Obesity and Hypertension, Prevalence and Correlates among Patients Seen in a Tertiary Hospital in South-south Nigeria

Authors

  • Dr. Azinge N
  • Anizor C.O

Keywords:

Obesity, hypertension

Abstract

Background: The relevance of both hypertension and obesity as important public health challenges is increasingworld-wide. The growing prevalence of obesity is increasingly recognized as one of the most important risk factors for the development of hypertension. This study is aimed at determining the prevalence of hypertension and obesity with its associations in patients seen in a tertiary hospital in South-South Nigeria

Method: This study was carried out at the Delta State University Teaching Hospital, Oghara. It is a cross sectional descriptive study of 1045 adult patients seen at the Out-patient department between January – December 2010. Blood pressure and their anthropometric were measures taken at their first clinic visit. Overweight and obesity were determined using the body mass index (Quetelet index)

Result: The prevalence of hypertension was 28% while the prevalence of obesity was 22.1%. Specifically, 19.5% of the males and 24% of the females were obese respectively. Mean body mass index was 24.63 + 8.52kglm2. Male prevalence of hypertension was 14.4% while female prevalence was 14.1%. The prevalence of hypertension was significantly higher among obese patients compared to non-obese patients (32.5% vs. 23.5%) p<0.05.

Conclusion: Hypertension places an excessive financial burden and populations and health systems, consuming scarce resources. Body mass index is positively and independently associated with morbidity and mortality from hypertension and cardiovascular disease. Lifestyle modification would help in controlling hypertension as well as reduce its prevalence and its subsequent financial burden.

Author Biography

Dr. Azinge N

Endocrinology Unit, Dept of Internal Medicine,

Delta Sate University Teaching Hospital,

Oghara, Delta State.

References

Stamler R., Stamler J., Reidinge WF. et al Weight and blood pressure findings in hypertension screening of 1 million Americans. JAMA 1978; 240: 1607-10

Dyer AR, Elliot P, Stupley M for the INTERSALT Co-operative Research Group. Body mass index versus height and weight in relation to blood pressure: findings for the 10,079 persons in the INTERSALT study, Am J Epidemiol 1990:131:589-96.

The Seventh Report of the joint national Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC7) JAMA. 2003,289 (19): 2560-2572.

Folson AR, L, Y, Rav X, Cen R, Zhang K, Liv X et al. Body mass, fat distribution and cardiovascular risk factors in a lean population of South China. J Clin Epidemiol 1994; 47:173-181

Goldbourt U, Holtzmal E, Cohesi- Mandelzinvcig L, Neufield UN. Enhaced risk of coronary heart disease mortality in lean hypertensive men. Hypertension 1987; 10:22-28

Krause RM, Winslon M, Fletcher BJ, Gnendy SM, Obesity, impact on cardiovascular disease. Circulation 1998; 98: 1472-1476

OsilesiO,DavidLT,MbofungCF,Osiyeme FO, A Lenmo T. Dietary mineral effects on the occurence of the control of hypertension – review paper Nigeria J of Nutri Sci 1987; 8(2): 83-86

Onwubere BYC, Ike SO, Prevalence of hypertension and its complication among medical admissions at the University of Nigeria Teaching Hospital, Enugu. Nigeria J Int. Med. 2000; 3(1):17-20

Copper R, Rotimi C, Ataman D,McGeeD, Osotimein B, Kadiri S et al. prevalence of hypertension in seven populations of West African origin. Am J Pub Health 1997; 87: 60-8

Akpa MR, Agomouh DI, Alasia DD. Serum Lipid pattern of healthy adult Nigerians in Port Harcourt. Nig J of Med. 2006; 15(2): 137-4

Yekeen LA, Sanusi RA, Ketiku AO Prevalence of Obesity and High level of cholesterol in Hypertension: Analysis of Data from the University College Hospital, Ibadan. African Council of Biomedical Research, 6(2003):129-132

Akintunde AA, Akinwusi PO, Adebayo PA, Ogunyemi S, Opadiyo OG. Burden of obesity is essential hypertension: Pattern and Prevalence. Niger J Clin Pract 2010;13 (4):399-402

Ojofeitimi EO, Adeyeye AO, Fadiora Ao, Kuteyi AO et al. Awareness of obesity and its health hazard among women in a university community. Pakistan Journal of Nutrition 2007; 6(5): 502-5

Amodu PH, Mbah IO, Lawson L. Prevalence of obesity and dysliypidoemia in hypertensives seen in Abuja, Nigeria. Scand J Clin Lab Invest Suppl. 2005; 240:14-7

Puepet FH, Zoakah AL, Chuhwak Ek. Prevalence of Overweight and obesity among Urban Nigeria Adults is Jos. Highland Medical Research Journal Vol, No 1(2002) ISSN 1596-2402

Opadipo OG. Risk factors associated with Cardiovascular disease and death in Adult Nigerians with Essential Hypertension. Nig J Int Med 2000; 3(2):41-45

Oghabon EK, Okesna AB. Pattern of some risk factors for cardiovascular diseases is untreated Nigerian Hypertensive patients. West African J. Med. 2006;25(3):190-194

Engeli S, Sharma AM. Role of adipose tissue and disease. Horm Metab Res 2000;23:485- 499

Wiecek A, Kokot F. Chudek J, Adamczak M. The adipose tissue-a novel endocrine organ of Interest to the Nephrologist. Nephrol Dial Transplant 2002; 17: 191-195

Julius S, Valentini M, Palatini P. Overweight and Hypertension; a 2-way Street? Hypertension 2000; 35:807-813

Brown, CD et al. Body mass index and the prevalence of hypertension and dyshpidaemias. Obes Res 2000; 8:605-619.

Adedoyin RA, Mbada CE, Bisiriyu LA, Adebayor Balogun MO, Akintonide AO. Relationship of anthropometric indicators with blood pressure levels and the risk of hypertension in Nigeria adults. Int. J Gen Med. 2009 Nov 30;133-40.

Aronne. LJ, Segal. KR. Adiposity and fat distribution, out come, measures,

assessment and clinical implications, Obes Res. 2002; 10:145-125.

Garrison R.J, et al. Incidence and precursors of hypertension in young adults. The Framingham Offspring study (1987), Prev Med. 16; 225 – 35.

Calle EE, Kaaks R. Overweight, obesity and cancer: Epidemiological evidence and proposed mechanisms. Nat Rev Cancer 2004; 4 : 579-591

Siminnialayi IM, Emem-Chioma PC, Dappe DV. The prevalence of obesity as indicated by BMI and waist circumference among Nigerian adults attending Family Medicine clinics as out-patients in Rivers State. Niger J Med 2008; 17: 340-5

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Published

01-06-2012

How to Cite

1.
Azinge N, Anizor C. Obesity and Hypertension, Prevalence and Correlates among Patients Seen in a Tertiary Hospital in South-south Nigeria. AJTMBR [Internet]. 2012 Jun. 1 [cited 2024 Apr. 19];1(3):33-8. Available from: https://www.ajtmbr.org.ng/index.php/home/article/view/14