Epidemiological Trial of Hypertension in North Africa (ETHNA)

Nejjari, Chakib; Arharbi, M.; Chentir, Mohand-Tayeb; Boujnah, Rachid; Kemmou, O.; Megdiche, H.; Boulahrouf, F.; Messoussi, Karima; Nazek, Laila; Булатов, В. П.

doi:10.1097/hjh.0b013e32835a6611

Cited by 39 publications

(43 citation statements)

References 22 publications

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“…Hypertension (HT) is a silent disease that affects the cardiovascular system and settles down without pain and symptoms at the beginning; therefore, it is bad or late diagnosed (WHO 2012; Nejjari et al 2013). HT affects various organs and engenders grave affections; such as vascular cerebral accident and heart disorder (Nejjari et al 2013).…”

Section: Introductionmentioning

confidence: 99%

“…HT affects various organs and engenders grave affections; such as vascular cerebral accident and heart disorder (Nejjari et al 2013). When the hypertensive patients are bad treated or untreated, the disease reduces the flexibility of arteries, what favors the apparition of the cardiac insufficiency, angina pectoris, atherosclerosis, stroke cerebral, microvascular diseases of retina and glomerulus (UKPDS 1998; Cohuet and Struijker-Boudier 2006).…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the epidemiology of HT, its prevalence is very worrying; the recent report of the WHO (WHO 2012) shows that one of three adults in the world is affected by HT, more than 2 billion people, most of whom are not diagnosed (Nejjari et al 2013). In Africa, its prevalence exceeds 40% among adults in many countries often undiagnosed (Nejjari et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In Africa, its prevalence exceeds 40% among adults in many countries often undiagnosed (Nejjari et al 2013). At The Grand Maghreb, an international epidemiological, multicentric and transversal study conducted among patients who consult doctors in Algeria, Tunisia and Morocco, has reported an overall prevalence around 45.4% (Nejjari et al 2013). In 2000, the ministry of health in Morocco published a prevalence of HT around 33.6% (30.2% for men and 37.0% for women) among a population aged more than twenty years (Tazi et al 2003).…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of hypertension and its relationship with type 2 diabetes and obesity in eastern Morocco

et al. 2014

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The major objectives of this work are to estimate the hypertension (HT) frequency in the east of Morocco and to study the relationship between HT, type 2 diabetes and obesity. Our sample is composed of 1628 adults aged 40 years and older, recruited voluntarily by using the convenience sampling method through 26 screening campaigns in urban and rural areas of the east of Morocco. We enumerated 516 hypertensive people (31.7%), without significant difference between women (32.5%) and men (30.2%). The known hypertensive people represent 10.1% of the whole sample. The frequency of HT, increases with age and it is more marked in rural (39.9%) than in urban areas (29%) (p < 0.001). It is significantly very high in diabetic subjects (69.9%) than among the non-diabetic ones (27.4%) (p < 0.001). The odd ratio (OR) of the diabetics to HT is 6.16 (IC95% [4.33-8.74]). Among the obese persons, HT is present at (40.8%) vs. (30.2%) among the subjects of normal weight (p < 0.05). The OR of the obese to HT is 1.6 (IC95% [1.26 - 2.04]). In conclusion, our results show a high frequency of HT in the east of Morocco; it affects nearly one third of the adult population aged 40 years and older. The relations between type 2 diabetes and obesity have also been identified and estimated.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Epidemiology of hypertension and its relationship with type 2 diabetes and obesity in eastern Morocco

et al. 2014

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RETRACTED: Validation of the Aldosteronoma Resolution Score as a Predictive Resolution Score of Hypertension After Unilateral Adrenalectomy for Primary Aldosteronism in a North‐African Population

Saadi,

Bedoui,

Zaghbib

et al. 2023

World j. surg.

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Background Unilateral primary aldosteronism (UPA) is the most frequent surgically curable form of endocrine hypertension. Adrenalectomy is the cornerstone of treatment for UPA, but outcomes after surgery are variable. Aldosteronoma Resolution Score (ARS) is a four-item predictive score for the cure of hypertension after adrenalectomy for UPA and has been demonstrated to be valid in different populations. We aimed in this study to validate the accuracy of this score in a North-African population. Methods Between 2000 and 2021, the charts of 71 Tunisian patients who underwent laparoscopic adrenalectomy for UPA were retrospectively reviewed. Postoperative outcomes were assessed using the primary aldosteronism surgical outcome (PASO) criterion. The accuracy of the ARS was determined retrospectively by receiver operating characteristic curve and area under the curve. Results Thirty-four patients (48%) had complete clinical success according to the PASO criteria. Multivariate regression analysis revealed that the main determinants of complete clinical success were the absence of diabetes (OR: 5.205), a BMI \30 (OR: 4.930), a number of antihypertensive medications B2 (OR: 8.667), a plasma ARR [332 (OR: 4.554) and an ARS score C3 (OR: 2.056). Cure rates were, respectively, 21.1, 51.6, and 66.6% for patients with a score ARS 0-1, 2-3, and 4-5. The AUC of the ARS was 0.837. ConclusionThe ARS is a sufficiently predictive score in our North-African population. It may be used preoperatively to predict the outcome after adrenalectomy in these populations.

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Cardiometabolic risk in Algeria: past and present

Mammeri

Tebaibia

2019

Intern Emerg Med

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Epidemiological Trial of Hypertension in North Africa (ETHNA)

Abstract: This study suggests that the prevalence of hypertension in North Africa is high. Hypertension may also be underdiagnosed and ineffectively treated. Greater awareness and improved management of hypertension and cardiovascular risks are needed in this region.

Cited by 39 publications

References 22 publications

Epidemiology of hypertension and its relationship with type 2 diabetes and obesity in eastern Morocco

Epidemiology of hypertension and its relationship with type 2 diabetes and obesity in eastern Morocco

RETRACTED: Validation of the Aldosteronoma Resolution Score as a Predictive Resolution Score of Hypertension After Unilateral Adrenalectomy for Primary Aldosteronism in a North‐African Population

Cardiometabolic risk in Algeria: past and present

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