Assessment of clinical profile among hypertensive patients, Meru, Kenya
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240255Keywords:
Clinical profile, Comorbidity, Hypertensive patients, Blood pressure control, KenyaAbstract
Background: Non-communicable diseases (NCDs) are the leading cause of global morbidity and mortality. Globally, more than 1.28 billion adults are hypertensive and in Kenya, 24% of adult population has elevated blood pressure and 56% of these have never been screened for hypertension. Assessment of clinical profile helps guide the management of hypertensive patients towards obtaining normal blood pressure levels. The aim of this study was to investigate the clinical profile of hypertensive patients at the Meru Teaching and Referral Hospital in Kenya.
Methods: A cross sectional survey was conducted and systematic random sampling was used to sample 75 hypertensive patients who participated in the study. The collected data were summarized using frequencies and percentages. Chi square was used to assess the relationship between the participants’ demographic characteristics, clinical profile and hypertension. Statistical significance was set at p≤0.05.
Results: The average mean age of the participants was 58.53 years and majority were female (52%). Thirty-three (33.3%) were overweight and 24% were obese. The mean body mass index (BMI) for both genders was 26.48±5.24, the mean waist-to-hip ratio (WHR) and waist circumference (WC) was 0.94 and 102.09 respectively with 85.3% of the participants having a substantially increased WHR. Diabetes was the most common comorbidity (70.73%). Of the five clinical profiles assessed (BMI, RBS, WHR, presence of comorbidities and drug used) only the presence of comorbidity was associated with BP levels χ2 (10.01,3), p=0.018.
Conclusions: Participants had high blood pressure, BMI, WHR and WC readings as well as several comorbidities.
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References
World Health Organization. Fact sheet: Non-communicable diseases. 2023. Available at: https://www.who.int/news-room/fact-sheets/detail/ noncommunicable-diseases. Accessed on 07 November 2023.
World Health Organization. Fact sheet: Cardiovascular diseases. 2021. Available at: https://www.who.int/news-room/fact-sheets/detail/ cardiovascular-diseases-(cvds). Accessed on 05 January 2023.
World Health Organization. Fact sheet: Hypertension. 2023. Available at: https://www.who. int/news-room/fact-sheets/detail/hypertension. Accessed on 07 November 2023.
Seyed M. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. Lancet. 2021;398(10304):957-80.
Kiber M, Wube M, Temesgen H, Woyraw W, Belay Y. Prevalence of hypertension and its associated factors among adults in Debre Markos town, Northwest Ethiopia: community based cross-sectional study. BMC Res Notes 2019;12(406):1-6.
Gouda H, Charlson F, Sorsdiahi K, Ahmadzada S, Ferrari A, Erskine H, et al. Burden of non-communicable diseases in sub-Saharan Africa,1990-2017: results from the global burden of disease study 2017. Lancet Global Health. 2019;7(10): e1375-87.
Agnieszka P, Weronika B, Andrzej P. Hypertension and Type 2 Diabetes: The Novel Treatment Possibilities. Int J Mol Sci. 2022;23(12):6500.
Temu T, Macharia P, Mtui J, Mwangi M, Ngungi P, Wanjalla C, et al. Obesity and risk for hypertension and diabetes among Kenyan adults Results from a national survey. Medicine. 2021;100(40):e27484.
Mogaka JN, Sharma M, Temu T, Masyuko S, Kinuthia J, Osoti A, et al. Prevalence and factors associated with hypertension among adults with and without HIV in Western Kenya. PLoS One. 2022;17(1):e0262400.
Shukri M, Mutua M, Wamai R, Wekesah F, Haregu T, Juma P, et al. Prevalence, awareness, treatment and control of hypertension and their determinants: results from a national survey in Kenya. BMC Public Health. 2018;18(1219):10-8.
World Health Organization. Fact sheet: Noncommunicable diseases. 2023. Available at: https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps/ instrument. Accessed on 21 November 2023.
James P, Oparil S, Carter B, Cushman W, Dennison- Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the eighth joint national committee (JNC 8). J Am Med Assoc. 2014;311(5):507-20.
World Health Organization. Fact sheet: Obesity and overweight. 2021. Available at: https://www.who.int/ news-room/fact-sheets/detail/obesity-and-overweight. Accessed on 07 November 2023.
World Health Organization. Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications. Report of a WHO Consultation. Part 1: Diagnosis and Classification of Diabetes Mellitus. Geneva. 1999;5-6.
World Health Organization. Waist Circumference and Waist – Hip Ratio: Report of a WHO Expert Consultation Geneva,8-11 December 2008. Geneva. 2011;5-20.
Hanif AA, Shamim AA, Hossain M, Hasan M, Khan S, Hossaine M, et al. Gender-¬specific prevalence and associated factors of hypertension among elderly Bangladeshi people: findings from a nationally representative cross-¬sectional survey. BMJ. 2021;11(1): e038326.
Ezzati M. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population- representative studies with 104 million participants. Lancet. 2021;398(10304):957-80.
Connelly P, Currie G, Delles C. Sex differences in the prevalence, outcomes and management of hypertension. Curr Hypertens Rep. 2022;24(6):185-92.
Sharma J, Mabhinda S, Myers B, Apalata T, Nicol E, Benjeddou M, et al. Prevalence of hypertension and its associated risks factors in a rural black population of Mthatha town, South Africa. Int J Env Res Public Health. 2021;18(3):1215.
Cheung B, Fei Y, Tsoi M. A 2020 vision of hypertension. Korean Circulation J. 2020;50(6):1-7.
Laurent S, Boutouyrie P. Arterial Stiffness and Hypertension in the Elderly. Front Cardiovasc Med. 2020;7:544302.
Shariq OA, McKenzie TJ. Obesity related hypertension: a review of pathophysiology, management, and the role of metabolic surgery. Gland Surg. 2020;9(1):80-93.
Jose A, Jayaraj P, Chethan G. Essential hypertension in young- association with waist and hip circumferences and BMI. Int Arch Integrated Med. 2020;7(2):89-93.
Ekoru K, Dourmatey A, Bentley A, Chen G, Zhou J, Shriner D, et al. Type 2 diabetes complications and comorbidity in Sub- Saharan Africans. EClin Med. 2019;16:30-41.
Moeuchy P, Wahoud M, Allam S, Chedid R, Karam W, Karam S. Hypertension related to obesity: pathogenesis, characteristics and factors for control. Int J Mol Sci. 2022;23(20):12305.
Jepkemoi G, Gichunge C, Masibo P. Determinants of adherence to dietary guidelines among type 2 diabetes mellitus patients at Moi Teaching and Referral Hospital Kenya. Afr J Food Agriculture Nutr Develop. 2021:21(3):17752-63.
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