Prevalence of cardiovascular risk factors in an urban area of Togo : a WHO STEPS-wise approach in Lome, Togo

Baragou, S; Djibril, Mohaman Awalou; Atta, Borgatia; Damorou, F; Pio, Machihudé; Balogou, Agnon Ayélola Koffi

doi:10.5830/cvja-2011-071

Cited by 25 publications

(17 citation statements)

References 6 publications

(16 reference statements)

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“…Strong female predominance (58.56%) was found in our study. Yaméogo et al and Baragou et al also found similar frequencies in their studies, 56.8% of the hypertensive patients in Burkina Faso [14] and 55.1% of the hypertensive population in urban population in Togo [15], respectively. This dominance could be a simple mass effect or reflect greater susceptibility of the female gender to hypertension among adults.…”

Section: Discussionsupporting

confidence: 68%

Renin-angiotensin system genes polymorphisms and essential hypertension in Burkina Faso, West Africa

Kologo¹,

Tchelougou²,

Karou³

et al. 2017

Archives of Cardiovascular Diseases Supplements

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Objective. This study aimed to investigate the association between three polymorphisms of renin-angiotensin system and the essential hypertension in the population of Burkina Faso. Methodology. This was a case-control study including 202 cases and 204 matched controls subjects. The polymorphisms were identified by a classical and a real-time PCR. Results. The AGT 235M/T and AT1R 1166A/C polymorphisms were not associated with the hypertension while the genotype frequencies of the ACE I/D polymorphism between patients and controls (DD: 66.83% and 35.78%, ID: 28.22% and 50.98%, II: 4.95% and 13.24%, resp.) were significantly different (p < 10 −4 ). The genotype DD of ACE gene (OR = 3.40, p < 0.0001), the increasing age (OR = 3.83, p < 0.0001), obesity (OR = 4.84, p < 0.0001), dyslipidemia (OR = 3.43, p = 0.021), and alcohol intake (OR = 2.76, p < 0.0001) were identified as the independent risk factors for hypertension by multinomial logistic regression. Conclusion. The DD genotype of the ACE gene is involved in susceptibility to hypertension. Further investigations are needed to better monitor and provide individualized care for hypertensive patients.

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Section: Discussionsupporting

confidence: 68%

Renin-angiotensin system genes polymorphisms and essential hypertension in Burkina Faso, West Africa

Kologo¹,

Tchelougou²,

Karou³

et al. 2017

Archives of Cardiovascular Diseases Supplements

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“…The proportion of screen-detected cases (reported in five studies) among those with diabetes ranged from 21.3% in rural Congo (Democratic Republic) to 90% in urban Senegal 12. Sex-specific prevalence was reported in seven studies, showing higher rates in men than women in three studies11 13 14 and the reverse in four others 10 12 15 16. Two studies provided urban versus rural comparisons in the same countries, both showing urban prevalence of diabetes about twice that observed in rural settings 17 18.…”

Section: Prevalence and Incidence Of Diabetes And Obesitymentioning

confidence: 96%

New insights on diabetes mellitus and obesity in Africa–Part 1: prevalence, pathogenesis and comorbidities

Kengne

Echouffo‐Tcheugui

Sobngwi

et al. 2013

Heart

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Evidence continues to accumulate on the rising burden of diabetes mellitus at a higher pace in Africa. In a series of two papers, we sought to summarise recent evidence on diabetes and obesity in Africa based on a systematic review of studies published between January 2002 and October 2012. This first paper on the prevalence, pathogenesis and comorbidities shows that the increase in diabetes prevalence has paralleled that of obesity in Africa. Recent surveys on diabetes and obesity have been largely suboptimal. Hence, the need for more representative and robust continent-wide prevalence figures, which may be somehow achieved through pooling of existing data. Prospective studies linking environmental risk factors to disease occurrence and outcomes remain scarce, and genetic factors for diabetes or obesity have not been extensively assessed. The health consequences of diabetes are manifold, and include a complex interaction with other conditions like HIV infection and sickle cell disease/trait.

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“…In many West African cities, more than 25 % of adults have hypertension (76,79) . This is the case, for example, with Ouagadougou (40·2 %) (64) , St Louis (46 %) (80) , Accra (54·6) % (73) , Dakar (27·5 %) (81) and Lome (26·6 %) (82) . The independent risk factors associated with hypertension from various studies include older age,…”

Section: Hypertensionmentioning

confidence: 97%

An overview of the nutrition transition in West Africa: implications for non-communicable diseases

Bosu

2014

Proc. Nutr. Soc.

107

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The nutrition landscape in West Africa has been dominated by the programmes to address undernutrition. However, with increasing urbanisation, technological developments and associated change in dietary patterns and physical activity, childhood and adult overweight, and obesity are becoming more prevalent. There is an evidence of increasing intake of dietary energy, fat, sugars and protein. There is low consumption of fruit and vegetables universally in West Africa. Overall, the foods consumed are predominantly traditional with the component major food groups within recommended levels. Most of the West African countries are at the early stages of nutrition transition but countries such as Cape Verde, Ghana and Senegal are at the latter stages. In the major cities of the region, children consume energy-dense foods such as candies, ice cream and sweetened beverages up to seven times as frequently as fruit and vegetables. Adult obesity rates have increased by 115 % in 15 years since 2004. In Ghana, the prevalence of overweight/obesity in women has increased from 12·8 % in 1993 to 29·9 % in 2008. In Accra, overweight/obesity in women has increased from 62·2 % in 2003 to 64·9 % in 2009. The age-standardised proportion of adults who engage in adequate levels of physical activity ranges from 46·8 % in Mali to 94·7 % in Benin. The lingering stunting in children and the rising overweight in adults have resulted to a dual burden of malnutrition affecting 16·2 % of mother-child pairs in Cotonou. The prevalence of hypertension has been increased and ranges from 17·6 % in Burkina Faso to 38·7 % in Cape Verde. The prevalence is higher in the cities: 40·2 % in Ougadougou, 46·0 % in St Louis and 54·6 % in Accra. The prevalence of diabetes ranges from 2·5 to 7·9 % but could be as high as 17·9 % in Dakar, Senegal. The consequences of nutrition transition are not only being felt by the persons in the high socioeconomic class, but also in cities such as Accra and Ouagadougou, where at least 19 % of adults from the poorest households are overweight and 19-28 % have hypertension. Concerted national action involving governments, partners, private sector and civil society is needed to re-orient health systems and build capacity to address the dual burden of malnutrition, to regulate the food and beverage industry and to encourage healthy eating throughout the life course.

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Prevalence of cardiovascular risk factors in an urban area of Togo : a WHO STEPS-wise approach in Lome, Togo

Cited by 25 publications

References 6 publications

Renin-angiotensin system genes polymorphisms and essential hypertension in Burkina Faso, West Africa

Renin-angiotensin system genes polymorphisms and essential hypertension in Burkina Faso, West Africa

New insights on diabetes mellitus and obesity in Africa–Part 1: prevalence, pathogenesis and comorbidities

An overview of the nutrition transition in West Africa: implications for non-communicable diseases

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