title: [Prevalence and characteristics of metabolic syndrome among hypertensive patients in Abidjan].
abstract: OBJECTIVE
  Assess prevalence of metabolic syndrome (MetS) in black Africans hypertensive patients.
  
  
  METHODS
  Prospective survey from 3rd November 2014 to 12th June 2015, at Abidjan Heart Institute. Study was carried out among patients aged 18 years old, admitted to external consultation. Oral consent was obtained. MetS was established based on the definitions of the NCEP-ATP III 2005 and the International Diabetes Federation (IDF).
  
  
  RESULTS
  Over 1246 hypertensive patients, 404 were included in our study. The prevalence of MetS was 48.8% according to the criteria of the NCEP-ATP III 2005 and 51% according to the IDF. We noticed a female predominance (69% against 31%, P<0.001). Central obesity (49.5%) and low HDL-cholesterol (42.1%) were the factors defining the SM most predominant in our series. Low blood pressure control was higher in the presence of MetS (43.6%). The average number of antihypertensive prescribed drugs were significantly higher (2.2±0.8 against 2±0.8, P<0.001). MetS was significantly associated with obesity (BMI≥30kg/m(2) : 40.6% against 14%, P<0.001). Cardiovascular complications were observed in 54.8% of hypertensive patients in the presence of MetS.
  
  
  CONCLUSIONS
  MetS is a reality in sub-Saharan Africa. Adequate preventive measures are needed to limit its progression.
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire. Electronic address: rolandnguetta@hotmail.com.
authors.forename: R
authors.initials: R
authors.lastname: N'Guetta
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire.
authors.forename: H
authors.initials: H
authors.lastname: Yao
authors.affiliation: Laboratoire de biostatistique et d'informatique médicale, centre hospitalier universitaire de Cocody, Abidjan, Côte d'Ivoire.
authors.forename: I
authors.initials: I
authors.lastname: Brou
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire.
authors.forename: A
authors.initials: A
authors.lastname: Ekou
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire.
authors.forename: P
authors.initials: P
authors.lastname: Do
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire.
authors.forename: I
authors.initials: I
authors.lastname: Angoran
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire.
authors.forename: B A
authors.initials: BA
authors.lastname: Kouamé
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire.
authors.forename: C
authors.initials: C
authors.lastname: Konin
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire.
authors.forename: J B
authors.initials: JB
authors.lastname: Anzouan-Kacou
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire.
authors.forename: K E
authors.initials: KE
authors.lastname: Kramoh
authors.affiliation: Institut de cardiologie d'Abidjan, Abidjan, Côte d'Ivoire.
authors.forename: A M
authors.initials: AM
authors.lastname: Adoh
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D007560:Cote d'Ivoire / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000453:epidemiology*; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000453:epidemiology; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data*; D017678:Sex Distribution; D014505:Urban Population / Q000706:statistics & numerical data*
keywords: Afrique sub-saharienne; Hypertension; Hypertension artérielle; Metabolic syndrome; Sub-Saharan Africa; Syndrome métabolique