Clin Hypertens.  2019 ;25(1):7. 10.1186/s40885-019-0112-1.

Prevalence of hypertension and blood pressure profile amongst urban-dwelling adults in Nigeria: a comparative analysis based on recent guideline recommendations

• Okubadejo
• Ozoh OB
• Ojo OO
• Akinkugbe
• Odeniyi IA
• Adegoke O
• Bello BT
• Agabi OP

• KMID: 2468615
• DOI: http://doi.org/10.1186/s40885-019-0112-1

Abstract

BACKGROUND
Hypertension is the major risk factor for cardiovascular diseases and prevalence rates are critical to understanding the burden and envisaging health service requirements and resource allocation. We aimed to provide an update of the current prevalence of hypertension and blood pressure profiles of adults in urban Nigeria.
METHODS
Cross sectional population-based survey in Lagos, Nigeria. Participants were selected using stratified multistage sampling. Relevant sections of the World Health Organization STEPwise approach to chronic disease risk factor surveillance were utilized for data collection. Blood pressures were categorized based on both the current American College of Cardiology/American Heart Association (ACC/AHA) 2017 guidelines and the pre-existing Joint National Committee on Hypertension 7 (JNC7) (2003) categories.
RESULTS
There were 5365 participants (51.8% female), age range of 16-92"‰years, and mean age"‰±"‰SD 37.6"‰±"‰13.1. The mean"‰±"‰SD systolic and diastolic blood pressures were 126.8"‰±"‰18.6 and 80.6"‰±"‰13.2 respectively. There was significant correlation between both systolic and diastolic blood pressures and age (Pearson correlation 0.372 and 0.357 respectively and p ="‰0.000 in both instances). The prevalence of hypertension was 55.0% (3003) and 27.5% (1473) based on the ACC/AHA 2017 guideline and the JNC7 2003 guidelines respectively. Body mass index was positively correlated with systolic and diastolic BP (p"‰="‰0.000).
CONCLUSIONS
Over half of the adult population in this major Nigerian city are classified to have hypertension by the recent guideline. There is an urgent need to develop and implement strategies for primordial prevention of hypertension (and obesity) and to restructure our healthcare delivery systems to adequately cater for the current and emerging hypertensive population.

Keyword

Blood pressure; Hypertension; Prevalence; Nigeria

MeSH Terms

Adult*
Blood Pressure*
Body Mass Index
Cardiovascular Diseases
Chronic Disease
Data Collection
Delivery of Health Care
Health Services
Heart
Humans
Hypertension*
Joints
Nigeria*
Prevalence*
Primary Prevention
Resource Allocation
Risk Factors
World Health Organization