Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 8 Issue 8

The ATREA Survey: Study Design and Main Results

Amani Kallel1-3*, Imed Ben Ghorbel1, Lamia Rais1, Rabie Razgallah1,4, Moncef Feki2,3 and Riadh Jemaa1-3

1Tunisian Association for Study and Research on Atherosclerosis (ATERA), Tunisia
2Research Laboratory LR99ES11, Faculty of Medicine of Tunis El Manar University, Tunisia
3Biochemistry Department, La Rabta Hospital, Tunis, Tunisia
4Dacima Consulting, Tunisia

*Corresponding Author: Amani Kallel, Biochemistry Department, La Rabta Hospital, Jabbari, Tunis, Tunisia.

Received: June 12, 2024; Published: July 05, 2024

Abstract

Background: The ATERA Survey is a prospective epidemiological study aiming to determine the prevalence of dyslipidemia and other conventional risk factors for CHD; the relationship between environmental and lifestyle factors with dyslipidemia, the perception and the knowledge of cardiovascular risk factors by the population.

Methods: In this observational cross-sectional study we adopted a two stage stratified sampling method to obtain representative sample of the general Tunisian population. The study included a sample of the population coming from seven Tunisian regions (great Tunis, North East, North West, central East, central West, South East and southwest) and aged between 25 and 75 years old. The ATERA Survey was on in a random sampling including 10 576 men and women. The screening was assessed using an initial and an endpoint surveys covering socioeconomic, nutritional and anthropometric measures in addition to biological assessments.

Results: The total studied population was 10 576 participants divided into 4642 (43.9%) men and 5934 (56.1%) women. The results of our study show that in Tunisia, a high prevalence of cardiovascular risk factors was observed especially for dyslipidemia (n = 5125; 48.5%) followed by hypertension (n = 4678; 44.2%) then Diabetes (n = 2428; 23.0%). High prevalence of hypertension was discovered fortuitously (n = 2464; 23.3%). In addition, a high prevalence of overweight (n = 4259; 40.3%) was found, with 69.3% of subjects having a BMI> 25 kg/m² (n = 7333). A high percentage (48.5%) of dyslipidemia was an incidental discovery by the ATERA Survey, in both genders.

Conclusion: The results of the ATERA survey show a serious situation since we are witnessing an explosion of cardiovascular risk factors and particularly dyslipidemia.

 Keywords: Dyslipidemia; Cholesterol; Triglyceridemia; Diabetes; Glycated Hemoglobin; Hypertension; Obesity; Nutrition; Intervention; Digital Tools; Behavioural Changement

References

  1. Mensah GA., et al. “The Global Burden of Cardiovascular Diseases and Risk Factors: 2020 and Beyond”. Journal of the American College of Cardiology20 (2019): 2529-2532.
  2. Mendis S., et al. “Global atlas on cardiovascular disease prevention and control”. World Health Organization (2011).
  3. Jagannathan R., et al. “Global Updates on Cardiovascular Disease Mortality Trends and Attribution of Traditional Risk Factors”. Current Diabetic Reports7 (2019): 44.
  4. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines | Circulation (2022).
  5. Azizi F., et al. “Metabolic health in the Middle East and north Africa”. Lancet Diabetes Endocrinology11 (2019): 866-879.
  6. Data and statistics (2022).
  7. Wong ND. “Epidemiological studies of CHD and the evolution of preventive cardiology”. Nature Reviews Cardiology 5 (2014): 276-289.
  8. Ference BA., et al. “Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel”. European Heart Journal32 (2017): 2459-2472.
  9. Ben Romdhane H., et al. “Health system challenges of NCDs in Tunisia”. International Journal of Public Health1 (2015): S39-46.
  10. Saidi O., et al. “Assessment of cardiovascular risk in Tunisia: applying the Framingham risk score to national survey data”. BMJ Open11 (2016): e009195.
  11. Maatoug J., et al. “Étude d’intervention sur le tabagisme chez les adolescents dans la région de Sousse, Tunisie”. Revue de Pneumologie Clinique3 (2010): 179-86.
  12. Belfki H., et al. “Prevalence and determinants of the metabolic syndrome among Tunisian adults: results of the Transition and Health Impact in North Africa (TAHINA) project”. Public Health Nutrition4 (2013): 582-590.
  13. GCDMP©. Society for Clinical Data Management (SCDM4) (2022).
  14. Ben Romdhane H., et al. “Prevalence of diabetes in Northern African countries: the case of Tunisia”. BMC Public Health1 (2014): 86.
  15. Ben Romdhane H., et al. “Hypertension among Tunisian adults: results of the TAHINA project”. Hypertension Research3 (2012): 341-347.

Citation

Citation: Amani Kallel., et al. “The ATREA Survey: Study Design and Main Results”.Acta Scientific Medical Sciences 8.8 (2024): 23-28.

Copyright

Copyright: © 2024 Amani Kallel., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





Contact US