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Prevalence and Associated Factors of Hypertension among Adults living in the City of Bandundu, Republic Democratic Republic of the Congo: A Population-Based Cross-Sectional Study

DOI: 10.4236/oalib.1107303, PP. 1-14

Subject Areas: Public Health, Cardiology

Keywords: Hypertension, Prevalence, Associated Factors, Black Africans

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Abstract

Background and Aim: In limited resource settings, reliable epidemiological data generated from hypertension high risk geographical areas or people is a prerequisite for the planning of proven and effective interventions. The aim of the present survey was to assess the prevalence, awareness, control and factors associated with hypertension in adults living in the port City of Bandundu, located in the southwestern part of DRC. Methods: a cross-sectional survey using a modified WHO STEPwise questionnaire for data collection during face-to-face interviews were conducted from 1st May to 30th October 2018. A multistage cluster sampling method was used and inclusion criteria were age ≥18 years and informed consent. Information on demographic parameters, behavioral lifestyles, anthropometric and blood pressure (BP) measurements were obtained. Hypertension was defined as an average of two BP ≥140/90 mmHg or self-reported history of antihypertensive medication use. Independent factors associated with hypertension were identified using logistic regression analysis. Results: The prevalence of hypertension was 34.5% (Women 36.6%). Older age (p < 0.001), subclinical atherosclerosis (p = 0.021), sleep duration < 8 hours (p < 0.002), diabetes mellitus (p < 0.001), and obesity (p = 0.009) emerged as main cardiovascular risk factors associated with hypertension. Conclusion: Hypertension was characterized by a high prevalence, low rate of awareness and suboptimal BP control, high cardiovascular risk and associated sleep duration and obesity as modifiable risk factors.

Cite this paper

Ngakieb, F. M. , Natuhoyila, A. N. , Bompeka, F. L. , Bayauli, P. , Lubenga, Y. , Munsi, B. K. , Bakali, J. S. , Nsusu, T. N. , Kamuanga, Z. , Kolenziame, O. N. , Ngwala, P. L. , Kabangu, J. R. M. and Mbenza, B. L. (2021). Prevalence and Associated Factors of Hypertension among Adults living in the City of Bandundu, Republic Democratic Republic of the Congo: A Population-Based Cross-Sectional Study. Open Access Library Journal, 8, e7303. doi: http://dx.doi.org/10.4236/oalib.1107303.

References

[1]  Cooper, R.S., Amoah, A.G. and Mensah, G.A. (2003) High Blood Pressure: The Foundation for Epidemic Cardiovascular Disease in African Populations. Ethnicity & Disease, 13, S48-S52.
[2]  Kearney, P.M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P.K. and He, J. (2005) Global Burden of Hypertension: Analysis of Worldwide Data. The Lancet, 365, 217-223. https://doi.org/10.1016/S0140-6736(05)17741-1
[3]  Ataklte, F., Erqou, S., Kaptoge, S., Taye, B., Echouffo-Tcheugui, J.B. and Kengne, A.P. (2015) Burden of Undiagnosed Hypertension in Sub-Saharan Africa Novelty and Significance: A Systematic Review and Meta-Analysis. Hypertension, 65, 291-298. https://doi.org/10.1161/HYPERTENSIONAHA.114.04394
[4]  Ibrahim, M.M. and Damasceno, A. (2012) Hypertension in Developing Countries. The Lancet, 380, 611-619. https://doi.org/10.1016/S0140-6736(12)60861-7
[5]  Williams, B., Mancia, G., Spiering, W., et al. (2018) Guidelines for the Management of Arterial Hypertension. European Heart Journal, 39, 3021-3104. https://doi.org/10.1093/eurheartj/ehy339
[6]  Nicole Abel, N., Krysta, C.K., Navjot, J.N., Navjot, G., Elizabeth, G., Iris, H., et al. (2015) Eighth Joint National Committee (JNC-8) Guidelines and the Outpatient Management of Hypertension in the African-American Population. North American Journal of Medical Sciences, 7, 438-445. https://doi.org/10.4103/1947-2714.168669
[7]  World Health Organization (2016) The STEPS Instrument and Support Materials. http://www.who.int/chp/steps/instrument/en
[8]  Giezendanner, F.D. (2012) Taille d’un échantillon aléatoire et Marge d’erreur. CMS-SPIP. http://icp.ge.ch/sem/cms-spip/spip.php?article1641
[9]  World Health Organization (2009) Global Physical Activity Questionnaire (GPAQ): Nine Country Reliability and Validity Study. Journal of Physical Activity & Health, 6, 790-804. https://doi.org/10.1123/jpah.6.6.790
[10]  Katchunga, P.B., Mirindi, P., Baleke, P., Ntaburhe, T., Twagirumukiza, M. and M’Buyamba-Kabangu, J.R. (2019) The Trend in Blood Pressure and Hypertension Prevalence in the General Population of South Kivu between 2012 and 2016: Results from Two Representative Cross-Sectional Surveys—The Bukavu Observational Study. PLoS ONE, 14, e0219377. https://doi.org/10.1371/journal.pone.0219377
[11]  Kianu, B., Mpembele, E., Kintoki, E.V., Makulo, J.R., Kiazayawoko, F.Z., Manyebwa, K.J.D.D., et al. (2015) Rates of Hypertension Prevalence, Awareness, Treatment, and Control in Congolese South West Port City. The Influence of Gender According to Groups. Global Journal of Medical Research, 15, 1-8.
[12]  Neo, M.T., Lei, C., Gontse, T., Moagi, G., Tebogo, M., et al. (2020) Prevalence and Determinants of Hypertension Awareness, Treatment, and Control in Botswana: A Nationally Representative Population-Based Survey. International Journal of Hypertension, 41, 1-12.
[13]  Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (2003) Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care, 26, S5-S20. https://doi.org/10.2337/diacare.26.2007.S5
[14]  Gadallah, M., Abdel, S., Mohsen, A. and Kandil, S. (2018) Hypertension and Associated Cardiovascular Risk Factors among Urban Slum Dwellers in Egypt: A Population-Based Survey. Eastern Mediterranean Health Journal, 24, 435-442. https://doi.org/10.26719/2018.24.5.435
[15]  World Health Organization (WHO) (2000) The Problem of Overweight and Obesity: Preventing and Managing the Global Epidemic. Report Series 894, WHO, Geneva, 537.
[16]  Alberti, K.G., Zimmet, P. and Shaw (2006) Metabolic Syndrome—A New World-Wide Definition. A Consensus Statement from the International Diabetes Federation. Diabetic Medicine, 5, 469-480. https://doi.org/10.1111/j.1464-5491.2006.01858.x
[17]  Browning, L., Hsieh, S. and Ashwell, M. (2010) A Systematic Review of Waist-to-Height Ratio as a Screening Tool for the Prediction of Cardiovascular Disease and Diabetes: 0.5 Could Be a Suitable Global Boundary Value. Nutrition Research Reviews, 23, 247-269. https://doi.org/10.1017/S0954422410000144
[18]  Takeshi, K., laria, P., Maufroy, N., Jean Philippe, D., Isabelle, M., Fakher, N., et al. (2006) Arterial Hypertension and Arterial Pulse. MT Cardio, 2, 493-501.
[19]  Orth, S.R., Stockmann, A., Conradt, C., Ritz, E., Ferro, M., Kreusser, W., et al. (2008) Smoking as a Risk Factor for End-Stage Renal Failure in Men with Primary Renal Disease. Kidney International, 54, 926-931. https://doi.org/10.1046/j.1523-1755.1998.00067.x
[20]  Ministry of Heath and Ministry of Planification, Preliminary (2014) 2013-2014 Democratic Republic of the Congo Demographic and Health Survey (DHS).
[21]  Nansseu, J.R., Kameni, B.S., Assah, F.K., Bigna, J.J., Petnga, S.J., et al. (2019) Prevalence of Major Cardiovascular Disease Risk Factors among a Group of Sub-Saharan African Young Adults: A Population-Based Cross-Sectional Study in Yaoundé, Cameroon. BMJ Open, 9, e029858. https://doi.org/10.1136/bmjopen-2019-029858
[22]  Kimbally, E., Gombet, T., Bolanda, J.D., Woumbo, Y., Okili, B., Ellenga, M.B., et al. (2006) Prevalence of Hypertension artérielle in Brazzaville. Cardiologie Tropicale, 32: 43-46.
[23]  Nuwaha, F. and Musinguzi, G. (2013) Pre-Hypertension in Uganda: A Cross-Sectional Study. BMC Cardiovascular Disorders, 13, Article No. 101. https://doi.org/10.1186/1471-2261-13-101
[24]  Irazola, E.Z. (2016) Hypertension Prevalence, Awareness, Treatment, and Control in Selected Communities of Nine Low- and Middle-Income Countries: Results from the NHLBI/UHG Network of Centers of Excellence for Chronic Diseases. Global Heart, 11, 47-59. https://doi.org/10.1016/j.gheart.2015.12.008
[25]  Pedro, J.M., Brito, M. and Barros, H. (2018) Prevalence, Awareness, Treatment, and Control of Hypertension, Diabetes and Hypercholesterolemia among Adults in Dande Municipality, Angola. Cardiovascular Journal of Africa, 29, 73-81. https://doi.org/10.5830/CVJA-2017-047
[26]  Damasceno, A., Azevedo, A., Silva, M.C., Prista, A., Diogo, D. and Lunet, N. (2009) Hypertension Prevalence, Awareness, Treatment and Control in Mozambique. Journal of the American Heart Association, 54, 77-83. https://doi.org/10.1161/HYPERTENSIONAHA.109.132423
[27]  Owiredu, E.W., Dontoh, E., Essuman, S.E.S. and Bazanfara, B.B. (2019) Demographic and Lifestyle Predictors of Prehypertension: A Cross-Sectional Study among Apparently Healthy Adults in Kumasi, Ghana. BioMed Research International, 2019, Article ID: 1764079. https://doi.org/10.1155/2019/1764079
[28]  Guwatudde, D., Nankya-Mutyoba, J., Kalyesubula, R., Laurence, C., Adebamowo, C. and Ajayi, I.O. (2015) The Burden of Hypertension in Sub-Saharan Africa: A Four-Country Cross Sectional Study. BMC Public Health, 15, 1211. https://doi.org/10.1186/s12889-015-2546-z
[29]  Hendricks, M.E., Wit, F.W., Brewster, L.M. and Akande, T.M. (2012) Hypertension in Sub-Saharan Africa: Cross-Sectional Surveys in Four Rural and Urban Communities. PLoS ONE, 7, 32638-32648. https://doi.org/10.1371/journal.pone.0032638
[30]  Balde, M., Blade, N.M., Kaba, M.L., Diallo, I., Diallo, M.M., Kake, A., et al. (2006) Hypertension: Epidemiology and Metabolic Abnormalities in Foutah-Djallon in Guinea. Le Mali Medical, 21, 19-22.
[31]  Seck, S.M., Ndiaye, A., Thiam, I. and Gueye, L. (2014) Prevalence of Hypertension and Its Impact on Health’s Perception of Rural Populations: Cross-Sectional Study in the Northern Region of Senegal. CVJA, 1, 627-634. https://doi.org/10.13070/rs.fr.1.627
[32]  Steyn, N.P. and Mchiza, Z.J. (2014) Obesity and the Nutrition Transition in Sub-Saharan Africa. Annals of the New York Academy of Sciences, 1311, 88-101. https://doi.org/10.1111/nyas.12433
[33]  M’Buyamba-Kabangu, J.R., Fagard, R., Lijnen, P., Staessen, J. and Ditu, M.S. (1986) Epidemiological Study of Blood Pressure and Hypertension in a Sample of Urban Bantu of Zaïre. Journal of Hypertension, 4, 485-491. https://doi.org/10.1097/00004872-198608000-00015
[34]  Ifeoma Ulasi, I.I., Ijoma, C.K., Onyumbere, B.J.C., Arodiwe, E. and Onodugo, O. (2011) High Prevalence and Low Awareness of Hypertension in a Market Population in Enugu, Nigeria. International Journal of Hypertension, 26, 34-39. https://doi.org/10.4061/2011/869675
[35]  Odugbemi, T.O., Onajole, A.T. and Osibogun, A.O. (2012) Prevalence of Cardiovascular Risk Factors among Traders in an Urban Market in Lagos, Nigeria. Nigerian Postgraduate Medical Journal, 19, 1-6.
[36]  El Bakkay, S. and Bour, A. (2016) Obesity and Hypertension among Childbearing Women in Morocco. Anthropo, 36, 57-66. (In French)
[37]  Cherif, A. and Bouafia, M. (2016) Hypertension Characteristics among Postmenopausal Women at the District of Blida. Annales de Cardiologie et d’ngéiologie, 65, 146-151. (In French)
[38]  Plante, G.E. (2003) Impact of Aging on the Body’s Vascular System. Metabolism, 52, 31-35. https://doi.org/10.1016/S0026-0495(03)00299-3
[39]  Ramos, R., Marrugat, J., Basagaña, X., Sala, J., Masiá, R. and Elosua, R. (2004) The Role of Age in Cardiovascular Risk Factor Clustering in Non-Diabetic Population Free of Coronary Heart Disease. European Journal of Epidemiology, 19, 299-304. https://doi.org/10.1023/B:EJEP.0000024697.55346.c2
[40]  Nadkarni, G.N., Galarneau, G., Ellis, S.B., Nadukuru, R., Zhang, J., Scott, S.A., et al. (2017) Apolipoprotein L1 Variants and Blood Pressure Traits in African Americans. Journal of the American College of Cardiology, 69, 1564-1574. https://doi.org/10.1016/j.jacc.2017.01.040
[41]  Sumaili, E.K., Shemer, R., Kruzel-Davila, E., Cohen, E.P., Mutantu, P.N., Bukabau, J.B., et al. (2018) G1 Is the Major APOL 1 Risk Allele for Hypertension-Attributed Nephropathy in Central Africa. Clinical Kidney Journal, 12, 188-195. https://doi.org/10.1093/ckj/sfy073
[42]  Virdis, A., Giannarelli, C., Neves, M.F., Taddei, S. and Ghiadoni, L. (2010) Cigarette Smoking and Hypertension. Current Pharmaceutical Design, 16, 2518-2525. https://doi.org/10.2174/138161210792062920
[43]  Reaven, G.M., Lithell, H. and Landsberg, L. (1996) Hypertension and Associated Metabolic Abnormalities—The Role of Insulin Resistance and the Sympathoadrenal System. The New England Journal of Medicine, 334, 374-381. https://doi.org/10.1056/NEJM199602083340607

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