Abstract
Introduction: Lifestyle risk factors of high blood pressure and other non- communicable diseases include; diet, physical inactivity, smoking, high alcohol intake, Since in the early 1970s, several community based health intervention projects have purposed at promoting risk reducing lifestyle changes in various populations, because if the population as a whole were to be targeted, even a modest risk factor and heart-healthy lifestyle change would potentially have a huge public health effect. This study was conducted in other to fill up a gap in our knowledge on lifestyle and diet and how they affect blood pressure in adults of predominantly Kanuri ethnic group of Konduga community.
Methodology: This was a cross sectional descriptive study in which residents of Konduga community were sampled for the study with the aim of at finding lifestyle, diet and their effect on blood pressure. Amultistage/cluster sampling methods was used to sample the study participants. All of the consenting adults aged 18 years and above who presented at the designated sites of the examinations constituted the study population. The Participants were assisted by trained field officers to fill the questionnaire that had questions on their demographic characteristics and lifestyle practices such as cigarette smoking and alcohol use. Data generated were analysed using SPSS version 16 software and tests of significance at p < 0.05 were done.
Results: Three hundred and thirty-two adults who were made up of males (179 (53.9%) and females (153 (46.1%) participated in the study. The ages of the participants ranged from 18 to 74 years with a mean age of 33.9 + 12.7 years. The study group had a mean body weight of 68.5 + 15.1kg, mean height of 1.65 + 13.1meter. Cigarette smoking and the use of alcohol among the study participants were infrequent at the rates of about 6% and 1.5% respectively. About ninety eight percent of the respondents ingested at least a serving of fruits and vegetable per week while conscious efforts at dietary salt restriction was uncommon as 24 (7.7%) of the study participants indicated. Hypertension was detected in 74 (22.2%) individuals with males having a higher percentage. The study group had a mean systolic and diastolic blood pressure of 127 + 20.1 mmHg and 83.1+ 12.8 mmHg respectively. Regular ingestion of kola nuts were found to be associated with hypertension, physical activity, use of alcohol and cigarette smoking were not found to be associated with hypertension.
Conclusion: Self reported physical activity and the ingestion of diets with good servings of fruits and vegetables were frequently reported while cigarette smoking and use of alcohol were rare among the study participants. Risk factors for hypertension in this study include kola nut ingestion.
Recommendations: Dietary salt restriction in the general population should be encouraged. Health education efforts that emphasise the reduction of the risk factors of hypertension such as kola nut ingestion reported in this study should be implemented.
Keywords: Lifestyle, Blood Pressure, Characteristics, Community, North-East Nigeria
References
- World Health Organisation. Non communicable diseases http://www.who.int/topics/chronic-disease...2009 Last accessed 4/04/2010.
- World Health Organisation. Global strategy on diet, physical activity and health. WHOWebsite. Last accessed on the 20/April/2009
- Jamison DT, Feachem RG, Makgoba MW, Bos ER, Baingarde FK, Hofman KJ, Rogo KO. The World Bank Changing patterns of disease and mortality in Sub-Saharan Africa: an overview second edition, 2006; chapt. 1, 12-16.
- Puska P. The North Karelia project, 20 year results and experiences. Helsinki, the National Public Health Institute, Helsinki University Printing House, 1995
- Karvonen M. Prehistory of the North Karelia Project. In: Puska P, Tuomilehto J, Nissinen A, Vartiainen E (eds). The North Karelia project; 20 year results and experiences. Helsinki, The National Public Health Institute, 1995: 17-21
- World Health Organisation. Shaping the feature, Geneva: 2003.
- Nizal Sarrafzadegan, Roya Kelishadi, Ahmad Esmaillzadeh, Noushin Mohammadifard, Katayoun Rabiei, Hamidreza Roohafza, Leila Azadbakht, Ahmad Bahomar, Gholamhossein Sadri, Ahmad Amani, SaeidHeidari and Hossein Malekafzali. Do lifestyle interventions work in developing countries? Findings from the Isfahan healthy heart program in Iran. Bulletin of the World Health Organisation; Article Doi: 10.2471/BLT. 07. 049841
- Androgue HJ, Madias NE. Sodium and potassium in the pathogenesis of hypertension. N Engl J Med. 2007; 356:1996-78
- Vasan RS, Larson MG, Leip EP. Assessment of frequency of progression to hypertension in non hypertensive participants of Framinghan Heart Study. Lancet. 2001; 358: 1682-86
- Androgue HJ, Wesson DE. Role of dietary factors in the hypertension of African SeminNephrol. 1996; 16: 94-101
- Elliot P, StamlerJ, Nichols R, Dyer R, Stamler R, Kesteloot H, Marmot M. Intersalt revisited: further analyses of 24 hour sodium excretion and blood pressure within and across populations: Intersalt Cooperative Research Group.,1996, BMJ, 312: 1249-1253
- Fuchs FD, Chambless LE, Whelton PK, Nieto FJ, Heiss G. Alcohol consumption and The incidence of hypertension: the Atherosclerosis Risk in Communities Study. Hypertension. 2001; 37: 1242-50
- Centre for Disease Control. Dietary guidelines for Americans, 2010; 3: 21-32
- Cigarette smoking among adults United States, 2007, 2008; 57: 1221-1226
- Sirona AM, Gastaldelli A, Mari A. Visceral fat in hypertension. Hypertension, 2004; 44: 127-33.
- Akinkugbe O, Johnson TO, Mabadejo A F B, Kaine WN, and Yakubu AM, Ikeme AC. National expert committee on non-communicable diseases, FMOH, Abuja, 2-3
- Cassini RS, Nobre F, Pazin F, Filho A, Schmidt A, Relationship between blood pressure and anthropometry in a cohort of Brazilian men: a cross-sectional study. NCIB Pub med A M J Hypertensions, 2009.
- Wikipedia the free encyclopaedia. Konduga.....last accessed 01/12/2016
- Omuemu VO, Okojie OH, Omuemu CE. Awareness of high blood pressure status, treatment and control in a rural community in Edo State. Niger J Clin Pract. 2007; 10: 208-12
- Margaret OA. Research Methodology with statistics for health and social sciences. 2003, Nathadex Publishers, Ilorin
- STEPS Instrument for NCD Risk Factors (83) Core and Expanded version 1.4. www.int/ncd surveillance
- Cigarette smoking among adults-United States, 2006. MMWR. 2007: 56; 1157-1161
- Appel LJ, Chamoagne CM, Harsha DW. Effects of comprehensive lifestyle modification on blood pressure control: Main results of PREMIER clinical trial. JAMA 2003; 289: 2083-93
- World Health Organisation. International Society of Hypertension guidelines for the management of hypertension, guidelines subcommittee’s Hypertens. 1999; 17:151-183.
- Williams DE, Lisk DR. A high prevalence of hypertension in rural Sierra Leone. W Afr J Med. 1998; 17: 85-90
Corresponding Author
Biyaya Beatrice Nwankwo
Department of Community Medicine, University of Abuja, Abuja
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