Brouri M, Ouadahi N, Nibouche D, Benabbas Y, El Hassar M, Bouraoui S, Abad N, Abreu P C, Ikardouchene L
Clinique Arezki-Kehal, EPH El Biar, 17, rue Lamamri, 16030 Alger, Algérie.
Service de médecine interne, CHU Douira, 16049 Douera, Algérie.
Ann Cardiol Angeiol (Paris). 2018 Apr;67(2):61-66. doi: 10.1016/j.ancard.2018.01.003. Epub 2018 Mar 9.
This cross-sectional epidemiological study aimed at determining the prevalence of cardiovascular risk factors (CVRF; including obesity, dyslipidaemia, hypertension, diabetes and smoking), among patients from the Algerian sub-population of the "Africa/Middle East Cardiovascular Epidemiological" study attending general practitioners at primary healthcare facilities, and stratified according to their environment (rural/urban), sex and age.
The study sites, located in 10 wilayas (administrative regions), were situated in urban and rural areas (rural populations defined as living at least 50km away from urban centres, or lacking access to suburban transport).
Four hundred and ten subjects (262 female, 148 male) were enrolled; 287 subjects were from an urban environment and 123 from a rural environment. Mean age was 50.4 years. Ninety one point eight percent of patients had ≥1 CVRF; 48.2% had ≥3 CVRF. Prevalence for the different CVRF was: 61.7% for dyslipidaemia; 39.5% for hypertension; 25.0% for diabetes; 10.0% for smoking, 70.0% for abdominal obesity and 32.0% for a body mass index ≥30kg/m.
The high prevalence of all CVRF observed in the Algeria sub-group, especially among the rural population, should encourage us to develop a carefully planned strategy for primary prevention, opportunistic screening and early management, in both urban and rural settings, and with particular attention to young adults. These actions should involve all state bodies and those active in civil society, in order to guarantee full achievement of set goals. The ACE trial is registered under NCT01243138.
这项横断面流行病学研究旨在确定参加初级医疗保健机构全科医生门诊的“非洲/中东心血管病流行病学”研究中阿尔及利亚亚人群患者心血管危险因素（CVRF，包括肥胖、血脂异常、高血压、糖尿病和吸烟）的患病率，并根据其环境（农村/城市）、性别和年龄进行分层。
研究地点位于10个省（行政区），分布在城市和农村地区（农村人口定义为居住在距离城市中心至少50公里处，或无法使用城郊交通）。
共纳入410名受试者（262名女性，148名男性）；287名受试者来自城市环境，123名来自农村环境。平均年龄为50.4岁。91.8%的患者有≥1种CVRF；48.2%的患者有≥3种CVRF。不同CVRF的患病率分别为：血脂异常为61.7%；高血压为39.5%；糖尿病为25.0%；吸烟为10.0%；腹型肥胖为70.0%；体重指数≥30kg/m²为32.0%。
在阿尔及利亚亚组中观察到的所有CVRF的高患病率，尤其是在农村人口中，应促使我们制定一项精心规划的初级预防、机会性筛查和早期管理策略，在城市和农村地区实施，并特别关注年轻人。这些行动应涉及所有国家机构和民间社会活跃组织，以确保全面实现既定目标。ACE试验已在NCT01243138注册。
