Key result
High salt intake linked to a 6-fold higher risk of uncontrolled BP in hypertensive patients.
Cross-Sectional (n=543)
No
Effect estimate: 6-fold increased risk
In a hospital-based Ethiopian cohort, uncontrolled blood pressure was present in 11.4% of hypertensive patients and was strongly associated with high salt intake.
Should not yet change practice; leaves open whether salt reduction improves control in Ethiopian hypertensives.
BACKGROUND: Hypertension is an important public health problem worldwide. There is lack of data on uncontrolled blood pressure in developing countries. OBJECTIVES: To determine the magnitude and predicting factors of uncontrolled blood pressure in hypertensive patients attending Gondar university hospital, Ethiopia. METHODS: A hospital-based cross-sectional survey was conducted from July 2015 to March 2016. All hypertensive patients were followed and the blood pressure levels were measured. Binary logistic regression analysis was done to determine the predictors of uncontrolled blood pressure. A p-value of <0.05 was set at priori with 95% confidence interval to test the level of significance. RESULTS: Of the total 578 hypertension patients, 543 (93.9%) fulfilled the study criteria and were included in the final analysis. The mean age of the participants was 55.96±14.6 years. Nearly two-third (58.2%) of the participants were females. More than one-tenth (11.4%) of the respondents had uncontrolled blood pressure. High salt intake carried six times more risk of uncontrolled blood pressure. Elderly individuals had lower risk as compared to young age group. However, comorbidities were not related with uncontrolled blood pressure. CONCLUSIONS: Blood pressure control was relatively high in the hospital studied. High salt intake was strongly linked with uncontrolled blood pressure. Individuals with high salt intake should be followed for their medication experience and disease knowledge.
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Abegaz et al. (2018) conducted a cross-sectional in Hypertension (n=543). High salt intake vs. Lower salt intake was evaluated on Uncontrolled blood pressure (6-fold increased risk). High salt intake was associated with a six-fold increased risk of uncontrolled blood pressure among hypertensive patients in Ethiopia, where the overall prevalence of uncontrolled blood pressure was 11.4%.
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