[Prevalence of peripheral artery disease among diabetics in Parakou in 2013].
We aimed to determine the prevalence of peripheral artery disease and its associated factors among diabetics. The cross-sectional study was conducted and included all diabetics admitted to the diabetic clinic at the Parakou University hospital during the period of 1st February and 31st July 2013. The diagnosis of peripheral artery disease was based on the Ankle Brachial Index (ABI)<0.9. The socio-demographics data, the data concerning the diabetes and its complications were recorded in each patient. They were 401 diabetics and 59.5 % were females. The mean age was 53.7±11.5 years. Among the diabetics, 168 fulfilled the criteria of PAD, the overall prevalence was 41.9 %. In total, 31.5 % were symptomatics according to Leriche and Fontaine classification. The main associated factors were the increase of age (P=0.01), the absence of activity with high income (P=0.004), the absence of physical activity (P=0.023), the duration of diabetes (P=0.007), the presence of peripheral neuropathy (P=0.003), the glycosylated hemoglobin≥7 % (P<0.001). After a multivariate analysis, only diabetes control was independently associated with arteriopathy (P=0,004). The PAD was more frequent among diabetics in Parakou. The associated factors must be taken into account in order to improve the management of the disease and to reduce the burden of the PAD.
Unité d'enseignement et de recherche en cardiologie, faculté de médecine, université de Parakou, BP 123, Parakou, Bénin; Service de médecine, centre hospitalier universitaire de Parakou, Parakou, Bénin. Electronic address: leostelles@yahoo.fr.
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Codjo
Service de médecine, centre hospitalier universitaire de Parakou, Parakou, Bénin.
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Adoukonou
Unité d'enseignement et de recherche en endocrinologie, maladies métaboliques et en nutrition, faculté de médecine, université d'Abomey Calavi, BP 188, Cotonou, Bénin.
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Wanvoegbe
Service de cardiologie, hôpital d'instruction des armées de Parakou, Parakou, Bénin.
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Dohou
Service de médecine, centre hospitalier universitaire de Parakou, Parakou, Bénin.
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Bankolé
Service de médecine, centre hospitalier universitaire de Parakou, Parakou, Bénin.
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Alassani
Service de médecine, centre hospitalier universitaire de Parakou, Parakou, Bénin.
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Dovonou
Unité d'enseignement et de recherche en cardiologie, faculté de médecine, université de Parakou, BP 123, Parakou, Bénin; Service de cardiologie, hôpital d'instruction des armées de Parakou, Parakou, Bénin.
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Houénassi
D001541:Benin / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000453:epidemiology*; D015995:Prevalence; D011446:Prospective Studies
D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human
Africa; Afrique; Ankle Brachial Index; Artériopathie oblitérante des membres inférieurs; Diabetes mellitus; Diabète; Index de pression systolique; Peripheral artery disease