The prevalence of peripheral arterial disease in diabetic subjects in south-west Nigeria
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 diab...
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| Format: | Article |
| Language: | English |
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AOSIS
2012-10-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | http://www.phcfm.org/index.php/phcfm/article/viewFile/354/456 |
| _version_ | 1811269921014808576 |
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| author | Bolaji O. Oyelade Akintayo D. OlaOlorun Louis O. Odeigah Isaac O. Amole Olufemi S. Adediran |
| author_facet | Bolaji O. Oyelade Akintayo D. OlaOlorun Louis O. Odeigah Isaac O. Amole Olufemi S. Adediran |
| author_sort | Bolaji O. Oyelade |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T21:50:38Z |
| format | Article |
| id | doaj.art-440b996af8cb4616a71ce177f495e9f5 |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-04-12T21:50:38Z |
| publishDate | 2012-10-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-440b996af8cb4616a71ce177f495e9f52022-12-22T03:15:29ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362012-10-014116The prevalence of peripheral arterial disease in diabetic subjects in south-west NigeriaBolaji O. OyeladeAkintayo D. OlaOlorunLouis O. OdeigahIsaac O. AmoleOlufemi S. AdediranBackground: 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.http://www.phcfm.org/index.php/phcfm/article/viewFile/354/456ankle-brachial indexdiabetes mellitusNigeriaOgbomosoperipheral arterial disease |
| spellingShingle | Bolaji O. Oyelade Akintayo D. OlaOlorun Louis O. Odeigah Isaac O. Amole Olufemi S. Adediran The prevalence of peripheral arterial disease in diabetic subjects in south-west Nigeria African Journal of Primary Health Care & Family Medicine ankle-brachial index diabetes mellitus Nigeria Ogbomoso peripheral arterial disease |
| title | The prevalence of peripheral arterial disease in diabetic subjects in south-west Nigeria |
| title_full | The prevalence of peripheral arterial disease in diabetic subjects in south-west Nigeria |
| title_fullStr | The prevalence of peripheral arterial disease in diabetic subjects in south-west Nigeria |
| title_full_unstemmed | The prevalence of peripheral arterial disease in diabetic subjects in south-west Nigeria |
| title_short | The prevalence of peripheral arterial disease in diabetic subjects in south-west Nigeria |
| title_sort | prevalence of peripheral arterial disease in diabetic subjects in south west nigeria |
| topic | ankle-brachial index diabetes mellitus Nigeria Ogbomoso peripheral arterial disease |
| url | http://www.phcfm.org/index.php/phcfm/article/viewFile/354/456 |
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