Articles | Open Access | DOI: https://doi.org/10.37547/tajmspr/Volume07Issue02-03

Frequency of high blood pressure among the adult population in kebi state

Abubakar Danjuma Bundaram , PhD student of city university Cambodia, Department of public health, Cambodia

Abstract

This Article evaluated the prevalence of High Blood Pressure and its Associated Factors among the Adult  in an outpatient clinics in Kebbi State Nigeria. Hypertension, the silent killer, remains a major global health challenge in this 21st century despite advancements in technology and increasingly available therapeutic options. According to a new report from the World Health Organization, Hypertension is now the number 1 risk factor for premature death worldwide. It is preventable, controllable, and treatable, yet, a major threat to human survival at the global level. It affects more than one billion people and acts as the most prevalent risk factor for global mortality, with the highest prevalence of 27% in the WHO African Region. Nigeria, the most populous country in this region, contributes enormously to this burden. The rate is surging high as people gain more access to fast foods and live more sedentary lifestyles.This exploratory study is therefore aimed at assessing the prevalence and determinants of hypertension among the adult population in Kebbi State. The state is in the northwest region, which has one of the highest natality and mortality rate in Nigeria. Knowing the prevalence of hypertension and its associated factors in this small unit of the country will inform the government on the development of an appropriate measure for its effective management. This cross-sectional study was carried out with 270 Hospital outpatient attendees in Kebbi State. Participants were selected by simple random sampling, and a structured interviewer-administered questionnaire was used to obtain data over a period of three (3) months. Standardized and calibrated instruments were also used to measure the systotic and diastolic blood pressure, and other anthropometric variables such as height, weight, Body Mass Index (BMI) and multiple body composition indices. Logistic regression analysis was conducted and statistical significance was declared at a p-value ≤0.05. Descriptive statistical techniques and correlation techniques that include correlation analysis, ANOVA and regression analysis were used to analyse the information. Data analysis by Statistical Package for Social Science version 20.0 revealed a prevalence of 28.9%. This is a signal of a hidden epidemic that requires intense public enlightenment on healthy lifestyles, enhanced Community screening programs, early detection through regular checkups, and a review of current guidelines on the management of hypertension. Age, BMI, and level of education were the three factors identified in this study as having enough covariates to predict hypertension. Lifestyle modification in the form of a healthy lifestyle, regular exercise, and healthy eating habits would reduce hypertension and its consequent cardiovascular morbidity and mortality in Kebbi State, northwestern region of Nigeria.

Keywords

Frequency Of High Blood Pressure, Adult Population, Nigeria

References

Scriabine A. Hypertension - an overview Science Direct Topics Comprehensive Medicinal Chemistry II, 2007 https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/hypertension

http://www.mydnigeria.com/nigeria-travel-infomation/nigeria-regional-information/north-west-nigeria-region-guide/

UNFPA (2007) „State of word population 2007 unleashing the potential of urban growth.‟‟ www.un.org/partnerships/docs/UNFPA.

Lange, D . "Successor state", Anthropos, 104, 2 (2009), 366-380.

Cuisle F. Scoring the International Physical Activity Questionnaire (IPAQ ) https://ugc.futurelearn.com/uploads/files/bc/c5/bcc53b14-ec1e-4d90-88e3-1568682f32ae/IPAQ_PDF.pdf

Abengowe CU, Jain JS, Siddique AK.Pattern of hypertension in the northern savanna of Nigeria. Trop Doct. 1980;10:3–8. [PubMed] [Google Scholar]

Adeloye D, Basquill C (2014) Estimating the Prevalence and Awareness Rates of Hypertension in Africa: A Systematic Analysis. PLoS ONE 9(8): e104300. https://doi.org/10.1371/journal.pone.0104300

Adeloye,D, Basquill et al. A systematic review and meta-analysis to estimate the prevalence of hypertension in Nigeria.ArticleJournal of Hypertension DOI: · November 201410.1097/HJH.0000000000000413. Can J Cardiol. 2006 May; 22(7):553–555. PMCID: PMC2560860, PMID: 16755308

Alexandros B, Vikram A, Franz H. M Alcohol Consumption and the Risk of Hypertension in Men and Women: A Systematic Review and Meta-Analysis. The Journal of Clinical Hypertension Vol 14 | No 11 | November 2012 , Official Journal of the American Society of Hypertension, Inc.

Bethany E, Anna Z. Gender Differences in Hypertension and Hypertension Awareness Among Young Adults. Biodemography Soc Biol. 2015; 61(1): 1–17.doi: 10.1080/19485565.2014.929488

Chythra R. R ,Veena G. K, Avinash S et al . High Blood Pressure Prevalence and Significant Correlates: A Quantitative Analysis from Coastal Karnataka, India. ISRN Prev Med. 2013; 2013: 574973. doi: 10.5402/2013/574973 PMCID: PMC4062860 .PMID: 24967139https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062860/

Chen E, Matthews KA, Salomon K, Ewart CK. Cardiovascular reactivity during social and non-social stressors: Do children’s personal goals and expressive skills matter? Health Psychology. 2002;21:16–24. [PubMed] [Google Scholar]

Conner M, Norman P, editors. Predicting health behavior. Buckingham: Open University Press; 1996. [Google Scholar]

Davies, A., Catriona, B., Adewale, V., et al https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC3530788/

Edwards R, Unwin N, Mugusi F et al .Hypertension prevalence and care in an urban and rural area of Tanzania. J Hypertens. 2000;18:145–152. [PubMed] [Google Scholar]

Geneva Linda B. G. Hypertension Highlights: Blood Pressure Targets, Global Risk Factors, and Diabetes -- the Latest Data Are not Encouraging. January 25, 2010

Gudlavalleti VS Murthy, Samantha Fox, Selvaraj Sivasubramaniam et al Prevalence and risk factors for hypertension and association with ethnicity in Nigeria: results from a national survey.Cardiovasc J Afr. 2013 Nov; 24(9): 344–350.doi: 10.5830/CVJA-2013-058.PMCID: PMC3896106

Henok A, Frew T, Ermias B, Prevalence and associated factors of hypertension among adults in Ethiopia: a community based cross-sectional study Published online 2017 Nov 28. doi: 10.1186/s13104-017-2966-1 , PMCID: PMC5704552, PMID: 29183367

Hypertension-an overview | Science Direct Topics.https://www.sciencedirect.com/topics/ agricultural-and-biologicalsciences/hypertension

Hypertension and Socio-demographic Profile in Oghara, Delta State; Prevalence and Correlates.Ann Med Health Sci Res. 2015 Jan-Feb;5(1):71-7. doi: 10.4103/2141-9248.149793.

Hypertension Essentials - Medscape Reference Database ·emedicin e.medscape.com/free access/hypertension

HYPERTENSION: Trends in Prevalence, Incidence ... - Annual Reviews https://www.annualreviews.org/doi/pdf/10.1146/annurev.publhealth.27.021405.102132.International Journal of Hypertension Volume 2017, Article ID 5491838, 1pages

https://doi.org/10.1155/2017/5491838,

Okechukwu, S. O., Ikechi, O., Innocent, I. C.et al. Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review. World J Cardiol. 2012 Dec 26; 4(12): 327–340.PMCID: PMC3530788PMID: 23272273

John F. Potter, HypertensionBrocklehurst's Textbook of Geriatric Medicine and Gerontology (Seventh Edition), 2010.

Journal of Hypertension: February 2015 - Volume 33 - Issue 2 - p 230–242 doi: 10.1097/HJH.00000000000004 l, 2014).

Keith NM, Wagener HP, Barker NW. Some different types of essential hypertension: their course and prognosis. Am J Med Sci. 1939;197:332-343.

Long, JM., J.J. Lynch, N.M Machiran, SA Thomas, KL Manilow.The effect of status on blood pressure during verbal communication. Behavior Science (2004) 5:2: 165-172.

Lydia .L. B, Jiang H, Lifestyle and Blood PressureComprehensive Hypertension, 2007

Magnan S, 2017 Social Determinants of Health 101 for Health Care: Five Plus Five ... health-system-perspective https://nam.edu.

Matthew R Alexander .Hypertension: Practice Essentials, Background, Pathophysiology https://emedicine.medscape.com/article/241381-overview

O'Brien E, R. Asmar, L Beilin, Y Imai, J. Mallion, G. Mancia, T. Mengden, M. Myers, P. Padfield, P. Palatini, G. Parati, T. Pickering, J. Redon, J. Staessen, G. Stergiou, P.

Okechukwu O, Ikechi O, Innocent I et al Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review World J Cardiol. 2012 Dec 26; 4(12): 327–340.

Patricia B. Munroe, Toby Johnson, in Genomic and Personalized Medicine (Second Edition), 2013

Pengpid S, Vonglokham M, Kounnavong S, Sychareun V, Peltzer K. Vascular Health and Risk Management. 2019 Feb 27; 15: 27-33

Published online 2012 Dec 26. doi: 10.4330/wjc.v4.i12.327,PMCID: PMC3530788 PMID: 23272273

Review presentation, etiology, diagnosis, treatment and medication for hypertension. Courses: Clinical Briefs, Patient Cases, Journal Articles.

Shikha S, Ravi S, Gyan P S: Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi.Int J Hypertens. 2017; 5491838. doi: 10.1155/2017/5491838,MCID: PMC5733954,PMID: 29348933

Shikha S, Ravi S, Gyan P S Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi Published 3 December 2017.

Smith AJ. Arterial hypertension in the Lagos University Teaching Hospital. West African Med J. 1966;15:97–104. [PubMed] ). Abengowe et al reported 9.3% in Kaduna in 1980.

Suzanne, R. S. Understanding Low Blood Pressure -- the Basics, February 20, 2017.cWebMD Medical Reference https://www.webmd.com/heart/qa/what-is-the-optimal-blood-pressure Paul M et al "The 2017 ACC/AHA hypertension guideline Journal of the American College of Cardiology and Hypertension.

The Prevalence and Social Determinants of Hypertension among Adults in Indonesia: A Cross-Sectional Population-Based National Survey[International Journal of Hyper...] International Journal of Hypertension Volume 2018, Article ID 5610725, 9 pages. https://doi.org/10.1155/2018/5610725Ibekwe R1.Modifiable Risk factors of

Ukoh VA. Admission of hypertensive patients at the University of Benin Teaching Hospital, Nigeria. East Afr Med J. 2007;84:329–335. [PubMed] [Google Scholar].

World Health Organization.Global status report on noncommunicable diseases.

World Health Organization. Hypertension May 16, 2019 - Key facts. . https://www.who.int/news-room/fact-sheets/detail/hypertension

Verdecchia. European Society of Hypertension recommendations for conventional, ambulatory, and home blood pressure measurements. Jounral of Hypertension (2003) 21: 821-848.

Pickering, T.G., J.E. Hall, L.J. Appel, et al. Recommendations for Blood Pressure Measurement in Humans and Experimental Animals: Part 1: Blood Pressure Measurement in Humans: A Statement for Professionals From the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension (2005) 45:142-161.http://www.faqs.org/nutrition/Hea-Irr/Hypertension.htmlhttp://www.infobloodpressure.com/factors-affecting-BP-readings.html

Briana C, Kelly H. Z, Krista H . White coat hypertension: Psychol Res Behav Manag.2015; 8: 133–141.Published online 2015 May 2. doi: 10.2147/PRBM.S61192, PMCID: PMC4427265,PMID: 25999772 vascular- cures.

Hypertensive crisis: What are the symptoms? - Mayo Clinic retrieved at https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/.../faq-20058491

Blood Pressure : Blood pressure chart. www.bloodpressureuk.org/Blood Pressureandyou/ Thebasics/ Bloodpressurechart.University of South Carolina School of Medicine–Greenville, Care

Jennings, K. 2017, July 31. "Fifteen natural ways to lower your blood pressure."MedicalNews Today.https://www.medicalnewstoday.com/articles/318716.php Coordination Institute and Greenville Health System, Greenville, South Carolina, USA.

David G .H.Mosaic Theory Revisited: Common Molecular Mechanisms Coordinating Diverse Organ and Cellular Events in Hypertension.J Am Soc Hypertens. 2013 Jan; 7(1): 68–74.doi: 10.1016/j.jash.2012.11.007

David J H, Sandeep P K. Closing the blood pressure gap: an affordable proposal to save lives worldwide. http://dx.doi.org/10.1136/bmjgh-2017-000429

Department of Cardiology, Oslo University, Hospital Ullevaal, Oslo, Norway Clinica Medica, Departments of Medicine and Surgery, University Milano-Biocca RCCS Multimedica, Sesto San Giovanni, Milan, Italy Baker IDI Heart and Diabetes Institute, University of Melbourne, Alfred Hospital, Melbourne, Australia J Hypertens. 2019 Jun;37(6):1148-1153. doi: 10.1097/HJH.0000000000002021.

Egan, Brent M.; Kjeldsen, Sverre E.; Grassi, Guidoc,d; Esler, Murraye; Mancia, Guiseppef,Journal of Hypertension: January 7, 2019 - Volume Publish Ahead of Print - Issue - p doi: 10.1097/HJH.0000000000002021

University of South Carolina School of Medicine–Greenville, Care Coordination Institute and Greenville Health System, Greenville, South Carolina, USA

Department of Cardiology, Oslo University, Hospital Ullevaal, Oslo, Norway Clinica Medica, Departments of Medicine and Surgery, University Milano-Biocca RCCS Multimedica, Sesto San Giovanni, Milan, Italy Baker IDI Heart and Diabetes Institute, University of Melbourne, Alfred Hospital, Melbourne, Australian J Hypertens. 2019 Jun;37(6):1148-1153. doi: 10.1097/HJH.0000000000002021.

Jennings, K. (2017, July 31). "Fifteen natural ways to lower your blood pressure." MedicalNewsToday.Retrievedsfrom https://www.medicalnewstoday.com/articles/318716.phpHealthStats.

DeterminantsofHealthRetrieved athttp://www.simcoemuskokahealthstats.org/contacthttps://familydoctor.org/social-cultural-factors-can-influence-health/Paula, B, &Laura, G. The Social Determinants of Health: It's Time to Consider the Causes of the Causes

Public Health Rep. 2014 Jan-Feb; 129(Suppl 2): 19–31. doi: 10.1177/00333549141291S206PMCID: PMC3863696 .PMID: 24385661

Majid Ei, Alan D L, Anthony R, et al Selected major risk factors and global and regional burden of disease. Lancet 2002; 360: 1347–60 https://www.who.int/nutgrowthdb/ publications/burden_of_disease/en/ Definitions | Social Determinants of Health | NCHHSTP | CDC WHO | Social determinants of health - World Health Organization https://www.who.int/social_determinants/en/

Zarin P, Muhammed S: Modifiable risk factors of hypertension: A hospital-based case–control study from Kerala, India.

J Family Med Prim Care. 2016 Jan-Mar; 5(1): 114–119.doi: 10.4103/2249 4863.184634 PMCID: PMC4943116 Socio demographic factors in relation to hypertension prevalence, awareness, treatment and control in a multi-ethnic Asian population: a cross-sectional study. BMJ Journal Volume 9, Issue 5https://bmjopen.bmj.com/content/9/5/e025869

Millis RM,2019. Epigenetics and hypertension PMID:21125351 . DOI:10.1007/s11906-010-0173-8

Friso S, Carvajal CA, Fardella CE et al Epigenetics and arterial hypertension: the challenge of emerging evidence.Transl Res. 2015 Jan;165 (1):154-65. doi: 10.1016/j.trsl.2014.06.007. Epub 2014 Jun 25. https://www.nap.edu/read/13497/chapter/11.

www.mayoclinic.org › expert-answers › blood-pressure › faq-20058254

Woolf, S. H., & Aron, L. U.S. Health in International Perspective: Shorter Lives, Poorer Health. National Research Council (US); Institute of Medicine (US); Washington (DC): National Academies Press (US); 2013.

Liew SJ.Sociodemographic factors in relation to hypertension prevalence, awareness, treatment and control in a multi-ethnic Asian population: a cross-sectional study.BMJ Journal Volume 9, Issue 5https://bmjopen.bmj.com/content/9/5/e025869 SJ Liew - ‎2019 - ‎Cited by 1

U.S. Health in International Perspective: Shorter Lives, Poorer Health. National Research Council (US); Institute of Medicine (US); Washington (DC): National Academies Press (US); 2013.

Girma F, Seblewengel L Socioeconomic Status and Hypertension among Teachers and Bankers in Addis Ababa, Ethiopia Int J Hypertens. 2016; 2016: 4143962. Published online 2016 May 22. doi: 10.1155/2016/4143962 PMCID: PMC4893435.PMID: 27313874

Marceca M, Fara GM. Socio-economic determinants in conditioning Health Care access. Ann Ig 2000; 12: 49–57. 13 13° C

Alan R. D, Jeremiah S, Richard B. The Relationship of Education to Blood Pressure Findings on 40,000 Employed Chicagoans.

Seaw J L,John T L,Chuen S.T. et al. National Center for Biotechnology Information, U.S. National Library of Medicine8600 Rockville Pike, Bethesda MD, 20894 USA, Reports World Economic Forum https://www.weforum.org/reports/Health and Healthcare in the Fourth Industrial Revolution: Global Future Council on the Future of Health and Healthcare 2016-2018. Scientific and technological .2011

Article Statistics

Copyright License

Download Citations

How to Cite

Abubakar Danjuma Bundaram. (2025). Frequency of high blood pressure among the adult population in kebi state. The American Journal of Medical Sciences and Pharmaceutical Research, 7(02), 21–29. https://doi.org/10.37547/tajmspr/Volume07Issue02-03