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 dia...
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2012-10-01
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doaj-065c96caa3bf4876bc610da9c0bda1ff2020-11-24T21:54:45ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362012-10-0141e1e610.4102/phcfm.v4i1.354152The prevalence of peripheral arterial disease in diabetic subjects in south-west NigeriaBolaji O. Oyelade0Akintayo D. OlaOlorun1Louis O. Odeigah2Isaac O. Amole3Olufemi S. Adediran4Lautech Health Centre, OgbomosoBowen University Teaching HospitalUniversity of Ilorin Teaching HospitalBowen University Teaching HospitalBenue State University Teaching HospitalBackground: 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.https://phcfm.org/index.php/phcfm/article/view/354Ankle brachial indexdiabetes mellitusNigeriaOgbomosoperipheral arterial disease. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bolaji O. Oyelade Akintayo D. OlaOlorun Louis O. Odeigah Isaac O. Amole Olufemi S. Adediran |
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. |
author_facet |
Bolaji O. Oyelade Akintayo D. OlaOlorun Louis O. Odeigah Isaac O. Amole Olufemi S. Adediran |
author_sort |
Bolaji O. Oyelade |
title |
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_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_sort |
prevalence of peripheral arterial disease in diabetic subjects in south-west nigeria |
publisher |
AOSIS |
series |
African Journal of Primary Health Care & Family Medicine |
issn |
2071-2928 2071-2936 |
publishDate |
2012-10-01 |
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. |
topic |
Ankle brachial index diabetes mellitus Nigeria Ogbomoso peripheral arterial disease. |
url |
https://phcfm.org/index.php/phcfm/article/view/354 |
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