[The overweight, the obesity and the glycemic control among diabetics of the provincial reference center of diabetes (CRD), Kenitra, Morocco].

Autor:	Lotfi Z; Laboratoire de Nutrition, Santé & Environnement, Département de Biologie, Faculté des Sciences, Université Ibn Tofail BP 133, Kénitra 14 000, Maroc., Aboussaleh Y; Laboratoire de Nutrition, Santé & Environnement, Département de Biologie, Faculté des Sciences, Université Ibn Tofail BP 133, Kénitra 14 000, Maroc., Sbaibi R; Laboratoire de Nutrition, Santé & Environnement, Département de Biologie, Faculté des Sciences, Université Ibn Tofail BP 133, Kénitra 14 000, Maroc., Achouri I; Laboratoire de Nutrition, Santé & Environnement, Département de Biologie, Faculté des Sciences, Université Ibn Tofail BP 133, Kénitra 14 000, Maroc., Benguedour R; Laboratoire Biochimie, Biotechnologie, Santé et Environnement, Département de Biologie, Faculté des Sciences, Université Ibn Tofail, BP 133, Kénitra 14 000, Maroc.
Jazyk:	francouzština
Zdroj:	The Pan African medical journal [Pan Afr Med J] 2017 Jul 11; Vol. 27, pp. 189. Date of Electronic Publication: 2017 Jul 11 (Print Publication: 2017).
DOI:	10.11604/pamj.2017.27.189.9535
Abstrakt:	Introduction: Diabetes is a disorder of assimilation, use and storage of sugars provided in the diet. Its management is based on follow-up of overweight and obese patients and on regular glycemic control. This study aimed to analyze overweight, obesity and glycemic control in 2227 patients with different types of diabetes (type 1, 2 and gestational) presenting to the Provincial referral center of diabetes (RCD) in Kenitra, Morocco. Methods: We conducted a study over the period January-December 2015. Overweight and obesity assessment was performed using Body Mass Index calculator (BMI = weight/height 2 (kg/m 2 ). Overweight and obesity were defined by BMI > 25 kg/m 2 and BMI > 30 kg/m 2 respectively; the weight and the height were measured according to World Health Organization's recommendations. Glycemic control was based on glycated hemoglobin levels and fasting blood glucose test. Current guidelines recommend a glycosylated hemoglobin level of 7% and a fasting blood glucose of 0.70g/l - 1.10g/L. Results: The age of patients ranged from 8 months to 80 years, with a prevalence of diabetic patients from the urban environment (74%) compared to those from the rural areas (26%). The entire study population was overweight. The average BMI of women showed a trend toward obesity (BMI≈30): (29.21 kg/m 2 ± 3,1) in patients with gestational diabetes and (29.15 kg/m 2 ± 3.2) in patients with type 2 diabetes. Blood sugar levels were above the standards: 8.5% ± 2.6 > 7% for glycosylated hemoglobin and 1.5 g/L ± 1.3>1.10g/L for fasting blood glucose. The difference between glycosylated hemoglobin levels between men (8.57% ± 2.6) and women (8.1% ± 2.3) were not significant (p > 0.05), it was the same with fasting blood glucose: men (1.44 g/L ± 1,1) and women (1.43 g/L ± 1.2). Pearson's correlation coefficients were highly significant (p<0.005); on the one hand between BMI and fasting blood glucose(r = 0.5) and on the other hand between BMI and glycosylated hemoglobin levels (r = 0.4). Conclusion: The entire study population had BMI and glycaemic control levels above the standards. More research is needed on diabetic patients in order to develop a remediation plan.
Databáze:	MEDLINE
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