Prevalence and Predictors of Metabolic Syndrome among Adults in North-Central, Nigeria.

BACKGROUND: Metabolic syndrome contributes to the burden of non-communicable diseases and is a growing public health problem in both developed and developing countries. We determined the prevalence and predictors of metabolic syndrome among adults in Benue State, North-Central, Nigeria to guide targeted interventions. METHODS: We conducted a community-based cross-sectional study in Benue State, North-Central, Nigeria. Multistage sampling technique was used to recruit 823 respondents. We defined metabolic syndrome using the National Cholesterol Education Programme Adult Treatment Panel III guideline and adapted a component of the WHO Stepwise questionnaire for data collection. Prevalence of metabolic syndrome and the associated risk factors were estimated using Chi square test and logistic regression at 5% level of significance. Statistical analysis was done using SPSS version 23.0. RESULTS: The mean age of the respondents was 40.1± 15.7 years. Most of the respondents were literate (86.8%) and married (67.0%). The prevalence of metabolic syndrome was 19.4%. One in every four of the respondents had pre-metabolic syndrome (25.6%) and this was more in females (28.2%) compared to males (22.9%). Thirty-four percent of the respondents had only one whereas 20.7% did not have any of the risk factors for metabolic syndrome. Age [aOR:10.3; 95%CI: 4.8-22.2], sex [aOR:2.4; 95% CI: 1.7-3.5] and education [aOR:2.9; 95%CI: 1.4-6.1] were significantly associated with metabolic syndrome among the respondents. CONCLUSION: The prevalence of metabolic syndrome was high. The associated risk factors were age, gender and educational status. Therefore, interventions should be targeted at young adults to reduce the long-term impact of the disease.

CONTEXTE: Le syndrome métabolique contribue à la fardeau des maladies non transmissibles et est un public croissant problème de santé dans les pays développés comme dans les pays en développement. Nous avons déterminé la prévalence et les prédicteurs du metabolism syndrome chez les adultes dans l'État de Benue, centrenord du Nigéria pour orienter les interventions ciblées. MÉTHODES: Nous avons mené une enquête transversale communautaire étude dans l'État de Benue, centre-nord du Nigéria. Multistage la technique d'échantillonnage a été utilisée pour recruter 823 répondants. Nous avons define syndrome metabolique à l'aide du National Cholesterol Programme d'éducation Groupe de traitement des adultes III lignes directrices eta adapté une composante du questionnaire Par étapes de l'OMS pour collecte de données. Prévalence du syndrome métabolique et des facteurs de risque associés ont été estimés à l'aide du test du chi carré et la régression logistique à un niveau de signification de 5 %. Statistique l'analyse a été effectuée à l'aide de SPSS version 23.0. RÉSULTATS: L'âge moyen des répondants était de 40.1 ± 15,7 ans.La plupart des répondants étaient alphabétisés (86.8 %) et mariés(67.0%). La prévalence du syndrome métabolique était de 19.4%.Un répondant sur quatre avait un prémétabolique (25.6 %) et c'était plus fréquent chez les femmes (28.2 %)comparativement aux hommes (22.9 %). Trente-quatre pour cent des n'en avaient qu'un, alors que 20.7 % n'en avaient aucun les facteurs de risque du syndrome métabolique. Âge [aOR:10.3; IC à 95 %:4.8-22.2], le sexe [aOR:2.4; IC à 95 %: 1.7-3.5] et l'éducation [aOR:2.9;IC à 95 % : 1.4 à 6.1] étaient significativement associés au metabolism chez les répondants. CONCLUSION: La prévalence du syndrome métabolique était haut. Les facteurs de risque associés étaient l'âge, le sexe et le statut scolaire. Par conséquent, les interventions devraient être ciblées chez les jeunes adultes pour réduire l'impact à long terme de la maladie. Mots-clés: Prévalence, facteurs de risque, syndrome métabolique, Nigéria.

Population-based prevalence and associated risk factors of hypertension among adults in Benue State, Nigeria.

BACKGROUND: The increasing prevalence of hypertension in low- and middle-income countries is associated with increased morbidity and mortality. AIM: To determine the prevalence of hypertension and associated risk factors in Benin state, Nigeria. MATERIALS AND METHODS: A population-based cross-sectional study was conducted among 1265 adults selected by multistage sampling technique. The World Health Organization (WHO) STEPwise approach was used to collect data. Data were analyzed using Statistical Package for the Social Sciences (SPSS) software program, version 23.0 (IBM). We estimated prevalence and odds of hypertension at 5% level of significance. RESULTS: The prevalence of hypertension was 35.6%. The odds of hypertension was higher among age 30-39 (aOR: 2.0; 95% CI: 1.3-3.1) compared to age 18-29 years, males (aOR: 1.4; 95% CI: 1.1-2.0) compared to females, overweight (aOR: 2.3; 95%CI: 1.6-3.2), and obesity (aOR: 4.9; 95%CI: 3.2-7.7) compared to normal weight, and high cholesterol (aOR: 1.6; 95% CI: 1.1-2.3) compared to normal cholesterol. CONCLUSION: The prevalence of hypertension was high among young adults in Benue State. The associated risk factors for hypertension were age, sex, overweight, obesity, and high total cholesterol.

Pattern of Disabilities among Leprosy Patients in Abia State, Nigeria - a Retrospective Review.

Early case detection and prompt treatment have been identified as key strategies for effective control and elimination of leprosy disease. Hence, control efforts should include among others treatment of the disease and disability prevention. This study is aimed at determining prevalence and pattern of disability among leprosy patients treated in a Leprosy Center in Abia State, Nigeria. Records of 287 leprosy patients treated in Uzoakoli Leprosy Center, Abia State between 2002 and 2006 were reviewed and analysed. Findings showed 23 (9.9%) with childhood leprosy, 206 (83.7%) multi-bacillary type and 64 (28.4%) with grade 2 disability among the leprosy cases.Four children (15.4%) presented with grade 2 disability at diagnosis. Prior to treatment 80 (27.9%) had grade 2 disability, while 11 (6.6%) at the end of the treatment.,Based on EHF score 85 patients (50.9%) out 167 patients who completed treatment had impairment before treatment; on completion of treatment 133 (89.9%) of them improved, while 5 (3.4%) deteriorated. The lower limb (92.6%) was the most affected site in the leprosy patients,, while the eye (3.4%) was the leastaffected. The current leprosy control efforts should be intensified to ensure early case detection and prompt treatment in order to reduce the leprosy burden, including disabilities in individuals and community at large.