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生活在西非和工业化国家的加纳人和尼日利亚人的高血压与超重/肥胖:一项系统评价。

Hypertension and overweight/obesity in Ghanaians and Nigerians living in West Africa and industrialized countries: a systematic review.

作者信息

Commodore-Mensah Yvonne, Samuel Laura J, Dennison-Himmelfarb Cheryl R, Agyemang Charles

机构信息

aJohns Hopkins University School of Nursing, Baltimore, Maryland, USA bAcademic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.

出版信息

J Hypertens. 2014 Mar;32(3):464-72. doi: 10.1097/HJH.0000000000000061.

Abstract

CONTEXT

There is a growing prevalence of cardiovascular disease (CVD) risk factors in West Africa and among its migrants to industrialized countries. Despite this, no study has reviewed CVD risk factor prevalence among West Africans in Africa and industrialized countries.

OBJECTIVE

To appraise studies on the prevalence of two CVD risk factors (hypertension and overweight/obesity) among two major West African populations (Ghanaians and Nigerians) in Africa and industrialized countries.

METHODS

A comprehensive literature search from 1996 to July 2012 was undertaken to identify quantitative studies on hypertension and overweight/obesity among adult Ghanaians and Nigerians in West Africa and industrialized countries.

RESULTS

Twenty studies were included with 10 conducted in Ghana, six conducted in Nigeria and four in industrialized countries. Studies in Ghana and Nigeria reported a hypertension prevalence of 19.3-54.6% with minimal differences between rural, urban, semi-urban, and mixed populations. Of the hypertensive patients, 14-73% were aware of their condition, 3-86% were on treatment, and 2-13% had controlled blood pressures. Overweight/obesity prevalence in Ghana and Nigeria ranged from 20 to 62% and 4 to 49%, respectively. The four studies in industrialized countries reported a hypertension prevalence of 8.4-55% and overweight/obesity prevalence of 65.7-90%.

CONCLUSION

Hypertension and overweight/obesity are highly prevalent conditions in West Africa and in its migrants residing in industrialized countries. Urgent measures are needed to prevent CVD risk factors and halt the clinical sequelae.

摘要

背景

在西非及其移民到工业化国家的人群中,心血管疾病(CVD)风险因素的患病率正在上升。尽管如此,尚无研究对非洲和工业化国家的西非人群中的心血管疾病风险因素患病率进行综述。

目的

评估关于非洲和工业化国家的两个主要西非人群(加纳人和尼日利亚人)中两种心血管疾病风险因素(高血压和超重/肥胖)患病率的研究。

方法

进行了一项从1996年至2012年7月的全面文献检索,以确定关于西非和工业化国家成年加纳人和尼日利亚人高血压和超重/肥胖的定量研究。

结果

纳入了20项研究,其中10项在加纳进行,6项在尼日利亚进行,4项在工业化国家进行。加纳和尼日利亚的研究报告高血压患病率为19.3%-54.6%,农村、城市、半城市和混合人群之间差异极小。在高血压患者中,14%-73%知晓自己的病情,3%-86%接受治疗,2%-13%血压得到控制。加纳和尼日利亚的超重/肥胖患病率分别为20%至62%和4%至49%。工业化国家的四项研究报告高血压患病率为8.4%-55%,超重/肥胖患病率为65.7%-90%。

结论

高血压和超重/肥胖在西非及其居住在工业化国家的移民中非常普遍。需要采取紧急措施来预防心血管疾病风险因素并阻止临床后遗症的发生。

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