ECE2020 ePoster Presentations Diabetes, Obesity, Metabolism and Nutrition (142 abstracts)
Effect of pilgrimage on metabolic syndrome among diabetic patients
Salah Ameni 1 , Yosra Hasni 1 , Safa Amara 2 , Zomorda Kamoun 1 , Saoussen Mrad 3 , Asma Ben Abdelkarim 1 , Molka Chadli 1 , Ghada Saad 1 , Maha Kacem 1 , Amel Maaroufi 1 & Koussay Ach 1
1University Hospital Farhat Hached Sousse, Endocrinology Department, Tunisia; 2Higher School of Health Technicians, Tunisia; 3University Hospital Farhat Hached Sousse, Biochemistry Department, Tunisia
Background: Hajj is one of the five pillars of Islam and is a must–do for all adult Muslims once in their life provided they are able to do it. It’s estimated that pilgrims with diabetes could exceed 220000/year. Patients with diabetes are at a great risk of illness due to the nature of the disease and the altered daily routine (overcrowding, inadequate nutrition, poor access to drinking water, hot weather and physical exertion).The primary aim of this study is to evaluate the effect of pilgrimage on metabolic syndrome.
Material and Methods: Cross–sectional study covered 43 diabetic patients from the city of Sousse, intending to perform the pilgrimage during 2019. The evaluation was made before and after pilgrimage and included clinical examination and biological assessment.
Results: The study covered 43 patients : 25 women (58.1%) and 18 men (41.9%) with a gender ratio (W/M) = 1.8, all with type 2 diabetes. The mean course of diabetes was 12, . ± 9.3 years . Thirty patients were on oral anti–diabetic drugs, 2 patients were on dietary rules alone and the rest were on insulin (26.3%). The average of glycated hemoglobin (HbA1c) was 7.9 ± 1.3 %. Fasting blood glucose, Cholesterol and LDL cholesterol significantly decreased after pilgrimage (7.8 ± 2.88 vs 69 ± 2.55, 4.2 ± 1.03 vs 3.7 ± 1.01 and 0.92 ± 0.34 vs 0.7 ± 0.33, respectively, P = 0.05). Also most patients had lost weight after pilgrimage (the average of Body mass index significantly decreased 30.0 ± 5.45 vs 28.9 ± 4.11, P = 0.05) with a significant decrease in waist size.
Conclusion: Although the altered daily routine of patients with diabetes during the pilgrimage, an improvement in most parameters of metabolic syndrome was observed. This enhancement is mainly due to physical activity.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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