학술논문

The impact of dietary and lifestyle interventions on blood pressure management in sub-Saharan Africa: a systematic review and metanalysis
Document Type
article
Source
Journal of Hypertension. 41(6)
Subject
Neurosciences
Prevention
Nutrition
Hypertension
Clinical Trials and Supportive Activities
Cardiovascular
Clinical Research
Cancer
Good Health and Well Being
Male
Humans
Middle Aged
Female
Blood Pressure
Sodium Chloride
Dietary
Ethanol
Diet
Life Style
diet
hypertension
interventions
lifestyle
sub-Saharan Africa
Cardiorespiratory Medicine and Haematology
Clinical Sciences
Medical Physiology
Cardiovascular System & Hematology
Language
Abstract
ObjectivesCurrent literature is lacking a comprehensive review of data on dietary interventions in blood pressure (BP) management in sub-Saharan African countries. We assessed the association of dietary and other lifestyle interventions with BP-lowering effects in populations within sub-Saharan Africa.MethodsWe performed a systematic review and random-effects meta-analysis to determine the impact of dietary and lifestyle interventions on SBP and DBP in sub-Saharan Africa. We searched the MEDLINE, EMBASE, and Web of Science databases. We included intervention studies that were randomized and nonrandomized conducted in Africans residing in sub-Saharan Africa investigating diet and other lifestyle, physical activity, weight loss, tobacco, and alcohol cessation modifications. We determined the effect of diet and other lifestyle interventions on SBP and DBP. We expressed effect size as weighted mean difference and 95% confidence interval (CI).Main results: We identified six studies with a total of 1412 individuals, 38% males, mean age of 52.8 years (SD = 11.5). The weighted mean difference of dietary and other lifestyle interventions on SBP and DBP was -7.33 mmHg, (95% CI: -9.90 to -4.76, P