Rural-urban Difference in Plasma Lipid Levels and Prevalence of Dyslipidemia in Hausa-Fulani of North-Western Nigeria

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Date
2013
Authors
Sabir, A.A
Isezuo, S.A
Ohwovoriole, A.E
Fasanmade, O.A
Abubakar, S.A
Iwuala, S
Umar, M.T
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Abstract
Objectives:To compare the serum lipidslevels, prevalence of dyslipidaemia, and adi-posity of rural versus urban dwellers in Sokoto,Nigeria.Methods:A cross-sectional study was con-ducted in both rural and urban areas ofSokoto, Nigeria. One hundred participantswere recruited using a multi-stage samplingmethod. Demographic data and anthropomet-ric measurements were obtained. Fastingblood was drawn for assessment of totalcholesterol (TC), triglyceride (TG), high-densitylipoprotein (HDL-C) and low-density lipopro-tein (LDL-C) cholesterol. The classification ofdyslipidemia was based on the NationalCholesterol Education Program-Adult Treat-ment Panel guidelines.Results:The (mean [SD]) waist circumferenceof the urban participants (83.8 [9.5] cm) wassignificantly higher than the rural participants(79.2 [11.2] cm) (P5.030). The mean BMI ofthe urban participants (23.9 [3.9] kg/m2) washigher than the rural participants (22.2 [3.7]kg/m2)(P5.09). The mean TC was significantlyhigher in urban (175.9 [49.6] mg/dL) than ruralparticipants (148.3 [24.3] mg/dL)P,.001.Mean serum LDL-C, and TG concentrationswere higher in the urban than rural partici-pants but the difference was not statisticallysignificant. Mean serum HDL-C was alsoinsignificantly higher in the rural (51.1 [7.9]mg/dL) than in urban participants (50.2 [11.7]mg/dL) (P5.64). The most frequent dyslipide-mia was abnormally low HDL-C (13%) and thiswas more common in the urban participants(16%) than in rural participants (10%).Conclusion:This study demonstrated thatcompared to the rural dwellers, the urbandweller were more likely to be obese and hadhigher frequency of adverse plasma lipidprofile. This may have implications for rural-urban patterns of lipid related cardiovasculardisease.
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Keywords
Rural, Urban, Lipids, Dyslipidemia , Rural , Urban , Lipids , dyslipidemia , Research Subject Categories::MEDICINE
Citation
Sabir AA, Isezuo SA, Ohwovoriole AE, Fasanmade OA, Abubakar SA, Iwuala S, Umar MT. Rural-urban Difference in Plasma Lipid Levels and Prevalence of Dyslipidemia in Hausa-Fulani of North-Western Nigeria. Ethn Dis. 2013;23[3]:374–378)