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.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 African Journal of Tropical Medicine and Biomedical Research
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
COPYRIGHT LICENSE
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0
International Public License
Section 1 -- Definitions.
a. Adapted Material means material subject to Copyright and Similar Rights that is derived from or based upon the Licensed Material and in which the Licensed Material is translated, altered, arranged, transformed, or otherwise modified in a manner requiring permission under the Copyright and Similar Rights held by the Licensor. For purposes of this Public License, where the Licensed Material is a musical work, performance, or sound recording, Adapted Material is always produced where the Licensed Material is synched in timed relation with a moving image.
b. Copyright and Similar Rights means copyright and/or similar rights closely related to copyright including, without limitation, performance, broadcast, sound recording, and Sui Generis Database Rights, without regard to how the rights are labeled or categorized. For purposes of this Public License, the rights specified in Section 2(b)(1)-(2) are not Copyright and Similar Rights.
c. Effective Technological Measures means those measures that, in the absence of proper authority, may not be circumvented under laws fulfilling obligations under Article 11 of the WIPO Copyright Treaty adopted on December 20, 1996, and/or similar international agreements.
d. Exceptions and Limitations means fair use, fair dealing, and/or any other exception or limitation to Copyright and Similar Rights that applies to Your use of the Licensed Material.
e. Licensed Material means the artistic or literary work, database, or other material to which the Licensor applied this Public License.
f. Licensed Rights means the rights granted to You subject to the terms and conditions of this Public License, which are limited to all Copyright and Similar Rights that apply to Your use of the Licensed Material and that the Licensor has authority to license.
g. Licensor means the individual(s) or entity(ies) granting rights under this Public License.
h. NonCommercial means not primarily intended for or directed towards commercial advantage or monetary compensation. For purposes of this Public License, the exchange of the Licensed Material for other material subject to Copyright and Similar Rights by digital file-sharing or similar means is NonCommercial provided there is no payment of monetary compensation in connection with the exchange.
i. Share means to provide material to the public by any means or process that requires permission under the Licensed Rights, such as reproduction, public display, public performance, distribution, dissemination, communication, or importation, and to make material available to the public including in ways that members of the public may access the material from a place and at a time individually chosen by them.
j. Sui Generis Database Rights means rights other than copyright resulting from Directive 96/9/EC of the European Parliament and of the Council of 11 March 1996 on the legal protection of databases, as amended and/or succeeded, as well as other essentially equivalent rights anywhere in the world.
k. You means the individual or entity exercising the Licensed Rights under this Public License. Your has a corresponding meaning.
Section 2 -- Scope.
a. License grant.
- Subject to the terms and conditions of this Public License, the Licensor hereby grants You a worldwide, royalty-free, non-sublicensable, non-exclusive, irrevocable license to exercise the Licensed Rights in the Licensed Material to:
a. reproduce and Share the Licensed Material, in whole or in part, for NonCommercial purposes only; and
b. produce and reproduce, but not Share, Adapted Material for NonCommercial purposes only.
-
Exceptions and Limitations. For the avoidance of doubt, where Exceptions and Limitations apply to Your use, this Public License does not apply, and You do not need to comply with its terms and conditions.
-
Term. The term of this Public License is specified in Section 6(a).
-
Media and formats; technical modifications allowed. The Licensor authorizes You to exercise the Licensed Rights in all media and formats whether now known or hereafter created, and to make technical modifications necessary to do so. The Licensor waives and/or agrees not to assert any right or authority to forbid You from making technical modifications necessary to exercise the Licensed Rights, including technical modifications necessary to circumvent Effective Technological Measures. For purposes of this Public License, simply making modifications authorized by this Section 2(a)(4) never produces Adapted Material.
-
Downstream recipients.
a. Offer from the Licensor -- Licensed Material. Every recipient of the Licensed Material automatically receives an offer from the Licensor to exercise the Licensed Rights under the terms and conditions of this Public License.
b. No downstream restrictions. You may not offer or impose any additional or different terms or conditions on, or apply any Effective Technological Measures to, the Licensed Material if doing so restricts exercise of the Licensed Rights by any recipient of the Licensed Material.
- No endorsement. Nothing in this Public License constitutes or may be construed as permission to assert or imply that You are, or that Your use of the Licensed Material is, connected with, or sponsored, endorsed, or granted official status by, the Licensor or others designated to receive attribution as provided in Section 3(a)(1)(A)(i).
b. Other rights.
-
Moral rights, such as the right of integrity, are not licensed under this Public License, nor are publicity, privacy, and/or other similar personality rights; however, to the extent possible, the Licensor waives and/or agrees not to assert any such rights held by the Licensor to the limited extent necessary to allow You to exercise the Licensed Rights, but not otherwise.
-
Patent and trademark rights are not licensed under this Public License.
-
To the extent possible, the Licensor waives any right to collect royalties from You for the exercise of the Licensed Rights, whether directly or through a collecting society under any voluntary or waivable statutory or compulsory licensing scheme. In all other cases the Licensor expressly reserves any right to collect such royalties, including when the Licensed Material is used other than for NonCommercial purposes.
Section 3 -- License Conditions.
Your exercise of the Licensed Rights is expressly made subject to the following conditions.
a. Attribution.
- If You Share the Licensed Material, You must:
a. retain the following if it is supplied by the Licensor with the Licensed Material:
i. identification of the creator(s) of the Licensed Material and any others designated to receive attribution, in any reasonable manner requested by the Licensor (including by pseudonym if designated);
ii. a copyright notice;
iii. a notice that refers to this Public License;
iv. a notice that refers to the disclaimer of warranties;
v. a URI or hyperlink to the Licensed Material to the extent reasonably practicable;
b. indicate if You modified the Licensed Material and retain an indication of any previous modifications; and
c. indicate the Licensed Material is licensed under this Public License, and include the text of, or the URI or hyperlink to, this Public License.
For the avoidance of doubt, You do not have permission under this Public License to Share Adapted Material.
-
You may satisfy the conditions in Section 3(a)(1) in any reasonable manner based on the medium, means, and context in which You Share the Licensed Material. For example, it may be reasonable to satisfy the conditions by providing a URI or hyperlink to a resource that includes the required information.
-
If requested by the Licensor, You must remove any of the information required by Section 3(a)(1)(A) to the extent reasonably practicable.
Section 4 -- Sui Generis Database Rights.
Where the Licensed Rights include Sui Generis Database Rights that apply to Your use of the Licensed Material:
a. for the avoidance of doubt, Section 2(a)(1) grants You the right to extract, reuse, reproduce, and Share all or a substantial portion of the contents of the database for NonCommercial purposes only and provided You do not Share Adapted Material;
b. if You include all or a substantial portion of the database contents in a database in which You have Sui Generis Database Rights, then the database in which You have Sui Generis Database Rights (but not its individual contents) is Adapted Material; and
c. You must comply with the conditions in Section 3(a) if You Share all or a substantial portion of the contents of the database.
For the avoidance of doubt, this Section 4 supplements and does not replace Your obligations under this Public License where the Licensed Rights include other Copyright and Similar Rights.
Section 5 -- Disclaimer of Warranties and Limitation of Liability.
a. UNLESS OTHERWISE SEPARATELY UNDERTAKEN BY THE LICENSOR, TO THE EXTENT POSSIBLE, THE LICENSOR OFFERS THE LICENSED MATERIAL AS-IS AND AS-AVAILABLE, AND MAKES NO REPRESENTATIONS OR WARRANTIES OF ANY KIND CONCERNING THE LICENSED MATERIAL, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHER. THIS INCLUDES, WITHOUT LIMITATION, WARRANTIES OF TITLE, MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, ABSENCE OF LATENT OR OTHER DEFECTS, ACCURACY, OR THE PRESENCE OR ABSENCE OF ERRORS, WHETHER OR NOT KNOWN OR DISCOVERABLE. WHERE DISCLAIMERS OF WARRANTIES ARE NOT ALLOWED IN FULL OR IN PART, THIS DISCLAIMER MAY NOT APPLY TO YOU.
b. TO THE EXTENT POSSIBLE, IN NO EVENT WILL THE LICENSOR BE LIABLE TO YOU ON ANY LEGAL THEORY (INCLUDING, WITHOUT LIMITATION, NEGLIGENCE) OR OTHERWISE FOR ANY DIRECT, SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL, PUNITIVE, EXEMPLARY, OR OTHER LOSSES, COSTS, EXPENSES, OR DAMAGES ARISING OUT OF THIS PUBLIC LICENSE OR USE OF THE LICENSED MATERIAL, EVEN IF THE LICENSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSSES, COSTS, EXPENSES, OR DAMAGES. WHERE A LIMITATION OF LIABILITY IS NOT ALLOWED IN FULL OR IN PART, THIS LIMITATION MAY NOT APPLY TO YOU.
c. The disclaimer of warranties and
limitation of liability provided above shall be interpreted in a manner that, to the extent possible, most closely approximates an absolute disclaimer and waiver of all liability.
Section 6 -- Term and Termination.
a. This Public License applies for the term of the Copyright and Similar Rights licensed here. However, if You fail to comply with this Public License, then Your rights under this Public License terminate automatically.
b. Where Your right to use the Licensed Material has terminated under Section 6(a), it reinstates:
-
automatically as of the date the violation is cured, provided it is cured within 30 days of Your discovery of the violation; or
-
upon express reinstatement by the Licensor.
For the avoidance of doubt, this Section 6(b) does not affect any right the Licensor may have to seek remedies for Your violations of this Public License.
c. For the avoidance of doubt, the Licensor may also offer the Licensed Material under separate terms or conditions or stop distributing the Licensed Material at any time; however, doing so will not terminate this Public License.
d. Sections 1, 5, 6, 7, and 8 survive termination of this Public License.
Section 7 -- Other Terms and Conditions.
a. The Licensor shall not be bound by any additional or different terms or conditions communicated by You unless expressly agreed.
b. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this Public License.
Section 8 -- Interpretation.
a. For the avoidance of doubt, this Public License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this Public License.
b. To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions.
c. No term or condition of this Public License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor.
d. Nothing in this Public License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.