Bekele Shiferaw, Yohannes Tagesech, Mohammed Abdurehman Eshete
Department of Medical Laboratory Sciences, College of Health Sciences, Jimma University, Jimma, Ethiopia.
Diabetes Metab Syndr Obes. 2017 Jun 22;10:265-271. doi: 10.2147/DMSO.S135064. eCollection 2017.
Diabetes mellitus is a group of metabolic disorders that are caused by deficiency in insulin secretion or the decreased ability of insulin to act effectively on target tissues, particularly muscle, liver, and fat. As a result of insulin resistance in the target tissues, particularly in the adipocytes, free fatty acid flux is increased, leading to increased lipid synthesis in hepatocytes, which is responsible for diabetic dyslipidemia.
The objective of this study was to determine the prevalence and associated factors of dyslipidemia among diabetic patients in Durame General Hospital in Kembata Tembaro zone.
A cross-sectional study was conducted from September 2015 to April 2016. In total, 224 subjects were involved in the study by using convenient sampling techniques. Face-to-face interview-administered questionnaire was used to collect sociodemographic data and other possible clinical data associated with the prevalence of dyslipidemia. Fasting venous blood specimens were collected to assess serum lipid profiles. Blood pressure (BP), weight, height, and waist circumference were measured.
The prevalence of dyslipidemia was 65.6%. Individual lipid abnormality of elevated LDL-C, TC, TG, and reduced HDL-C were identified in 43.8%, 23.7%, 40.6%, and 41.9% of study subjects, respectively. The prevalence of dyslipidemia was significantly associated with high BP, high body mass index, aging, and longer duration of diabetes mellitus.
High prevalence of dyslipidemia was found among diabetic patients in the study area. Therefore, a compressive mechanism is required to screen, treat, and prevent dyslipidemia.
糖尿病是一组代谢紊乱疾病,由胰岛素分泌不足或胰岛素对靶组织(特别是肌肉、肝脏和脂肪)有效作用能力下降引起。由于靶组织尤其是脂肪细胞中的胰岛素抵抗,游离脂肪酸通量增加,导致肝细胞中脂质合成增加,这是糖尿病血脂异常的原因。
本研究的目的是确定肯巴塔滕巴罗地区杜拉梅综合医院糖尿病患者血脂异常的患病率及相关因素。
2015年9月至2016年4月进行了一项横断面研究。采用方便抽样技术,共有224名受试者参与研究。通过面对面访谈问卷收集社会人口学数据和其他与血脂异常患病率相关的可能临床数据。采集空腹静脉血标本以评估血脂谱。测量血压(BP)、体重、身高和腰围。
血脂异常患病率为65.6%。研究对象中,低密度脂蛋白胆固醇(LDL-C)升高、总胆固醇(TC)升高、甘油三酯(TG)升高和高密度脂蛋白胆固醇(HDL-C)降低的个体血脂异常分别为43.8%、23.7%、40.6%和41.9%。血脂异常患病率与高血压、高体重指数、衰老和糖尿病病程较长显著相关。
研究区域内糖尿病患者血脂异常患病率较高。因此,需要一种综合机制来筛查、治疗和预防血脂异常。