Hypertension artérielle chez l’adulte Congolais du Sud Kivu : résultats de l’étude Vitaraa

Katchunga, Philippe Bianga; M’Buyamba-Kayamba, Jean-René; Masumbuko, B.; Lemogoum, Daniel; Kashongwe, Zacharie; Degaute, Jean-Paul; Kabinda, Jeff Maotela; M’Buyamba-Kabangu, Jean-René

doi:10.1016/j.lpm.2010.10.036

Cited by 61 publications

(36 citation statements)

References 21 publications

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“…Potassium is known to induce natriuresis and vasodilatation responsible for reduction in extracellular vol- [39]. It is higher than that previously observed in the same community some 23 years ago [40] but somewhat lower than the findings in the Turkish region of Trabzon (44%) [20], in Europe (44.2%) [39] or in our report from Bukavu in the Eastern Congo (41.4%) [11]. The odds for hypertension, higher with ageing, over-weight/obesity and faster pulse rate in the logistic model is a rather common finding.…”

Section: Discussioncontrasting

confidence: 64%

“…The risk in subjects with prehypertension has been attributed to endothelial dysfunction, increased level of pro-inflammatory cytokines and gamma glutamyl-transferase, oxidative stress, and structural remodelling of the myocardium in comparison to subjects with blood pressure in the normal range [9] [23] [44]- [47]. Unlike other studies [11] [37] [48] [49] the rates of diabetes mellitus were similar in our three blood pressure categories whereas in accordance with most reports [18] Our results should be interpreted within the limitations of the present work. First, the definition of prehypertension and hypertension relies on the average of only two blood pressure measurements obtained at a single occasion.…”

Section: Discussionmentioning

confidence: 99%

“…In the Democratic Republic of the Congo (DRC) the elevated prevalence of hypertension among urban dwellers [10] [11] was reported to be associated with gloomy complications such as strokes, cardiac failure and chronic kidney disease the management of which is limited by scarce resources and poverty [12]. To curb hypertension induced morbidity and mortality, it appears mandatory to identify, control and prevent determinants of blood pressure elevation in the community.…”

Section: Introductionmentioning

confidence: 99%

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Prehypertension, Hypertension and Associated Cardiovascular Risk Factors among Adult Congolese Urban Dwellers: Results of the Vitaraa Study

Bayauli¹,

M’Buyamba-Kayamba²,

Lemogoum³

et al. 2014

WJCD

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Objective: To assess the prevalence of prehypertension and hypertension, their determinants and associated cardiovascular risk factors in Congolese urban dwellers. Methods: From July 2007 to March 2008, we collected information on lifestyle habits, medical history and anthropometric data in 1292 household members of Adoula Quarter, Kinshasa, aged 20 years or more, 731 women (56.6%). We obtained measurements of BP, blood glucose, serum lipids and qualitative proteinuria. We defined blood pressure categories according to JNC7 classification and used logistic regression analyses to assess their independent determinants. We obtained age adjustment of continuous and categorical variables using GLM and Genmod procedures, respectively. Results: Prehypertension was observed in 30.3% of subjects, 34.9% of men and 26.7% of women (P = 0.0045). The prevalence of hypertension amounted to 30.9% with no difference between genders. Participants with prehypertension had average age, BMI and waist circumference intermediate between those with normal BP and hypertensive subjects. Their glucose and lipids levels were * Corresponding author. M. P. Bayauli et al. 391similar to those of normotensives. The prevalence of prehypertension amounted to 33% at age 20 -29 years and decreased to 16.7% at ≥60 years whereas the prevalence of hypertension increased from 11.2% to 71.4%. The rates of diabetes mellitus were similar accross blood pressure catogories whilst prevalences of overweight/obesity, abdominal adiposity, dyslipidemia and metabolic syndrome significatively increased (P = 0.05 or less). Among participants with prehypertension, 73% had two or more additional cardiovascular risk factors. In the logistic model the probability of prehypertension was higher in men (OR: 1.429; 95% CI: 1.099 -1.857) and participants with overweight/obesity (OR: 1.666; 1.146 -2.422), lower in participants aged ≥ 55 years (0.427; 0.267 -0.683) and those with high fruit intake (0.691; 0.488 -0.977). The probability of hypertension was higher in participants aged ≥ 55 years (OR: 6.988; 4.561 -10.706), overweight/obesity (2.263; 1.704 -3.004), those with high vegetables consumption (1.152; 1.003 -1.324) and faster pulse rate (1.013; 1.002 -1.025). Conclusion: Our results suggest that fruit consumption and control of overweight are important issues for prevention of cardiovascular disease in sub-Saharan Africa where high blood pressure is the main driver of the current epidemic.

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Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prehypertension, Hypertension and Associated Cardiovascular Risk Factors among Adult Congolese Urban Dwellers: Results of the Vitaraa Study

Bayauli¹,

M’Buyamba-Kayamba²,

Lemogoum³

et al. 2014

WJCD

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“…En effet, la prévalence de l'hypertension (HTA) tant en milieu rural qu'urbain se situe entre 25-30 % [16]. Selon Katchunga [30] à l'Est de la RDC, 57,5 % des hypertendus n'étaient au courant de leurs maladies et seulement 13,6 % avaient un suivi médical. Dans une autre zone de santé semi-rurale de la RDC, la protéinurie (micro-albuminurie et macro-albuminurie) était fréquemment détectée pendant le dépistage du diabète, de l'obésité et l'hypertension et était particulièrement associée aux patients de plus de 60 ans.…”

Section: éTat De Lieux Des Maladies Chroniques En Afrique Subsaharienunclassified

Fardeau des maladies chroniques en Afrique subsaharienne : plaidoyer pour une mise en place des soins palliatifs et d’accompagnement en fin de vie en République démocratique du Congo

Lofandjola

Sumaili

Pétermans

2017

Ethics, Medicine and Public Health

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Fardeau des maladies chroniques enSummary The burden of chronic diseases (especially non-communicable) is the world's major public health challenge. The combination of erratic economic development, inadequate health systems, lacking diagnostic and therapeutic capabilities, is provoking in many resource-limited countries including the Democratic Republic of Congo (DRC) an inability to manage the current extent of these diseases. Added to this is the widespread poverty and environmental challenges. In this context, the need for palliative care services for terminally ill patients is enormous and undeniable. Training and information for policy makers, caregivers and families are needed in the health transition. The palliative care could be the solution to a support with dignity, improving chronic patients' quality of life. This article presents and analyzes the extent of these chronic diseases and seeks to make a place to implement this care in medical practice in Kinshasa. Three main reasons (epidemiological transition, lack of training of caregivers of palliative approaches and priority by policy makers of these chronic diseases) should motivate all stakeholders (partners, political, caregivers and families) to implement these treatments in medical practices and to these diseases are not neglected in Sub-saharan Africa.

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“…[4] On the other hand, global trade and urbanization expose the developing world to lifestyle habits that favor the epidemiologic transition towards the emergence of chronic non communicable diseases. [4,5] Available data among adult patients in the Democratic Republic of the Congo provide some evidence of increasing prevalence of overweight/obesity [6][7][8] and high impact of hypertension on hospital admissions and deaths. [9,10] Hypertension related disorders such as congestive heart failure, chronic renal disease and stroke are increasingly reported as causes of admission and death in cities as well as in the interior of the country.…”

Section: Introductionmentioning

confidence: 99%

Trends in prevalence of obesity and hypertension in an urban Congolese community

Mp¹,

M'buyamba-Kayamba²,

Ng³

et al. 2018

JER

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Objective: We assessed change in the prevalence of overweight/obesity and hypertension among adult Congolese people at two different periods. Methods: In 2007-8 the prevalence of overweight/obesity and high blood pressure was assessed among 1,292 subjects (56.6% women) representing a random sample of the inhabitants of an urban Congolese community. The data were compared to previous observations in 424 participants (55.2% women) obtained in a 1983-4 survey of the same community. Age structure of the two samples was different. We therefore directly standardized the prevalence of overweight/obesity and hypertension for gender and age. We modeled the risk of hypertension in a multivariable logistic regression analysis and compared the rates of awareness and control of hypertension during both periods. Results: Crude prevalence of overweight/obesity (26.7 vs. 42.3%; P < .0001) and hypertension (21.5 vs. 30.9%; P = .0002) was higher in 2007-8. Overweight/obesity predominated among women at both periods, hypertension among men in 1983-4. Genderage directly standardized prevalence remained higher in 2007-8 for overweight/obesity [28.4(24.1-32.7)% vs. 41.3(38.8-43.7)%] and was borderline for hypertension [24.9(20-28.9)% vs. 29.7(27.4-31.9)%]. The 1983-4/2007-8 risk ratio was 0.69 for overweight/obesity (P < .0001), 0.84 for hypertension (P = .054). Awareness, treatment and control of hypertension tended to be better in 2007-8, especially among women. The risk of hypertension in multivariable logistic analysis, was greater for male gender (OR: 1.47[95% CI:1.14-1.88]; P = .0029), and increased with age (5.62[4.37-7.23]; P < .0001), overweight/obesity (2.27[1.77-2.91]; P < .0001) and pulse rate (for each 10 beats/min: 1.20[1.08-1.32]; P = .0005); the risk was 35% higher in 2007-8 (1.35;[1.01-1.80]; P = .0416). Conclusion: Our data indicate the prevalence of overweight/obesity and hypertension has increased among adult urban Congolese people; they suggest that prevention of cardiovascular diseases might require appropriate control of these conditions.

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Hypertension artérielle chez l’adulte Congolais du Sud Kivu : résultats de l’étude Vitaraa

Cited by 61 publications

References 21 publications

Prehypertension, Hypertension and Associated Cardiovascular Risk Factors among Adult Congolese Urban Dwellers: Results of the Vitaraa Study

Prehypertension, Hypertension and Associated Cardiovascular Risk Factors among Adult Congolese Urban Dwellers: Results of the Vitaraa Study

Fardeau des maladies chroniques en Afrique subsaharienne : plaidoyer pour une mise en place des soins palliatifs et d’accompagnement en fin de vie en République démocratique du Congo

Trends in prevalence of obesity and hypertension in an urban Congolese community

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