Abstract
Objective: To study the lipid profile among the diabetic and non-diabetic obese patients. Methods: It was a descriptive and prospective study carried out over a period of 9 months from March to December 2010. It concerned all the patients who came for consultation in endocrinology at the internal medicine of Point G University Hospital Center and at the National Center for Diabetes Research. All the patients were included without any gender or age difference, voluntary and with a BMI ≥ 30 kg/m2. Results: Out of the 1543 patients received in consultation, we had identified 178 obese people that is to say 11, 53% of the cases. Among these cases 60 abided by our criteria with 30 diabetic patients and 30 non-diabetic ones. The average age was 45.83 ± 14.68 years old; 73.3% were more than 40 years old. The sex ratio was 0.07. Two third (66.7%) of our patients limited their eating diet to the three main meals/day and 61.7% were sedentary. The notion of family obesity was found in 93.4% of the cases, of family diabetes in 58.3% of the cases, of past personal medical history of hypertension in 43.3% of the cases. It was about an android obesity in 91% and Gynoid in 9% of the cases. The BMI was 55% of the cases comprised between 30 - 34.9 kg/m2. The lipid profile noticed was: A hypertriglyceridemia: 33% of diabetic patients and 10% of non-diabetic patients, a high LDL cholesterol: 37% of diabetic patients and 30% of our diabetic patients, a HDL hypocholesterolemia: 40% of the diabetic patients and 20% of the non-diabetic patients, a total hypercholesterolemia: 37% of the diabetic patients and 23% of non-diabetic patients. A hyperglycemia was noticed in 13.3% of non-diabetic patients. Conclusion: The frequency of metabolic troubles was higher in obese diabetic patients compared to non-diabetic obese patients mainly the hypertriglyceridemia.
Highlights
Obesity is a chronic disease which corresponds to an excess of fat having some dangerous consequences on people’s health.The factors causing the development of obesity are multiple and intricate: Caloric density of the eating diet, sedentary lifestyle, psychological factors, role of heredity, socio-economic context [1]
Study Population: It was made of the entire number of patients who came for endocrinology consultation at the internal medicine service of University Hospital Center point G, or at the National Center for Diabetes Research
The past family medical history of obesity and diabetes was respectively found in 93.4% and 58.3% of the cases
Summary
Obesity is a chronic disease which corresponds to an excess of fat having some dangerous consequences on people’s health.The factors causing the development of obesity are multiple and intricate: Caloric density of the eating diet, sedentary lifestyle, psychological factors, role of heredity, socio-economic context [1]. Obesity is a chronic disease which corresponds to an excess of fat having some dangerous consequences on people’s health. Its definition is based on the calculation of the body mass index (BMI = weight\height: Weight in kg and height in m2). A BMI ≥ 30 kg\m2 defines obesity in the cases of both sexes for the adult [2]. Obesity is frequent; it concerns 12.4% of the adult population in France, that is to say around 6 millions of people; 0.8% of the population presents a mass obesity (BMI ≥ 40 kg\m2). In Mali 20.4% of patients ageing between 18 - 35 years are obese in cardiology [3], and 26.7% of patients ageing between 18 - 85 years are obese in the diabetic population [4]
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