Hypertension and obesity in police forces households in Khartoum, Sudan: A pilot report - part of the "Police Forces Hypertension, Diabetes, Renal Insufficiency, and Thyroid Derangements (HyDRIT) Study", Sudan)

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Date
2008-01
Authors
Hasan Abu-Aisha
Elwaleed AM Elhassan
Ammar Hassan Khamis
Adil Abu-Elmaali
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Abstract
Premature mortality from cardiovascular diseases could be prevented by the effective control of hypertension (HTN). Excess weight is associated with increased rate of death from all-causes. Nationwide data for the status of hypertension and excess weight in the Sudanese population are not available. All the consenting 426 inhabitants of two police housing-complexes were included. Blood pressure (BP), anthropometric measurements as well as blood samples were taken. Standard interviewing procedures were used to record medical history, socio-demographic and lifestyle characteristics. The data was analysed through univariate and multivariate regressions. The overall prevalence of hypertension (based on two BP measurements) was 27%. Less than a third (29.8%) of the hypertensive subjects were aware of their disease. Pharmacotherapy among those aware of their disease was prescribed in 94.1%. However, 59.4% of them were compliant with their prescribed medicines and 28.1% attained effective BP control. Prevalence of hypertension was significantly higher in older individuals (> 50 years of age), overweight (body mass index, (BMI) > 25) and those who had better education (> 10 years of schooling). The cumulative prevalence of overweight (BMI 25-29.9 kg/m2) was 30% while that for obesity (BMI ≥ 30 kg/m2) was 19.2%. Abdominal obesity was observed in 19.5% of males and 46.2% of females. Overweight subjects were more than twice likely to be hypertensive than their non-overweight counterparts (odds ratio 2.33 [1.49-3.64]). In the sample examined, the prevalence of hypertension and excess weight seemed to be comparable to other countries; this makes them a public health priority.
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Abu-Aisha, H., Elhassan, E.A., Khamis, A.H. and Abu-Elmaali, A., 2008. Hypertension and obesity in police forces households in Khartoum, Sudan: a pilot report-part of the" Police Forces Hypertension, Diabetes, Renal Insufficiency, and Thyroid Derangements (HyDRIT) Study", Sudan.
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