High prevalence of diabetes mellitus and metabolic syndrome in a South African coloured population : baseline data of a study in Bellville, Cape Town
Date
2012-11
Authors
Erasmus, Rajiv T.
Soita, Rajiv T.
Hassan, Mogamat S.
Blanco-Blanco, Ernesto
Vergotine, Zelda
Kengne, Andre P.
Matsha, Tandi E.
Journal Title
Journal ISSN
Volume Title
Publisher
HMPG
Abstract
Objective. The coloured population has the second-highest
prevalence of diabetes in South Africa. However, the data were
based on a study conducted almost 20 years ago in a peri-urban
coloured population of the Western Cape. We aimed to determine
the prevalence of diabetes mellitus and metabolic syndrome in an
urban coloured population in South Africa.
Design. In a cross-sectional survey, 642 participants aged ≥31
years were drawn from an urban community of Bellville South,
Cape Town, from mid-January 2008 to March 2009. Type 2
diabetes was assessed according to the WHO criteria, and metabolic
syndrome was based on the International Diabetes Federation
(IDF), ATP III and 2009 Joint Interim Statement (JIS) definition.
Results. The crude prevalence of 28.2% (age-adjusted 26.3%,
95% confidence interval (CI) 22.0 - 30.3) for type 2 diabetes was:
4.4% (age-adjusted 3.2%, 95% CI 1.6 - 4.9) for impaired fasting
glycaemia, and 15.3% (age-adjusted 15.0%, 95% CI 11.4 - 18.6)
for impaired glucose tolerance. Undiagnosed type 2 diabetes was
present in 18.1% (age-adjusted 16.8%, 95% CI 13.3 - 20.4). The
crude prevalence of metabolic syndrome was higher with the
JIS definition (62.0%) than the IDF (60.6%), and the National
Cholesterol Education Program (NCEP) ATP III (55.4%). There
was good overall agreement between the MetS criteria, k=0.89 (95%
CI 0.85 - 0.92).
Conclusion. The prevalence of diabetes has increased hugely in
the coloured community, and the high prevalence of undiagnosed
diabetes portends that cardiovascular diseases might grow to
epidemic proportions in the near future in South Africa.
Description
The original publication is available at http://www.samj.org.za
Keywords
Diabetes mellitus -- Racially mixed people -- South Africa -- Bellville -- Research, Diabetes mellitus and cardiovascular disease -- South Africa -- Bellville, Diabetic angiopathies -- South Africa -- Bellville --- Research
Citation
Erasmus, R. T. et al. 2012. High prevalence of diabetes mellitus and metabolic syndrome in a South African coloured population : baseline data of a study in Bellville, Cape Town. South African Medical Journal, 102(11):841-844, doi::10.7196/SAMJ.5670.