Prévalence de l’hypertension artérielle et description de ses facteurs de risque à Lomé (Togo) : résultats d’un dépistage réalisé dans la population générale en mai 2011

Yayehd, Komlavi; Damorou, F; Akakpo, R.; Tchérou, Tchaa; N’Da, Nkenon Watani; Pessinaba, S.; Belle, Loïc; Johnson, Allan A.

doi:10.1016/j.ancard.2012.09.006

Cited by 29 publications

(21 citation statements)

References 21 publications

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“…The independent determinants of hypertension were only overweight and obesity. This prevalence is comparable to those reported in the general population in Brazzaville [9], or in other SSA countries [5,17,20]. The prevalence of hypertension in rural areas is lower than in SSA cities [3,5,8,17].…”

Section: Discussionsupporting

confidence: 80%

Hypertension, diabetes mellitus, overweight and obesity in employees under health transition at the railways company in Congo-Brazzaville

Mbolla¹,

Gombet²,

Monabeka³

et al. 2014

WJCD

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Background and Aim: Cardiovascular risk (CVR) factors, namely hypertension (HT), diabetes mellitus and obesity, are a public health problem in sub-Saharan Africa because of health transition. The additional effect of the social gradient within the railway companies in Congo-Brazzaville on high CVR is not yet established. The aim of this study was to determine the extent of hypertension, diabetes mellitus, overweight, and obesity and to identify the contributing factors of fatness and hypertension. Methods: This was a cross-sectional study conducted in April 2013. A simple random sample of 255 out of all 2550 workers from the railway companies of Congo was examined for epidemiological, clinical and biological variables. Results: Out of the study sample, 231 (90.6%), 79 (31%), and 52 (20.4%) were men, rural dwellers, and senior executives, respectively. The mean age was 45 ± 13 years (range 19 to 63 years). The rates of overweight, hypertension, obesity, and diabetes mellitus were 40.3% (n = 103), 29.4% (n = 75), 7.5% (n = 19), and 3.5% (n = 9), respectively. In univariate analysis, female sex (OR 2.7, 95% CI 1.13 -6.45, p = 0.01), senior executive (OR 2.4; 95% CI: 1.3 -4.5; p = 0.003) and physical inactivity (OR 2.5; 95% CI: 1.5 -4.2; p < 0.001) were significantly associated with overweight. Female sex (OR 7.5, 95% CI: 2.6 -21; p < 0.001) and senior executive (OR 3.17; 95% CI: 2 -8.3) were also significantly associated with obesity. In logistic regression, overweight (OR = 4.8, 95% CI 2.8 -11, p < 0.0001), and obesity (OR = 6.8, 95%CI 2.1 -22, p = 0.01) were identified as the most important and independent determinants of hypertension. Conclusions: Fatness is emerging and it is the most contributing factor of hypertension among workers at the Congolese railway companies. There is also a significant interaction between non-modifiable factors (genetic: females and family history) and modifiable factors (inactivity, fatness) for higher risk of hypertension. Health promotion should be emphasized by physical activity programs.

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Section: Discussionsupporting

confidence: 80%

Hypertension, diabetes mellitus, overweight and obesity in employees under health transition at the railways company in Congo-Brazzaville

Mbolla¹,

Gombet²,

Monabeka³

et al. 2014

WJCD

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“…The prevalence of hypertension was 47.4% or 45.70% of men and 48.70% women. This prevalence was higher than that found in the general population, 27.9% in Benin in 2008 [9] 36.7% in Lome in 2011 [12], 34.5% to Brazzaville in 2006 [13]. This high prevalence can be explained in part by the study population which was in hospital among which 77.8% had more than 35 years.…”

Section: Discussioncontrasting

confidence: 39%

Prevalence of Risk Factors for Chronic Non-Communicable Diseases to the National Teaching Hospital “HKM” of Cotonou

Kerekou-Hode¹,

Houinato²,

M³

et al. 2015

JDM

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Background: In 2008 Non-communicable diseases (NCDs) were responsible for 63% of deaths worldwide and 80% of these deaths occurred in developing countries. Four of them were responsible for more than 80% of mortality from NCDs, which were cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes. They shared the same risk factors. Objective: To determine the prevalence of NCD risk factors in patients admitted to consult in the outpatient unit of the National Teaching Hospital of Cotonou. Patients and Methods: This was a transversal, descriptive and analytical study which took place from 15 June 2011 to 16 September 2011. It focused on 1000 subjects found after a recruitment of all patients coming to consult during the study period. The collection technique was a questionnaire followed by physical measures (weight, height, blood pressure and waist) and biological measures (fasting glucose and cholesterol). The data were analyzed with the software Epi-3.3.2 info. Results: The mainly prevalent behavioural risk factors were smoking (10.2%), alcohol consumption (60.3%), insufficient intake of fruits and vegetables (84.2%), and physical inactivity (57.6%). The prevalent physical risk factors were hypertension (47.4%), obesity (27.5%), and overweight (35.3%). The prevalent biological risk factors were diabetes (28.5%), and hypercholesterolemia (10.4%). The level of cardiovascular risk was higher than 40% in 81 people (8.1%). Conclusion: This study shows the importance of risk factors for NCDs in outpatient Unit in the National Teaching Hospital of Cotonou.

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“…Central Africa [28-33] and North Africa [34-39] were each represented by six studies. West Africa was represented by eleven studies [21,40-49]. An additional four studies from South Africa and Namibia were included in the survey [21,50-52].…”

Section: Resultsmentioning

confidence: 99%

Hypertension awareness, treatment and control in Africa: a systematic review

Kayima

Wanyenze

Katamba

et al. 2013

BMC Cardiovasc Disord

256

222

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BackgroundInadequate diagnosis and suboptimal control of hypertension is a major driver of cardiovascular morbidity and mortality in Africa. Understanding the levels of awareness, treatment and control of hypertension and the associated factors has important implications for hypertension control efforts.MethodsThe PubMed database was searched for original articles related to awareness, treatment and control of hypertension in Africa published between 1993 and 2013. The key search terms were: Africa, awareness, treatment, control, and hypertension. Exploration of bibliographies cited in the identified articles was done to provide further studies. Full texts of the articles were obtained from various internet sources and individual authors. A data extraction sheet was used to collect this information.ResultsThirty eight studies drawn from 23 African countries from all regions of the continent met the inclusion criteria. The levels of awareness, treatment and control varied widely from country to country. Rural populations had lower levels of awareness than urban areas. North African countries had the highest levels of treatment in the continent. There was generally poor control of hypertension across the region even among subjects that were aware of their status and those that were treated. On the whole, the women had a better control status than the men.ConclusionThere are low levels of awareness and treatment of hypertension and even lower levels of control. Tailored research is required to uncover specific reasons behind these low levels of awareness and treatment, and especially control, in order to inform policy formulation for the improvement of outcomes of hypertensive patients in Africa.

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Prévalence de l’hypertension artérielle et description de ses facteurs de risque à Lomé (Togo) : résultats d’un dépistage réalisé dans la population générale en mai 2011

Cited by 29 publications

References 21 publications

Hypertension, diabetes mellitus, overweight and obesity in employees under health transition at the railways company in Congo-Brazzaville

Hypertension, diabetes mellitus, overweight and obesity in employees under health transition at the railways company in Congo-Brazzaville

Prevalence of Risk Factors for Chronic Non-Communicable Diseases to the National Teaching Hospital “HKM” of Cotonou

Hypertension awareness, treatment and control in Africa: a systematic review

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