Blood pressure and associated risk factors of hypertension in patients attending a Family Medicine Clinic in Delta State, Nigeria.
DOI:
https://doi.org/10.4314/ajtmbr.v7i2.1Keywords:
Blood pressure, Hypertension, Patients,Risk factorsAbstract
Introduction: Hypertension is a significant public health issue globally. In recent times, its prevalence in Nigeria is experiencing an upsurge due to the increase in the risk factors associated with hypertension and many persons are unaware of their status. The study assessed the blood pressure pattern and associated risk factors of hypertension in patients attending a Family Medicine Clinic in Delta State, Nigeria.
Materials and methods: It was a cross-sectional study conducted in the Family Medicine Clinic, Delta University Teaching Hospital, Oghara, Nigeria. Participants were recruited using systematic random sampling method. Interviewer administered questionnaire was used to collect data and data was analyzed using Statistical Product and Service Solution version 23. The level of significance of analysis was set at p < 0.05.
Results: The study had 235 adults with a mean age of 45.1 ± 13.7years, with more females (63.0%) than males (37.0%). The prevalence of hypertension was 29% and 30.2% had prehypertension. Increasing age was significantly associated with hypertension, as hypertension occurred more in the elderly (p= <0.001). Also, hypertension occurred more in participants who were separated (71.4%) and widowed (62.5%) than those who were married. This was statistically significant. Obesity(p=0.002) and a positive family history (p=0.001) were significantly associated with increased risk of hypertension.
Conclusion: Increasing age, obesity and a positive family history were associated with increased risk of hypertension. There is need to educate the public on hypertension risk factors and to adopt healthy lifestyle practices to promote prevention and control of hypertension.
References
Chukwu CE, Ebuehi OA, Ajuluchukwu JN, O l a s h o r e A H . An t h r o p o m e tri c , sociodemographic and biochemical risk factors of hypertension in Lagos, Nigeria. Alexendria Journal of Medicine. 2021;57(1): 4 4 - 5 1 . d o i :10.1080/20905068.2021.1874626
Sharma P, Beria H, Gupta P, Manokaran S, Reddy M. Prevalence of hypertension and its associated risk factors. J. Pharm. Sci. & Res. 2019; 11(6): 2161-2167.
James M. Hypertension: Risk factors, prevention and management. J Hypertens (Los Angel). 2021; 10(6): 286-287.
Ayogu RN, Ezeh MG, Okafor AM. Prevalence and predictors of different patterns of hypertension among adults aged 20-60 years in rural communities of Southeast Nigeria: A cross-sectional study. Archives of Public Health. 2021; 79:210-221.
Sharma J, Mabhida S, Myers B, Apalata T, Nicol E, Benjeddou M et al. Prevalence of hypertension and its associated risk factors in a rural black population of Mthatha town, South Africa. Int. J. Environ. Res. Public Health. 2021; 18: 1215-1232.
Adeke AS, Chori BS, Neupane D, Sharman JE, Odili AN. Sociodemographic and lifestyle factors associated with hypertension in Nigeria: results from a country-wide survey. Journal of Human Hypertension. 2022; 1: 1-
Hhtps://doi.org/10.1038/s41371-022-00673-1
Ajayi IO, Soyannwo MA, Asinobi AO, Afolabi NB, Ayede AI, Bamgboye EA. Blood pressure pattern and hypertension related risk factors in an urban community in Southwest Nigeria: the Mokola hypertension initiative project, Ibadan, Nigeria. J. Public Health Epidemiol. 2017;9(4):51-64.
Abdulsalam S, Olugbenga-Bello A, Olarewaju O, Abdus-Salam I. Sociodemographic correlates of modifiable risk factors for hypertension in a rural local government area of Oyo state South West Nigeria. International Journal of Hypertension. 2014; http://dx.doi.org/10.1155/2014/842028.
Ibekwe RU. Modifiable risk factors of hypertension and sociodemographic profile in Oghara, Delta state; prevalence and correlates. Ann Med Health Sci Res. 2015; 5:71-77.
Mamdouh H, Alnakhi W, Hussain H, Ibrahim G, Hussein A, Mahmoud I et al. Prevalence and associated risk factors of hypertension and prehypertension among the adult population: findings from the Dubai household survey, 2019. BMC Cardiovascular Disorders. 2022; 22: 18-26.
Leung A, Bushnik T, Hennessey D, McAlister F, Manuel D. Risk factors for hypertension in Canada. Health Reports. 2019; 30(2): 3-13.
Abdulsalam S, Olugbenga-Bello A, Olarewaju O, Abdus-salam I. Sociodemographic correlates of modifiable risk factors for
hypertension in a rural local government area of Oyo state South West Nigeria. International Journal of Hypertension. 2014. https://dx.doi.org/10.1155/2014/842028
Araoye MO. Subject selection. In: Parakoyi B, editor. Research methodology with statistics nd for health and social sciences. 2 Ed. Ilorin: Nathadex publishers; 2004.115-129.
Lugo-Mata AR, Urich-Landeta AS, Andrades-Perez AL, Leon-Dugarte MJ, Marcano-Acevedo LA, Guillen MH. Factors associated with the level of knowledge about hypertension in primary care patients. Medicina Universitaria. 2017; 19(77): 184-188.
Ochei O, Aigbe FI, Utake OE, Olamide O, Oluonye HC, Onike C et al. Systemic hypertension among adults in a periurban community in Delta state Nigeria. Western Journal of Medical and Biomedical Sciences. 2 0 2 2 ; 3 ( 3 - 4 ) : 1 0 3 - 1 1 3 . d o i :
5281/zenodo.7749310
Dendup T, Tshering P, Dorji T. Risk factors associated with hypertension in Bhutan: Findings from the national health survey. Journal of Health Research. 2021; 35(6):540-552.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL et al. The seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure: the JNC 7 report. Jama. 2003; 289(19): 2560-72.
Noah SP, Etukumana EA, Udonwa N, Morgan UM. Prevalence of hypertension among patients attending the general outpatient clinics of a tertiary hospital in Uyo, South South Nigeria. Ibom Medical Journal. 2019; 12(1): 44-49.
Asemu MM, Yalew AW, Kabeta ND, Mekonnen D. Prevalence and risk factors of hypertension among adults: a community based study in Addis Ababa, Ethiopia. Public Library of Science. 2021;16(4): the0248934. Retrieved on 5 March, 2024.from: h t t p s: / / d o i . o r g / 1 0 . 1 3 7 1 /jour77nal.prone.07248934
Mamdouh H, Alnakhi W, Hussain H, Ibrahim G, Hussein A, Mahmoud I et al. Prevalence and associated risk factors ofhypertension
and pre-hypertension among the adult population: Findings from the Dubai household survey, 2019. BMC Cardiovascular Disorders. 2022; 22:18-27.
Singh S, Shankar R, Singh G. Prevalence and associated risk factors of hypertension: A cross-sectional study in urban Varanasi. International Journal of Hypertension. 2017. https://doi.org/10.1155/2017/5491838
Adeloye D, Owolabi E, Ojji D, Auta A, Dewan M, Olanrewaju T et al. Prevalence, awareness, treatment and control of hypertension in Nigeria in 1995 and 2020: A systematic analysis of current evidence. J Clin Hypertens. 2021; 23: 963-977.
Malik K, Adoubi K, Kouame J, Coulibaly M, Tiade M, Oga S et al. Prevalence and risks factors of prehypertension in Africa: A systematic review. Annals of Global Health. 2022; 88(1): 1-10.
Raimi T, Odusan O. Association of hypertension with generalized obesity in rural South-Western Nigeria. J Surg Med. 2020; 4(3): 177-181.
Olack B, Wabwire-Mangen F, Smeeth L, Montgomery J, Kiwanuka N. Risk factors of hypertension among adults aged 35-64 years living in an urban slum Nairobi, Kenya. BMC Public Health. 2015;15:1251-1260.
Thawornchaisit P, Looze F, Reid C, Seubsman S, Sleigh A, Thai Cohort Study Team. Health ris k f a c tors and the inc i d enc e of hypertension: 4-year prospective findings from a national cohort of 60,569 Thai open university students. BMJ Open. 2013; 3: e002826. doi: 10.1136/bmjopen-2013-002826
Banigbe BF, Itanyi IU, Ofili EO, Ogidi AG, Patel D, Ezeanolue EE. High prevalence of undiagnosed hypertension among men in North Central Nigeria: results from the healthy beginning initiative. Public Library of Science. 2020;15(11): e0242870. t h Retrieved on 5 March 2024 from: https://doi.org/10.1371/journal.prone.024 2870
Akintayo-Usman N, Usman S. Comparative analysis of ageing in Nigeria and United Kingdom using life course approach: The implication for the nursing profession in Nigeria. Pan African Medical Journal. 2021; 38(411). 10.1160/pamj.2021.38.411.22272
Sbarra DA, Law RW, Lee LA, Mason AE. Marital dissolution and blood pressure reactivity: Evidence for the specificity of emotional intrusion-hyperarousal and taskrated emotional difficulty. Psychosom Med. 2009;71(5):532-540. doi:10.1097/PSY.06013e3181a23eec
Ramezankhani A, Azizi F, Hadaegh F. Associations of marital status with diabetes, hypertension, cardiovascular disease and all cause mortality: A long term follow-up study. PLoS One. 2019; 14(4): e0215593. doi:10.1371/journal.pone.0215593
Tamuno-Opubo A, Stanley O, Amadi-Ikpa A, Enebeli S, Dimkpa M, Tamuno-Opubo S. Awareness of hypertension, risk factors and its complications among university lecturers in Rivers state, Nigeria. Journal of Medical
and Dental Science Research. 2023; 10(3): 01-09.
Jiang S, Lu W, Zong X, Ruan H, Liu Y. Obesity and hypertension(Review). Experimental and Therapeutic Medicine. 2016; 12: 2395-2399.
Shariq OA, McKenzie TJ. Obesity-related hypertension: A review of pathophysiology, management and the role of metabolic
surgery. Gland surg. 2020; 9(1): 80-93.
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