Prevalence of high bloodpressure, hyperglycemia, dyslipidemia, metabolic syndrome and their determinants in Ethiopia: Evidences from the National NCDs STEPS Survey, 2015

Abstract

The prevalence of diabetes, dyslipidemias, and high blood pressure is increasing worldwide especially in low and middle income countries. World Health Organization has emphasized the importance of the assessment of the magnitude of the specific disease in each country. We determined the prevalence and determinant factors of high blood pressure, hyperglycemia, dyslipidemias and metabolic syndrome in Ethiopia. A community based survey was conducted from -April to June 2015 using WHO NCD STEPS instrument version 3.1. 2008. Multistage stratified systemic random sampling was used to select representative samples from 9 regions of the country. A total of 10,260 people aged 15–69 years participated in the study. Blood pressure (BP) was measured for 9788 individuals. A total of 9141 people underwent metabolic screening. The prevalence of raised blood pressure (SBP ≥140 and/or DBP ≥ 90 mmHg) was 15.8% (16.3% in females and 15.5% in males). The prevalence of diabetes mellitus (FBS ≥ 126 mg /dl) including those on medication was 3.2% (3.5% males and 3.0% females). The prevalence of impaired fasting glucose was 9.1% with ADA criteria and 3.8% with WHO criteria. Hypercholesterolemia was found in 5.2%, hypertriglyceridemia in 21.0%, high LDL cholesterol occurred in 14.1% and low HDL cholesterol occurred in 68.7%. The prevalence of metabolic syndrome using IDF definition was 4.8% (8.6% in females and vs. 1.8% in males). Advanced age, urban residence, lack of physical exercise, raised waist circumference, raised waist hip ratio, overweight or obesity, and total blood cholesterol were significantly associated with raised blood pressure (BP) and diabetes mellitus. Increased waist- hip ratio was an independent predictor of raised blood pressure, hyperglycemia and raised total cholesterol. Our study showed significantly high prevalence of raised blood pressure, hyperglycemia and dyslipidemia in Ethiopia. Community based interventions are recommended to control these risk factors.

Undiagnosed and diagnosed hypertension in a community setting at Hosanna town: Uncovering the burden

“…The finding of the present study is consistent with the findings on the prevalence of hypertension in Hawassa (19.7%) (8) Mekelle (19.1%) (5) and the national prevalence (15.8%) (7). However, it is lower than the findings of the studies in Addis Ababa (32.3%) (15), Jigjiga (28.3%) (10), Durame (22.4%) (12), Bahir dar (23.5%) (22) and Gonder (28.3%) (13) and higher than the findings of the studies in Jimma (13.2%) (11) and Sidama zone (9.9%) (9).…”

“…In Ethiopia, according to the finding from WHO STEPS survey of 2015, the prevalence of hypertension was found to be 15.8% (7). There are also few studies reported the prevalence of hypertension varying from 8% to 35% (5, 8-16).…”

The Prevalence and Associated Factors of Hypertension among Adults in Southern Ethiopia

“…A systematic meta-analysis from Ethiopia showed about 19.6% prevalence of hypertension with a higher proportion in urban than rural [8]. Similarly, a 15.8% prevalence of raised blood pressure was reported from the national NCDs STEPS survey in 2015 [9].…”

Prevalence of Diabetic Retinopathy and Associated Factors among Type 2 Diabetes Patients at Tikur Anbessa Hospital, Ethiopia

“…Studies have shown that sub-Saharan African countries, including Ethiopia, are experiencing a surge in the prevalence of DM resulting from rapid demographic, sociocultural, and economic transitions [3,4]. Based on a national survey, researchers have recently reported a DM prevalence of 3.2% (3.5% males and 3.0% females) in Ethiopia [5]. Type 2 diabetes-a global epidemic of our century-accounts for more than 90-95% of DM disease [6].…”