Rufus Adesoji ADEDOYIN, Chidozie Emmanuel MBADA, Saidu Adamu ISMAİLA, Oluwole Taofeek AWOTİDEBE, Adewale Luqman OYEYEMİ, Rita Nkechi ATİVİE

Prevalence of cardiovascular risk factors in a low ıncome semi-urban community in the north-east Nigeria

AMAÇ: Diyetteki ve aktivite paternlerindeki değişim ile Batılı yaşama tarzına uyum, düşük gelirli ülkelerde kalp ve damar hastalıklarında risk artışı için suçlanmıştır. Bu çalışmada Kuzeydoğu Nijerya’da düşük gelirli yarı şehirli bir toplulukta değiştirilebilir kardiyovasküler risk faktörleri olarak prehipertansiyon, hipertansiyon, aşırı kilo ve şişmanlık (obezite) prevalansı araştırıldı. YÖNTEM: 20 yaş ve üzerinde 1004 erişkin çok aşamalı küme örnekleme tekniği kullanılarak çalışmaya dâhil edildi. Prehipertansiyon ve hipertansiyonun tanımı Dünya Sağlık Örgütü/ Uluslararası Hipertansiyon Derneğine göre yapıldı. Aşırı kilo ve şişmanlığı tanımlamak için Dünya Sağlık Örgütünün beden kitle indeksi (BMI) kesim noktaları kullanıldı. RESULTS: Katlılımcılarda ortalama yaş, BMI ve kan basıncı değerleri sırasıyla; 41,5 ± 13,5 yaş, 22,2 ± 3,73 kg/m2 ve 125/78 mmHg idi. Prehipertansiyon, hipertansiyon, aşırı kilo ve şişmanlık prevalansı sırasıyla %40,3, %25,2, %15,4 ve %3,8 idi. Şişman kişilere göre normal ve aşırı kilolularda hipertansiyon için Odds Ratio (95% Güven Aralığı) sırasıyla 2,75 (1,25–6.04) ve 1,62 (0,068–3,82) idi. SONUÇ: Çalışılan toplumda, prehipertansiyon, hipertansiyon sırayla en önemli kardiyovasküler risk faktörleriydi. Hipertansiyon için rölatif risk obezlerde normal kilolulara göre üç kat, aşırı kilolulara göre ise iki kattı.

Kuzeydoğu Nijerya’da düşük gelirli yarı şehirli toplumda kardiyovasküler risk faktörlerinin prevalansı

AIM: Adoption of western lifestyles with alterations in diet and activity patterns has been implicated in the increasing risks for cardiovascular disease in low income countries. This study investigated the prevalence of prehypertension, hypertension, overweight and obesity as modifiable cardiovascular risk factors in a low income semi-urban community in the Northeast Nigeria. METHOD: 1004 adults who were 20 years and older were recruited through a multi-stage cluster sampling technique. Definition of prehypertension and hypertension were based on the World Health Organization (WHO) /International Society of Hypertension guidelines while the WHO body mass index (BMI) cut-points were used to define overweight and obesity. RESULTS: The mean age, BMI and blood pressure of the participants were 41.5 ± 13.5 years, 22.2±3.73Kg/m2 and 125/78mmHg respectively. The prevalence of prehypertension, hypertension, overweight and obesity were 40.3, 25.2, 15.4 and 3.8% respectively. The Odds Ratio (95% Confidence Interval) for the hypertension among the obese persons compared with normal weight and overweight participants was 2.75 (1.25–6.04) and 1.62 (0.068–3.82) respectively. CONCLUSION: Prehypertension and hypertension sequentially were the most prevalent cardiovascular risk factors in the study population. The relative risk for hypertension among obese participants was about three times that of normal weight and about two times that of the overweight participants.

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