Facteurs associés à un mauvais contrôle de la pression artérielle chez les hypertendus noirs africains : étude transversale de 456 hypertendus burkinabé

Yaméogo, Nobila Valentin; Kagambèga, L.J.; Millogo, R.C.G.; Kologo, Koudougou Jonas; Yaméogo, Aimé Arsène; Mandi, Germain; Ilboudo, E.; Toguyéni, B.J.Y.; Samadoulougou, A.K.; Zabsonré, Patrice

doi:10.1016/j.ancard.2012.05.001

Cited by 23 publications

(10 citation statements)

References 9 publications

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“…Moreover, in our work, age increased the risk for the frequency of UBP. Our study is consistent with results reported and published from studies conducted in Algeria and Burkina Faso [11, 18] as well as results reported from a study conducted in the USA [19]. The 1948 Framingham survey, conducted on a sample of 5000 people, showed that SBP increased linearly with age until age 80–90, while DBP increased until age 80–90.…”

Section: Discussionsupporting

confidence: 93%

“…The family history or genetic factors of hypertension are associated with UBP in our study. This result is similar to those reported by the sub-Saharian countries [18, 21, 35–37]; this could be explained by a demotivation of the patients to fight the disease.…”

Section: Discussionsupporting

confidence: 91%

“…Lack of employment and low monthly income per household are more likely associated with UBP. This result has been reported in other studies, particularly in Burkina-Faso, Zimbabwe, China and other countries [18, 23–29].…”

Section: Discussionsupporting

confidence: 89%

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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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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

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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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“…This result is consistent with Yameogo et al [26]. Having good blood pressure control early on could be as a result of the fact that the clients will have just received the information and are still very aware of the adverse effects of the condition that led to them seeking treatment.…”

Section: Discussionsupporting

confidence: 91%

Determinants of uncontrolled hypertension among clients on anti-retroviral therapy in Kadoma City, Zimbabwe, 2016

Magande

Chirundu²,

Gombe

et al. 2017

Clin Hypertens

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BackgroundClients on anti-retroviral therapy (ART) are living longer and have risk of hypertension. Side effects of medicines and aging increase this risk. Hypertension prevalence among clients on ART in Kadoma City was estimated to be 30% in 2015. Of these, 61% had uncontrolled hypertension. This was high compared to 46% of hypertensives in the general population who had uncontrolled hypertension. We determined factors associated with uncontrolled hypertension among clients on ART.MethodsA 1.1 unmatched case control study was conducted. Interviews, anthropometric measurements and record reviews were to collect data on demography and medical history. Epi Info 7 was used for univariate, bivariate analysis and logistic regression.ResultsOne hundred and fifty-two cases and 152 controls were recruited into the study. Adding salt to dishes regularly aOR = 5.69 (3.19–10.16), body mass index (BMI) above 25 kg/m2 aOR = 2.81 (1.60–4.91) and history of elevated blood pressure in previous year aOR = 2.34 (1.33–4.13) were independent risk factors. Independent protective factors were duration more than 2 years since HIV diagnosis aOR = 0.58 (0.35–0.95), duration less than 5 years since hypertension diagnosis aOR = 0.50 (0.30–0.83) and walking or cycling as a means of transport aOR = 0.27 (0.16–0.48).ConclusionAdding salt to dishes regularly, BMI above 25 kg/m2, history of elevated blood pressure in the previous year, duration more than 2 years since HIV diagnosis, duration less than 5 years since hypertension diagnosis and walking or cycling as a means of transport were independently associated with uncontrolled hypertension. Health education on lifestyle changes like walking and cycling as transport and dietary modification such as salt intake reduction were recommended.

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“…There was also no significant difference between the control rates of patients under monotherapy and bitherapy or tritherapy, unlike some previous studies which have shown that monotherapy in Burkinabe [ 18 ] or multi-drug therapy in Brazilian [ 19 ] was associated with uncontrolled BP.…”

Section: Discussioncontrasting

confidence: 78%

Glutathione S-transferase M1 and T1 genes deletion polymorphisms and blood pressure control among treated essential hypertensive patients in Burkina Faso

et al. 2021

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Objective Glutathione S-transferases have been associated with experimental resistance to some drugs. The present study investigated the factors associated with blood pressure control in patients with essential hypertension, especially the role of GSTT1 and GSTM1 genes polymorphisms. This cross-sectional study in Burkina Faso consisted of 200 patients with essential hypertension and under treatment. Results In the present study, 57.5% (115/200) of patients had their hypertension under control. No statistically significant difference was found between controlled and uncontrolled groups for anthropometric and biochemical parameters as well as for GSTT1 or GSTM1 gene polymorphisms (all p > 0.05). Current alcohol consumption (OR = 3.04; CI 1.88–6.13; p < 0.001), Physical inactivity (OR = 3.07; CI 1.71–5.49; p < 0.001), severe hypertension before any treatment (Grade III [OR = 3.79; CI 2.00–7.17; p < 0.001]) and heart damage (OR = 3, 14; CI 1.59–6.02; p < 0.001) were statistically more frequent in uncontrolled essential hypertensive patients than controlled hypertensive patients.

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Facteurs associés à un mauvais contrôle de la pression artérielle chez les hypertendus noirs africains : étude transversale de 456 hypertendus burkinabé

Cited by 23 publications

References 9 publications

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

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

Determinants of uncontrolled hypertension among clients on anti-retroviral therapy in Kadoma City, Zimbabwe, 2016

Glutathione S-transferase M1 and T1 genes deletion polymorphisms and blood pressure control among treated essential hypertensive patients in Burkina Faso

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