scholarly journals Prevalence and associated factors of elevated blood pressure in adolescents in schools in Lubumbashi, Democratic Republic of Congo

2021 ◽  
pp. 001-006
Author(s):  
Kakoma Placide Kambola ◽  
Muyumba Emmanuel Kiyana ◽  
Mukeng Clarence Kaut ◽  
Musung Jaques Mbaz ◽  
Banze Jeef Paul ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Associated Factors ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Republic Of Congo

scholarly journals Prevalence of Hypertension and Associated Factors in Lubumbashi City, Democratic Republic of Congo: A Community-Based Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Jacques Mbaz Musung ◽  
Placide Kambola Kakoma ◽  
Clarence Kaut Mukeng ◽  
Stéphane Lubamba Tshimanga ◽  
Jeef Paul Munkemena Banze ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Republic Of Congo ◽  
History Of ◽  
The Mean

Background. Hypertension is the leading cause of cardiovascular disease morbidity and mortality worldwide. Its struggle involves knowing its prevalence. Insufficient data on hypertension in adults in Lubumbashi, Democratic Republic of Congo (DRC), prompted the conduct of this study. The objectives were to determine the prevalence of hypertension and to identify the associated factors in adults in Lubumbashi. Methodology. A cross-sectional study was carried out among 6,708 adults from October 15th to November 24th, 2018, in Lubumbashi. Anthropometric data, lifestyle, and medical history were collected. Hypertension was defined when the mean of the last two blood pressure (BP) measurements was greater than or equal for systolic (SBP) at 140 mmHg and for diastolic (DBP) at 90 mmHg or a history of taking antihypertensive medication whatever the value of the BP. Logistic regression was used to identify the relative effects of hypertension risk factors and all statistical tests were declared significant at a p value <0.05. Results. The female participants numbered 4479 (66.8%). The mean age of all participants was 47.9 ± 16.5 years. The mean SBP and DBP were 128.4 ± 25.9 mmHg and 79.1 ± 15.3 mmHg, respectively. The overall prevalence of hypertension was 33.6%. This prevalence was statistically higher in women than in men (34.5% vs. 31.7%; p = 0.024 ). After logistic regression, the risk of hypertension increased with age >50 years (aOR = 5.85 [5.19–6.60]), overweight (aOR = 1.25 [1.11–1.41]), obesity (aOR = 1.25 [1.11–1.41]), central obesity (aOR = 1.37 [1.16–1.61]), diabetes mellitus (aOR = 2.19 [1.63–2.95]), alcohol consumption (aOR = 1.21 [1.05–1.39]), nonconsumption of vegetables (aOR = 1.35 [1.02–1.80]), and history of stroke (aOR = 2.57 [1.88–3.51]). Hypertension was inversely associated with being underweight (aOR = 0.68 [0.53–0.87]). Conclusion. The prevalence of hypertension in the city of Lubumbashi is high as in other cities of the DRC and Africa. This situation requires the implementation of prevention, detection, and treatment programs for hypertension.

scholarly journals Oscillometric blood pressure by age and height for non overweight children and adolescents in Lubumbashi, Democratic Republic of Congo

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Emmanuel Kiyana Muyumba ◽  
Dophra Ngoy Nkulu ◽  
Clarence Kaut Mukeng ◽  
Jacques Mbaz Musung ◽  
Placide Kambola Kakoma ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Overweight Children ◽  
Republic Of Congo

scholarly journals Factors associated with screening for preeclampsia in the Democratic Republic of Congo: evidence from a nationwide cross-sectional study

2021 ◽  
Author(s):  
Dalau Mukadi Nkamba ◽  
Gilbert Wembodinga ◽  
Pierre Bernard ◽  
Annie Robert
Keyword(s):  
Blood Pressure ◽  
Rural Areas ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Blood Pressure Measurement ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Cross Sectional ◽  
Republic Of Congo ◽  
Factors Associated

Abstract BackgroundDelays in identification of women with preeclampsia is a contributing factor to maternal deaths in developing countries. We conducted this study to assess the prevalence of screening for preeclampsia in the Democratic Republic of Congo (DRC), and to identify factors associated with the screening. Methods We used data from the 2017-2018 DRC Service Provision Assessment survey, a nationwide survey that samples services, including antenatal care (ANC), in representative health facilities. A pregnant woman was deemed screened for preeclampsia if she had received the two following services: blood pressure measurement and assessment for warning signs of preeclampsia. We used multiple logistic regression, with generalized estimating equations, to identify factors associated with screening for preeclampsia.ResultsOf the 3763 pregnant women, 719 (19.1%; 95% CI, 15.8% – 22.9%) were screened for preeclampsia, 815 (21.7%; 95% CI, 18.2% - 25.6%) were assessed for preeclampsia-related warning signs and symptoms, and 2941 (78.2%; 95% CI 73.6 – 82.1%) had their blood pressure checked.In multivariable analyses, the percentage of women receiving screening for preeclampsia was significantly higher among women with a secondary level of schooling or above (adjusted odds ratio [AOR] = 1.21; 95% CI, 1.04-1.42; P=0.016) and among women having a subsequent ANC visit (AOR = 1.39; 95% CI, 1.20-1.62; P<0.001). It was also higher among women receiving care in facilities with a low number of women attended per day (AOR = 1.28; 95% CI, 1.09-1.51; P=0.003) and in urban settings (AOR = 1.36; 95% CI, 1.02-1.82; P=0.036). There was a regional variation in the screening for preeclampsia, with the lowest prevalence observed in the Central (10.7%) and the highest in the Eastern provinces (22.5%). ConclusionOur study shows that screening for preeclampsia during ANC visits in DRC is not systematic, with disparities between provinces. We found that a low schooling level, a low number of ANC visits, rural areas, province of residence, and a high volume of ANC visits at the facility were associated with a low screening for preeclampsia. These factors should be considered for setting up strategies in order to increase the screening for preeclampsia during ANC visits in provinces of DRC with too low screening.

Obesity Epidemic in Urban Tanzania: A Public Health Calamity in an already Overwhelmed and Fragmented Health System.

2019 ◽  
Author(s):  
Pedro Pallangyo ◽  
Lucy Mgopa ◽  
Zabella S. Mkojera ◽  
Naairah R. Hemed ◽  
Happiness J. Swai ◽  
...  
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Fast Food ◽  
Associated Factors ◽  
Dar Es Salaam ◽  
Overweight And Obesity ◽  
Sub Saharan Africa ◽  
Elevated Blood Pressure ◽  
Smoking History ◽  
Elevated Blood

Abstract Background Worldwide, the epidemiological and demographic transitions have resulted in nutrition shift characterized by an increased consumption of sugar-sweetened beverages and energy-dense fast food products. In just over 3 decades, overweight and obesity rates have nearly tripled to currently affecting over a third of the global population. Notwithstanding the ever present under-nutrition burden, sub Saharan Africa (SSA) is witnessing a drastic escalation of overweight and obesity. We aimed to explore the prevalence and associated factors for obesity among residents of Dar es Salaam city in Tanzania.Methods Participants from this study were recruited during a community screening conducted in Dar es Salaam. Sociodemographic and clinical data were gathered using a structured questionnaire during enrollment. Dietary habits, anthropometric measurements and blood pressure were assessed. All statistical analyses utilized STATA v11.0 software. Pearson Chi square and Student’s T-test were used to compare categorical and continuous variables respectively. Linear logistic regression analyses were used to assess for factors associated with BMI≥25. All tests were 2-sided and p<0.05 was used to denote a statistical significance.Results A total of 6691 participants were enrolled. The mean age was 43.1 years and males constituted 54.2% of all participants. Over two-thirds of participants were alcohol consumers and 6.9% had a positive smoking history. Eighty eight point three percent of participants were underactive, 4.7% had a history of diabetes mellitus and 18.1% were known to have elevated blood pressure. Overweight and obesity were observed in 34.8% and 32.4% of participants respectively. Among overweight and obese participants, 32.8% had a misperception of having a healthy weight. Age≥40, female sex, a current working status, habitual breakfast skipping, poor water intake, high soft drink consumption, regular fast food intake, low vegetable and fruit consumption, alcohol consumption and elevated blood pressure were found to be independent associated factors for obesity.Conclusion A sizeable proportion of participants were overweight or obese. Concomitantly, the rates of physical inactivity and unhealthy eating are disproportionately high. In view of this, community-based and multilevel public health strategies to promote and maintain healthy eating and physical activity require an urgent step-up in urban Tanzania.

scholarly journals Blood Pressure-to-height Ratios Can Identify Hypertension in Bantu Young Adults from Kinshasa in Democratic Republic of Congo

2021 ◽  
Vol 9 (2) ◽  
pp. 46
Author(s):  
Danny Mafuta-Munganga ◽  
Benjamin Lupenzi-Masikini ◽  
Pascal Bayauli-Mwasa ◽  
Jean Bosco Kasiam-Lasi-On&apos;Kin ◽  
Joseph Bidingija-Mabika ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Young Adults ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Republic Of Congo
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