دورية أكاديمية

The trend in blood pressure and hypertension prevalence in the general population of South Kivu between 2012 and 2016: Results from two representative cross-sectional surveys-The Bukavu observational study.

التفاصيل البيبلوغرافية
العنوان: The trend in blood pressure and hypertension prevalence in the general population of South Kivu between 2012 and 2016: Results from two representative cross-sectional surveys-The Bukavu observational study.
المؤلفون: Katchunga PB; Observatory NCDs VLIR-UOS/UCB, Faculty of Medicine, Catholic University of Bukavu, Bukavu, South-Kivu Province, Democratic Republic of the Congo.; Cardiology, Department of Internal Medicine, Reference Provincial General Hospital of Bukavu, Bukavu, Democratic Republic of the Congo., Mirindi P; Observatory NCDs VLIR-UOS/UCB, Faculty of Medicine, Catholic University of Bukavu, Bukavu, South-Kivu Province, Democratic Republic of the Congo., Baleke A; Institut de Technique Médicale, Hôpital Général de Référence de Katana, Katana, Democratic Republic of Congo., Ntaburhe T; Institut de Technique Médicale, Hôpital Général de Référence de Katana, Katana, Democratic Republic of Congo., Twagirumukiza M; Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium., M'buyamba-Kabangu JR; University of Kinshasa, Kinshasa, Democratic Republic of Congo.
المصدر: PloS one [PLoS One] 2019 Aug 08; Vol. 14 (8), pp. e0219377. Date of Electronic Publication: 2019 Aug 08 (Print Publication: 2019).
نوع المنشور: Journal Article; Observational Study; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Blood Pressure Determination/*trends , Cardiovascular Diseases/*epidemiology , Hypertension/*epidemiology, Adult ; Africa South of the Sahara/epidemiology ; Age Factors ; Blood Pressure/physiology ; Cohort Studies ; Cross-Sectional Studies ; Democratic Republic of the Congo/epidemiology ; Female ; Humans ; Hypertension/physiopathology ; Male ; Middle Aged ; Obesity/epidemiology ; Prevalence ; Risk Factors ; Rural Population/statistics & numerical data ; Sex Factors
مستخلص: Objective: Data on blood pressure trends are scarce or unavailable in Sub-Saharan Africa in general and especially in the Democratic Republic of the Congo. This work addresses this gap by analyzing the dynamics in the prevalence and control of hypertension in a cohort of Congolese adults in South Kivu.
Methods: Two phases of data collection were conducted including a baseline at the beginning in 2012 and a follow up in 2016. The subjects were ≥ 18 years old living in urban (n = 4413) or rural areas (n = 6453). Hypertension was defined as a blood pressure ≥ 140/90 mmHg and/or taking antihypertensive medications. The crude prevalence of hypertension was age-adjusted to the WHO population.
Results: Between 2012 and 2016, there was a significant increase in blood pressure (+2.5/+1.4 mmHg; p = 0.001), age standardized prevalence of hypertension [19.0% vs. 18.0%; OR = 1.05 (1.02-1.08); p<0.0001], and obesity (7.9% to 9.8%; p<0.0001) as well as the proportion of subjects > 60 years old (8.8% to 11.3%; p<0.0001) and those with tachycardia (10.5% to 14.4%; p<0.0001). The number of subjects under treatment of hypertension were statistically non-significant [16.1% vs. 14.3%; p = 0.29), but the level of control of hypertension was significantly reduced by 32.4% in 2016 compared in 2012 (43.5% vs. 64.4%; p = 0.0008).
Conclusion: There was an increase in the prevalence of hypertension as well as cardiovascular-associated risk factors in the population. However, this trend did not increase for treated subjects with no improvements in the level of AHT control. Therefore, improved strategies for the prevention and management of non-communicable diseases are very important in Sub-Saharan Africa.
Competing Interests: The authors have declared that no competing interests exist.
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تواريخ الأحداث: Date Created: 20190809 Date Completed: 20200402 Latest Revision: 20200402
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC6687092
DOI: 10.1371/journal.pone.0219377
PMID: 31393877
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0219377