The prevalence of peripheral arterial disease in diabetic subjects in south-west Nigeria
| Autor: | Olufemi S. Adediran, Isaac Olusayo Amole, Louis O. Odeigah, Akintayo D. OlaOlorun, B O Oyelade |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Arterial disease Nigeria lcsh:Medicine Asymptomatic peripheral arterial disease Diabetes mellitus Internal medicine Ogbomoso Medicine ankle-brachial index Ankle brachial index Original Research business.industry lcsh:Public aspects of medicine lcsh:R Public Health Environmental and Occupational Health lcsh:RA1-1270 General Medicine medicine.disease Intermittent claudication Clinical method Peripheral Surgery body regions diabetes mellitus Pedal pulses Marital status medicine.symptom Family Practice business |
| Zdroj: | African Journal of Primary Health Care & Family Medicine, Vol 4, Iss 1, Pp 1-6 (2012) African Journal of Primary Health Care & Family Medicine African Journal of Primary Health Care & Family Medicine, Vol 4, Iss 1, Pp e1-e6 (2012) |
| ISSN: | 2071-2936 2071-2928 |
| Popis: | Background: Peripheral arterial disease (PAD) is rarely sought for and generally underdiagnosed even in diabetics in developing countries like Nigeria. PAD is easily detected and diagnosed by the ankle-brachial index, a simple and reliable test. Objectives: To determine the prevalence of PAD in diabetic subjects aged 50–89 years and the value of ankle-brachial index measurement in the detection of PAD.Method: A cross-sectional descriptive study of 219 diabetic subjects aged 50–89 years was carried out. The participants were administered a pre-tested questionnaire and measurement of ankle-brachial index (ABI) was done. The ankle-brachial index < 0.90 was considered equivalent to peripheral arterial disease.Results: The overall prevalence of PAD was 52.5%. The prevalence of symptomatic PAD was 28.7% whilst that of asymptomatic PAD was 71.3%. There were a number of associations with PAD which included, age (p < 0.05), sex (p < 0.05), and marital status (p < 0.05). The use of the ankle-brachial index in the detection of PAD was clearly more reliable than the clinical methods like history of intermittent claudication and absence or presence of pedal pulses.Conclusion: The prevalence of PAD is relatively high in diabetic subjects in the southwestern region of Nigeria. Notable is the fact that a higher proportion was asymptomatic. Also the use of ABI is of great value in the detection of PAD as evidenced by a clearly more objective assessment of PAD compared to both intermittent claudication and absent pedal pulses. |
| Databáze: | OpenAIRE |
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