Menopause and metabolic syndrome in tunisian women.

Objectives: This study aimed to evaluate the effect of menopausal status on the risk of metabolic syndrome (MetS) in Tunisian women.

Methods: We analyzed a total of 2680 women aged between 35 and 70 years. Blood pressure, anthropometric indices, fasting glucose, and lipid profile were measured.

Prevalence of diabetes in Northern African countries: the case of Tunisia.

Background: Although diabetes is recognized as an emerging disease in African and Middle East, few population-based surveys have been conducted in this region. We performed a national survey to estimate the prevalence of type 2 diabetes (T2D) and to evaluate the relationship between this diagnosis, demographic and socioeconomic variables.

Methods: The study was conducted on a random sample of 6580 households (940 in each region).

Prevalence and determinants of the metabolic syndrome among Tunisian adults: results of the Transition and Health Impact in North Africa (TAHINA) project.

Objective: To determine the prevalence of metabolic syndrome (MetS) and its components and to evaluate the relationship between this diagnosis and cardiovascular risk factors, demographic and socio-economic variables.

Design: A cross-sectional study using a questionnaire including information on sociodemographic and CVD risk factors. Blood pressure, anthropometric indices, fasting glucose and lipid profile were measured.

[Medical demography in Tunisia: current situation and perspectives].

Background: Health human resources management is one of the important determinants of health care access equity.

Aims: To analyse the trend of Tunisian medical density during 2000-2009 and to predict its situation by 2024.

Methods: Current medical density was calculated using Bar Council of Physicians of Tunisia database.

Blood pressure and associated factors in a North African adolescent population. a national cross-sectional study in Tunisia.

Background: In southern and eastern Mediterranean countries, changes in lifestyle and the increasing prevalence of excess weight in childhood are risk factors for high blood pressure (BP) during adolescence and adulthood. The aim of this study was to evaluate the BP status of Tunisian adolescents and to identify associated factors.

Methods: A cross-sectional study in 2005, based on a national, stratified, random cluster sample of 1294 boys and 1576 girls aged 15-19 surveyed in home visits.

Hypertension among Tunisian adults: results of the TAHINA project.

We performed a national survey to determine the prevalence, awareness, treatment and control of hypertension, one of the main cardiovascular risk factors, among the adult population in Tunisia. A total of 8007 adults aged 35-70 years were included in the study. Blood pressure (BP) measurements were taken by physicians with a mercury sphygmomanometer, and standard interviewing procedures were used to record medical history, socio-demographic and cardiovascular disease (CVD) risk factors.

[Mortality from cancer in Tunisia: calculating years of life lost].

This work, conducted in Tunisia, aimed to calculate the number of years of life lost due to premature death caused by cancer. The data were based on mortality statistics (2006) provided by the national surveillance system of causes of death and involved calculations proposed by the World Health Organization. A total of 105,205 deaths due to cancer were recorded, 61,550 for males and 43,655 for females.

Dietary fiber in the diets of urban Tunisian women: association of fiber intake with BMI, waist circumference and blood chemistry: preliminary study.

Background: The change of the way of life and the food practices in Tunisia due inter alia to the improvement of the socioeconomic conditions induced low fuel consumption of food with significant nutritional interest such as those rich in food fibres which have positive effects on the reduction and the prevention of some complications of the metabolic diseases such as the obesity whose prevalence among Tunisian women is increasingly high.

Objective: We assessed the association between the mean daily fiber intake and anthropometric parameters, the serum lipid profile and the serum glucose concentration among urban Tunisian women.

Methods: We conducted a 7-day food weighing method among 260 women of which 60 are obese (BMI > 30 kg/m(2)).

Nutrition transition among adolescents of a south-Mediterranean country: dietary patterns, association with socio-economic factors, overweight and blood pressure. A cross-sectional study in Tunisia.

Background: The increase in the burden of chronic diseases linked to the nutrition transition and associated dietary and lifestyle changes is of growing concern in south and east Mediterranean countries and adolescents are at the forefront of these changes. This study assessed dietary intake and association with socio-economic factors and health outcomes among adolescents in Tunisia.

Methods: Cross-sectional survey (year 2005); 1019 subjects 15-19 y.

Smoking during pregnancy and postpartum among Tunisian women.

Objective: The validity of self-reported smoking in population surveys remains an important question yet to be answered. This has been of particular concern in a situation where there is a strong social pressure against pregnant and postpartum women. An associated question is what would be the value of measuring urinary cotinine concentrations in such surveys to obtain validated smoking data.

[Tobacco use among paramedical students in Tunis].

Aim: To assess smoking habits among Tunisian paramedical students, and their attitudes and knowledge about smoking.

Methods: During the first quarter of the school year 2002-2003 we investigate 1288 paramedical students of the College of Sciences and Techniques of the Health in Tunis. The smoker was the student who declare to smoke daily or by occasionally at the time of the survey.

[Estimated cost of managing invasive cervical cancer in Tunisia].

In Tunisia, cervical cancer incidence is about 4.8 per 100,000, but the diagnosis is often made too late, with 5-year survival rates of 35% or less. Given the budgetary constraints facing the health system, and taking into account the low incidence of cervical cancer in Tunisia, the comparative cost effectiveness analysis of screening programs must be strongly considered by policy and decision-makers.

[Vitamins A, E and leptin in obese and non-insulin-dependent diabetes].

Background: At the obese ones, there is an imbalance between the free defenses antioxydants and radicals from where the installation of an oxydative stress, responsible for the development of non-insulin-dependent diabetes.

Aim: Our objectives was to evaluate the levels of vitamins A, E and of leptin, to search the link witch could exist between vitamins and leptin.

Methodology: We proportioned the rates in vitamins A, E and in leptine at 30 obese subjects diabetic of type 2 including 12 men and 18 women of average age (50.

Prevalence of obesity and overweight in Tunisia on 2001.

Background: Obesity becomes a major problem in our country during the last decades.

Aim: Evaluation of the prevalence of obesity and overweight in Tunisia.

Methods: Prospective epidemiological survey concerning a representative sample of Tunisian Population realised on 2001 by the Tunisian National Health Public Institut.

Nutritional status of Tunisian adolescents: associated gender, environmental and socio-economic factors.

Objective: To assess the nutritional status of Tunisian adolescents and associated factors.

Design: A cross-sectional study based on a national stratified random cluster sample.

Subjects And Methods: In all, 1,295 boys and 1,577 girls aged 15-19 years, of whom 28.

[Attitude to cervical cancer screening of women residing in two regions of northern Tunisia].

The objective of this survey to describe knowledge, attitudes and behaviours of women residing in two regions of the North of Tunisia, towards cervical cancer screening methods. 936 women residing to the Ariana (urbanized region) and 993 women residing to Zaghouan (region to farming predominance) were included; they were chosen according to the method of quotas while taking like criteria's, the of area residence (urban or rural), age and the level of education. Every woman should have answered to a questionnaire.

[Knowledge and attitudes of medical students at the end of their curriculum, towards breast and cervical cancer screening].

This study assesses knowledge and attitudes of medical students of the faculty of medicine of Tunis, at the end of their medical curriculum, towards breast and cervical cancer screening. Among the 644 medical students at the end of their curriculum, 592 answered to anonymous questionnaire (response rate = 92%). Results show that 34.

[Hypertension prevalence, awareness, treatment and control: results from a community based survey].

The study objective was to assess the prevalence, level of awareness of treatment, and control of hypertension in a general population. We conducted a cross-sectional survey on 1837 adults 40-69 years old. Hypertension and control level are defined according to the WHO/ISH recommendations.

[The cost of acute myocardial infarction management: the Tunisian experience].

Objective: To assess the medical direct cost of acute myocardial infarction.

Method: Data are recorded through a prospective study in 7 wards of cardiology of the District of Tunis during one year: from November 2001 to October 2002. Cost of hospital stay, biologic analyses, drugs, functional investigations and possible non surgical cardiologic intervention (IC) was calculated.

[Delays in acute myocardial infarction treatment: results of a multicenter study in the district of Tunis (Tunisia)].

Objective: We aimed to assess the acute myocardial infarction management in Tunis public hospitals during one year (from March 2000 to February 2001).

Method: A standard questionnaire was designed to record prospective data on 740 patients with a follow up during 28 days. Multivariate analysis was performed using the logistic regression model with all-factors as well as age, gender, CHD risk factors as predictors of the delay and fatality.

[Population surveillance of coronary heart disease].

Objective: A cross-sectional population survey was carried out in the Ariana region in 2000-01. The aim of this study is to report the prevalence of CHD as indicated by ECG Minnesota coding.

Method: A randomly selected sample included 1837 adults 40-70 years.