Twinamasiko Bruce, Lukenge Edward, Nabawanga Stella, Nansalire Winnie, Kobusingye Lois, Ruzaaza Gad, Bajunirwe Francis
Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda.
Int J Hypertens. 2018 May 6;2018:8253948. doi: 10.1155/2018/8253948. eCollection 2018.
Globally, cardiovascular diseases (CVDs) and diabetes constitute over 50% of the noncommunicable disease (NCD) burden and projections indicate Sub-Saharan Africa will experience a larger burden. Urbanization on the continent is contributing to the change in lifestyle such as diet and physical activity, which may increase the risk for CVDs. There is lack of sufficient data from the African continent on hypertension and its association with sedentary lifestyle.
We conducted a cross sectional study in periurban Uganda among adults aged at least 35 years. We administered questions on diet, physical activity, and smoking. We took anthropometric measurements, blood pressure, and fasting blood glucose. Hypertension was defined as systolic BP > = 140 and/or diastolic BP > = 90 and/or history of hypertension medications. Logistic regression was used to determine the crude and adjusted odds ratios for the factors associated with hypertension.
We enrolled 310 participants and 50% were female. The prevalence of systolic hypertension was 24.5%, diastolic hypertension was 31%, obesity was 46%, and diabetes was 9%. Of those with hypertension ( = 76), 53 participants (69.7%) were not aware they had high BP. Sedentary lifestyle was significantly associated with hypertension even after adjusting for age and obesity.
There is a high prevalence of obesity, hypertension, and diabetes and majority of participants with hypertension are not aware. Participants with a sedentary work style should be targeted for prevention and screening.
在全球范围内，心血管疾病（CVD）和糖尿病占非传染性疾病（NCD）负担的50%以上，并且预测表明撒哈拉以南非洲将承受更大的负担。该大陆的城市化正在导致饮食和体育活动等生活方式的改变，这可能会增加患心血管疾病的风险。非洲大陆缺乏关于高血压及其与久坐生活方式关联的充分数据。
我们在乌干达城郊对至少35岁的成年人进行了一项横断面研究。我们询问了有关饮食、体育活动和吸烟的问题。我们进行了人体测量、血压测量和空腹血糖检测。高血压的定义为收缩压≥140和/或舒张压≥90和/或有高血压用药史。使用逻辑回归来确定与高血压相关因素的粗比值比和调整后的比值比。
我们招募了310名参与者，其中50%为女性。收缩期高血压患病率为24.5%，舒张期高血压患病率为31%，肥胖率为46%，糖尿病患病率为9%。在患有高血压的人群（n = 76）中，53名参与者（69.7%）不知道自己血压高。即使在调整年龄和肥胖因素后，久坐的生活方式仍与高血压显著相关。
肥胖、高血压和糖尿病的患病率很高，大多数高血压患者并不知道自己患病。应针对久坐工作方式的参与者进行预防和筛查。
