.2%（43/694）。糖尿病患病率从 18 至 29 岁患者的 0.8%（2/256）上升至 30 至 39 岁患者的 3.9%（8/204）、40 至 49 岁患者的 8.4%（11/131）、50 至 59 岁患者的 19.0%（12/63）和 60 岁及以上患者的 25.0%（10/40）。女性糖尿病患病率为 5.2%，男性为 7.4%。调整研究人群至全国人口的年龄和性别分布后，标准化糖尿病患病率为 7.0%。此前在塞拉利昂开展的唯一一项糖尿病研究显示，1997 年的患病率低得多，为 2.4%。全面的文献检索确定了来自整个西非（包括贝宁、布基纳法索、佛得角、科特迪瓦、冈比亚、加纳、几内亚、几内亚比绍、利比里亚、马里、毛里塔尼亚、尼日尔、尼日利亚、塞内加尔、塞拉利昂和多哥）的研究报告，这些研究表明该地区的糖尿病和糖耐量受损的发病率呈上升趋势。
西非各地的医院和诊所必须提高在城乡地区诊断、监测和治疗 2 型糖尿病的能力。
