Prevalence and pattern of hypertension among elderly in Osun state, Nigeria

Authors

  • Bolaji Emmanuel Egbewale Department of Community Medicine, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Nigeria
  • Adesola Oyekunle Oyekale Department of Community Medicine Pathology, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Nigeria
  • Samuel Adeyinka Adedokun Department of Community Medicine, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Nigeria
  • Akeem Abiodun Akindele Department of Community Medicine, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Nigeria
  • Adebola Afolake Adejimi Department of Community Medicine, College of Health Sciences, Ladoke Akintola University of Technology, Ogbomoso, Nigeria

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20195448

Keywords:

Elderly, Hypertension, Pattern, Prevalence, Risk-factors

Abstract

Background: Hypertension is a major public health challenge worldwide. It is acknowledged as an important risk factor for cardiovascular morbidity and mortality, particularly among the elderly. This study aimed to investigate the prevalence and pattern of hypertension among the elderly in Osun state, Nigeria.

Methods: A descriptive cross-sectional design was used. The study involved 425 respondents aged 60 years and above selected randomly in five local government areas in Osun state. The blood pressure was measured (using a standardized Accoson® type pneumatic mercury sphygmomanometer); weight and height of the respondents were checked and recorded in mmHg, Kg and meters respectively. Data were presented using descriptive statistics, charts and frequency distribution table. Statistical association between categorical variables was assessed using Chi-square method at 5% level of significance.

Results: Prevalence of hypertension among elderly was 44.7%. Among other factors, respondents’ body mass index BMI was found significantly associated with hypertension, p=0.009. However, prevalence of hypertension was higher for respondents that were; rural dwellers, female, not living with spouse, without viable source of income and engaging in little or no physical activity compared to their counterparts. Respondent’s BMI and sex were also found to be statistically significantly associated, p=0.011.

Conclusions: Prevalence of hypertension was high among the elderly in this study. Health interventions aimed at reducing the diseases should encourage increased physical activities and incorporate financial empowerment schemes particularly for elderly women in rural settings. 

References

Akinyemi RO, Izzeldin IM, Dotchin C, Gray WK, Adeniji O, Seidi OA, et al. Contribution of noncommunicable diseases to medical admissions of elderly adults in Africa: a prospective, cross-sectional study in Nigeria, Sudan, and Tanzania. J Am Geriatr Soc. 2014;62(8):1460-6.

Lionakis N, Mendrinos D, Sanidas E, Favatas G, Georgopoulou M. Hypertension in the elderly. World J Cardiol. 2012;4(5):135-47.

Essouma M, Noubiap JJ, Bigna JJ, Nansseu JR, Jingi AM, Aminde LN, et al. Hypertension prevalence, incidence and risk factors among children and adolescents in Africa: a systematic review and meta-analysis protocol. BMJ Open. 2015;5(9):e008472.

Ugwuja EI, Ezenkwa US, Nwibo, AN, Ogbanshi M, Idoko O, Nnabu R. Prevalence and determinants of hypertension in an agrarian rural community in Southeast Nigeria. Ann Med Health Sci Res. 2015;5(1):45-9.

Adeloye D, Basquill C, Aderemi AV, Thompson JY, Obi FA. An estimate of the prevalence of hypertension in Nigeria: a systematic review and meta-analysis. J Hypertension, 2015;33(2):230-42.

Ekore RI, Ajayi IO, Arije A. Case finding for hypertension in young adult patients attending a missionary hospital in Nigeria. Afr Health Sci. 2009;9:193-9.

Oladapo OO, Salako L, Sodiq O, Shoyinka K, Adedapo K. A prevalence of cardiometabolic risk factors among a rural Yoruba south-western Nigerian population: a population-based survey. Cardiovasc J Afr. 2010;21:26-31.

Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. Chronic diseases 1: the burden and costs of chronic diseases in low-income and middle-income countries. Lancet. 2007;370:1929-38.

Ibrahim MM. Hypertension in developing countries: a major challenge for the future. Current hypertension reports, 2018;20(5):38.

MacKian S. A review of health seeking behaviour: problems and prospects. University of Manchester Health Systems Development Programme; 2003. Available at: http://r4d.dfid.gov.uk/pdf/ outputs/ healthsysdev_kp/05-03_health_seeking.pdf. Accessed on 17 April 2019.

Thompson AS, Anisimowicz, Aubrey-Bassler K. The influence of gender and other patient characteristics on health care-seeking behaviour: a QUALICOPC study. BMC Fam Pract. 2016;17:38.

Ajayi IO, Sowemimo IO, Akpa OM, Ossai NE. Prevalence of hypertension and associated factors among residents of Ibadan-North Local Government Area of Nigeria. Nigerian J Cardiol. 2018;13(1), 67.

World Health Organization (WHO). Global status report on noncommunicable diseases. Geneva, Switzerland: WHO; 2013.

Ezekwesili CN, Ononamadu CJ, Onyeukwu OF, Mefoh NC. Epidemiological survey of hypertension in Anambra state, Nigeria J Clin Pract; 2016.

Okpechi IG, Chukwuonye II, Tiffin N, Madukwe OO, Onyeonoro UU. Blood Pressure Gradients and Cardiovascular Risk Factors in Urban and Rural Populations in Abia State South Eastern Nigeria Using the WHO STEPwise Approach. PLoS ONE. 2013;8(9):e73403.

Ulasi II, Ijoma CK, Onodugo OD. A community-based study of hypertension and cardio-metabolic syndrome in semi-urban and rural communities in Nigeria. BMC Health Serv Res. 2010;10:71.

Okpara I, Utoo P, Bako I. Prevalence and awareness of hypertension amongst staff and students of a tertiary institution in Nigeria. Global Adv Res J Med Medical Sci.(GARJMMS) ISSN: 2315-5159, 2015;4(1):61-6.

Ige OK, Owoaje TE, Adebiyi OA. Non communicable disease and risky behaviour in an urban university community. Nigeria Afr Health Sci. 2013;13(1):62-7.

Onwuchekwa AC, Mezie-Okoye MM, Babatunde S. Prevalence of hypertension in Kegbara-Dere, a rural community in the Niger Delta region, Nigeria. Ethn Dis. 2012;22:340-6.

Akinlua JT, Meakin R, Umar AM, Freemantle N. Current Prevalence Pattern of Hypertension in Nigeria: A Systematic Review. PLOS ONE. 2015.

Canoy D, Cairns BJ, Balkwill A, Wright FL, Green J, Reeves G, et al. The Million Women Study Collaborators (2013) Body mass index and incident coronary heart disease in women: a population-based prospective study. BMC Med. 2013;11:87.

Logue J, Murray HM, Welsh P, Shepherd J, Packard C, Macfarlane P, et al. Obesity is associated with fatal coronary heart disease independently of traditional risk factors and deprivation. Heart. 2011;97:564-8.

McKee A, Morley JE. Obesity in the Elderly Bookshelf ID: NBK532533PMID: 30379513. 2018.

Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Houston Miller N, Hubbard VS. et al. 2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular RiskA Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Amn Collf Cardiol. 2014;63:25.

Ghaffari S, Pourafkari L, Tajlil A, Sahebihagh HM, Poorasl AM, Tabrizi JS, et al. The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran. J Cardiovasc Thorac Res. 2016;8(4).

Everard KM, Lach HW, Fisher EB, Baum MC. Relationship of activity and social support to the functional health of older adults. J Gerontol B Psychol Sci Soc Sci. 2000;55:S208-12.

Newsom JT, Schulz R. Social support as a mediator in the relation between functional status and quality of life in older adults. Psychol Aging. 1996;11:34-44.

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Published

2019-11-27

How to Cite

Egbewale, B. E., Oyekale, A. O., Adedokun, S. A., Akindele, A. A., & Adejimi, A. A. (2019). Prevalence and pattern of hypertension among elderly in Osun state, Nigeria. International Journal Of Community Medicine And Public Health, 6(12), 5081–5087. https://doi.org/10.18203/2394-6040.ijcmph20195448

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Original Research Articles