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Risk factors for cardiovascular disease and diet of urban and rural dwellers in northern Nigeria.
J Health Popul Nutr. 2004 Dec; 22(4):357-69.JH

Abstract

Over the last 30 years, cardiovascular diseases (CVDs), including stroke and myocardial infarction, have increased in developing countries. Serum lipids and diet of the Fulani, a rural Nigerian population, were previously studied. Despite their consumption of a diet rich in saturated fat, the overall blood lipid profiles of Fulani men and women are generally favourable. However, Fulani males in the same study had mean serum levels of homocysteine, an emerging risk factor for CVD, that exceeded the upper limit of the homocysteine reference range. The authors were interested in knowing if these findings in the Fulani nomads were representative of the biochemical parameters of CVD risk in other ethnic groups in the same region of Nigeria. To address this question, the nutrient content of diets of 55 men, aged 20-75 years, and 77 women, aged 20-70 years, who were inhabitants of a large urban centre in northern Nigeria, was assessed, and their serum levels of total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, and homocysteine were determined. These data were compared with those of the same rural Fulani population studied previously. Urban subjects consumed more calories than rural subjects (men: 2061 vs 1691 kcal; women: 1833 vs 1505 kcal) and had a significantly higher mean body mass index (BMI) and percentage of body fat than rural subjects. Both urban males and females had carbohydrate intakes that were greater than those of Fulani pastoralists (men: 56% vs 33% total calories; women: 51% vs 38% total calories), but had a significantly lower dietary intake of total fat and saturated fat (men: 36% vs 51% of total calories; women: 40% vs 51% of total calories). With the exception of HDL-cholesterol levels, which were significantly lower in the rural population, the blood lipid profiles of rural subjects were more favourable compared to those of urban subjects. Both urban and rural males had homocysteine levels above the upper limit of the reference range for healthy adults (urban males--12.7 micromol/L; rural males-15.2 micromol/L). The dietary intakes of folate and vitamin B12 were lower for rural Fulani subjects, and this was reflected in their significantly lower serum concentrations of these two vitamins. Results of this study suggest that, although the lipid profiles of urban and rural men and women in northern Nigeria indicate a relatively low risk for CVD, their elevated serum homocysteine levels are a cause for concern. The high homocysteine levels among rural men and women could be explained in part at least by their marginal status with respect to folate and vitamin B12.

Authors+Show Affiliations

Department of Biochemistry and Molecular Biology, School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15663169

Citation

Glew, Robert H., et al. "Risk Factors for Cardiovascular Disease and Diet of Urban and Rural Dwellers in Northern Nigeria." Journal of Health, Population, and Nutrition, vol. 22, no. 4, 2004, pp. 357-69.
Glew RH, Conn CA, Vanderjagt TA, et al. Risk factors for cardiovascular disease and diet of urban and rural dwellers in northern Nigeria. J Health Popul Nutr. 2004;22(4):357-69.
Glew, R. H., Conn, C. A., Vanderjagt, T. A., Calvin, C. D., Obadofin, M. O., Crossey, M., & Vanderjagt, D. J. (2004). Risk factors for cardiovascular disease and diet of urban and rural dwellers in northern Nigeria. Journal of Health, Population, and Nutrition, 22(4), 357-69.
Glew RH, et al. Risk Factors for Cardiovascular Disease and Diet of Urban and Rural Dwellers in Northern Nigeria. J Health Popul Nutr. 2004;22(4):357-69. PubMed PMID: 15663169.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors for cardiovascular disease and diet of urban and rural dwellers in northern Nigeria. AU - Glew,Robert H, AU - Conn,Carole A, AU - Vanderjagt,Thomas A, AU - Calvin,Christine D, AU - Obadofin,Michael O, AU - Crossey,Michael, AU - Vanderjagt,Dorothy J, PY - 2005/1/25/pubmed PY - 2005/5/27/medline PY - 2005/1/25/entrez SP - 357 EP - 69 JF - Journal of health, population, and nutrition JO - J Health Popul Nutr VL - 22 IS - 4 N2 - Over the last 30 years, cardiovascular diseases (CVDs), including stroke and myocardial infarction, have increased in developing countries. Serum lipids and diet of the Fulani, a rural Nigerian population, were previously studied. Despite their consumption of a diet rich in saturated fat, the overall blood lipid profiles of Fulani men and women are generally favourable. However, Fulani males in the same study had mean serum levels of homocysteine, an emerging risk factor for CVD, that exceeded the upper limit of the homocysteine reference range. The authors were interested in knowing if these findings in the Fulani nomads were representative of the biochemical parameters of CVD risk in other ethnic groups in the same region of Nigeria. To address this question, the nutrient content of diets of 55 men, aged 20-75 years, and 77 women, aged 20-70 years, who were inhabitants of a large urban centre in northern Nigeria, was assessed, and their serum levels of total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, and homocysteine were determined. These data were compared with those of the same rural Fulani population studied previously. Urban subjects consumed more calories than rural subjects (men: 2061 vs 1691 kcal; women: 1833 vs 1505 kcal) and had a significantly higher mean body mass index (BMI) and percentage of body fat than rural subjects. Both urban males and females had carbohydrate intakes that were greater than those of Fulani pastoralists (men: 56% vs 33% total calories; women: 51% vs 38% total calories), but had a significantly lower dietary intake of total fat and saturated fat (men: 36% vs 51% of total calories; women: 40% vs 51% of total calories). With the exception of HDL-cholesterol levels, which were significantly lower in the rural population, the blood lipid profiles of rural subjects were more favourable compared to those of urban subjects. Both urban and rural males had homocysteine levels above the upper limit of the reference range for healthy adults (urban males--12.7 micromol/L; rural males-15.2 micromol/L). The dietary intakes of folate and vitamin B12 were lower for rural Fulani subjects, and this was reflected in their significantly lower serum concentrations of these two vitamins. Results of this study suggest that, although the lipid profiles of urban and rural men and women in northern Nigeria indicate a relatively low risk for CVD, their elevated serum homocysteine levels are a cause for concern. The high homocysteine levels among rural men and women could be explained in part at least by their marginal status with respect to folate and vitamin B12. SN - 1606-0997 UR - https://www.unboundmedicine.com/medline/citation/15663169/Risk_factors_for_cardiovascular_disease_and_diet_of_urban_and_rural_dwellers_in_northern_Nigeria_ DB - PRIME DP - Unbound Medicine ER -