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DOI: 10.4103/jdep.jdep_48_21
Lipid profiles of Nigerians living with type 2 diabetes mellitus: A systematic review and meta-analysis
Introduction: Dyslipidemia is often associated with type 2 diabetes (T2D), with both having an additive effect on cardiovascular risk. The objective of the meta-analysis was to determine the prevalence of dyslipidemia in individuals living with T2D mellitus in Nigerian and to examine the pattern of their dyslipidemia. Methods: The study followed the preferred reporting items for systematic reviews and meta-analyses guidelines. Medical databases such as PubMed, Google Scholar, African Journals Online, and SCOPUS as well as the gray literature were systematically searched. MetaXL was used for statistical analysis adopting the random effect model. Heterogeneity was determined using the I2 statistic, while publication bias was assessed with the funnel plot. Results: Twenty-two studies met the eligibility criteria for the meta-analysis. The total sample size was 3575. The prevalence of dyslipidemia among Nigerians living with diabetes ranges from 25% to 97.1%. The pooled prevalence of dyslipidemia among Nigerians living with T2D was 63% (95% confidence interval [CI]: 52%–72%). I2 statistic was 97%. The funnel plot implied minimal publication bias. The pooled prevalence of elevated low-density lipoprotein cholesterol was 33% (95% CI: 18%–49%). The pooled prevalence of elevated hypertriglyceridemia was 88% (95% CI: 84%–91%). The pooled prevalence of low high-density lipoprotein cholesterol (HDL-C) was 47% (95% CI: 32%–62%). The pooled prevalence of elevated hypercholesterolemia was 33% (95% CI: 23%–43%). Conclusions: The prevalence of dyslipidemia among Nigerians with T2D mellitus is very high. The most common abnormalities are hypertriglyceridemia and low HDL-C.
Keywords
Dyslipidemia - hypercholesterolemia - lipid profile - Nigeria - prevalence - type 2 diabetesFinancial support and sponsorship
Nil.
Publication History
Received: 19 October 2021
Accepted: 26 October 2021
Article published online:
14 July 2022
© 2021. Gulf Association of Endocrinology and Diabetes (GAED). All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Hameed I, Masoodi SR, Mir SA, Nabi M, Ghazanfar K, Ganai BA. Type 2 diabetes mellitus: From a metabolic disorder to an inflammatory condition. World J Diabetes 2015;6:598-612.
- 2 Association AD. 2. Classification and diagnosis of diabetes: Standards of medical care in diabetes–2021. Diabetes Care 2021;44 Suppl 1:S15-33.
- 3 Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract 2019;157:107843.
- 4 Kibirige D, Lumu W, Jones AG, Smeeth L, Hattersley AT, Nyirenda MJ. Understanding the manifestation of diabetes in sub Saharan Africa to inform therapeutic approaches and preventive strategies: A narrative review. Clin Diabetes Endocrinol 2019;5:2.
- 5 Uloko AE, Musa BM, Ramalan MA, Gezawa ID, Puepet FH, Uloko AT, et al. Prevalence and risk factors for diabetes mellitus in Nigeria: A systematic review and meta-analysis. Diabetes Ther 2018;9:1307-16.
- 6 International Diabetes Federation. IDF Diabetes Atlas. 9th ed. Brussels, Belgium; 2019.
- 7 Raghavan S, Vassy JL, Ho YL, Song RJ, Gagnon DR, Cho K, et al. Diabetes mellitus-related all-cause and cardiovascular mortality in a National Cohort of adults. J Am Heart Assoc 2019;8:e011295.
- 8 Martín-Timón I, Sevillano-Collantes C, Segura-Galindo A, Del Cañizo-Gómez FJ. Type 2 diabetes and cardiovascular disease: Have all risk factors the same strength? World J Diabetes 2014;5:444-70.
- 9 Muhammad F. Diabetes: A silent killer in Nigeria. Jundishapur J Chronic Dis Care 2020;9:e105702.
- 10 Nolan CJ, Prentki M. Insulin resistance and insulin hypersecretion in the metabolic syndrome and T2D: Time for a conceptual framework shift. Diab Vasc Dis Res 2019;16:118-27.
- 11 Grundy SM, Stone NJ, Bailey AL, Beam C, Birtcher KK, Blumenthal RS, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the management of blood cholesterol: A report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Circulation 2019;139:e1082-143.
- 12 Hedayatnia M, Asadi Z, Zare-Feyzabadi R, Yaghooti-Khorasani M, Ghazizadeh H, Ghaffarian-Zirak R, et al. Dyslipidemia and cardiovascular disease risk among the MASHAD study population. Lipids Health Dis 2020;19:42.
- 13 Goldberg IJ. Clinical review 124: Diabetic dyslipidemia: Causes and consequences. J Clin Endocrinol Metab 2001;86:965-71.
- 14 Warraich HJ, Rana JS. Dyslipidemia in diabetes mellitus and cardiovascular disease. Cardiovasc Endocrinol 2017;6:27-32.
- 15 Fitchett DH, Leiter LA, Goodman SG, Langer A. Lower is better: Implications of the Treating to New Targets (TNT) study for Canadian patients. Can J Cardiol 2006;22:835-9.
- 16 Schofield JD, Liu Y, Rao-Balakrishna P, Malik RA, Soran H. Diabetes dyslipidemia. Diabetes Ther 2016;7:203-19.
- 17 Hirano T. Pathophysiology of diabetic dyslipidemia. J Atheroscler Thromb 2018;25:771-82.
- 18 Dahiru. Review of Population-Based Studies on Diabetes Mellitus in Nigeria. Available from: https://www.ssajm.org/article.asp?issn=2384-5147;year=2016;volume=3 ;issue=2;spage=59;epage=64;aulast=Dahiru. [Last accessed on 2021 Jun 11].
- 19 Isezuo SA, Badung SL, Omotoso AB. Comparative analysis of lipid profiles among patients with T2D mellitus, hypertension and concurrent T2D, and hypertension: A view of metabolic syndrome. J Natl Med Assoc 2003;95:328-34.
- 20 Isezuo SA, Ezunu E. Demographic and clinical correlates of metabolic syndrome in Native African type-2 diabetic patients. J Natl Med Assoc 2005;97:557-63.
- 21 Idogun E, Unuigbe E, Ogunro P, Akinola O, Famodu A. Assessment of serum lipids in Nigerians with T2D mellitus complications. Pak J Med Sci 2007;23:708-12.
- 22 Okafor CI, Fasanmade OA, Oke DA. Pattern of dyslipidaemia among Nigerians with T2D mellitus. Niger J Clin Pract 2008;11:25-31.
- 23 Unadike BC, Eregie A, Ohwovoriole AE. Lipid profile pattern amongst Type 2 DM subjects with erectile dysfunction in Benin city, Nigeria. Niger Med J 2008;49:81-3.
- 24 Ogbera AO, Fasanmade OA, Chinenye S, Akinlade A. Characterization of lipid parameters in diabetes mellitus – A Nigerian report. Int Arch Med 2009;2:19.
- 25 Kayode JA, Sola AO, Matthew AS, Olusegun B, Ademola I, Adedeji AT, et al. Lipid profile of type 2 diabetic patients at a rural tertiary hospital in Nigeria. 2010;1:46-51.
- 26 Edo A, Adediran OS. Dyslipidaemia among Nigerian oil workers with T2D mellitus. West Afr J Med 2011;30:206-9.
- 27 Jisieike-Onuigbo NN, Unuigbe EI, Oguejiofor CO. Dyslipidemias in T2D mellitus patients in Nnewi South-East Nigeria. Ann Afr Med 2011;10:285-9.
- 28 Oyelade BO, OlaOlorun AD, Odeigah LO. The pattern of dyslipidemia among diabetics at the Bowen University Teaching Hospital, Ogbomoso, South-West Nigeria. Niger J Fam Pract 2013;3:5-10.
- 29 Edo AE, Umuerri E, Akemokwe F, Ordiah W. Clinical and biochemical characteristics of T2D mellitus in the elderly persons seen at a tertiary hospital in Benin City. Nig J Cardiol 2014;11:104-7.
- 30 Ogedengbe SO, Ezeani IU. Profile of metabolic abnormalities seen in patients with T2D mellitus and their first degree relatives with metabolic syndrome seen in Benin City, Edo state Nigeria. J Diabetes Metab Disord 2014;13:61.
- 31 Edo AE, Edo GO. Clinical and biochemical characteristics of newly diagnosed diabetics in South-South Nigeria. Niger J Basic Clin Sci 2016;13:19.
- 32 Enikuomehin A, Mohammad F, Soyoye D, Kolawole B, Ikem R, Adebayo J. Prevalence of dyslipidemia in type 2 DM patients attending Obafemi Awolowo University teaching hospital complex Ile Ife South West Nigeria. Endocr Abstr 2016;44:P115.
- 33 Fasanmade OA, Fasanmade OO, Odeniyi IA, Iwuala SO. Metabolic Control in Type 2 Diabetes Mellitus Patients Attending a Tertiary Diabetes Clinic in Nigeria; 2016. Available from: https://ir.unilag.edu.ng/handle/123456789/7474. [Last accessed on 2021 Oct 02].
- 34 Young E, Onyenekwe B. Pattern and prevalence of cardiovascular disease in patients with T2D at the Unth Enugu Nigeria-Proquest. Endocr Pract 2016;22:59.
- 35 Omotoye FE, Fadupin GT. Evaluation of lipid profile of type 2 diabetic patients attending an urban tertiary health facility in Nigeria. Indian J Nutr 2017;4:159.
- 36 Engwa G, Okolie A, Nwalo N, Akaniro-Ejim N, Unachukwu M, et al. Association of obesity and dyslipidemia with T2D in Outpatients of Enugu State University Teaching Hospital (ESUTH) in Enugu Nigeria. T-I-T J life Sci 2018;12:92-9.
- 37 Bello-Ovosi BO, Ovosi JO, Ogunsina MA, Asuke S, Ibrahim MS. Prevalence and pattern of dyslipidemia in patients with T2D mellitus in Zaria, Northwestern Nigeria. Pan Afr Med J 2019;34:124.
- 38 Jaja TC, Yarhere IE. Dyslipidemia in Nigerian children and adolescents with diabetes mellitus: Prevalence and associated risk factors. DDE 2019;25:45-51.
- 39 Amadi C, Ayoade OG, Unyime FA, Essien SI, Moses BT, Enyong ME. Lipid/lipoprotein abnormalities among adult type 1 Diabetics in Nigeria. Sci J Clin Med 2020;9:74.
- 40 Gebreegziabiher G, Belachew T, Mehari K, Tamiru D. Prevalence of dyslipidemia and associated risk factors among adult residents of Mekelle City, Northern Ethiopia. PLoS One 2021;16:e0243103.
- 41 Pitso L, Mofokeng TR, Nel R. Dyslipidaemia pattern and prevalence among T2D mellitus patients on lipid-lowering therapy at a tertiary hospital in central South Africa. BMC Endocr Disord 2021;21:159.
- 42 Ofori EK, Owusu-Ababio D, Tagoe EA, Asare-Anane H. Dyslipidemia is common among patients with T2D: A cross-sectional study at Tema Port Clinic. BMC Res Not 2019;12:204.
- 43 Chehade JM, Gladysz M, Mooradian AD. Dyslipidemia in T2D: Prevalence, pathophysiology, and management. Drugs 2013;73:327-39.
- 44 Haile K, Timerga A. Dyslipidemia and its associated risk factors among adult type-2 diabetic patients at Jimma University Medical Center, Jimma, Southwest Ethiopia. DMSO 2020;13:4589-97.
- 45 Oli JM, Adeyemo AA, Okafor GO, Ofoegbu EN, Onyenekwe B, Chukwuka CJ, et al. Basal insulin resistance and secretion in Nigerians with T2D mellitus. Metab Syndr Relat Disord 2009;7:595-9.
- 46 Kengne AP, Amoah AG, Mbanya JC. Cardiovascular complications of diabetes mellitus in sub-Saharan Africa. Circulation 2005;112:3592-601.
- 47 Adetola FO, Adeola OI. Statin therapy in the management of diabetes mellitus; how relevant? Curr Res Med 2013;4:36-42.
- 48 Fasil A, Biadgo B, Abebe M. Glycemic control and diabetes complications among diabetes mellitus patients attending at University of Gondar Hospital, Northwest Ethiopia. Diabetes Metab Syndr Obes 2019;12:75-83.
- 49 Omodanisi E, Tomose Y, Okeleye B, Ntwampe S, Aboua Y. Prevalence of dyslipidemia among T2D mellitus patients in the Western Cape, South Africa. Int J Environ Res Public Health 2020;17:8735.
- 50 Dagnew B, Yeshaw Y, Geremew D, Angaw DA, Dagne H, Alemayehu M, et al. Hypertriglyceridemia and other plasma lipid profile abnormalities among people living with diabetes mellitus in Ethiopia: A systematic review and meta-analysis. Biomed Res Int 2021;May 10;7389076. doi: 10.1155/2021/7389076.
- 51 Barter PJ. The causes and consequences of low levels of high density lipoproteins in patients with diabetes. Diabetes Metab J 2011;35:101-6.