دورية أكاديمية
Hypertension in sub-Saharan Africa: the current profile, recent advances, gaps, and priorities.
العنوان: | Hypertension in sub-Saharan Africa: the current profile, recent advances, gaps, and priorities. |
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المؤلفون: | Gafane-Matemane LF; Hypertension in Africa Research Team, North-West University, Potchefstroom, 2520, South Africa. lebo.gafane@nwu.ac.za.; SAMRC Research Unit for Hypertension and Cardiovascular Disease, North-West University, Potchefstroom, 2520, South Africa. lebo.gafane@nwu.ac.za., Craig A; SAMRC/Wits Developmental Pathways for Health Research Unit (DPHRU), University of the Witwatersrand, Soweto, 1864, South Africa., Kruger R; Hypertension in Africa Research Team, North-West University, Potchefstroom, 2520, South Africa.; SAMRC Research Unit for Hypertension and Cardiovascular Disease, North-West University, Potchefstroom, 2520, South Africa., Alaofin OS; Hypertension in Africa Research Team, North-West University, Potchefstroom, 2520, South Africa., Ware LJ; SAMRC/Wits Developmental Pathways for Health Research Unit (DPHRU), University of the Witwatersrand, Soweto, 1864, South Africa., Jones ESW; Division of Nephrology and Hypertension, Groote Schuur Hospital and Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa., Kengne AP; Non-Communicable Diseases Research Unit, South African Medical Research Council, Francie Van Zijl Dr, Parow Valley, Cape Town, 7501, South Africa.; Department of Biological and Environmental Sciences, Faculty of Natural Sciences, Walter Sisulu University, Mthatha, South Africa. |
المصدر: | Journal of human hypertension [J Hum Hypertens] 2024 May 02. Date of Electronic Publication: 2024 May 02. |
Publication Model: | Ahead of Print |
نوع المنشور: | Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 8811625 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5527 (Electronic) Linking ISSN: 09509240 NLM ISO Abbreviation: J Hum Hypertens Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2003->: London : Nature Publishing Group Original Publication: Houndmills, Basingstoke, Hampshire, UK : Scientific & Medical, Macmillan Press, c1987- |
مستخلص: | Recent global and regional reports consistently confirm the high and increasing prevalence of hypertension in sub-Saharan Africa (SSA), with poor detection, treatment, and control rates. This narrative review summarises the burden of hypertension in SSA and recent findings from community-based hypertension management strategies. We further outline prominent risk factors according to recent data and associated underlying mechanisms for hypertension development. An extensive review of literature showed that most countries have reported on the prevalence of hypertension during 2017-2023, despite limitations linked to the lack of nationally representative studies, heterogeneity of sampling and data collection methods. Task-shifting approaches that assign roles to model patients and community health workers reported improved linkage to healthcare services and adherence to medication, with inconsistent findings on blood pressure (BP)-lowering effects over time. The regularly reported risk factors include unhealthy diet, sedentary lifestyle, increased adiposity and underweight, ageing, level of education, and/or income as well as psychosocial factors. Newer data on the pathophysiological mechanisms leading to hypertension and potential areas of intervention are reported from children and adults and include, among others, salt-handling and volume overload, endothelial function, BP dipping patterns and the role of human immunodeficiency virus . To conclude, significant strides have been made in data reporting from SSA on the burden of hypertension in the region as well as biomarker research to improve understanding and identification of areas of intervention. However, gaps remain on linkage between knowledge generation, translation, and implementation research. Coordinated studies addressing both discovery science and public health are crucial to curb hypertension development and improve management in SSA. (© 2024. The Author(s).) |
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تواريخ الأحداث: | Date Created: 20240502 Latest Revision: 20240502 |
رمز التحديث: | 20240503 |
DOI: | 10.1038/s41371-024-00913-6 |
PMID: | 38698111 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1476-5527 |
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DOI: | 10.1038/s41371-024-00913-6 |