Wahab Kolawole W, Dele-Ojo Bolade, Ahmadi-Abhari Sara, Okubadejo Njide, Odili Augustine, Aje Akinyemi, Idoko Patrick, Gbadamosi Maruf, Abubakar Sani, Akintunde Adeseye, Aigbe Fred, Makusidi Muhammad, Nyandaiti Yakub, Poulter Neil R, Omotoso Ayodele B
Department of Medicine, University of Ilorin, Ilorin 240001, Nigeria.
Department of Medicine, Ekiti State University, Ado Ekiti, Nigeria.
Eur Heart J Suppl. 2024 Jul 24;26(Suppl 3):iii65-iii67. doi: 10.1093/eurheartjsupp/suae053. eCollection 2024 Jun.
There is a need to constantly assess the awareness, treatment, and control of hypertension in Nigeria. This study determined the frequency of undiagnosed hypertension across the six geopolitical zones of Nigeria. We conducted an opportunistic screening of adults aged at least 18 years in the month of May 2021. Participants were recruited by trained volunteers using the May Measurement Month protocol. Blood pressure (BP) was measured using validated digital sphygmomanometers. We defined hypertension as systolic BP ≥ 140 and/or diastolic BP ≥ 90 mmHg and/or the use of BP-lowering medications. A total of 9361 participants (51.5% females) with a mean age of 40.7 ± 15.5 years were screened. Hypertension was present in 3192 (34.1%) of the participants. About half (1491, 46.7%) of the hypertensives were unaware of the diagnosis. Among the 3192 participants with hypertension, less than half (1540, 48.2%) were on antihypertensive medications, while only 36.4% of those on antihypertensive medications had their BP controlled (<140/90 mmHg). About one-third of Nigerians in this opportunistic screening had hypertension, with about half of them being unaware of their diagnosis while only about two out of every five on antihypertensive medications had controlled BP. Urgent health actions are needed in Nigeria to reduce the burden of hypertension and its complications.
尼日利亚有必要持续评估高血压的知晓率、治疗情况和控制情况。本研究确定了尼日利亚六个地缘政治区未诊断高血压的发生率。我们于2021年5月对至少18岁的成年人进行了机会性筛查。参与者由经过培训的志愿者按照五月测量月方案招募。使用经过验证的数字血压计测量血压。我们将高血压定义为收缩压≥140和/或舒张压≥90 mmHg和/或正在使用降压药物。共筛查了9361名参与者（51.5%为女性），平均年龄为40.7±15.5岁。3192名（34.1%）参与者患有高血压。约一半（1491名，46.7%）的高血压患者不知道自己的诊断情况。在3192名高血压参与者中，不到一半（1540名，48.2%）正在服用降压药物，而在服用降压药物的患者中，只有36.4%的人的血压得到控制（<140/90 mmHg）。在这次机会性筛查中，约三分之一的尼日利亚人患有高血压，其中约一半不知道自己的诊断情况，而在服用降压药物的人中，每五人中只有约两人的血压得到控制。尼日利亚需要立即采取健康行动，以减轻高血压及其并发症的负担。
