Key result
In a cross-sectional study of 389 adults in Nigeria, only 26.7% were aware of their blood pressure status, with 27% having newly diagnosed hypertension and 12.1% having proteinuria.
Cross-Sectional (n=389)
No
The study highlights a significant public health gap in a semi-urban Nigerian community, demonstrating low awareness of blood pressure status and high rates of undiagnosed hypertension and proteinuria.
Signals need for enhanced BP screening in similar Nigerian settings; leaves open whether targeted programs can reduce undiagnosed hypertension and proteinuria.
Background: Hypertension and proteinuria are risk factors for cardiovascular disease. They are also important risk factors for further deterioration of renal function in chronic kidney disease (CKD) irrespective of the cause of CKD. Both are asymptomatic at early stages and can only be detected during medical consultation for a related or unrelated illness. Materials and Methods: This was a cross-sectional study carried out to assess awareness of blood pressure (BP) status among adults in a semi-urban community in Southern Nigeria. The magnitude of undiagnosed hypertension and proteinuria in the community was also assessed. BP measurement was by standardized method while proteinuria was detected by use of urinary dipstick. Data was analyzed using SPSS version 21.0. Results: A total of 389 people were recruited. There were 223 (57.3%) males and 116 (42.7%) females. Only 104 (26.7%) were aware of their BP status before the study. Awareness was higher in females but did not differ significantly among the different age groups, educational status or occupations. Hypertension was newly diagnosed in 105 (27%) of the participants while proteinuria was diagnosed in 47 (12.1%). Proteinuria and overweight were higher among participants with prehypertension than other BP categories. Conclusions: The study revealed a low level of awareness of BP status and a high prevalence of undiagnosed hypertension and proteinuria in the community. Concerted efforts are needed to improve the awareness of BP and other risk factors for cardiovascular and kidney diseases.
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Okwuonu et al. (2016) conducted a cross-sectional in Hypertension and proteinuria (n=389). Hypertension and proteinuria was evaluated on Awareness of blood pressure status, undiagnosed hypertension, and proteinuria. In a cross-sectional study of 389 adults in Nigeria, only 26.7% were aware of their blood pressure status, with 27% having newly diagnosed hypertension and 12.1% having proteinuria.
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