Key result
Age ≥40 years and overweight/obesity were significant predictors of hypertension among urban adults in Uganda, where newly diagnosed prevalence reached 51.7% under ACC/AHA 2017 guidelines (p<0.05).
Why the study?
The study was conducted to evaluate the prevalence and predictors of hypertension among an urban adult population in Mbarara city, Western Uganda.
Cross-Sectional (n=302)
There is a high prevalence of undiagnosed hypertension among urban adults in Western Uganda, highlighting a significant need for prevention and screening interventions.
Supports targeted screening in urban Ugandan adults ≥40 or overweight; leaves open prospective validation and intervention impact.
OBJECTIVE: The study aim was to evaluate the prevalence and predictors of hypertension among an urban adult population in Mbarara city, Western Uganda. METHODS: We evaluated blood pressure measurements, social demographic and clinical parameters of adults living in Mbarara city, Uganda. These parameters were extracted from medical records of adults who participated in the Uganda World Kidney Day 2020 health screening activities. A total of 302 adults were evaluated for hypertension using the American College of Cardiology/American Heart Association 2017 (blood pressure threshold 130/80 mmHg) and International Society of Hypertension 2020 guidelines (threshold 140/90 mmHg). RESULTS: The mean age of the participants was 42.5 years (standard deviation: 15.1) and majority were male 195/302 (64.6%). Using American College of Cardiology/American Heart Association 2017 guidelines, 156/302 (51.7%) adults were newly diagnosed with hypertension compared to 68/302 (22.5%) newly diagnosed with hypertension using International Society of Hypertension 2020 guidelines. Only 23/302 (7.6%) were on treatment. Based on American College of Cardiology/American Heart Association 2017 guidelines, age ≥40 years and overweight/obesity were statistically significant predictors of hypertension (p < 0.05 for all) at multivariate analysis. Using the International Society of Hypertension 2020 guidelines, age ≥40 years predicted hypertension. DISCUSSION: The prevalence of hypertension is high among this urban adult population irrespective of the guidelines used, highlighting the need for hypertension prevention interventions.
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Batte et al. (2021) conducted a cross-sectional in hypertension (n=302). Age ≥40 years and overweight/obesity was evaluated on Prevalence of newly diagnosed hypertension (ACC/AHA 2017 guidelines). Age ≥40 years and overweight/obesity were significant predictors of hypertension among urban adults in Uganda, where newly diagnosed prevalence reached 51.7% under ACC/AHA 2017 guidelines (p<0.05).
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