The prevalence of obesity and its relationship with hypertension in an urban community: Data from world kidney day screening programme

Amira, Christiana Oluwatoyin; Sokunbi, D; Sokunbi, A

doi:10.14194/ijmbr.124

Cited by 22 publications

(8 citation statements)

References 23 publications

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“…Although we found a high proportion of individuals with elevated blood pressure during the community screening events (NNS = 5), this was lower compared to previous studies in Lagos [1–3]. The prevalence of hypertension in Lagos is high [1,2] and we expected a high yield of participants for the pilot program through the community screening events.…”

Section: Discussioncontrasting

confidence: 80%

“…The prevalence of hypertension in Lagos is high [1,2] and we expected a high yield of participants for the pilot program through the community screening events. However, recruitment in the pilot program was lower than expected, suggesting that the screening events did not attract the intended population.…”

Section: Discussionmentioning

confidence: 99%

“…The young age of the participants contributed to the low effectiveness of the screening events. Similar to another screening event organized in Lagos [1], we screened many individuals aged below 35 years, among whom the NNS to find one individual with elevated blood pressure was 4 times higher compared to older participants (16 vs. 4), and the likelihood to enroll in the pilot program lower. Restricting screening to individuals aged 35 years and above would have reduced the screening load by 36% but would have reduced enrollment in the program by 3% only.…”

Section: Discussionmentioning

confidence: 99%

“…In Lagos, Nigeria, around 33% of the population suffers from hypertension [1,2], which is higher than the country’s overall prevalence of 29% [3]. Hypertension is the main risk factor for cardiovascular disease (CVD) and associated morbidity and mortality [4].…”

Section: Introductionmentioning

confidence: 99%

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Low uptake of hypertension care after community hypertension screening events in Lagos, Nigeria

Nelissen

Okwor

Khalidson³

et al. 2018

Global Health Action

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Background: In Lagos, Nigeria, approximately 33% of the population suffers from hypertension, yet antihypertensive treatment coverage is low. To improve access to care, a decentralized pharmacy-based hypertension care model was piloted. This study reports on the recruitment strategies used and is part of a larger study to evaluate the feasibility of the care model. Objective: To describe our experience executing three different strategies to recruit hypertensive patients in the program: community hypertension screenings, hospital and pharmacy referral. Methods: Individuals with elevated blood pressure and no history of cardiovascular disease were referred to the program’s recruitment days to see a medical doctor for hypertension diagnosis and enrollment. Individuals were referred from community screenings, tertiary hospital outpatient clinics, and pharmacies participating in the program. For the community screenings, we report the number needed to screen (NNS) to find one individual with elevated blood pressure, the NNS to enroll one individual in the program, and factors associated with enrollment in the program among participants referred. Results: We recruited 226 individuals (69%) in the program via the pharmacies, 97 (30%) via the community screenings, and 2 (<1%) via hospital referral. At the community screenings 3,204 individuals participated, 729 (23%) had elevated blood pressure and 618 (85%) were eligible for referral of whom 142 (23%) visited the recruitment days, and 97 (16%) enrolled. The NNS to find one individual with elevated blood pressure was 5, and the NNS to enroll one individual was 34. Enrollment in the program was associated with advancing age, blood pressure ≥160/100 and currently using antihypertensive medication. Conclusions: Despite the potential attractiveness of community screenings to identify and refer individuals with hypertension, enrollment in the program was low. For future programs we recommend pharmacy referral as individuals seem more inclined to access care through healthcare providers they are familiar with.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Low uptake of hypertension care after community hypertension screening events in Lagos, Nigeria

Nelissen

Okwor

Khalidson³

et al. 2018

Global Health Action

View full text Add to dashboard Cite

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“…Being overweight is a risk factor for a number of medical conditions such as hypertension [ 15 , 16 ]. Its effect on hypertension is likely through the renin-angiotensinogen level, sympathetic nerve activity, endothelial function [ 17 ], hypertriglyceridemia, and glucose intolerance [ 18 ]. Several pieces of evidence from epidemiological and clinical documents indicate a close relation among hypertension, dyslipidemia, and insulin resistance [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Hypertension among the Malaysian Elderly

Eshkoor

Hamid

Shahar

et al. 2016

JCDD

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Hypertension is a common chronic disease in the elderly. This study aimed to determine the effects of age, ethnicity, gender, education, marital status, nutritional parameters, and blood elements on the risk of high blood pressure in the Malaysian elderly. This research was conducted on a group of 2322 non-institutionalized Malaysian elderly. The hierarchy binary logistic regression analysis was applied to estimate the risk of hypertension in respondents. Approximately, 45.61% of subjects had hypertension. The findings indicated that the female gender (Odds ratio (OR) = 1.54), an increase in body weight (OR = 1.61), and an increase in the blood levels of albumin (OR = 1.51), glucose (OR = 1.92), and triglycerides (OR = 1.27) significantly increased the risk of hypertension in subjects (p < 0.05). Conversely, an increase in both dietary carbohydrates (OR = 0.74), and blood cholesterol level (OR = 0.42) significantly reduced the risk of hypertension in samples (p < 0.05). Furthermore, the results showed that ethnicity was a non-relevant factor to increase the risk of hypertension in subjects. It was concluded that female gender, an increase in body weight, and an increase in the blood levels of glucose, triglycerides, and albumin enhanced the risk of high blood pressure in the Malaysian elderly. In addition, an increase in both dietary carbohydrates and blood cholesterol level decreased hypertension in subjects.

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