Prevalence and pattern of hypertension in a semiurban community in Nigeria

Prevalence and pattern of hypertension in a semiurban community in Nigeria
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DOI:
10.1097/hjr.0b013e32830edc32
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发表时间:
2008-12-01
影响因子:
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通讯作者:
Akinwusi, Patience O.
Akinwusi, Patience O.
中科院分区:
其他
文献类型:
--
作者:
Adedoyin, Rufus A.;Mbada, Chidozie E.;Akinwusi, Patience O.

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背景据报道,高血压是黑人的一个主要问题。然而,最近对尼日利亚高血压患病率和模式进行的社区调查研究很少。本研究旨在探讨高血压的患病率和模式的成年人口生活在古老的半城市社区的Ile-Ife,西南尼日利亚.Design and Methods 2097年以上的20岁的成年人被招募到门到门的调查,通过多阶段整群抽样技术。高血压的诊断基于血压(BP)阈值160/95 mmHg和世界卫生组织/国际高血压学会指南(高血压预防、检测、评估和治疗联合国家委员会指南)定义。结果受试者平均年龄为44.2 ± 11.6岁,平均血压为127/77 mmHg。参与者(36.6%)的血压大于或等于140/90 mmHg,而13.3%的参与者的血压大于或等于160/95 mmHg。22.1%的患者患有单纯收缩期高血压,而14.5%的患者患有单纯舒张期高血压,使用大于或等于140/90 mmHg的BP临界点。以血压≥ 160/95 mmHg为标准,单纯收缩期高血压和单纯舒张期高血压分别占6.63%。对于血压大于或等于140/90 mmHg和血压大于或等于160/95 mmHg,观察到的男女比例分别为1.7:1和1:5。高血压患病率增加跨年龄梯度从年轻到老年adult.Conclusion在这项研究中获得的高血压的患病率估计高于那些发现在最早的研究从尼日利亚,其他西非国家和非洲裔美国人。Eur J Pativasc Prev Rehabil 15:683-687(C)2008欧洲心脏病学会
Background Hypertension has been reported to be a major problem of the blacks. There is a paucity of studies, however, on community-based surveys on the prevalence and pattern of hypertension in Nigeria in the recent time. This study sought to investigate the prevalence and pattern of hypertension in the adult population living in the ancient semiurban community of Ile-Ife, southwest Nigeria.Design and methods Two thousand and ninety-seven adults of above 20 years of age were recruited into the door-to-door survey through a multistage cluster sampling technique. Diagnosis of hypertension was based on blood pressure (BP) threshold of 160/95 mmHg and the World Health Organization/International Society of Hypertension guidelines (Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure guidelines) definitions. Resting blood pressure was taken using electronic sphygmomanometer.Results The mean age and BP of the participants were aged 44.2 +/- 11.6 years and 127/77mmHg, respectively. The participants (36.6%) had a BP of greater than or equal to 140/90 mmHg whereas 13.3% had BP of greater than or equal to 160/95 mmHg. 22.1% had isolated systolic hypertension whereas 14.5% had isolated diastolic hypertension using the BP of greater than or equal to 140/90 mmHg cut off-point. Using the BP of greater than or equal to 160/95 mmHg, isolated systolic hypertension and isolated diastolic hypertension were 6.63%, respectively. A male-to-female ratio of 1.7 : 1 and 1 : 5 was observed for BP greater than or equal to 140/90 mmHg and BP greater than or equal to 160/95 mmHg, respectively. Hypertension prevalence increased across age gradient from young to old adults.Conclusion The prevalence estimates of hypertension obtained in this study was higher than those found in most earlier studies from Nigeria, other West Africa nations and for African-Americans. Eur J Cardiovasc Prev Rehabil 15:683-687 (C) 2008 The European Society of Cardiology