Prevalence and lifestyle-related risk factors of obesity and unrecognized hypertension among bus drivers in Ghana

Anto, Enoch Odame; Owiredu, William K. B. A.; Adua, Eric; Obirikorang, Christian; Fondjo, Linda Ahenkorah; Annani-Akollor, Max Efui; Acheampong, Emmanuel; Asamoah, Evans Adu; Roberts, Peter; Wang, Wei; Donkor, Sampson

doi:10.1016/j.heliyon.2019.e03147

Cited by 43 publications

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“…The coastal belt studies included one which was conducted in two regions [ 53 ]. One other study was conducted in two regions, one in the coastal and the other in the middle belt [ 54 ]. Fifty-four studies (63.5%) were conducted in urban populations, 12 (14.1%) in rural populations and the remaining 19 (22.4%) in rural populations.…”

Section: Resultsmentioning

confidence: 99%

“…Seven (8.2%) studies were conducted exclusively in men [ 41 , 48 , 54 , 55 , 65 , 103 , 120 ] and six (7.1%) exclusively in women [ 58 , 78 , 79 , 81 , 89 , 112 ]. In 69 studies that enrolled both sexes, the proportion of females enrolled ranged from 6.3% to 89.0% with a median of 55.3%.…”

Section: Resultsmentioning

confidence: 99%

“…In 17 (20.0%) studies, the prevalence of hypertension was based on the measured BP≥ 140/90 mmHg as well as on or a history of previous diagnosis of hypertension by a health professional [ 49 , 50 , 72 , 76 , 80 , 117 ] or on a history of current anti-hypertensive medication [ 43 , 59 , 62 , 68 , 71 – 74 , 87 , 91 , 94 , 98 ]. Six (7.1%) studies, five of them conducted by the same research team, excluded participants with a history of hypertension, diabetes, coronary heart disease or those on anti-hypertensive or cholesterol-lowering medication use [ 54 , 65 , 67 , 69 , 109 , 125 ]. These studies involved biochemical tests on cardio-metabolic risk factors.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence, awareness and control of hypertension in Ghana: A systematic review and meta-analysis

Bosu

Bosu²

2021

PLoS ONE

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Background Hypertension is a major health problem in Ghana, being a leading cause of admissions and deaths in the country. In the context of a changing food and health policy environment, we undertook a systematic review (PROSPERO registration number: CRD42020177174) and a meta-analysis of the prevalence of adult hypertension, and its awareness and control in Ghana. Methods We searched major databases including PubMed, Embase as well as Google Scholar and online digital collections of public universities of Ghana to locate relevant published and unpublished community-based articles up till April 2020. Findings Eighty-five articles involving 82,045 apparently-healthy subjects aged 15–100 years were analyzed. In individual studies, the prevalence of hypertension, defined in most cases as blood pressure ≥ 140/90 mmHg, ranged from 2.8% to 67.5%. The pooled prevalence from the meta-analysis was 27.0% (95% CI 24.0%-30.0%), being twice as high in the coastal (28%, 95% CI: 24.0%-31.0%) and middle geo-ecological belts (29%, 95% CI: 25.0%-33.0%) as in the northern belt (13%, 95% CI: 7.0%-21.0%). The prevalence was similar by sex, urban-rural residence or peer-review status of the included studies. It did not appear to vary over the study year period 1976–2019. Of the subjects with hypertension, only 35% (95% CI: 29.0%-41.0%) were aware of it, 22% (95% CI: 16.0%-29.0%) were on treatment and 6.0% (95% CI: 3.0%-10.0%) had their blood pressure controlled. Sensitivity analyses corroborated the robust estimates. There was, however, high heterogeneity (I2 = 98.7%) across the studies which was partly explained by prevalent obesity in the subjects. Conclusion More than one in four adults in Ghana have hypertension. This high prevalence has persisted for decades and is similar in rural and urban populations. With the low awareness and poor control of hypertension, greater investments in cardiovascular health are required if Ghana is to meet the global target for hypertension.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence, awareness and control of hypertension in Ghana: A systematic review and meta-analysis

Bosu

Bosu²

2021

PLoS ONE

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“…The recent studies reported that the prevalence of hypertension overall in Iran was about 25% [ 34 35 ], and its prevalence in southern province was 27% [ 36 ]. This difference may be related to differences in demographic and lifestyle factors [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic Profile of Hypertension in Northern Iranian Population: The PERSIAN Guilan Cohort Study (PGCS)

Naghipour

Joukar

Salari

et al. 2021

Annals of Global Health

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Background: Estimates region-related prevalence of hypertension and attempts to identify its related factors at the district levels are required for prevention and management of hypertension. Objective: The aim of this study was to investigate the epidemic features and related factors of hypertension and its awareness, treatment, and control rates among the northern Iranian population. Methods: It was a community based cross-sectional study based on data from PERSIAN Guilan Cohort Study (PGCS). In total, 10,520 participants (aged 35–70 years) from the Guilan Province in northern Iran included in this study, between October 8, 2014, and January 20, 2017. Hypertension was defined as systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg or a prior diagnosis of hypertension or being on antihypertensive medication. Potential correlates of hypertension and its awareness, treatment and control were analyzed by multivariate logistic regression adjusted for demographic factors, anthropometric characteristics, lifestyle variables, past medical history, and laboratory data. Results: The prevalence of hypertension was 43.2% and the hypertension awareness, treatment, and control rate were 53.4%, 49.8%, and 73.7%, respectively. The multivariate logistic regression analyses revealed that older age, urbanization, lower education, overweight and obesity, lower physical activity, prediabetes and diabetes, cardiovascular disease, psychiatric disorder, positive family history of hypertension and raised serum creatinine were independently associated with presence of hypertension. Awareness of hypertension was greater in the female sex, older age, rural residency, higher education and patient with comorbidities. Older age, rural residency and comorbidities were associated with treatment of hypertension. Control of hypertension was better among younger age, higher education, normal weight and higher physical activity. Conclusion: Hypertension is highly prevalent in the northern Iranian population. About half of affected persons are unaware of their disease and untreated. Modifying risk factors (such as weight lose and increase physical activity) and increasing hypertension awareness (by screening) is essential for primary and secondary prevention of high blood pressure in this population, especially in urban areas and among males, younger ages, and less educated.

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“…Del mismo modo, Anto y cols. hallaron medidas antropométricas la circunferencia abdominal y de cadera donde encontraron que el 19.9% y 19.4% de población presentaban obesidad(35). Al igual que ellos, en nuestro estudio si se encontró asociación entre estas 2 variables.…”

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Asociación entre el consumo de frutas y verduras con la prevalencia de hipertensión arterial en adultos peruanos en el año 2017

Velásquez¹,

Sofía²

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Introducción: Las enfermedades cardiovasculares son la cuarta causa de mortalidad y morbilidad en la población. Dentro del grupo, la hipertensión arterial (HTA) es considerada como la más frecuente en la población mundial. Esta patología, caracterizada por el aumento crónico de la presión arterial de una forma mantenida en el tiempo, se puede prevenir modificando factores de riesgo, principalmente los característicos de la HTA primaria. El objetivo del estudio es determinar si existe asociación entre el consumo de frutas y verduras con la prevalencia de hipertensión en adultos del año 2017. Material y métodos: Estudio transversal observacional descriptivo basado en los datos del estudio transversal “Encuesta Nacional Demográfica y de Salud Familiar-ENDES, 2017”. Se incluyeron adultos de 18 a 59 años de edad. La variable exposición fue consumo de frutas y verduras, definida en base a auto-reporte basado en las preguntas del WHO STEPs se consideró el número de frutas y verduras, y la cantidad de días (durante la semana) que fue consumido. Para definir HTA se tomó en cuenta tanto el auto-reporte de HTA como la medida de presión arterial. Así se tiene que para el presente estudio se consideró HTA a aquellos sujetos que: Tenían presión sistólica ≥140 mmHg y/o presión diastólica ≥90 mmHg o tenía diagnóstico previo de HTA; como no hipertenso se consideró a la persona que tenía un promedio de presión sistólica <140 mmHg y promedio de presión diastólica <90 mmHg y además nunca había sido diagnosticada como HTA. Resultados: Se evaluaron 27332 participantes, la edad promedio fue 36,411,69 el 51.72% fueron mujeres y el 48.3% fueron hombres. La prevalencia de HTA fue de 15% hombres y 10% en mujeres. En cuanto al consumo de frutas y verduras, se encontró que el 94.5% de la población no alcanza a consumir las 5 porciones recomendadas. Conclusión: No se encontró asociación entre el consumo de frutas y verduras y la prevalencia de hipertensión arterial en adultos. A pesar de ello, de acuerdo a lo estudiado, se consideró de suma importancia el consumo de frutas y verduras en la dieta diaria, así como la adopción de más hábitos que le permita a la población tener un estilo de vida saludable.

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Prevalence and lifestyle-related risk factors of obesity and unrecognized hypertension among bus drivers in Ghana

Cited by 43 publications

References 54 publications

Prevalence, awareness and control of hypertension in Ghana: A systematic review and meta-analysis

Prevalence, awareness and control of hypertension in Ghana: A systematic review and meta-analysis

Epidemiologic Profile of Hypertension in Northern Iranian Population: The PERSIAN Guilan Cohort Study (PGCS)

Asociación entre el consumo de frutas y verduras con la prevalencia de hipertensión arterial en adultos peruanos en el año 2017

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