Details
Category: Volume 05 Issue 08 August 2017
Hits: 1946

Title: Epidemiological Study of High Blood Pressure in Haut-Ogooue Province, Franceville, Gabon

Authors: Ndong-Atome Guy Roger, Mickala Patrick, Padzys Guy Stéphane, Ngoua-Meye-Misso Rick-Léonid, Sima-Obiang Cédric, Ouamba Jean Maurille

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i8.85

Abstract

Introduction: Hypertension is now a major public health problem in sub-Saharan Africa. Non communicable diseases take precedence over infectious or parasitic diseases, which are the most frequent in the region.

Materials and Methods. An epidemiological study retrospective and prospective from october 2013 to october 2015 on high blood pressure was carried out in the Haut-Ogooue province (Gabon), specifically in two main centers: International Center for Medical Research of Franceville and Amissa Bongo Hospital Center. Inclusion criteria were for hypertensive patients with systolic blood pressure (SBP ˃ 140 mm Hg) and / or diastolic (DBP ˃ 90 mm Hg). Demographic parameters and socio-occupational criteria were recorded for each patient.

Result: The results showed that the prevalence was 13.48%. There was no significant difference between the genus (p = 0.37 and odds ratio = 0.88). The most affected age group is [41-60].

Overweight hypertensive patients represented 46.30% of patients compared with 3.76% for normotensive patients. These data confirm the risky character of high blood pressure for cardiovascular disease. In terms of socio-occupational criteria, the most vulnerable are workers, farmers, housekeepers and the unemployed, ie 45% of the patients (p = 0.000 and odds ratio = 0.22).

Conclusion: There seems to be an association between high blood pressure and work activities. Smoking and alcoholism have not been identified as a risk factor, but this link has already been demonstrated in several studies.

Keywords: Hypertension, Epidemiological study, Haut-Ogooue, Franceville, Prevalence.

References

  1. Wolf-Maier, R. S.Cooper, J. R.Banegas, S.Giampaoli, H. W.Hense, M.Joffres, et al.,“Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States”, JAMA, vol. 289 pp. 2363-2369,2003.
  2. Cooper,“Cardiovascular mortality among blacks, hypertension control, and the reagan budget”, J Natl Med Assoc, vol. 73, pp. 1019-1020,1981.
  3. Cooper, C.Rotimi,“Hypertension in blacks”, Am J Hypertens, vol. 10, pp. 804-812.1997.
  4. S.Cooper, Y.Liao, C.Rotimi. “Is hypertension more severe among US blacks, or is severe hypertension more common?”, Ann Epidemiol., vol. 6, pp. 173-180. 1996.
  5. World Health Organization. A global brief on hypertension silent killer, global public health crisis. World Health Day 2013, 40 p, 2013.
  6. M.Kearney, M.Whelton, K.Reynolds, P.Muntner, P. K.Whelton, J.He,“Global burden of hypertension: analysis of world-wide data”, Lancet, vol.365, pp. 217-223,2005.
  7. Conférence des Ministres de la santé de l’UA, (CAMH6) Sixième session ordinaire, Addis Abeba, « Incidence des maladies non transmissibles (MNT) et des maladies tropicales négligées (MTN) sur le développement en Afrique ».Ethiopie 22-26 avril 2013 ; 5p.
  8. Prugger, P. U.Heuschmann andU.Keil, “Epidemiology of hypertension in Germany and worldwide. Herz., vol. 31(4), pp. 287-293,2006.
  9. Lemogoum, Y. K.Seedat, A. F.Biola-Mabadeje, S.Mendis, P.Bovet et al.,“Recommendations for prevention, diagnosis and management of hypertension and cardiovascular risk factors in subsaharan Africa”, J Hypertens., vol. 21, pp. 1993-2000,2003.
  10. G.Douglas, G. L.Bakris, M.Epstein, K. C.Ferdinand, C.Ferrario, J. M.Flack et al.,“Management of high blood pressure in African Americans: consensus statement of the hypertension in African Americans working group of the international society on hypertension in blacks”, Arch Intern Med., vol. 163, pp. 525-41,2003.
  11. Kone,Epidémiologie de l’hypertension artérielle dans le service de cardiologie A du CHU Point G (de 2004 à 2006), Thèse de Doctorat, université de Bamako, Mali. 2009, 69 p.
  12. Antchouey, L.Goulet and P.Hamet,“ L'hypertension artérielle en Afrique subsaharienne: déterminants intrinsèques, comportementaux et socio-économiques”, Cardiologie Tropical, vol. 33, pp. 21-29,2011.
  13. Balde, S.Traore, M.Toure, D.Diallo, A.K'eita, F.B.Magassouba, et al., “Hypertension artérielle en Guinée : épidémiologie et place de la phytothérapie dans la prise en charge dans les zones urbaines et rurales de Fria, Boké, Forécariah (basse Guinée)”.Pharm. Méd. Trad. Afr., vol.12, pp. 19-43,2006.
  14. Multicentre study uk Prospective diabetes study,Prevalence of hypertension and hypotensive therapy in patients with newly diagnosed diabetes, Hypertension,vol. 7, 118 p,1985.
  15. R.Atoba, T. C.Kayembe, A. S.Batina, J. P.Mbom, W.N.L.Ngandu, K. Z.Tsongo, et al.,“Prévalence, connaissance et degré de contrôle de l’hypertension artérielle à Kisangani, RD”. Kisangani Médical, vol. 5(2), pp. 86-93,2014.
  16. Dembelé, A. T.Sidibé, H. A.Traoré, H. I. C.Tchombou, B.Zounet, A. K.Traore et al.,“Association HTA-Diabète sucré dans le service de médecine interne de l’Hopital Point G-Bamako”, Médecine d’Afrique Noire, vol. 47, pp. 276-280,2000.
  17. Baragou, M.Djibril, B.Atta, F.Damorou, M.Pio, A.Balogou, “Prevalence of cardiovascular risk factors in an urban area of Togo: a WHO st EPs-wise approach in Lome, Togo”, Cardiovascular Journal of Africa, vol. 23(6), pp. 309-312,2012.
  18. Niakara, F.Fournet, J.Gary, M.Harang, L.Nebie, G.Salem,“Hypertension, urbaniza-tion, social and spatial disparities: a cross-sectional population-based survey in West African urban environment (Ouagadougou, Burkina Faso), Transactions of the Royal Society of Tropical Med Hygiene, vol. 101, pp. 1136-1142,2007.
  19. Awoke, T.Awoke, S.Alemu and B.Megabiaw,“Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community based cross-sectional study”, BMC Cardio-vascular Disorders, vol.12, p. 113,2012.
  20. Edwards, N.Unwin, F.Mugusi, D.Whiting, S.Rashid et al.,“Hypertension prevalence and care in an urban and rural area of Tanzania”, J Hypertens, vol. 2(18), pp. 145-52,2000.
  21. E.Ecke-Nzengue. Rapport d’activité de la journée mondiale du diabète, faisons un pas pour le diabète, 2013, 43 p.
  22. R. Ndong-Atome, P. Mickala, G.S. Padzys, R. L. Ngoua-Meye-Misso, C.Sima-Obiang and J. M.Ouamba. “Epidemiological study of diabetes in the province of Haut-Ogooue (Gabon)”, International Journal of Advanced Research, vol5(6), pp. 476-481, 2017.

Corresponding Author

Ngoua-Meye-Misso Rick-Léonid

Laboratory of Research in Biochemistry (LAREBIO), Departement of Chemistry-Biochemistry, University of Sciences and Technology of Masuku, Franceville, Gabon

Tel.: +24107077833/ +24106433412 Email: This email address is being protected from spambots. You need JavaScript enabled to view it./ This email address is being protected from spambots. You need JavaScript enabled to view it.