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Afrique Moyen-Orient Étude épidémiologique cardiovasculaire (étude ACE) - Dyslipidémie

Protect your Patient’s Life

Obesity in the region
Abdominal obesity was one of the most prevalent CV risk factors identified in the ACE4 study. For every three patients screened, two patients were identified with abdominal obesity. The prevalence ranged from 49% in Cameroon to 83% in Egypt. The prevalence of obesity as defined by waist circumference (abdominal obesity) was nearly twice as high as defined by BMI ≥ 30 kg/m2 (68% vs 37%). Obesity was found to be more common in women than men.1
High rates of diabetes in Africa Middle East region
25% of the study population had diabetes. The median fasting plasma glucose was observed to be 5.3 mmol/L. Of those screened, 19% had pre-existing diagnosis and 5% were newly diagnosed (with fasting serum glucose ≥7 mmol/L). The prevalence of diabetes was found to range from as low as 10% in Ghana to 47% in Kuwait. Prevalence in other countries were as follows: Tunisia (19%); Lebanon (22%); Algeria (25%); Saudi Arabia (26%); Jordan (31%); UAE (32%) and Egypt (41%). One new diagnosis of diabetes was identified at screening for every 20 patients without prior diagnosis.1



Smoking is an important risk factor
The overall prevalence of smoking was 25%, with 14% being current smokers and 11% past smokers. The majority of the current smokers reported smoking cigarettes and 1.2% smoking pipe (shisha). The highest prevalence was observed in Lebanon (43%). Smoking was equally prevalent in urban and rural areas, however, it was found to be more common among men.1


Lifestyle interventions are important for cardiac health
In the past 20 years the rates of obesity have tripled in Middle Eastern countries witnessing an increasing burden of serious cardiovascular complications of obesity and diabetes.2 Cigarette smoking among men continues to be the main threat to the health and wellbeing in the Arab countries, whereas the use of waterpipe smoking is increasing among youth and women.3 Changes in lifestyle can combat the increase in non-communicable diseases.2
  1. Alsheikh Ali AA, Omar MI, Raal FJ, et al. Cardiovascular Risk Factor Burden in Africa and the Middle East: The Africa Middle East Cardiovascular Epidemiological (ACE) Study. PLoS One. 2014;9(8):e102830.
  2. Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world—a growing challenge. N Engl J Med. 2007;356(3):213-215.
  3. Maziak W, Nakkash R, Bahelah R, et al. Tobacco in the Arab world: old and new epidemics amidst policy paralysis. Health Policy Plan. 2014;29(6):784-94.
  4. The Africa Middle East Cardiovascular Epidemiological (ACE) study was funded by Pfizer


Pfizer Identification Number: WGFLIP1215092