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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Hypertension in the adult Congolese population of Southern Kivu: Results of the Vitaraa Study
Presse Medicale, Volume 40, No. 6, Year 2011
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Description
Objective: To assess the prevalence of cardiovascular risk factors in adult urban and rural Congolese subjects. Methods: We obtained anthropometric data and information on life habits and medical history in 699 people ≥ 20. years, 444 in an urban, 255 in a rural setting. We determined the body mass index and recorded two blood pressure measurements that were averaged for analysis. Hypertension was BP ≥ 140/90. mmHg, awareness and/or use of antihypertensive treatment. Diabetes mellitus was self-reported diagnosis or a casual glycemia ≥ 200. mg/dL. We assessed the probability of hypertension in stepwise multiple logistic analysis, and awareness, and control of hypertension. Results: We found higher (P< 0.001) prevalence in the urban than the rural subjects for hypertension (41.4% vs 38.1%), diabetes (4.9% vs 3.2%), overweight/obesity (37.6% vs 16.5%), abdominal obesity (30.9% vs 12.9%), use of alcohol (45% vs 17.6%) and smoking (11.6% vs 1.2%). Hypertension was associated (P< 0.,05) to aging in 51.3%, overweight/obesity in 54.5%, diabetes in 69%, abdominal obesity in 63.8%, low physical activity in 42.4%, to stress in urban environment in 43.2% and professional position (executives: 53.2%, workers: 38.6%). Of these hypertensive subjects, 57.5% were unaware, 30.5% were treated, with control achieved in only 13.6% (17.4% women vs 6.9% men; P< 0.01). In the logistic model, the probability of hypertension increased with age (OR for age > 55. years: 2.35; P< 0.001), overweight/obesity (2.22; P< 0.001) and diabetes mellitus (2.67; P< 0.05). Conclusions: Our results indicate a heavy burden of uncontrolled risk factors in the Congolese population the potential complications of which run at a high mortality rate. They highlight the need for reasonable prevention measures at the population level. © 2011.
Authors & Co-Authors
Katchunga, Philippe Bianga
Congo
Hôpital Général Provincial de Référence
Democratic Republic Congo, Bukavu
Université Catholique de Bukavu
Masumbuko, B.
Unknown Affiliation
Lemogoum, Daniel
Belgium, Brussels
Hôpital Erasme
Cameroon, Douala
Fondation Camerounaise du Cœur
Kashongwe, Zacharie Munogolo
Congo
Hôpital Général Provincial de Référence
Democratic Republic Congo, Bukavu
Université Catholique de Bukavu
Degaute, Jean Paul
Belgium, Brussels
Hôpital Erasme
Cameroon, Douala
Fondation Camerounaise du Cœur
Kabinda, Jeff Maotela
Democratic Republic Congo, Bukavu
Université Catholique de Bukavu
M'Buyamba-Kabangu, Jean René
Democratic Republic Congo, Kinshasa
Clinique Universitaire de Kinshasa
Statistics
Citations: 57
Authors: 7
Affiliations: 5
Identifiers
Doi:
10.1016/j.lpm.2010.10.036
ISSN:
07554982
e-ISSN:
07554982
Research Areas
Noncommunicable Diseases
Substance Abuse
Study Design
Cross Sectional Study
Participants Gender
Male
Female