Prevalence of Undiagnosed Hypertension among the Hypertensives Living in the City of Boma. Republic Democratic Republic of the Congo

Nimi, Blaise Makoso; Bompeka, François Lepira; Mbenza, Benjamin Longo; Vangu, Roland Vangu; Longo, Gedeon Longo; Nkodila, Aliocha; Nimi, Memoria Makoso; Kalambayi, Patrick Kayembe; Buyamba-Kabangu, ean René M’

doi:10.38124/ijisrt20jun081

Cited by 2 publications

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“…Older age was associated with hypertension in the present study. Our observation is in agreement with the results of previous studies carried out in the DRC which found that advanced age as one of the main determinants of hypertension in Congolese environment [10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Discussionsupporting

confidence: 92%

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Association Between Clinical-biological Factors and Hypertension in the Urban-rural Population of Boma in the Democratic Republic of the Congo

Nimi¹,

Ngoma²,

Mbenza³

et al. 2021

SJCM

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Hypertension is the main preventable risk factor for cardiovascular disease. Knowledge and control of multiple risk factors for hypertension will reduce its prevalence, better management and therefore a reduction in the burden of disease. This study targeted other risk factors for high blood pressure in Boma, Democratic Republic of Congo. Methods: This was an analytical cross-sectional study. The study population consisted of individuals of the inhabitants of Boma aged at least 18 years living in rural and urban areas for at least one year. This study is a continuation of two previous studies. The sampling was randomized to several degrees which made it possible to select the neighborhoods, avenues, households and then adults to be examined. A total of 1,781 households were listed and 3,800 people were expected, but only 3,510 people were examined and whose blood samples were kept and biological analyzes are being carried out gradually. Data were analyzed using SPSS version 21 software for Windows. They were expressed in mean standard deviations (SD) for continuous variables and in frequencies (n) and percentages (%) for categorical variables. The percentages were compared using the chi-square test. Logistic regression was used to identify independent factors associated with hypertension. The threshold of statistical significance was set at a value of p <0.05. Results: Information from 252 first blood collection samples from Congolese adults living in Boma and over 18 years of age was included in this analysis. The mean age of the study participants was 40.9 ± 15.4 years, of which 71.4% were female. Tobacco, alcohol, diabetes mellitus, and physical inactivity were the most common histories. BMI (p = 0.001), TT (p = <0.001), TH (p = <0.001), TT/Height (p = 0.001) and Uric acid (p = <0.001) values were significantly higher in urban areas than rural. In multivariate analysis, the probability of being associated with hypertension was almost times higher, respectively, AIP≥0.24 (p = 0.357) and Smoking (p = 0.693). It was almost 2 times higher, respectively, for Age≥50 years (p = 0.007), Physical inactivity (p = 0.015), Obesity (p = 0.103). It was nearly 4 times higher, respectively, for Uric Acid> 420 mg/dl (p = 0.001) and CRP> 3 mg/dl (p = 0.015). In the end, it was 10 times higher for Subclinical atherosclerosis (p = 0.001). Conclusion: The results revealed that high blood pressure has several modifiable risk factors such as CRP, uric acid and non-modifiable.

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Section: Discussionsupporting

confidence: 92%

“…In the Democratic Republic of Congo (DRC), hypertension, considered rare or even non-existent in the general population in 1960 [10], has currently reached a prevalence of around 40% in both urban and rural areas [11][12][13][14][15][16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Association Between Clinical-biological Factors and Hypertension in the Urban-rural Population of Boma in the Democratic Republic of the Congo

Nimi¹,

Ngoma²,

Mbenza³

et al. 2021

SJCM

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“…In the Democratic Republic of the Congo (DRC), then nationwide prevalence of hypertension, in studies conducted in some urban and rural areas have reported a prevalence of hypertension ranging from 30% to 40% [9,[12][13][14][15][16].…”

Section: Introdutionmentioning

confidence: 99%

Blood Pressure and Control Factor in Hypertensives Monitored at the Referral Hopsital in Boma. Democratic Repubic of the Congo

Nimi¹,

Phaka²,

Nlandu³

et al. 2020

IJISRT

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Uncontrolled hypertension remains a significant problem in daily clinical practice worldwide. Few data are available on blood pressure control in hospitals. The aim of this study was the frequency of uncontrolled hypertension and associated risk factors in hypertensive patients followed at the general referral hospital of Boma in the province of Kongo Central in the Democratic Republic of Congo From January 1 to May 31, 2019; we conducted a cross-sectional and descriptive study at the Boma reference hospital located in the southeast and 440 Km from Kinshasa, the capital of DR Congo. Included was any hypertensive patient aver 18 years and informed consent. Information on demographic parameters, behavioral lifestyles, anthropometric and biological (blood sugar, creatinine, urine strip and lipid profile ) and blood pressure (BP) measurements was obtained. Hypertension was defined as an average of two BP ≥ 140/90 mmHg. Independent factors associated with control hypertension were identified using logistic regression analysis. P<0.05 defined the level of statistical significance. The prevalence of uncontrolled hypertension was 62 % BP control was observed in 150 (38.0%) of 395 treated hypertensive participants mainly in men than women (68.3 vs 53.3 %; p=0.001). Age <60 years (p=0.005), no smoking ( p=0.047), no Central obesity (p=0.008), CKD ( stade 1 vs 2 ) (p=0.065) , and no hypercholesterolemia ( p= 0.014) emerged as associated with control hypertension. Uncontrolled hypertension was common in our hospitals.Therapeutic lifestyle changes and pharmacological treatment are necessary for hypertensive participants.

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Prevalence of Undiagnosed Hypertension among the Hypertensives Living in the City of Boma. Republic Democratic Republic of the Congo

Abstract: Undiagnosed and uncontrolled hypertension are responsible for several cardiovascular complications, particularly in countries with limited resources. The objective of this study was to assess the extent of undiagnosed hypertension in the adult hypertensive in Boma.

Cited by 2 publications

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Association Between Clinical-biological Factors and Hypertension in the Urban-rural Population of Boma in the Democratic Republic of the Congo

Association Between Clinical-biological Factors and Hypertension in the Urban-rural Population of Boma in the Democratic Republic of the Congo

Blood Pressure and Control Factor in Hypertensives Monitored at the Referral Hopsital in Boma. Democratic Repubic of the Congo

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