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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 15 - 23 (9page)
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Abstract Background: Hypertension is the major risk factor for cardiovascular diseases and prevalence rates are critical to understanding the burden and envisaging health service requirements and resource allocation. We aimed to provide an update of the current prevalence of hypertension and blood pressure profiles of adults in urban Nigeria. Methods: Cross sectional population-based survey in Lagos, Nigeria. Participants were selected using stratified multistage sampling. Relevant sections of the World Health Organization STEPwise approach to chronic disease risk factor surveillance were utilized for data collection. Blood pressures were categorized based on both the current American College of Cardiology/American Heart Association (ACC/AHA) 2017 guidelines and the pre-existing Joint National Committee on Hypertension 7 (JNC7) (2003) categories. Results: There were 5365 participants (51.8% female), age range of 16–92 years, and mean age ± SD 37.6 ± 13.1. The mean ± SD systolic and diastolic blood pressures were 126.8 ± 18.6 and 80.6 ± 13.2 respectively. There was significant correlation between both systolic and diastolic blood pressures and age (Pearson correlation 0.372 and 0.357 respectively and p = 0.000 in both instances). The prevalence of hypertension was 55.0% (3003) and 27.5% (1473) based on the ACC/AHA 2017 guideline and the JNC7 2003 guidelines respectively. Body mass index was positively correlated with systolic and diastolic BP (p = 0.000). Conclusions: Over half of the adult population in this major Nigerian city are classified to have hypertension by the recent guideline. There is an urgent need to develop and implement strategies for primordial prevention of hypertension (and obesity) and to restructure our healthcare delivery systems to adequately cater for the current and emerging hypertensive population.
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참고문헌 (32)
참고문헌 신청
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GBD 2016 Risk Factors Collaborators / 2017 / Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2016: a systematic analysis for the global burden of disease study 2016 / Lancet 390:1345~1422
Forouzanfar MH / 2017 / Global burden of hypertension and systolic blood pressure of at least 110 to 115mm hg, 1990-2015 / JAMA 317:165~182
Adeloye D / 2015 / An estimate of the prevalence of hypertension in Nigeria : a systematic review and meta-analysis / J Hypertens 33:230~242
UN General Assembly / Political declaration of the high-level meeting of the general assembly on the prevention and control of non-communicable diseases. A/66/L.1. Sept 16, 2011
GBD 2016 Risk Factors Collaborators / 2017 / Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2016: a systematic analysis for the global burden of disease study 2016 / Lancet 390:1345~1422
Forouzanfar MH / 2017 / Global burden of hypertension and systolic blood pressure of at least 110 to 115mm hg, 1990-2015 / JAMA 317:165~182
Adeloye D / 2015 / An estimate of the prevalence of hypertension in Nigeria : a systematic review and meta-analysis / J Hypertens 33:230~242
UN General Assembly / Political declaration of the high-level meeting of the general assembly on the prevention and control of non-communicable diseases. A/66/L.1. Sept 16, 2011
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