Role of Hypertension as a Major Risk Factor of Stroke in Africa; Libya: Community Based Survey

Shambesh, Mohamed; Emahbes, Taher; Saleh, Zeinab; Elosta, M. A. A.; Shambesh, Iman

doi:10.9734/bjmmr/2015/18897

Cited by 5 publications

(5 citation statements)

References 40 publications

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“…In China, the prevalence of hypertension increased from 15.6% in 1991 to 20.9% in 2011 [2]. In addition, hypertension is a major risk factor for cardiovascular diseases [3] and stroke [4], and it requires lifelong medication [5], which is associated with heavy socio-economic burdens on individuals and health systems.…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life of Hypertension Patients: A Population-Based Cross-Sectional Study in Chongqing, China

Xiao

Zhang

Nan-zi

et al. 2019

IJERPH

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Purpose: Hypertension is a major risk factor for cardiovascular diseases and stroke, and it requires lifelong medication. This study aimed to investigate the factors impacting on Health-Related Quality of Life (HRQoL) among hypertensive patients in Chongqing, China, and to provide evidence-based strategies to improve their HRQoL. Methods: This cross-sectional survey was conducted in Chongqing, China. Of 600 randomly selected patients, 586 patients agreed to participate and 567 patients completed the survey. A SF-36 (Medical Outcomes Study (MOS) Short Form Health Survey questionnaire) that included eight domains: physical functioning, role limitations due to physical problems, body pain, general health, vitality, social function, role limitations due to emotional problems, and mental health was used to measure HRQoL. Linear regressions were used; each domain of HRQoL was measured in the stratification of sex. Results: Self-perceived relatively low economic burden caused by hypertension and regular physical activity had a positive impact on HRQoL (p < 0.05) for both men and women. For women, younger age was associated with higher scores of measuring physical functioning and body pain. Living with more than three family members had a positive impact on domains, including physical functioning. Emotional self-regulation had a positive association with women’s mental health. Alcohol use for men was associated with higher scores in physical and mental health measures, and emotional self-regulation showed some positive impact on general health. Conclusion: Perceived economic burden caused by hypertension was the most common factor impacting on patients’ HRQoL. Female patients were more susceptible when compared to male patients. Health intervention strategies need to be further explored and adapted to the context of improving HRQoL for patients who suffer from hypertension and other chronic non-communicable diseases.

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Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life of Hypertension Patients: A Population-Based Cross-Sectional Study in Chongqing, China

Xiao

Zhang

Nan-zi

et al. 2019

IJERPH

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“…While the overall incidence rates increased in Egypt, it happened more slowly after vs before 2010, which might imply that good primary prevention strategies were adopted and started to show their impact. Recent studies also confirmed the increased prevalence of stroke risk factors such as hypertension, high BMI and metabolic syndrome in Egypt [ 15 , 23 ] and Libya [ 33 ].…”

Section: Discussionmentioning

confidence: 78%

Burden of stroke in North Africa and Middle East, 1990 to 2019: a systematic analysis for the global burden of disease study 2019

et al. 2022

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Background While several studies investigated the epidemiology and burden of stroke in the North Africa and Middle East region, no study has comprehensively evaluated the age-standardized attributable burden to all stroke subtypes and their risk factors yet. Objective The aim of the present study is to explore the regional distribution of the burden of stroke, including ischemic stroke, subarachnoid hemorrhage, and intracerebral hemorrhage, and the attributable burden to its risk factors in 2019 among the 21 countries of North Africa and Middle East super-region. Methods The data of the Global Burden of Disease Study (GBD) 2019 on stroke incidence, prevalence, death, disability-adjusted life years (DALYs), years of life lost (YLLs), years lived with disability (YLDs) rates, and attributed deaths, DALYs, YLLs, and YLDs to stroke risk factors were used for the present study. Results The age-standardized deaths, DALYs, and YLLs rates were diminished statistically significant by 27.8, 32.0, and 35.1% from 1990 to 2019, respectively. Attributed deaths, DALYs, and YLLs to stroke risk factors, including high systolic blood pressure, high body-mass index, and high fasting plasma glucose shrank statistically significant by 24.9, 25.8, and 28.8%, respectively. Conclusion While the age-standardized stroke burden has reduced during these 30 years, it is still a concerning issue due to its increased burden in all-age numbers. Well-developed primary prevention, timely diagnosis and management of the stroke and its risk factors might be appreciated for further decreasing the burden of stroke and its risk factors and reaching Sustainable Development Goal 3.4 target for reducing premature mortality from non-communicable diseases.

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“…Regarding the risk factors for CAD, about one-third of the cases were diabetics and hypertension or were having both. As both diabetes mellitus and hypertension are prevalent diseases in our community, the tighter glycemic control of diabetics and targeting the high blood pressure will result in a reduction of the incidence and prevalence of CAD in the community [25][26][27] . So far, in men, smoking is one of the major risk factors for cardiovascular diseases causes and is a leading cause of death.…”

Section: (Which Was Not Certified By Peer Review) Preprintmentioning

confidence: 99%

Coronary Artery Disease (CAD) - risk factors and causes: In Libyan patients

Bheleel

Abdulhamid

Alhadi

et al. 2021

Preprint

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AimsCoronary artery disease (CAD) is the leading cause of death worldwide in both men and women. Accordingly, we retrospectively reviewed the effects of various risk factors on coronary angiographic outcomes.Methods and ResultsData were collected from the catheter lab through Tripoli university hospital records, whereas the team reviewed clinical data and coronary artery diagrams for one year from 01/04/2019 to 31/03/2020. In our study, the total number of cases was 666; 401 male and 265 female, ranging in age between 27 and 91 years. Considering the data, a significantly increased incidence of coronary artery disease (CAD) among the male who smokes, and who were less than 60 years of age. Furthermore, in the present study, the total number of normal patients was predominantly female. The most common risk factors for women were diabetes mellitus (DM), hypertension (HTN) (12%,13% respectively). While the men share the significant effects of smoking on coronary angiography (C. Angio) findings (40.52%), and most of them underwent a percutaneous coronary intervention (PCI).ConclusionsIn our study, there was evidence that CAD is a prevalent disease among the middle-aged populations with male gender preference. The risk factors including diabetes, hypertension, and smoking are the most contributing factors for the developing CAD in Libya.

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Role of Hypertension as a Major Risk Factor of Stroke in Africa; Libya: Community Based Survey

Cited by 5 publications

References 40 publications

Health-Related Quality of Life of Hypertension Patients: A Population-Based Cross-Sectional Study in Chongqing, China

Health-Related Quality of Life of Hypertension Patients: A Population-Based Cross-Sectional Study in Chongqing, China

Burden of stroke in North Africa and Middle East, 1990 to 2019: a systematic analysis for the global burden of disease study 2019

Coronary Artery Disease (CAD) - risk factors and causes: In Libyan patients

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