Hypertension in Tunisian adults attending primary care physicians (ETHNA-Tunisia)

Boujnah, Rachid; Nazek, Laila; Maalej, M; Achhab, Youness El; Nejjari, Chakib

doi:10.1016/j.ihj.2017.11.005

Cited by 15 publications

(16 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In fact, the national prevalence of hypertension was of 28.7% in 2016 21 . In line with these results, the ETHNA-Tunisia study conducted in the first line among 5802 participants highlighted a hypertension prevalence of 26.9% in men and 28.4% in women 27 . Otherwise, assessment of blood pressures in the visited healthcare facilities was the highest in patients with hypertension or diabetes.…”

Section: Discussionsupporting

confidence: 64%

See 1 more Smart Citation

Screening and health education practices related to cardiovascular risk factors among adults: results of a households survey in Sousse, Tunisia

Zammit

Belgacem

Ghammam

et al. 2022

Sci Rep

View full text Add to dashboard Cite

In Tunisia, despite the implementation of national strategies to prevent some of cardiovascular risk factors, these diseases still represent the leading cause of death. The current study aimed to determine the prevalence of cardiovascular risk factors and assess the screening and health education practices related to these factors among the adults of Sousse (Tunisia). A cross-sectional study was conducted in 1000 households in Sousse, Tunisia. To collect data, a team of trained medical doctors administered by interview a pre-tested questionnaire and performed blood pressure and anthropometric measures at the participants’ homes. In total, 1977 adults participated in the study. Their mean age was 39.8 (± 13.8) years. The Females/Males sex ratio was 1.5. Weight excess and lack of physical activity were found in 65.4% and 60.7% of participants. Screening for obesity and android obesity were reported by 36.6% and 5.7% of health services users. Advices from a healthcare professional to practice the recommended physical activity and eat healthily were reported by less than a third of these latter. Screening and health education practices related to cardiovascular risk factors should be reinforced in the Tunisian healthcare facilities. The implementation of multisectoral actions is necessary at the national level in order to obtain an environment that promotes a healthy lifestyle.

show abstract

Section: Discussionsupporting

confidence: 64%

“…Nonetheless, the national prevalence of diabetes was of 15.5% in 2016 21 . The ETHNA-Tunisia study showed a higher prevalence of 19.2% 27 . In the Eastern Mediterranean region, similar prevalences were stated in 2016 (16.2% in Egypt, 13.7% in Libya, and 12.4% in Morocco) 28 .…”

Section: Discussionmentioning

confidence: 94%

Screening and health education practices related to cardiovascular risk factors among adults: results of a households survey in Sousse, Tunisia

Zammit

Belgacem

Ghammam

et al. 2022

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Among these individuals with hypertension at consultation, 58.2% had a history of hypertension. In addition, when comparing Morocco to other countries of North Africa, Morocco had the lowest prevalence of hypertension among adults ≥ 18 years compared to Tunisia (47.4%) (14) and Algeria (49.5%) (unpublished data). This study showed also a rising overall prevalence of hypertension compared to the study of ministry of health in 2000 that indicates that the prevalence of hypertension in adults is 33.6% (9).…”

Section: Discussionmentioning

confidence: 99%

Prevalence, control and risk factors related to hypertension among Moroccan adults: a multicentre study

Achhab¹,

Nazek²,

Maalej³

et al. 2019

East Mediterr Health J

Self Cite

View full text Add to dashboard Cite

Background: Hypertension is a leading risk factor for mortality and morbidity. Aims: The objective of this study was to determine the prevalence and clinical profile of hypertension in a large sample of individuals in Morocco. Methods: This was a multicentre and cross-sectional study conducted on patients consulting primary care physicians in Morocco between 2008 and 2009. Data were collected via a medical examination and a questionnaire covering patient demographics, medical history and cardiovascular risk factors. Results: In total, 10 714 individuals attending primary care physicians participated in this study. Mean age was 49.6 ± 16.3 years. The total prevalence of hypertension was 39.8%. When adjusted for age and sex, the overall prevalence of hypertension was 26.6% (26.3% in men and 28.0% in women). Among patients with history of hypertension, 85.9% of patients were prescribed antihypertensive medication and/or lifestyle and dietary advice. Nevertheless, only 17.1% had controlled hypertension. Conclusions: This study suggests that the prevalence of hypertension in Morocco is high. Hypertension may also be underdiagnosed and ineffectively treated. Efforts to heighten public awareness and control of hypertension should be enhanced in the public primary care services.

show abstract

“…However North‐African population was not well represented in these cohorts. Nevertheless, the management of secondary hypertension in North African patients is challenging because of the higher frequency of essential hypertension and non‐adrenal secondary hypertension in these cohorts compared to other populations [17, 18].…”

Section: Introductionmentioning

confidence: 99%

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.

View full text Add to dashboard Cite

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.

show abstract

Hypertension in Tunisian adults attending primary care physicians (ETHNA-Tunisia)

Cited by 15 publications

References 18 publications

Screening and health education practices related to cardiovascular risk factors among adults: results of a households survey in Sousse, Tunisia

Screening and health education practices related to cardiovascular risk factors among adults: results of a households survey in Sousse, Tunisia

Prevalence, control and risk factors related to hypertension among Moroccan adults: a multicentre study

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

Contact Info

Product

Resources

About