Blood pressure in the Congolese adult population of South Kivu, Democratic Republic of Congo: Preliminary results from the Bukavu Observ Cohort Study

Katchunga, Philippe Bianga; Twagirumukiza, Marc; Kluyskens, Y.; Kaishusha, David Salama; Baguma, Marius; Bapolisi, Achille; Cikomola, Justin Cirhuza; Ntabure, T.; Callens, Steven; MʼBuyamba-Kabangu, JR; Bortel, Lucas Van

doi:10.1016/j.respe.2015.07.044

Cited by 9 publications

(13 citation statements)

References 31 publications

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“…This lower age likely contributes to the low prevalence of hypertension found in their report. As reported in other studies, 7,10,17,29 gender was not signi cantly associated to elevated BP in our study. However, consistent with other studies, 25,31,32 advancing age was a signi cant predictor of elevated BP in this study.…”

Section: Participants' Characteristics In This Studysupporting

confidence: 85%

High Rates of Undiagnosed and Uncontrolled Hypertension Upon a Screening Campaign in Rural Rwanda: a Cross-sectional Study

Ntaganda¹,

Mugeni²,

Harerimana³

et al. 2021

Preprint

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Background: Hypertension remains the major risk factor for cardiovascular diseases (CVDs) worldwide with a prevalence and mortality in low- and middle-income countries (LMICs) among the highest. The early detection of hypertension risk factors is a crucial pillar for CVD prevention. Design and method: This cross-sectional study included 4284 subjects, mean age 46±16SD, 56.4% females and mean BMI 26.6±3.7 SD. Data were collected through a screening campaign in rural area of Kirehe District, Eastern of Rwanda, with the objective to characterize and examine the prevalence of elevated blood pressure (BP) and other CVD risk factors. An adapted tool from the World Health Organization STEPwise Approach was used for data collection. Elevated BP was defined as ≥140/90 mm/Hg and elevated blood glucose as blood glucose ≥100 mg/dl after a six-hours fast. Results: Of the sampled population, 21.2% (n=910) had an elevated BP at screening; BP was elevated among individuals not previously known to have HTN in 18.7% (n=752). Among individuals with a prior diagnosis of HTN, 62.2% (n=158 of 254) BP was uncontrolled. Age, weight, smoking, alcohol history and waist circumference were associated with BP in both univariate analyses and multivariate analysis. Conclusion: High rates of elevated BP identified through a health screening campaign in this Rwandan district were surprising given the rural characteristics of the district and relatively low population age. These data highlight the need to implement an adequate strategy for the prevention, diagnosis, and control of HTN that includes rural areas of Rwanda as part of a multicomponent strategy for CVD prevention.

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Section: Participants' Characteristics In This Studysupporting

confidence: 85%

High Rates of Undiagnosed and Uncontrolled Hypertension Upon a Screening Campaign in Rural Rwanda: a Cross-sectional Study

Ntaganda¹,

Mugeni²,

Harerimana³

et al. 2021

Preprint

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“…The reported rate of elevated BP in this study was also lower than the 27.7% reported by a workplace-screening program conducted in an urban Ethiopian setting [ 27 ]. Other studies from rural areas of Sub-Saharan Africa have reported variable rates of HTN prevalence that ranges from 5 to 52% [ 8 , 28 , 29 ]. Adeloye et al [ 23 ] had estimated hypertension pooled prevalence pooled in Africa at 26.1% (95% CI: 23.6–33.6).…”

Section: Discussionmentioning

confidence: 99%

High rates of undiagnosed and uncontrolled hypertension upon a screening campaign in rural Rwanda: a cross-sectional study

Ntaganda

Mugeni²,

Harerimana

et al. 2022

BMC Cardiovasc Disord

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Background Hypertension remains the major risk factor for cardiovascular diseases (CVDs) worldwide with a prevalence and mortality in low- and middle-income countries (LMICs) among the highest. The early detection of hypertension risk factors is a crucial pillar for CVD prevention. Design and method This cross-sectional study included 4284 subjects, mean age 46 ± 16SD, 56.4% females and mean BMI 26.6 ± 3.7 SD. Data were collected through a screening campaign in rural area of Kirehe District, Eastern of Rwanda, with the objective to characterize and examine the prevalence of elevated blood pressure (BP) and other CVD risk factors. An adapted tool from the World Health Organization STEPwise Approach was used for data collection. Elevated BP was defined as ≥ 140/90 mm/Hg and elevated blood glucose as blood glucose ≥ 100 mg/dL after a 6-h fast. Results Of the sampled population, 21.2% (n = 910) had an elevated BP at screening; BP was elevated among individuals not previously known to have HTN in 18.7% (n = 752). Among individuals with a prior diagnosis of HTN, 62.2% (n = 158 of 254) BP was uncontrolled. Age, weight, smoking, alcohol history and waist circumference were associated with BP in both univariate analyses and multivariate analysis. Conclusion High rates of elevated BP identified through a health screening campaign in this Rwandan district were surprising given the rural characteristics of the district and relatively low population age. These data highlight the need to implement an adequate strategy for the prevention, diagnosis, and control of HTN that includes rural areas of Rwanda as part of a multicomponent strategy for CVD prevention.

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“…At TFM, overweight (19.7%) and obesity (4.5%) prevalence among mine workers is much higher than those reported for the general population of the DRC. For example, in the South Kivu region, obesity rates only reach 3.5% [ 27 ]. In the city of Lubumbashi (DRC), a location approximately 180km from the TFM concession, obesity (13.3% in adult females) was significantly associated with urbanization [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of obesity, diabetes mellitus, hypertension and associated risk factors in a mining workforce, Democratic Republic of Congo

Mawaw¹,

Yav²,

Mukuku³

et al. 2017

Pan Afr Med J

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IntroductionThe burden of non-communicable diseases (NCDs) is increasing in low and middle-income countries (LMIC). According to the World Health Organization (WHO) the largest increase occurs in Africa. Obesity, diabetes mellitus and hypertension (ODH) are major risk factors for cardiovascular diseases, causing nearly 18 million deaths worldwide. Various risks associated with mining as an occupational activity are implicated in NCDs' occurrence. This study describes the baseline prevalence of ODH and associated risk factors in the workforce of Tenke Fungurume Mining (TFM), in southern Democratic Republic of Congo.MethodsA cross-sectional study was conducted on a sample of 2,749 employees' and contractor's occupational health examination files for 2010. Socio-demographic, occupational, medical, anthropometric and behavioral characteristics were collected and assessed. Disease status regards ODH was based on WHO criteria. A multivariate logistic regression model was used.ResultsOverall prevalence of ODH was 4.5%, 11.7%, and 18.2% respectively. Proportions of pre-ODH individuals were 19.7%, 16.5%, and 47.8% respectively. Prevalence of ODH increased with age, professional grade, nature of work, gender and reported alcohol use. Smoking 10 or more cigarettes per day increased risk of diabetes and hypertension, while decreasing obesity.ConclusionRates of ODH and associated risk factors are higher in the TFM workforce, than in the general DRC population. This is likely reflective of other mining sites in the country and region. It is evident that ODH are associated with various socio-demographic, occupational, anthropometric, biomedical and behavioral risk factors. A NCD prevention program and close monitoring of disease and risk factors trends are needed in this population.

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Blood pressure in the Congolese adult population of South Kivu, Democratic Republic of Congo: Preliminary results from the Bukavu Observ Cohort Study

Cited by 9 publications

References 31 publications

High Rates of Undiagnosed and Uncontrolled Hypertension Upon a Screening Campaign in Rural Rwanda: a Cross-sectional Study

High Rates of Undiagnosed and Uncontrolled Hypertension Upon a Screening Campaign in Rural Rwanda: a Cross-sectional Study

High rates of undiagnosed and uncontrolled hypertension upon a screening campaign in rural Rwanda: a cross-sectional study

Prevalence of obesity, diabetes mellitus, hypertension and associated risk factors in a mining workforce, Democratic Republic of Congo

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