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Atallah A, Carrère P, Atallah V, Inamo J. [Differences between hypertension in Metropolitan France compared to Overseas France Departments and Regions (DOM-ROM)]. Ann Cardiol Angeiol (Paris) 2019; 68:260-263. [PMID: 31563267 DOI: 10.1016/j.ancard.2019.07.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Accepted: 07/19/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND High blood pressure (HBP) is the most common chronic disease worldwide. In France, its prevalence varies by region. It is high in most Overseas Departments and Regions (DOM-ROM), at 38.2% in Réunion (1), 44% in Mayotte (2), 28% in the French Antilles, 18% in French Guiana, 25% in French Polynesia (3) and 28% in Saint-Martin (4). PURPOSE To determinate the differences within the same healthcare system between hypertension in Metropolitan France compared to Overseas France Departments and Regions (DOM-ROM). RESULTS Sex-based differences. In contrast to Metropolitan France, in Overseas France the prevalence of HBP is higher in women, although women show better rates of care (screening and rates of patients "normalised" under medical treatment). The main explanation for this is the higher prevalence of obesity in women. Obesity multiplies the risk of developing hypertension by 2.5 Obesity in Guadeloupe affects 14% of men compared to 31% of women. Socio-economic particularities of hypertension in Overseas France. The numerous epidemiological surveys carried out in the French Antilles have demonstrated the major role of socio-economic conditions in the occurrence of hypertension, alongside the usual risk factors such as sedentary lifestyle, salt consumption and obesity (7). In the absence of socio-economic disparity, there is no significant disparity in the prevalence of hypertension specially in men. CONCLUSIONS There are differences between France Overseas Regions and Territories (DOM-ROMs) and Metropolitan France in terms of the prevalence, knowledge, treatment and control of hypertension, and these vary according to sex. For men, the prevalence and treatment of hypertension differ very little when considering a population of workers or employees in both regions. On the other hand, for women, the prevalence of hypertension is higher in the French Antilles-Guiana. This difference is not fully explained by the higher prevalence of obesity observed among female employees in the French Antilles-Guiana. For these patients, we also observe better knowledge and better control of hypertension. Care for men in socio-economically disadvantaged situations of precarity must be improved in terms of screening and adherence to treatment.
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Affiliation(s)
- A Atallah
- Service de cardiologie, réseau HTA-GWAD.Gip.Raspeg. Guadeloupe, centre hospitalier de Basse-Terre, 97100 Basse-Terre, Guadeloupe.
| | - P Carrère
- Université des Antilles, Saint-Claude, Guadeloupe
| | - V Atallah
- Service de cardiologie, CHU de Guadeloupe, Pointe-à-Pitre, Guadeloupe
| | - J Inamo
- CHU de Martinique, Fort-de-France, Martinique
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[Hypertension in black patients]. JOURNAL DE MÉDECINE VASCULAIRE 2018; 43:213-217. [PMID: 29754732 DOI: 10.1016/j.jdmv.2018.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 02/24/2018] [Indexed: 11/22/2022]
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Changes in prevalence, awareness, treatment and control of hypertension in disadvantaged French Caribbean populations, 2003 to 2014. J Hum Hypertens 2017; 31:596-601. [PMID: 28406233 DOI: 10.1038/jhh.2017.24] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Revised: 01/16/2017] [Accepted: 02/20/2017] [Indexed: 02/05/2023]
Abstract
In 2003, the PHDG (Prevalence of Hypertension among Disadvantaged Guadeloupeans) study highlighted poor management of hypertension in an unemployed French Caribbean population. New processes of health-care coordination and a pay-for-performance system have since been developed. We aimed to assess changes in hypertension characteristics in disadvantaged French Caribbean populations in the last 10 years. Using PHDG 2003 data, in 2014 we undertook a cross-sectional study with identical methods. The source population comprised all Guadeloupeans having undergone periodic heath checks offered by the Social Security insurance at these dates. Only universal health coverage beneficiaries (i.e. in situations of poverty) aged 18-64 were included (2014 in 2014, 1868 in 2003). Hypertension was defined by antihypertensive treatment or a mean of two blood pressure measures ⩾140/90 mm Hg. The 2003 and 2014 data were age adjusted; comparative morbidity factors (CMF) and 95% confidence intervals were calculated to assess changes over time. Hypertension prevalence decreased from 38.3 to 34.5% (CMF 95% CI: 0.83-0.97). The increase in hypertension awareness was greater for women (from 48.3 to 55.3%, CMF 95% CI: 1.00-1.31) than for men (from 28 to 31.1%, NS). Among hypertensive individuals aware of their condition, proportions of those treated increased for women (from 83.1 to 88.3%, NS) but decreased for men (from 80.2 to 75.8%, NS). Controlled hypertension among treated patients increased in women (from 35.2 to 49.2%, CMF 95% CI: 1.07-1.82) and men (from 12.9 to 30.1%, CMF 95% CI: 1.30-4.21). In conclusion, in these poor French Caribbean populations with theoretically adequate access to care, hypertension control remained far below national goals. Neither awareness nor treatment had improved in men.
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Carrère P, Fagour C, Sportouch D, Gane-Troplent F, Hélène-Pelage J, Lang T, Inamo J. Diabetes mellitus and obesity in the French Caribbean: A special vulnerability for women? Women Health 2017; 58:145-159. [PMID: 28095137 DOI: 10.1080/03630242.2017.1282396] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The objective of this study was to analyze the prevalence, awareness, treatment, and control of diabetes and its risk factors among French Caribbean adults. This cross-sectional study included 18-74-year olds (N = 2252; 56.5 percent women) who underwent a heath examination in Guadeloupe during July-December 2014. Diabetes was defined as using antidiabetic treatment, or fasting glucose ≥7 mmol/l, and glycated hemoglobin (HbA1c) ≥6.5 percent; diabetes control was defined as HbA1c < 7 percent. Multilevel logistic regression was used. Diabetes prevalence was 8.2 percent for women and 5 percent for men (age-adjusted odds ratio [aOR] for women = 2.0; 95 percent confidence interval [CI]: 1.4-2.9). The proportion of women with diabetes who were aware of it was 84.5 versus 67.3 percent in men (aOR = 2.7; 95 percent CI: 1.2-6.2). Nearly, all diagnosed participants were being treated. In less than a third of diabetics in both sexes was diabetes control obtained. Most women (55.3 percent) had a waist circumference at or above the National Cholesterol Education Program thresholds versus 14 percent of men (aOR = 9.3; 95 percent CI: 7.5-11.7), which wholly accounted for excess diabetes in women. In women, obesity and diabetes were associated with low education and income. In this French Caribbean sample, abdominal obesity and diabetes affected more women. Diabetes was rarely controlled. A comprehensive women's health policy for the prevention of abdominal obesity and diabetes is needed.
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Affiliation(s)
- Philippe Carrère
- a Department of General Medicine , University of the French West Indies and Guiana , Pointe-à-Pitre , Guadeloupe , France.,b Laboratory of Epidemiology and Analysis in Public Health , UMR1027 INSERM, University of Toulouse III Paul Sabatier , Toulouse , France.,c Guadeloupean Association for the Management and Conduct of Health Examinations and the Promotion of Health (AGREXAM) , Pointe-à-Pitre , Guadeloupe , France
| | - Cédric Fagour
- d Endocrinology-Diabetology-Nutrition Unit , University Hospital, Fort-de-France , Martinique , France.,e Clinical Epidemiology and Medicine Research Team , EA4540 LAMIA, University of the French West Indies and Guiana , Pointe-à-Pitre , Guadeloupe , France
| | - Dan Sportouch
- a Department of General Medicine , University of the French West Indies and Guiana , Pointe-à-Pitre , Guadeloupe , France.,b Laboratory of Epidemiology and Analysis in Public Health , UMR1027 INSERM, University of Toulouse III Paul Sabatier , Toulouse , France
| | - Franciane Gane-Troplent
- a Department of General Medicine , University of the French West Indies and Guiana , Pointe-à-Pitre , Guadeloupe , France
| | - Jeannie Hélène-Pelage
- a Department of General Medicine , University of the French West Indies and Guiana , Pointe-à-Pitre , Guadeloupe , France
| | - Thierry Lang
- b Laboratory of Epidemiology and Analysis in Public Health , UMR1027 INSERM, University of Toulouse III Paul Sabatier , Toulouse , France
| | - Jocelyn Inamo
- b Laboratory of Epidemiology and Analysis in Public Health , UMR1027 INSERM, University of Toulouse III Paul Sabatier , Toulouse , France.,f Department of Cardiology , University of the French West Indies and Guiana , Fort-de-France , Martinique , France
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Carrère P, Moueza N, Cornely V, Atallah V, Hélène-Pelage J, Inamo J, Atallah A, Lang T. Perceptions of overweight in a Caribbean population: the role of health professionals. Fam Pract 2016; 33:633-638. [PMID: 27450987 DOI: 10.1093/fampra/cmw061] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The prevalence of obesity and its complications is particularly high in the Caribbean. Underestimation of weight status could explain the failure by subjects concerned to adopt behaviours complying with medical recommendations. Little research is available on the role of health professionals in overweight perception. OBJECTIVE To examine relationships between overweight underestimation and lack of communication on overweight diagnosis by health professionals in a multicultural Caribbean population. METHODS A cross-sectional study, lead in 2014 on a sample representative of the population of Saint-Martin (395 subjects, 25-74 years). Overweight perception was assessed on Likert scale. Corpulence was assessed from measured waist circumference (WC). Individuals with excess abdominal adiposity (WC ≥ 80cm for women, ≥ 94cm for men) but stating they did not feel overweight were considered to underestimate their weight status. Patient-reported lack of communication on their diagnosis by health professionals was likewise explored. Respondents' first language defined cultural community. Multivariate analysis used logistic regression. RESULTS Among individuals presenting excessive WC, 4 out of 10 did not perceive themselves as overweight. Six out of 10 said they had never been told about their weight by a health professional, whether or not they had their weight and waist measured by their referring physician in the preceding year. Independently from WC, overweight underestimation was associated with lack of communication on overweight diagnosis for both sexes. For women, overweight underestimation was associated with belonging to the Creole community. CONCLUSION Greater care is required when giving a diagnosis of overweight, particularly in social-cultural contexts where weight norms differ.
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Affiliation(s)
- Philippe Carrère
- Department of General Medicine, University of the French West Indies and Guiana, Pointe-à-Pitre, France, .,Laboratory of Epidemiology and Analysis in Public health, UMR 1027, INSERM, Paul Sabatier University, Toulouse, France.,Réseau HTA-Gwad, Basse-Terre, France
| | - Nycrees Moueza
- Department of General Medicine, University of the French West Indies and Guiana, Pointe-à-Pitre, France
| | - Vanessa Cornely
- Guadeloupe Regional Health Observatory, Baie-Mahault, France
| | - Véronique Atallah
- Department of Cardiology, University of the French West Indies and Guiana, Fort-de-France, France and
| | - Jeannie Hélène-Pelage
- Department of General Medicine, University of the French West Indies and Guiana, Pointe-à-Pitre, France
| | - Jocelyn Inamo
- Laboratory of Epidemiology and Analysis in Public health, UMR 1027, INSERM, Paul Sabatier University, Toulouse, France.,Department of Cardiology, University of the French West Indies and Guiana, Fort-de-France, France and
| | - André Atallah
- Réseau HTA-Gwad, Basse-Terre, France.,Cardiology Unit, Hospital of Basse Terre, Basse-Terre, France
| | - Thierry Lang
- Laboratory of Epidemiology and Analysis in Public health, UMR 1027, INSERM, Paul Sabatier University, Toulouse, France
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[Precariousness, cardiovascular risk in the afro-Caribbean population of Saint-Martin. Data from the study CONSANT-SM]. Ann Cardiol Angeiol (Paris) 2016; 65:115-22. [PMID: 27207266 DOI: 10.1016/j.ancard.2016.04.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Accepted: 04/12/2016] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The objective is to describe the prevalence of arterial hypertension (hypertension) and cardiovascular risk factors (FDR) and specify their association with the socio-economic factors in a collectivity of Saint-Martin. MATERIAL AND METHODS CONSANT-SM is a cross-sectional descriptive study carried out on a representative sample of 400 people. The data collection was conducted by investigators at home. RESULTS The low income level is significantly associated with abdominal obesity (OR=2.3), with cardiovascular FDR accumulated (OR=3.58). Low level of education (OR=2.86) and abdominal obesity (OR=3.73) are significantly associated with hypertension. DISCUSSION The link between cardiovascular FDR and precariousness (in our study represented by the variable low levels of income and education) is found in this study carried out on a representative sample of the population of the community of Saint-Martin. CONCLUSION The strong link between hypertension, obesity and others cardiovascular risk factors (FDR) with precariousness (in our study represented by the variable low levels of income and education) is found in this afro-Caribbean population. This data is an important information for the health program developed by the healthy system.
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Abstract
BACKGROUND The relationship between socioeconomic status (SES) and hypertension has been studied in a number of reviews. However, the impact of SES on hypertension has been reported in several studies with conflicting results. METHODS A systematic search was performed in PubMed, Proquest and Cochrane databases for observational studies on hypertension prevalence and SES, published in English, until March 2014. Hypertension was defined as a mean SBP of at least 140 mmHg or a DBP of at least 90 mmHg, or use of antihypertensive medication. The inverse variance method with a random-effects model was used to pool the risk estimates from the individual studies. Data abstraction was conducted independently by two authors. RESULTS Among the 2404 references, 51 studies fulfilled the inclusion criteria. An overall increased risk of hypertension among the lowest SES was found for all three indicators: income [pooled odds ratio (OR) 1.19, 95% confidence interval (CI) 0.96-1.48], occupation (pooled OR 1.31, 95% CI 1.04-1.64) and education (pooled OR 2.02, 95% CI 1.55-2.63). The associations were significant in high-income countries, and the increased risk of hypertension for the lowest categories of all SES indicators was most evident for women, whereas men revealed less consistent associations. CONCLUSION Low SES is associated with higher blood pressure, and this association is particularly evident in the level of education. It is important to identify and monitor hypertension to reduce the risk of this disease among the most vulnerable groups in different countries and among different societies.
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Billy Brissac R, Phiraï S, Larifla L, Atallah A, Hedreville M, Hedreville S, Fassih M, Cadelis G, Rhinan P, Hamony Soter V, Foucan L. [Hypertension and cardiovascular risk associated with obstructive sleep apnea in adult in Guadeloupe (French West Indies)]. Ann Cardiol Angeiol (Paris) 2015; 64:132-8. [PMID: 26047876 DOI: 10.1016/j.ancard.2015.04.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2015] [Accepted: 04/28/2015] [Indexed: 12/01/2022]
Abstract
BACKGROUND AND PURPOSE In Guadeloupe, data on the relationships between arterial hypertension and obstructive sleep apnea are unavailable. The aim of this study was: to assess the frequency of hypertension and non-dipper pattern evaluated by 48-hour ambulatory blood pressure monitoring in an adult population identified obstructive sleep apnea/non-obstructive sleep apnea during overnight polygraphy ; to determine the cardio-metabolic factors associated with obstructive sleep apnea. DESIGN AND METHOD A cross-sectional study was realized at Pointe-à-Pitre Hospital. Patients were referred for suspected sleep apnea to sleep specialist and performed a nocturnal polygraphy. Diagnosis was confirmed if the apnea-hypopnea index was ≥ 5. We obtained two groups: sleep apnea/non-sleep apnea. All patients underwent 48-hour ambulatory blood pressure monitoring. The cardio-metabolic factors were identified and assessed (fasten level of hs-CRP and Homa-IR index). RESULTS A total of 204 patients were included. Mean age at diagnosis was 54 ± 10 years, 63% were women. OSA was present in 69.6% with a higher frequency in men than in women. Difference was not significant between the two groups for hypertension frequency (84.5% vs 77%; P=0.22), non-dipper pattern (77.5% vs 76%; P=0.79) and hs-CRP. Differences for age, snoring, body max index, mean waist circumference, Homa-IR index, obesity, dyslipidemia, and type 2 diabetes were significant. CONCLUSIONS Our data highlight raised frequency of cardiovascular metabolic factors in patients with obstructive sleep apnea and confirm their high cardiovascular risk.
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Affiliation(s)
- R Billy Brissac
- Unité d'explorations cardiovasculaires, pôle cardiovasculaire, CHU de Pointe-à-Pitre, BP 465, 97159 Pointe-à-Pitre cedex, Guadeloupe.
| | - S Phiraï
- Laboratoire du sommeil, 97139 Les Abymes, Guadeloupe
| | - L Larifla
- Service de cardiologie, pôle cardiovasculaire, CHU de Pointe-à-Pitre, BP 465, 97159 Pointe-à-Pitre cedex, Guadeloupe
| | - A Atallah
- Service de cardiologie, pôle vasculaire, centre hospitalier de Basse-Terre, 97100 Basse-Terre, Guadeloupe
| | - M Hedreville
- Service de cardiologie, pôle cardiovasculaire, CHU de Pointe-à-Pitre, BP 465, 97159 Pointe-à-Pitre cedex, Guadeloupe
| | - S Hedreville
- Service de cardiologie, pôle vasculaire, centre hospitalier de Basse-Terre, 97100 Basse-Terre, Guadeloupe
| | - M Fassih
- Laboratoire du sommeil, 97100 Basse-Terre, Guadeloupe
| | - G Cadelis
- Service de pneumologie, CHU de Pointe-à-Pitre, BP 465, 97159 Pointe-à-Pitre cedex, Guadeloupe
| | - P Rhinan
- Cabinet de médecine générale, 97111 Morne-à-l'eau, Guadeloupe
| | - V Hamony Soter
- Direction de la recherche clinique, CHU de Pointe-à-Pitre, BP 465, 97159 Pointe-à-Pitre cedex, Guadeloupe
| | - L Foucan
- Direction de la recherche clinique, CHU de Pointe-à-Pitre, BP 465, 97159 Pointe-à-Pitre cedex, Guadeloupe
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Welsh FE, Duff EM, Campbell-Taffe K, Lindo JL. Lifestyles of Jamaican Men With Hypertension. J Transcult Nurs 2014; 26:507-13. [PMID: 24803529 DOI: 10.1177/1043659614531794] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Purpose: Determine the extent to which the lifestyles of Jamaican men with hypertension met the guidelines of the Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7). Design and Methods: Following informed consent, a convenience sample of Jamaican men with hypertension ( n = 48), of African ethnicity, attending a Type 5 Health Center was interviewed over a four week period, using a 31-item interview schedule. Results: Mean age of respondents was 65.2 (± 12.1) years (range = 35-89 years) with 33% having blood pressure (BP) controlled to 130/80 mmHg. Those meeting the guidelines were normal weight 23 (47.9%), DASH (dietary approaches to stop hypertension) diet zero, medication 7 (14.6%), exercise 14 (29.2%), alcohol restriction 38 (79.2%), and smoking cessation 40 (83.3%). Medication adherence was associated with BP control ( r = −0.30, p < .04). More than half of the respondents believed that hypertension could be cured and that they could stop all treatment if their BP was normal. Discussion and Conclusions: Only a third of the sample had BP controlled to ≤130/80 mmHg. Adherence to the JNC 7 lifestyle guidelines was inadequate. Implications for Practice: A nurse led intervention, focusing on perceptions and lifestyle practices, is indicated.
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Tuppin P, Ricci-Renaud P, de Peretti C, Fagot-Campagna A, Alla F, Danchin N, Allemand H. Frequency of cardiovascular diseases and risk factors treated in France according to social deprivation and residence in an overseas territory. Int J Cardiol 2014; 173:430-5. [DOI: 10.1016/j.ijcard.2014.03.012] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2013] [Accepted: 03/09/2014] [Indexed: 02/07/2023]
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Carrère P, Atallah A, Kelly-Irving M, Lang T, Inamo J. [Television viewing and cardiovascular risk behaviors in the adult population of the French West Indies]. Ann Cardiol Angeiol (Paris) 2013; 62:161-165. [PMID: 23746687 DOI: 10.1016/j.ancard.2013.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2013] [Accepted: 04/24/2013] [Indexed: 06/02/2023]
Abstract
OBJECTIVE Recent studies have shown a link between prolonged television viewing and cardiovascular (CV) morbidity and mortality. We aimed to estimate the relationship between television viewing and CV risk behaviors and in the adult population of the French West Indies. PATIENTS AND METHODS We used data from Consant, a cross-sectional study carried out in 2007 on a representative sample of the adult Guadeloupean population (1005 subjects aged 25-74 years selected by stratified random sampling and interviewed at home by trained investigators working in pairs). RESULTS Among respondents who reported watching television for 2 hours or more per day, 46.5% stated practicing no leisure time physical activity, compared with 35.6% among those who reported watching television for less than 2 hours per day. Adjusting for age, sex, education, income, family status, and perceived CV benefits of physical activity, the odds ratio of physical inactivity was estimated at 1.75 (P<10(-3)) among subjects who reported watching television for 2 hours or more per day, compared with other subjects. A similar relationship was observed when considering dieting to prevent weight gain. CONCLUSION In this representative sample of a French Caribbean population, a strong and very significant relationship was observed between prolonged television viewing and CV risk behaviors. Prolonged television viewing seems common to a lifestyle that is characterized by little physical activity and unhealthy eating habits. This may play a role in social inequalities observed in CV diseases.
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Affiliation(s)
- P Carrère
- Département de médecine générale, faculté de médecine Hyacinthe-Bastaraud, université des Antilles et de la Guyane, campus universitaire de Fouillole, BP 250, 97157 Pointe-à-Pitre cedex, Guadeloupe.
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Daigre JL, Atallah A, Boissin JL, Jean-Baptiste G, Kangambega P, Chevalier H, Balkau B, Smadja D, Inamo J. The prevalence of overweight and obesity, and distribution of waist circumference, in adults and children in the French Overseas Territories: the PODIUM survey. DIABETES & METABOLISM 2012; 38:404-11. [PMID: 22626474 DOI: 10.1016/j.diabet.2012.03.008] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2011] [Revised: 03/27/2012] [Accepted: 03/28/2012] [Indexed: 12/12/2022]
Abstract
AIM This study aimed to describe the prevalence of overweight (excluding obesity) and obesity, and distribution of waist circumference, in children and adults in four French Overseas Territories (Guadeloupe, Martinique, French Guiana in the Caribbean and French Polynesia in the Pacific Ocean). METHODS The survey was designed to provide a sample representative of the population in each of the four territories. The protocol aimed to evaluate 600 adults (aged ≥ 15 years) and 300 children (aged: 5-14 years) in each territory. RESULTS In children, the differences were small among the territories in the prevalence of overweight (excluding obesity), as defined by the International Obesity Task Force (IOTF): Guadeloupe, 15.4%; Martinique, 17.0%; French Guiana, 13.2%; and French Polynesia, 17.2% (P = 0.49). Larger, significant, differences were observed for obesity, with prevalences of 7.2%, 7.7%, 5.4% and 15.9%, respectively (P < 0.002). In adults, the prevalence of obesity also differed significantly among the territories: 22.9%, 22.0%, 17.9% and 33.1% in Guadeloupe, Martinique, French Guiana and French Polynesia, respectively (P < 0.001, adjusted for age and gender). However, overweight (excluding obesity) was again more homogeneously distributed, with prevalences of 31.7%, 33.6%, 30.3% and 34.4%, respectively (P = 0.43, adjusted for age and gender). Waist circumference was larger in French Polynesia than in the other territories in both genders, and in both children and adults. CONCLUSION While the distribution of overweight was relatively homogeneous, the prevalence of obesity differed considerably across the four territories. It was especially high in French Polynesia, and in children and women. Appropriate programmes are urgently needed in these populations, especially in children, to avoid the morbidity associated with obesity.
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Affiliation(s)
- J-L Daigre
- Service de médecine interne-diabétologie, centre hospitalier de l'Ouest Guyanais, 97393 Saint-Laurent-du-Maroni, French Guiana
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Disparate Cardiovascular and Diabetic Outcomes in Young Adult Black Women: Studies from across the Globe. CURRENT CARDIOVASCULAR RISK REPORTS 2012. [DOI: 10.1007/s12170-012-0229-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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