International Research Journal of Medicine and Biomedical Sciences


A silent killer in the Far North Region of Cameroon: Increasing prevalence of hypertension among Kaele dwellers


Françoise Raïssa Ntentie*

Boris Ronald Tonou Tchuente

Maxwell Wandji Nguedjo

Gérald Dama

Ousmane Mfopou Mboindi

Boris Gabin Kingue Azantsa

Judith Laure Ngondi

Enyong Julius Oben


Article Number: irjmbs.19.004  |   Pages: 13-22  |   Vol.4 (2), May 2019   |   DOI: https://dx.doi.org/10.15739/irjmbs.19.004

 Received: March 7, 2019  Accepted: April 17, 2019  Published: May 11, 2019

Abstract

Hypertension (HTN) is the major risk factor of cardiovascular diseases. Its prevalence is still in perpetual increase worldwide. The aim of this study was to evaluate the prevalence and risk factors of HTN among Kaele dwellers, in the Far North Region of Cameroon where less attention seems to be paid on awareness and sensitization against overnutrition related diseases. Two hundred and four participants were recruited during free health campaign on cardiovascular diseases organized from 10-15th February 2017 in Kaele. Anthropometric and clinical parameters (weight, height, waist circumference, body mass index, blood pressure and heart rate) were measured. A blood sampling was collected for lipid profile analysis. HTN and sub-types were diagnosed according to World Health Organization (WHO) and International Diabetes Federation (IDF) definitions respectively meanwhile hypercholesterolemia and hypertriglyceridemia were diagnosed with IDF criteria. The overall prevalence of the HTN was 29.9%. Men were more affected than women (35% vs 22.6%, p<0.05). Participants aged between 50-59 years and > 60 years were more affected (p<0.05). Forty-one percent (41%) of the hypertensive subjects of the study had systo-diastolic sub-type of HTN meanwhile 36.1 % had isolated systolic HTN vs 23% with isolated diastolic HTN. Risk factors associated to HTN were : male gender (OR=2.236; p<0.05); absence of education (OR= 24.296; p<0.05); primary education level (OR=1.933; p<0.05); marital status “married” (OR=3.117; p<0.05), increased age (30-39, 50-59, and > 60 years, respectively with OR=4.113, p<0.05; OR=31.405, p<0.05 and OR=18.694, p<0.05), abdominal obesity (OR= 2.476 ; p<0.05) and low milky products consumption (OR=2.031, p<0.05). HTN is quite present in Kaele locality and many non-modifiable, modifiable and socio-economic risk factors significantly contributed to its development.

Keywords: HTN, prevalence, risk factors, kaele, cameroon.

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