Prevalence of cardiovascular risk factors in an urban area of Togo: a WHO STEPS-wise approach in Lome, Togo

Prevalence of cardiovascular risk factors in an urban area of Togo: a WHO STEPS-wise approach in Lome, Togo
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DOI:
10.5830/cvja-2011-071
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发表时间:
2012-07-01
影响因子:
0.7
通讯作者:
Balogou, A.
Balogou, A.
中科院分区:
医学4区
文献类型:
--
作者:
Baragou, S.;Djibril, M.;Balogou, A.

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目的:了解洛美普通成人高血压患病率及其他心血管危险因素。方法:2009年10月至2010年1月在洛美市对2000名18岁及以上的高血压及其他心血管危险因素进行横断面入户调查。采用了世界卫生组织针对非传染性疾病的steps明智方法。在第一阶段,连续三次测量血压(BP),间隔一分钟,并记录平均值。第二次测量是在三周后对第一次测量时血压为140/90 mmHg的患者进行的。高血压的定义是在第二次治疗后或抗高血压治疗后血压达到140/90 mmHg。其他危险因素通过临床和血液分析进行研究。结果:在2000名受试者中发现532例高血压患者。高血压患病率为26.6%。高血压患者的平均年龄为45±10岁,年龄范围为18 ~ 98岁。其他心血管危险因素的患病率为:压力(43%)、久坐生活方式(41%)、高胆固醇血症(26%)、肥胖(25.2%)、高甘油三酯血症(21%)、吸烟(9.3%)、饮酒(11%)和糖尿病(7.3%)。结论:洛美人群高血压及其他心血管危险因素的患病率较高。这些发现应引起当局的注意,以确定一项国家政策,以对抗高血压和其他心血管危险因素。
Objective: To determine the prevalence of hypertension and other cardiovascular risk factors in the general adult population of Lome.Methods: A cross-sectional household survey was conducted in Lome from October 2009 to January 2010, which focused on hypertension and other cardiovascular risk factors in 2 000 subjects 18 years and older. The World Health Organisation's STEPS-wise approach on non-communicable diseases was used. During the first session, blood pressure (BP) was measured on three successive occasions, one minute apart, and the mean was recorded. A second measurement session was done three weeks later in patients with BP >= 140/90 mmHg during the first session. Hypertension was defined as BP > 140/90 mmHg after the second session, or on antihypertensive treatment. The other risk factors were studied by clinical and blood analysis.Results: We found 532 hypertensive patients out of a total of 2 000 subjects. The prevalence of hypertension was 26.6%. The mean age of hypertensive patients was 45 +/- 10 years, ranging from 18 to 98 years. The prevalence of other cardiovascular risk factors was: stress (43%), sedentary lifestyle (41%), hypercholesterolaemia (26%), obesity (25.2%), hypertriglyceridaemia (21%), smoking (9.3%), alcohol use (11%) and diabetes (7.3%).Conclusions: The prevalence of hypertension and other cardiovascular risk factors in the population of Lome is high. These findings should draw the attention of authorities to define a national policy to combat hypertension and other cardiovascular risk factors.