%0 Journal Article
%T Assessment of Cardiovascular Risk in Prehypertensive Subjects in Kisangani (DR Congo): An Analytical Cross-Sectional Study Using the ISH/WHO Score
%A Ossinga Bassandja
%A Kayembe Tshilumba
%A Batina Agasa
%J World Journal of Cardiovascular Diseases
%P 199-212
%@ 2164-5337
%D 2025
%I Scientific Research Publishing
%R 10.4236/wjcd.2025.154019
%X <b>Background:</b> Prehypertension (PHTN) is an emerging cardiovascular risk factor in sub-Saharan Africa. The aim of this study was to assess the overall cardiovascular risk in prehypertensive subjects in the city of Kisangani. <b>Methods:</b> An analytical cross-sectional study was conducted on 344 prehypertensive adults recruited by stratified random sampling. The 10-year cardiovascular risk was assessed using the ISH/WHO score. Descriptive and inferential analyses were performed to identify factors associated with elevated cardiovascular risk. <b>Results:</b> The prevalence of high cardiovascular risk (&#8805;20%) was 32.7%. Older age (AOR = 4.27; CI 95%: 2.59 - 7.06; p &lt; 0.001), male sex (AOR = 1.86; CI: 1.14 - 3.02; p = 0.013), smoking (AOR = 2.41; CI 95%: 1.44 - 4.08; p = 0.001), low physical activity (AOR = 1.75; CI: 1.08 - 2.86; p = 0.025), diabetes mellitus (AOR = 3.92; CI: 1.78 - 8.77; p = 0.001), dyslipidaemia (AOR = 2.15; CI 95%: 1.32 - 3.50; p = 0.002) and obesity (AOR = 2.76; CI 95%: 0.93 - 2.53; p = 0.005) have been independently associated with this elevated risk. <b>Conclusion:</b> A significant proportion of prehypertensives in Kisangani have a high cardiovascular risk, which underlines the need of adding global risk assessment into the management of prehypertensives and to develop targeted prevention strategies.
%K Assessment
%K Cardiovascular Risk Factor
%K Prehypertension
%K Adult
%K Kisangani
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=142238