Salt intake and blood pressure in Nigerian hypertensive patients

Olubodun, J.; Akingbade, O.A.; Abiola, Oduola

doi:10.1016/s0167-5273(96)02892-6

Cited by 7 publications

(4 citation statements)

References 24 publications

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“…Control of HTN was also influenced by the high sodium intake found in our study subjects. Increased sodium intake and a high-salt diet has been proven to be an important aspect in the prevalence of HTN in the Sudanese population 35-37…”

Section: Discussionmentioning

confidence: 99%

Awareness of hypertension and factors associated with uncontrolled hypertension in Sudanese adults : cardiovascular topic

Babiker¹,

Elkhalifa²,

Moukhyer³

2013

CVJA

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BackgroundThe incidence of hypertension (HTN) has increased rapidly in the Sudan in the last few years. The aim of this study was to determine the prevalence of uncontrolled HTN and the risk factors associated with it in Sudanese adults.MethodsThis study was cross sectional. Data were collected using structured questionnaires filled in during interviews with subjects visiting referral clinics in Khartoum, the capital city of Sudan. Blood pressure (BP) was measured using a digital sphygmomanometer. A digital balance was used for determination of body weight and a traditional cloth tape measure was used for measuring height, for calculation of body mass index.ResultsThis study included 200 subjects, 46% male and 54% female. In the whole study, 82% of subjects (p < 0.001) were on hypertension drug treatment. Of these, 64% had their BP controlled to normal standards set by the World Health Organistion (< 140/90 mmHg). The prevalence of uncontrolled BP was significantly (p < 0.001) higher in males (61%) compared to females (15%). When the risk factors of HTN were considered, 54% of the subjects had a positive family history of HTN and 52% were smokers. Uncontrolled BP was found to be significantly (p < 0.001) higher in smoking males (43%) compared to females (4%). It was also high in people with higher education (55%) and workers (41%). In these groups, when genders were considered separately, uncontrolled hypertension was significantly (p < 0.01) higher in males than females with higher education (67 and 40%, respectively), and in workers (86 and 10%, respectively). Uncontrolled HTN was associated with overweight and obesity in 45 and 29% of the subjects, respectively. Most of the interviewed subjects were not aware of the consequences of HTN and its associated risk factors.ConclusionsUncontrolled HTN was associated with risk factors of HTN and lifestyle, and was more prominent in the male gender. The ignorance of the interviewed subjects about HTN, its associated risk factors, changes in lifestyle and adherence to taking the medication may have been a major factor in the prevalence of uncontrolled HTN.

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Section: Discussionmentioning

confidence: 99%

Awareness of hypertension and factors associated with uncontrolled hypertension in Sudanese adults : cardiovascular topic

Babiker¹,

Elkhalifa²,

Moukhyer³

2013

CVJA

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“…Studies (36)(37)(38)(39) supporting the role of sodium in the genesis of hypertension have shown that there is a positive correlation between urinary sodium excretion and the arterial blood pressure. Salt intake is also a strong determinant of LV wall thickness and LV mass.…”

Section: Sexmentioning

confidence: 99%

Hypertensive heart disease in Africa

Aje

Adebiyi

Falase

2017

SAHJ

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There are few studies in Africa on blood pressure control.However, all the studies tended to show that blood pressure control in Africa is less than optimal. For example, in a study by Isezuo, et al. (10) 42.7% blood pressure control rate was achieved among hypertensives managed in a specialised health setting in Nigeria. Data from the United States (11) however revealed that advanced countries have not fared better as only 27% of hypertensives had good blood pressure control which was still far below the goal of 50%. In another study in Cape Town, South Africa, Rayner, et al. (12) found that only 39.8% of hypertensives achieved good blood pressure control rate, a fi gure which again was still less than optimal. LEFT VENTRICULAR HYPERTROPHYLeft ventricular hypertrophy (LVH) is the best studied marker of hypertensive heart disease.

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“…An earlier study in hypertensive Nigerians had shown that the higher the salt intake, the higher the BP in men. [34] These clearly imply that a well-planned campaign aimed at reducing the quantity of salt intake in this (and similar) population(s) may help in reducing morbidity and mortality from CVDs.…”

Section: Discussionmentioning

confidence: 98%