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Vitamin D, Parathyroid Hormone, Insulin Sensitivity and Islet β-Cell Secretory Function in Diabetic Patients from South Kivu in the Democratic Republic of Congo: Cross-Sectional Study

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Journal of Diabetes Mellitus 2024年第2期14卷 81-94页

作者： Dieudonne Masemo Bihehe ahadi birindwa bwihangane Jean-Paulin Mukonkole Mbo Michel Hermans Philippe Bianga Katchunga Faculté de Médecine H&#244pital Général de Référence de Panzi Université Evangélique en Afrique Bukavu DR Congo Département de Biologie Faculté des Sciences Université Officielle de Bukavu Bukavu DR Congo Département de Médecine Interne Université de Kisangani Kisangani DR Congo Service d’endocrinologie et de Diabétologie Cliniques Universitaires Saint-Luc Université Catholique de Louvain Bruxelles Belgique Département de Médecine Interne Cliniques Universitaires de Bukavu Université Officielle de Bukavu Bukavu DR Congo

Background: The role of vitamin D and parathyroid hormone in the metabolic profile of type 2 diabetes mellitus in sub-Saharan Africa has not been adequately assessed. The aim of this study was to determine the prevalence of low vitamin D level and secondary hyperparathyroidism and their association with insulin sensitivity and β-cell secretory function among Congolese type 2 diabetics. Methodology: Fasting glycaemia, fasting insulin, 25OH D3 and human parathyroid hormone (hPTH) were measured in one hundred and eighty-four type 2 diabetic patients followed as outpatients in South Kivu. Levels of 25OH D3 65 pg/ml defined low vitamin D and elevated parathyroid hormone levels, respectively. The HOMA model was used to measure insulin sensitivity and β-cell secretory function. Results: Medians (IQR) were 25.3 (20.4 - 32.4) ng/ml for 25OH D3 and 53.7 (38.4 - 115.7) pg/ml for hPTH. 58.7% of diabetics had insulin resistance, 126 (68.5%) had low vitamin D and 80 (43.5%) had hyperparathyroidism. In multivariate analysis, hPTH (partial r = −0.28;p = 0.0002) and 25OH D3 (partial r = 0.16;p = 0.03) showed an independent association with insulin sensitivity after adjustment for body mass index and waist circumference. Finally, hPTH (partial r = 0.27;p = 0.0002) was the sole determinant of β-cell secretory function. Conclusions: This study confirms the high prevalence of low vitamin D level and secondary hyperparathyroidism and their association with insulin resistance and impaired islet β-cell secretory function among Congolese with type 2 diabetes mellitus. Vitamin D and calcium supplementation should be envisaged for cases of deficiency in this region.

关键词： Vitamin D Parathyroid Hormone Diabetes Mellitus Insulin Resistance South Kivu

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Dynamics in the Prevalence of Insulin Resistance between 2005 and 2023 in Type 2 Diabetics in South Kivu in the East of the Democratic Republic of Congo: Cross-Sectional Studies

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Journal of Diabetes Mellitus 2024年第1期14卷 28-40页

作者： Dieudonné Masemo Bihehe ahadi birindwa bwihangane Jean-Paulin Mukonkole Mbo Christian Tshongo Muhindo Michel Hermans Philippe Bianga Katchunga Hô pital général de référence de Panzi Faculté de Médecine Université Evangélique en Afrique Bukavu DR Congo Département de Médecine interne Université de Kisangani Provine de la Tshopo DR Congo Département de Médecine interne Université Catholique de Bukavu Bukavu DR Congo Service d’endocrinologie et de diabétologie Cliniques universitaires Saint-Luc Université Catholique de Louvain Bruxelles Belgique Département de Médecine interne Cliniques Universitaires de Bukavu Université Officielle de Bukavu Bukavu DR Congo

Aim: Sub-Saharan Africa is undergoing an epidemiological transition responsible for a change in the metabolic profile in favour of insulin resistance. The aim of this study was to assess the dynamics of the prevalence of insulin resistance and associated risk factors in diabetic patients in the Democratic Republic of Congo between 2005 and 2023. Method: We measured fasting blood glucose and insulin levels and looked for metabolic syndrome parameters (2009 criteria) in type 2 diabetes patients in 2005-2008 (n = 176) and in 2018-2023 (n = 303). The HOMA model was used to measure insulin sensitivity and islet β-cell secretory function. Results: Between 2005 and 2013, the trend was towards an increase in the prevalence of insulin resistance (from 13.1% to 50.8%;p Conclusion: This present study shows an increase in insulin resistance in Congolese urban areas and a persistence of atypical diabetes mellitus in Congolese rural areas, confirming the particularity of the pathophysiology of the disease in African areas currently influenced by the epidemiological transition. Further studies using an appropriate methodology are required.

关键词： Prevalence Diabetes Mellitus Insulin Resistance Metabolic Syndrome South Kivu

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Production Systems, Genetic Diversity and Genes Associated with Prolificacy and Milk Production in Indigenous Goats of Sub-Saharan Africa: A Review

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Open Journal of Animal Sciences 2020年第4期10卷 735-749页

作者： Simon Patrick Baenyi Joseph Owino Junga Christian Keambou Tiambo ahadi bwihangane birindwa Katcho Karume Getinet Mekuriaw Tarekegn Joel Winyo Ochieng Department of Animal Production Université Evangélique en Afrique Bukavu The Democratic Republic of the Congo Department of Animal Production University of Nairobi Nairobi Kenya Bioscience Eastern and Central Africa-International Livestock Research Institute Nairobi Kenya Centre for Tropical Livestock Genetics and Health-International Livestock Research Institute (CTLGH-ILRI) Nairobi Kenya Regional Universities Forum for Capacity Building in Agriculture (RUFORUM) Wandegeya Kampala Uganda Department of Animal Breeding and Genetics Swedish University of Agricultural Sciences Uppsala Uppsala Sweden

Goats are one of the oldest domesticated animal species widely distributed in the world playing an important role in the food production system in Sub-Saharan African Region (SSAR). Due to their multiple uses (milk production, meat, fiber and hides) and adaptation aptitudes to ecological conditions, goats produce and contribute positively to farmers’ socio-economy status in various production systems. This review aimed at giving a summary overview on the goat’s production systems characteristics, the genetic diversity and the candidate genes affecting reproductive and milk production performances in goat breeds in SSAR. It has been observed that traditional livestock production system with communal grazing system is the most used in goat keeping in SSAR. The geographical locations play an important role in the relationships between goat’s distributions in the region. At the same time, goats might have been differentiated and isolated one to others due to the wide geographic range, the diversify climate and the topography in the region. Among the six worldwide known haplogroups of goat (A, B, C, D, G and F), haplogroup A is the most representative in SSAR. However, haplogroup G and B can be found in some goat populations in some countries in east (Kenya and Ethiopia) and south parts of Africa. This review reveals that little is known on the candidate genes associated with prolificacy and milk production traits in indigenous goat breeds in the region. That observation suggests the importance of assessing candidate genes associated with economic traits in the populations of goat in SSAR.

关键词： Gene Prolificacy Milk Production Sub-Saharan African Region

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Profile of Multidrug Resistant Bacteria in Bukavu Hospitals and Antimicrobial Susceptibility to Escherichia coli, Pseudomonas aeruginosa, Proteus mirabilis and Staphylococcus aureus

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Advances in Microbiology 2024年第4期14卷 209-225页

作者： Christian ahadi Irenge Freddy Bikioli Patient birindwa Mulashe Félicien Mushagalusa Kasali Patient Wimba Aksanti Lwango Yves Coppieters Justin Ntokamunda Kadima Department of Pharmacy and Public Health Official University of Bukavu Bukavu Democratic Republic of the Congo Department of Tropical Medecine Faculty of Medecine University of Kinshasa Kinshasa Democratic Republic of the Congo Department of Microbiology Faculty of Medicine Official University of Bukavu Bukavu Democratic Republic of the Congo Department of Medical Biology Higher Institute of Medical Technics Bukavu Democratic Republic of the Congo School of Public Health Free University of Bruxelles Bruxelles Belgium School of Medicine College of Medicine and Health Sciences University of Rwanda Huye Rwanda

Objective: To evaluate the spread of Multidrug-Resistant (MDR) bacterial infections in Bukavu hospitals and test antimicrobial susceptibility patterns of some isolates to usual marketed antibiotics. Methods: The prevalence of MDR strains was determined by using general antimicrobial susceptibility data collected from 3 hospital laboratories. The susceptibility of some isolates to usual antibiotics was processed by agar diffusion method with standard E. coli ATCC8739 and standard antibiotics discs as controls. The tested antibiotics were ampicillin, ceftriaxone, gentamicin, chloramphenicol and ciprofloxacin. Results: At the 3 hospitals, 758 tests were realized in urine, pus, stool, FCV, blood, LCR, split and FU specimens;46 strains were unidentified and 712 strains were identified. Of 712 identified strains, 223 (31.4%) were MDR or XDR strains including Escherichia coli, Klebsiella pneumoniae, Enterobacter, Proteus mirabilis, Salmonella enterica, Pseudomonas aeruginosa, Citrobacter freundii, Morganella morganii, Enterococcus faecalis and E. faecium, Neisseria gonorrohoae, Staphylococcus aureus, coagulase-negative, staphylococci, Streptococcus pneumoniae and Streptococcus pyogenes. Of the infected patients, 36 (21.5%) children were under 16 years and 188 (78.5%) adults were predominately women (58.5%). The susceptibility test showed that all strains but S. aureus were resistant to ampicillin and amoxicillin and ciprofloxacin. Gentamicin, ceftriaxone, and chloramphenicol remain partially active (27% - 80%) against P. mirabilis, E. coli and P. aeruginosa. The resistance is more likely related to strain mutation than to pharmaceutical quality of the antibiotics prescribed. Conclusion: Both data from hospital laboratories and in vitro post-testing findings confirmed the ongoing elevated prevalence of MDR strains in Bukavu. The causes of antibiotic misuse and socio-economic determinants of the phenomenon of resistance should be scrutinized in order to take adequate strateg

关键词： Prevalence Antimicrobials Multi-Resistance Bacterial Sensitivity Bukavu DRC

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