Differences in prevalence, treatment and control rates of hypertension between male and female in the area of Blida (Algeria)

Cherif, A. Bachir; Bouamra, A.; Taleb, A.; Nedjar, R.; Bouraghda, A.; Temmar, M.; Bouafia, M.T.

doi:10.1016/j.ancard.2017.04.009

Cited by 13 publications

(8 citation statements)

References 18 publications

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“…The association between these factors and cardiovascular disease is well known [21, 24–26]. The prevalence of dyslipidemia, hypertension, overweight or obesity and NAFLD in diabetic patients was found to be 36.2, 38.1, 56.6 and 58.2%, respectively, in the current study, which is higher than the rates reported of Ma et al [27], Bachir Cherif et al [28], Echouffo-Tcheugui et al [29] and Younossi et al [30]. The total prevalence in their studies were found to be 13.1, 31.6, 44.5 and 25.24%, respectively.…”

Section: Discussioncontrasting

confidence: 64%

Prevalence of cardiovascular risk factors in non-menopausal and postmenopausal inpatients with type 2 diabetes mellitus in China

Zhou

Zhang

et al. 2019

BMC Endocr Disord

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Background To investigate the prevalence of cardiovascular disease (CVD) risk factors and assess the 10-year risk of CVD in non-menopausal and postmenopausal women with type 2 diabetes mellitus (T2DM). Methods A total of 569 patients with T2DM at a Chinese tertiary hospital were investigated using the Framingham Risk Score (FRS). We evaluated the 10-year risk of CVD, clinical and menopause characteristics in all subjects. Results Among the 569 diabetic patients, the incidence of smoking, dyslipidemia, hypertension, overweight or obesity, and nonalcoholic fatty liver disease (NAFLD) was 0.7, 36.2, 38.1 56.6 and 58.2%, respectively. The usage rate of hypoglycemic agents, antihypertensive agents, lipid modulators and antithrombotic drugs was 88.6, 78.3, 50.0 and 27.1%, respectively. However, only 1.2% of inpatients achieved the three target goals for the control of blood glucose (HbA1c < 7%), blood pressure (systolic blood pressure < 130 mmHg, diastolic blood pressure < 80 mmHg), and blood lipids (total cholesterol < 174 mg/dL). The 10-year risk of CVD was (1.6 ± 1.5%) and tended to increase along with age (F = 27.726, P < 0.001). For all subjects (n = 569), multiple linear regression analysis showed that menopause (β = 0.275, P < 0.001), low-density lipoprotein cholesterol (LDL-C) (β = 0.212, P < 0.001), fasting plasma glucose (FPG) (β = 0.093, P = 0.018) and waist-to-hip-ratio (β = − 0.078, P = 0.047) were risk factors of 10-year risk of CVD, which may explain the variance of 14.3%. In the postmenopausal group (n = 397), LDL-C (β = 0.227, P < 0.001), FPG (β = 0.139, P = 0.003) and time since menopause (β = 0.230, P < 0.001) were found to be associated with CVD, which may explain the variance of 14.6%. Conclusion The incidence of dyslipidmia, hypertension, overweight or obesity and NAFLD is high. The level of control of blood glucose, blood pressure, and blood lipids was found to be extremely low and the treatment status was not ideal. Besides menopause, LDL-C, FPG and time since menopause were found to be independent risk factors for the 10-year risk of CVD. Therefore, it is necessary to focus on comprehensive control of multiple risk factors, such as plasma glucose, blood pressure and serum lipid.

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Section: Discussioncontrasting

confidence: 64%

Prevalence of cardiovascular risk factors in non-menopausal and postmenopausal inpatients with type 2 diabetes mellitus in China

Zhou

Zhang

et al. 2019

BMC Endocr Disord

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“…In contrast, Pereira et al [ 62 ] discovered a higher average prevalence of BP in males than in women, particularly in developed countries. The gender differences could be explained by the molecular mechanisms underlying vascular, nervous system and kidney functions, that led to hypertension [ 63 ], while some studies from sub-Saharan Africa [ 61 , 64 , 65 ] found that the frequency of hypertension is clearly more prevalent for women than for men, with the hormonal profile and postmenopausal status of women accounting for this difference [ 66 ].…”

Section: Discussionmentioning

confidence: 99%

“…9%, c) occupation (due to the high rates of prehypertension among retirees and homemakers as well as the high rate of prehypertension among the self-employed), and d) smoking status owing to the high percentages of prehypertension (45%) and hypertension (40%) among smokers and ex-smokers respectively. Also, a significantly high association was recorded between hypertension and the last two age groups (45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59); (60)(61)(62)(63)(64)(65)(66)(67)(68)(69), the marital status (widowed (63.2%) and separated (37.6%)), the education levels (uneducated, primary with a prevalence of 51.6 and 38.5% respectively), the BMI (overweight and obesity respectively with rates of 34.2% and 46.53), the AO (38.4%), diabetes (65%), hypercholesterolemia (63.8%), heart attacks (51.7%), as well as SBP, DBP and HR (P < 0.001).…”

Section: Prevalence Of Hypertension Prehypertension and Abnormal Bpmentioning

confidence: 99%

Prevalence and risk factors of prehypertension and hypertension in Algeria

et al. 2022

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Background Hypertension, also referred to as the silent killer, is known to be one of the most common chronic diseases in the world today. This study aimed to identify the prevalence and risk factors of prehypertension and hypertension among Algerian population. Methods This is a descriptive cross-sectional epidemiological study involving individuals aged 18 to 69 years old who were identified in the database of the national survey on non-communicable diseases (NCDs) risk factors conducted in Algeria between 2016 and 2017 using the World Health Organization’s (WHO) STEPwise approach. Differences in prevalence between normotensives, prehypertensives and hypertensives were assessed using the chi-square test. We also looked at the role of numerous socio-demographic, economic, geographical, and behavioural factors in blood pressure status using a logistic regression model. Results The prevalence of prehypertension and hypertension was 36.2% (95% confidence interval: 35.2–37.5%) and 31.6% (95% CI: 30.5–32.7%) respectively. Prehypertension was shown to be substantially higher in males than in women, while hypertension was found to be higher in females compared to men. In addition, both sexes had a rise in the prevalence of blood pressure as they grew older. A according to multivariate logistic regression analysis, the main common risk factors for prehypertension and hypertension were ageing, obesity, and abdominal obesity. Moreover hypercholesterolemia, and marital status (separated/divorced) were correlated to hypertension. Conclusion Prehypertension and hypertension are high and epidemic in Algeria. Therefore, the urgent quantification and monitoring of their risk factors becomes a necessity to plan appropriate preventive measures, in order to fight against NCDs in general.

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“…Indeed, in 2012, in Oran, Algeria, the prevalence of UBP was 69% when analysing a sample of 253 hypertensive patients [11]. In Blidia, Algeria, between 2014 and 2016, the analysis of a sample of 3622 hypertensive patients revealed that the prevalence of UBP was 70% [16].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of uncontrolled blood pressure in Meknes, Morocco, and its associated risk factors in 2017

Essayagh

Rhaffouli³

et al. 2019

PLoS ONE

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Background Uncontrolled high blood pressure (UBP) can lead to various cardiovascular complications causing an estimated nine million deaths per year worldwide. In Meknes, epidemiologic data on UBP are scarce, depriving programs from evidence-based information that would allow a better management of hypertension. Hence, we aimed to assess UBP prevalence in hypertensive patients treated in Meknes and identify UBP-associated risk factors. Methods Between November and December 2017, we conducted a cross-sectional study enrolling 922 hypertensive patients managed at Meknes’s primary health care facilities using the multistage sampling method. We interviewed patients face to face to collect their socio-demographic-characteristics, lifestyle behaviours, clinical parameters and the triad care system-patient-physician. Another questionnaire was self-administered by physicians to characterize therapeutic inertia. A multivariate logistic regression analysis highlighted the risk factors associated with UBP. Results UBP prevalence was 73% with a mean age of 61±11 years (mean±standard deviation) and a male/female ratio of 1/3. Risk factors associated with UBP were: therapeutic inertia (adjusted odds ratio to other variables (AOR) = 18.2, 95% CI [8.35–39.84]), drug non-adherence (AOR = 1.8, 95% CI [1.07–3.04]), obesity/overweight (AOR = 1.6, 95% CI [1.03–2.58]), unemployment (AOR = 1.9, 95% CI [1.09–3.01]), low income (AOR = 2.6, 95% CI [1.01–6.86]), family history of hypertension (AOR = 1.5, 95% CI [1.07–2.08]) and male sex (AOR = 1.6, 95% CI [1.04–2.58]). Conclusion UBP prevalence is high in Meknes. Prevention should firstly focus on raised awareness of hypertensive patients’ self-care management. Secondly, health professionals should better comply to the guidelines of anti-hypertensive treatments. Lastly, health professionals should frequently be reminded to reach therapeutic goals to overcome therapeutic inertia.

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Differences in prevalence, treatment and control rates of hypertension between male and female in the area of Blida (Algeria)

Cited by 13 publications

References 18 publications

Prevalence of cardiovascular risk factors in non-menopausal and postmenopausal inpatients with type 2 diabetes mellitus in China

Prevalence of cardiovascular risk factors in non-menopausal and postmenopausal inpatients with type 2 diabetes mellitus in China

Prevalence and risk factors of prehypertension and hypertension in Algeria

Prevalence of uncontrolled blood pressure in Meknes, Morocco, and its associated risk factors in 2017

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