VOLUME 14 NUMBER 2 • DECEMBER 2017
SA JOURNAL OF DIABETES & VASCULAR DISEASE
From the Editor’s Desk
Correspondence to: FA Mahomed
Head of Clinical Unit; Endocrinology, Department
of Internal Medicine, University of the Free State,
S Afr J Diabetes Vasc Dis
his issue examines mainly cardiovascular disease risk factors in
Africa. Macia and colleagues studied obesity in Senegal, with
a focus on rural versus urban trends (page 74). One of the
consequences of urbanisation in developing countries is increasing
rates of obesity and its adverse sequelae, as seen in Nigeria as well.
Subgroups of the population, such as young women, have high
rates of obesity in both urban and rural settings and this needs to
be investigated further and dealt with.
Onen also shows high obesity rates in Botswana and, worryingly,
the metabolic syndrome correlates are also high (page 44). While
Botswana’s economy is doing well,
consequences such as reduced
reliance on traditional diets
may be leading to adverse health
effects, such as obesity.
examined the metabolic syndrome correlates for
coronary artery disease in areas in sub-Saharan Africa (Cameroon,
Madagascar, Nigeria and Democratic Republic of Congo) and also
show high levels of these risk factors (page 50). The implication is
that many countries in Africa are sitting on a time bomb of non-
communicable diseases, in addition to the traditional communicable
disease burden that they already have.
Is it time to look more
extensively at interventional policies on a local, regional or even
Furat and co-workers, in a study in Istanbul, Turkey, looked at the
beneficial effect of telmisartan in reducing microalbuminuria after
coronary artery bypass grafting in patients with diabetes (page 57).
This is compatible with the known beneficial effects of angiotensin
. researched red cell distribution values (RDW) as a
correlate of extensive coronary heart disease in diabetes (page 61).
It is a readily available and cheap test and may help with clinical
decisions in low-resource settings. RDW has been linked to adverse
outcomes in patients with coronary artery disease, heart failure and
One of the issues with RDW is whether its measurement
is standardised enough to be of use,
and another is whether it
contributes materially to clinical assessment.
Its role is still unclear.
Ekpenyong BC. Urbanization drift and obesity epidemic in sub-Saharan Africa:
A review of the situation in
Nigeria. Eur J Sustain Devel
Acemoglu D, Johnson SH, Robinson JA. An African success story: Botswana.
SSRN Electronic J
Maruapula SD, Jackson JC, Holsten J, Shaibu S, Malete L, Wrotniak B,
Socio-economic status and urbanization are linked to snacks and obesity in
adolescents in Botswana.
Public Health Nutr
(12): 2260–2267. https://doi.org/10.1017/S1368980011001339.
Boutayeb A. The double burden of communicable and non-communicable
diseases in developing countries.
Trans R Soc Trop Med Hygiene
Saitoh S, Takeishi Y. Pleiotropic effects of ARB in diabetes mellitus.
Alimehmeti I, Mino L, Siqeca M, Goda A. Association of RDW (red blood cell
distribution width) with the presence and severity of coronary artery disease:
a large Albanian study.
Clin Chem Lab Med
: S504. https://doi.
Çetin M, Kocaman SA, Bostan M, Çanga A, Çiçek Y, Erdo˘gan T. Red blood
cell distribution width (RDW) and its association with coronary atherosclerotic
burden in patients with stable angina pectoris.
Eur J Gen Med
(1), 7–13. Retrieved fromhttp://dergipark.ulakbim.gov.tr/ejgm/article/
Lippi G, Pavesi F, Bardi M, Pipitone S. Lack of harmonization of red blood cell
distributionwidth (RDW). Evaluation of four hematological analyzers.
Loveday S, Sinclair L, Badrick T. Does the addition of RDW improve current ICU
The management and staff of Clinics Cardive Publishing wish you and your family a wonderful
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