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Screen detection and the WHO stepwise approach to the prevalence and risk factors of arterial hypertension in Kinshasa.

Abstract

BACKGROUND

The trend of hypertension and other risk factors of cardiovascular disease is changing because of epidemiological, demographic and nutritional transitions in sub-Saharan Africa.

OBJECTIVES

The aim of this study is to determine the prevalence and risk factors of arterial hypertension in the Kinshasa region, Democratic Republic of Congo (DRC).

DESIGN AND METHODS

Data were collected from random sample cross-sectional surveys of adult black Africans from Kinshasa, with the help of a structured questionnaire, physical examinations and blood samples, using the World Health Organisation (WHO) stepwise approach. Sex, age, place of residence (urban versus rural), psychosocial risk factors (socioeconomic status, stress), overweight status (BMI: 25-29.9 kg/m), general obesity (BMI: >or=30 kg/m), abdominal obesity (waist circumference: >or=94 cm) and diabetes mellitus were considered to be the potential risk factors for screen-detected hypertension.

RESULTS

The weighted prevalences of hypertension, diabetes mellitus, overweight status, general obesity and abdominal obesity were 15.2, 140.2, 13.5, 4.8 and 7.5%, respectively. Blood pressure and the proportion of participants with hypertension increased with age and BMI group in the population, for both men and women. Age, rural residence, low socioeconomic status, high socioeconomic status, general obesity and abdominal obesity were the risk factors for hypertension. Women aged 55 years and above had higher levels of blood pressure and hypertension than men.

CONCLUSION

Absolute levels of hypertension, all types of obesity and diabetes mellitus are high risk factors in the army camps and semiurban extension cities; general obesity and abdominal obesity are the risk factors for detectable hypertension. Effective control of general obesity and abdominal obesity and psychosocial strategies that target both semirural and urban areas of the Kinshasa region have the potential to prevent much premature cardiovascular disease.

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  • Authors+Show Affiliations

    ,

    Division of Cardiology, University of Kinshasa, Kinshasa, Democratic Republic of Congo. longombenza@yahoo.fr

    , , , , ,

    Source

    MeSH

    Adolescent
    Adult
    Age Factors
    Aged
    Blood Pressure
    Cardiovascular Diseases
    Cross-Sectional Studies
    Democratic Republic of the Congo
    Developing Countries
    Diabetes Complications
    Diabetes Mellitus
    Female
    Health Surveys
    Humans
    Hypertension
    Life Style
    Male
    Mass Screening
    Middle Aged
    Obesity
    Prevalence
    Residence Characteristics
    Risk Factors
    Sex Factors
    Socioeconomic Factors
    World Health Organization
    Young Adult

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    18830083

    Citation

    Longo-Mbenza, Benjamin, et al. "Screen Detection and the WHO Stepwise Approach to the Prevalence and Risk Factors of Arterial Hypertension in Kinshasa." European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, vol. 15, no. 5, 2008, pp. 503-8.
    Longo-Mbenza B, Ngoma DV, Nahimana D, et al. Screen detection and the WHO stepwise approach to the prevalence and risk factors of arterial hypertension in Kinshasa. Eur J Cardiovasc Prev Rehabil. 2008;15(5):503-8.
    Longo-Mbenza, B., Ngoma, D. V., Nahimana, D., Mayuku, D. M., Fuele, S. M., Ekwanzala, F., & Beya, C. (2008). Screen detection and the WHO stepwise approach to the prevalence and risk factors of arterial hypertension in Kinshasa. European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 15(5), pp. 503-8. doi:10.1097/HJR.0b013e3282f21640.
    Longo-Mbenza B, et al. Screen Detection and the WHO Stepwise Approach to the Prevalence and Risk Factors of Arterial Hypertension in Kinshasa. Eur J Cardiovasc Prev Rehabil. 2008;15(5):503-8. PubMed PMID: 18830083.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Screen detection and the WHO stepwise approach to the prevalence and risk factors of arterial hypertension in Kinshasa. AU - Longo-Mbenza,Benjamin, AU - Ngoma,Dieudonné Vangu, AU - Nahimana,Damien, AU - Mayuku,Dominique Mupepe, AU - Fuele,Simon Mbungu, AU - Ekwanzala,Florent, AU - Beya,Christian, PY - 2008/10/3/pubmed PY - 2009/1/10/medline PY - 2008/10/3/entrez SP - 503 EP - 8 JF - European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology JO - Eur J Cardiovasc Prev Rehabil VL - 15 IS - 5 N2 - BACKGROUND: The trend of hypertension and other risk factors of cardiovascular disease is changing because of epidemiological, demographic and nutritional transitions in sub-Saharan Africa. OBJECTIVES: The aim of this study is to determine the prevalence and risk factors of arterial hypertension in the Kinshasa region, Democratic Republic of Congo (DRC). DESIGN AND METHODS: Data were collected from random sample cross-sectional surveys of adult black Africans from Kinshasa, with the help of a structured questionnaire, physical examinations and blood samples, using the World Health Organisation (WHO) stepwise approach. Sex, age, place of residence (urban versus rural), psychosocial risk factors (socioeconomic status, stress), overweight status (BMI: 25-29.9 kg/m), general obesity (BMI: >or=30 kg/m), abdominal obesity (waist circumference: >or=94 cm) and diabetes mellitus were considered to be the potential risk factors for screen-detected hypertension. RESULTS: The weighted prevalences of hypertension, diabetes mellitus, overweight status, general obesity and abdominal obesity were 15.2, 140.2, 13.5, 4.8 and 7.5%, respectively. Blood pressure and the proportion of participants with hypertension increased with age and BMI group in the population, for both men and women. Age, rural residence, low socioeconomic status, high socioeconomic status, general obesity and abdominal obesity were the risk factors for hypertension. Women aged 55 years and above had higher levels of blood pressure and hypertension than men. CONCLUSION: Absolute levels of hypertension, all types of obesity and diabetes mellitus are high risk factors in the army camps and semiurban extension cities; general obesity and abdominal obesity are the risk factors for detectable hypertension. Effective control of general obesity and abdominal obesity and psychosocial strategies that target both semirural and urban areas of the Kinshasa region have the potential to prevent much premature cardiovascular disease. SN - 1741-8267 UR - https://www.unboundmedicine.com/medline/citation/18830083/Screen_detection_and_the_WHO_stepwise_approach_to_the_prevalence_and_risk_factors_of_arterial_hypertension_in_Kinshasa_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=18830083.ui DB - PRIME DP - Unbound Medicine ER -