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Pre-hypertension in Uganda: a cross-sectional study

BACKGROUND: Persons with a systolic blood pressure (BP) of 120 to < 140 or diastolic BP of 80 to < 90 mm hg are classified as having pre-hypertension. Pre-hypertension is associated with cardiovascular disease (CVD) risk factors, incident CVD and CVD mortality. Understanding determinants of pr...

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Autores principales: Nuwaha, Fred, Musinguzi, Geofrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3833647/
https://www.ncbi.nlm.nih.gov/pubmed/24228945
http://dx.doi.org/10.1186/1471-2261-13-101
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author Nuwaha, Fred
Musinguzi, Geofrey
author_facet Nuwaha, Fred
Musinguzi, Geofrey
author_sort Nuwaha, Fred
collection PubMed
description BACKGROUND: Persons with a systolic blood pressure (BP) of 120 to < 140 or diastolic BP of 80 to < 90 mm hg are classified as having pre-hypertension. Pre-hypertension is associated with cardiovascular disease (CVD) risk factors, incident CVD and CVD mortality. Understanding determinants of pre-hypertension especially in low income countries is a pre-requisite for improved prevention and control. METHODS: Data were analyzed for 4142 persons aged 18 years and older with BP measured in a community cross sectional survey in Uganda. The prevalence of pre-hypertension was estimated and a number of risk factors e.g. smoking, use of alcohol, overweight, obesity, physical activity, sex, age, marital status, place of residence, and consumption of vegetables and fruits were compared among different groups (normotension, pre-hypertension, and hypertension) using bivariate and multivariable logistic regression. RESULTS: The age standardized prevalence of normal blood pressure was 37.6%, pre-hypertension 33.9%, hypertension 28.5% and raised blood pressure 62%. There was no difference between the prevalence of hypertension among women compared to men (28.9% versus 27.9%). However, the prevalence of pre-hypertension was higher among men (41.6%) compared to women (29.4%). Compared to people with normal blood pressure, the risk of pre-hypertension was increased by being 40 years and above, smoking, consumption of alcohol, not being married, being male and being overweight or obese. Compared to pre-hypertension, hypertension was more likely if one was more than 40 years, had infrequent or no physical activity, resided in an urban area, and was obese or overweight. CONCLUSIONS: More than one in three of adults in this population had pre-hypertension. Preventive and public health interventions that reduce the prevalence of raised blood pressure need to be implemented.
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spelling pubmed-38336472013-11-20 Pre-hypertension in Uganda: a cross-sectional study Nuwaha, Fred Musinguzi, Geofrey BMC Cardiovasc Disord Research Article BACKGROUND: Persons with a systolic blood pressure (BP) of 120 to < 140 or diastolic BP of 80 to < 90 mm hg are classified as having pre-hypertension. Pre-hypertension is associated with cardiovascular disease (CVD) risk factors, incident CVD and CVD mortality. Understanding determinants of pre-hypertension especially in low income countries is a pre-requisite for improved prevention and control. METHODS: Data were analyzed for 4142 persons aged 18 years and older with BP measured in a community cross sectional survey in Uganda. The prevalence of pre-hypertension was estimated and a number of risk factors e.g. smoking, use of alcohol, overweight, obesity, physical activity, sex, age, marital status, place of residence, and consumption of vegetables and fruits were compared among different groups (normotension, pre-hypertension, and hypertension) using bivariate and multivariable logistic regression. RESULTS: The age standardized prevalence of normal blood pressure was 37.6%, pre-hypertension 33.9%, hypertension 28.5% and raised blood pressure 62%. There was no difference between the prevalence of hypertension among women compared to men (28.9% versus 27.9%). However, the prevalence of pre-hypertension was higher among men (41.6%) compared to women (29.4%). Compared to people with normal blood pressure, the risk of pre-hypertension was increased by being 40 years and above, smoking, consumption of alcohol, not being married, being male and being overweight or obese. Compared to pre-hypertension, hypertension was more likely if one was more than 40 years, had infrequent or no physical activity, resided in an urban area, and was obese or overweight. CONCLUSIONS: More than one in three of adults in this population had pre-hypertension. Preventive and public health interventions that reduce the prevalence of raised blood pressure need to be implemented. BioMed Central 2013-11-14 /pmc/articles/PMC3833647/ /pubmed/24228945 http://dx.doi.org/10.1186/1471-2261-13-101 Text en Copyright © 2013 Nuwaha and Musinguzi; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Nuwaha, Fred
Musinguzi, Geofrey
Pre-hypertension in Uganda: a cross-sectional study
title Pre-hypertension in Uganda: a cross-sectional study
title_full Pre-hypertension in Uganda: a cross-sectional study
title_fullStr Pre-hypertension in Uganda: a cross-sectional study
title_full_unstemmed Pre-hypertension in Uganda: a cross-sectional study
title_short Pre-hypertension in Uganda: a cross-sectional study
title_sort pre-hypertension in uganda: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3833647/
https://www.ncbi.nlm.nih.gov/pubmed/24228945
http://dx.doi.org/10.1186/1471-2261-13-101
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