학술논문
Prevalence and predictors of hypertension among adults in Mbarara City, Western Uganda.
Document Type
Academic Journal
Author
Batte A; Child Health and Development Centre, College of Health Sciences, Makerere University Kampala, Kampala, Uganda.; Gyagenda JO; Nephrology Unit, Department of Medicine, 281437St Francis Hospital Nsambya Kampala, Kampala, Uganda.; Uganda Martyrs University School of Medicine, Kampala, Uganda.; Otwombe K; School of Public Health, Faculty of Health Sciences, 37708University of the Witwatersrand, Johannesburg, South Africa.; Perinatal HIV Research Unit, Faculty of Health Sciences, 37708University of the Witwatersrand, South Africa.; Muhindo R; Department of Internal Medicine, 108123Mbarara University of Science and Technology, Mbarara, Uganda.; Bagasha P; Department of Nephrology, 249321Mulago National Referral Hospital, Kampala, Uganda.; Kiggundu D; Department of Nephrology, 249321Mulago National Referral Hospital, Kampala, Uganda.; Aujo JC; Department of Nephrology, 249321Mulago National Referral Hospital, Kampala, Uganda.; Atuhe DM; Nephrology Unit, Department of Medicine, 281437St Francis Hospital Nsambya Kampala, Kampala, Uganda.; Kansiime G; Department of Nephrology, 249321Mulago National Referral Hospital, Kampala, Uganda.; Hussein R; 585443Case Hospital, Kampala, Uganda.; Namuyimbwa L; Department of Physiology, 323124Kabale University, Kabale, Uganda.; Mukasa SL; 585445Uganda Kidney Psychosocial Support Organization, Kampala, Uganda.; Kabuye A; 585443Case Hospital, Kampala, Uganda.; Mukasa J; 585446Health Life promotion Africa, Limited, Kampala, Uganda.; Sekasanvu E; 585439Panorama Medical Centre, Kampala, Uganda.; Kalyesubula R; Department of Physiology, 58589Makerere University College of Health Sciences, Kampala, Uganda.
Source
Publisher: Sage Publications Country of Publication: United States NLM ID: 101253019 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1745-9206 (Electronic) Linking ISSN: 17423953 NLM ISO Abbreviation: Chronic Illn Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: The study aim was to evaluate the prevalence and predictors of hypertension among an urban adult population in Mbarara city, Western Uganda.
Methods: We evaluated blood pressure measurements, social demographic and clinical parameters of adults living in Mbarara city, Uganda. These parameters were extracted from medical records of adults who participated in the Uganda World Kidney Day 2020 health screening activities. A total of 302 adults were evaluated for hypertension using the American College of Cardiology/American Heart Association 2017 (blood pressure threshold 130/80 mmHg) and International Society of Hypertension 2020 guidelines (threshold 140/90 mmHg).
Results: The mean age of the participants was 42.5 years (standard deviation: 15.1) and majority were male 195/302 (64.6%). Using American College of Cardiology/American Heart Association 2017 guidelines, 156/302 (51.7%) adults were newly diagnosed with hypertension compared to 68/302 (22.5%) newly diagnosed with hypertension using International Society of Hypertension 2020 guidelines. Only 23/302 (7.6%) were on treatment. Based on American College of Cardiology/American Heart Association 2017 guidelines, age ≥40 years and overweight/obesity were statistically significant predictors of hypertension (p < 0.05 for all) at multivariate analysis. Using the International Society of Hypertension 2020 guidelines, age ≥40 years predicted hypertension.
Discussion: The prevalence of hypertension is high among this urban adult population irrespective of the guidelines used, highlighting the need for hypertension prevention interventions.
Methods: We evaluated blood pressure measurements, social demographic and clinical parameters of adults living in Mbarara city, Uganda. These parameters were extracted from medical records of adults who participated in the Uganda World Kidney Day 2020 health screening activities. A total of 302 adults were evaluated for hypertension using the American College of Cardiology/American Heart Association 2017 (blood pressure threshold 130/80 mmHg) and International Society of Hypertension 2020 guidelines (threshold 140/90 mmHg).
Results: The mean age of the participants was 42.5 years (standard deviation: 15.1) and majority were male 195/302 (64.6%). Using American College of Cardiology/American Heart Association 2017 guidelines, 156/302 (51.7%) adults were newly diagnosed with hypertension compared to 68/302 (22.5%) newly diagnosed with hypertension using International Society of Hypertension 2020 guidelines. Only 23/302 (7.6%) were on treatment. Based on American College of Cardiology/American Heart Association 2017 guidelines, age ≥40 years and overweight/obesity were statistically significant predictors of hypertension (p < 0.05 for all) at multivariate analysis. Using the International Society of Hypertension 2020 guidelines, age ≥40 years predicted hypertension.
Discussion: The prevalence of hypertension is high among this urban adult population irrespective of the guidelines used, highlighting the need for hypertension prevention interventions.