TABLE 1

Demographic and clinical information, at time of diagnosis, among the cystic fibrosis population in South Africa, December 2018#, stratified by ancestry

CaucasianMixedBlack AfricanIndianTotal
Subjects n*31587414447
Female sex n (%)179 (56.8)40 (46.0)15 (36.6)1 (25.0)235 (52.6)
Diagnosis agen=309n=87n=39n=4n=439
 Diagnosis age in months, median (IQR)8.9 (2.0–40.0)6.9 (2.3–26.6)6.4 (3.5–8.9)54.9 (4.5–130.2)7.6 (2.7–37.1)
 Diagnosis age in years n (%)
  <1167 (54.0)53 (60.9)31 (79.5)2 (50.0)253 (57.6)
  1–357 (18.4)15 (17.2)2 (5.1)0 (0)74 (16.9)
  3–1046 (14.9)14 (16.1)5 (12.8)1 (25.0)66 (15.0)
  10–1721 (6.8)3 (3.4)1 (2.6)1 (25.0)26 (5.9)
  ≥1818 (5.8)2 (2.3)0 (0)0 (0)20 (4.6)
Nutritional status
 WAZ at diagnosis (age 0–17 years)n=183n=68n=34n=3n=288
  Median (IQR)**−1.5 (−3.2 to −0.5)−2.8 (−4.1 to 1.6)−4.2 (−5.3 to −3.1)−4.0 (−4.5 to −4.0)−2.2 (−3.8 to −0.9)
  WAZ ≤1.0 n (%)118 (64.5)53 (77.9)34 (100)3 (100)208 (71.9)
  WAZ ≤3.0 n (%)50 (27.3)29 (42.6)26 (76.5)2 (66.7)107 (37.2)
 HAZ at diagnosis (age 0–17 years)n=157n=45n=32n=2n=236
 Median (IQR)**−1.6 (−3.2 to −0.4)−1.8 (−3.9 to −0.6)−2.3 (−3.9 to −0.6)−1.0 (−4.0 to −1.0)−1.8 (−3.3 to −0.5)
  HAZ ≤1.0 n (%)102 (65.0)31 (68.9)24 (75.0)1 (50.0)158 (66.9)
  HAZ ≤3.0 n (%)40 (25.5)15 (33.3)12 (37.5)1 (50.0)68 (28.8)
 BMI at diagnosis kg·m−2 (age ≥18 years)n=6n=0n=0n=0n=6
  Median (IQR)22.8 (18.6–24.8)22.8 (18.6–24.8)
  BMI<18.5 n (%)1 (16.7)1 (16.7)
Neonatal bowel obstruction n (%)n=315n=87n=41n=4n=447
 Yes57 (18.1)8 (9.2)3 (7.3)0 (0)68 (15.2)
 Unknown16 (5.1)1 (1.1)2 (4.9)0 (0)19 (4.3)
Sweat-testing
 Sweat chloride mmol·L−1n=134n=62n=15n=1n=212
  Mean±sd105±18107±17115±24109106±18
 Sweat conductivity mmol·L−1n=63n=21n=18n=0n=102
  Mean±sd104±16110±23105±20106±19
Genotype
 p.Phe508del** n (%)n=315n=87n=41n=4n=447
  Homozygous183 (58.1)36 (29.9)0 (0)1 (25.0)220 (49.2)
  Heterozygous102 (32.4)40 (46.0)1 (2.4)1 (25.0)144 (32.2)
 3120+1G>A; c.2988+1G>A** n (%)n=315n=87n=41n=4n=447
  Homozygous0 (0)0 (0)23 (56.1)0 (0)23 (5.1)
  Heterozygous8 (2.5)19 (21.8)12 (29.3)0 (0)39 (8.7)
 Incomplete genotyping (one or two unknown CFTR variants)  ** n (%)18 (5.7)19 (21.8)12 (29.3)0 (0)49 (11.0)
Most common CFTR mutation allele frequencies#: alleles n (%)n=630n=174n=82n=8n=894
 F508del; c.1521_1523delCTT/p.Phe508del468 (74.3)92 (52.9)1 (1.2)3 (37.5)564 (63.1)
 3120+1G>A2,3; c.2988+1G>A8 (1.3)19 (10.9)58 (70.7)0 (0)85 (9.5)
 Other (<1% allele frequency)46 (7.3)22 (12.6)8 (9.8)5 (62.5)81 (9.1)
 Unknown24 (3.8)24 (13.8)15 (18.3)0 (0)63 (7.0)
 3272–26A>G1; c.3140–26A>G15 (2.4)8 (4.6)0 (0)0 (0)23 (2.6)
 394delTT1; c.262_263delTT /p.Leu881IlefsX2218 (2.9)0 (0)0 (0)0 (0)18 (2.0)
 A455E; c.1364C>A/p.Ala455Glu11 (1.7)5 (1.7)0 (0)0 (0)16 (1.8)
 N1303K1; c.3909C>G/p.Asn1303Lys10 (1.6)0 (0)0 (0)0 (0)10 (1.1)
 R553X; c.1657C>T/p.Arg553X7 (1.1)3 (1.7)0 (0)0 (0)10 (1.1)
 G542X1; c.1624G>T/p.Gly542X9 (1.4)0 (0)0 (0)0 (0)9 (1.0)
 G551D; c.1652G>A/p.Gly551Asp8 (1.3)1 (0.6)0 (0)0 (0)9 (1.0)

WAZ: weight-for-age ; HAZ: height-for-age; BMI: body mass index. #Excludes 12 people for whom diagnostic criteria of the SACFR were not met; column percentages calculated with recorded number of entries as denominator value. Other CFTR mutations, supplementary table S1. *Indicates significance of differences in characteristic by ancestry, p<0.05; and **p<0.001.