Risk factors of pre-hypertension and hypertension among non-pregnant women of reproductive age in northeastern Tanzania: a community based cross-sectional study
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Risk factors of pre-hypertension and hypertension among non-pregnant women of reproductive age in northeastern Tanzania : a community based cross-sectional study. / Msemo, Omari A.; Schmiegelow, Christentze; Nielsen, Birgitte B.; Kousholt, Hannah; Grunnet, Louise G.; Christensen, Dirk L.; Lusingu, John P.A.; Møller, Sofie L.; Kavishe, Reginald A.; Minja, Daniel T.R.; Bygbjerg, Ib C.
In: Tropical Medicine and International Health, Vol. 23, No. 11, 2018, p. 1176-1187.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Risk factors of pre-hypertension and hypertension among non-pregnant women of reproductive age in northeastern Tanzania
T2 - a community based cross-sectional study
AU - Msemo, Omari A.
AU - Schmiegelow, Christentze
AU - Nielsen, Birgitte B.
AU - Kousholt, Hannah
AU - Grunnet, Louise G.
AU - Christensen, Dirk L.
AU - Lusingu, John P.A.
AU - Møller, Sofie L.
AU - Kavishe, Reginald A.
AU - Minja, Daniel T.R.
AU - Bygbjerg, Ib C.
N1 - © 2018 John Wiley & Sons Ltd.
PY - 2018
Y1 - 2018
N2 - Objectives: To determine risk factors of pre-hypertension and hypertension in a cohort of 1247 rural Tanzanian women before conception. Methods: Demographic and socioeconomic data, anthropometric measurements, past medical and obstetric history and other risk factors for pre-hypertension and hypertension were collected using a structured questionnaire. Multiple logistic regression analysis was used to evaluate the associations between anthropometric indices and other risk factors of pre-hypertension and hypertension. The predictive power of different anthropometric indicators for identification of pre-hypertension and hypertension patients was determined by Receiver Operating Characteristic curves (ROC). Results: The median (range) age was 28.0 (18–40) years. The age-standardised prevalences of pre-hypertension and hypertension were 37.2 (95% CI 34.0–40.6) and 8.5% (95%CI 6.7–10.8), respectively. Of hypertensive patients (n = 98), only 20 (20.4%) were aware of their condition. In multivariate analysis, increasing age, obesity and haemoglobin levels were significantly associated with pre-hypertension and hypertension. Conclusion: Despite a low prevalence of hypertension, over one third of the women had pre-hypertension. This poses a great challenge ahead as pre-hypertensive women may progress into hypertension as they grow older without appropriate interventions. Obesity was the single most important modifiable risk factor for pre-hypertension and hypertension.
AB - Objectives: To determine risk factors of pre-hypertension and hypertension in a cohort of 1247 rural Tanzanian women before conception. Methods: Demographic and socioeconomic data, anthropometric measurements, past medical and obstetric history and other risk factors for pre-hypertension and hypertension were collected using a structured questionnaire. Multiple logistic regression analysis was used to evaluate the associations between anthropometric indices and other risk factors of pre-hypertension and hypertension. The predictive power of different anthropometric indicators for identification of pre-hypertension and hypertension patients was determined by Receiver Operating Characteristic curves (ROC). Results: The median (range) age was 28.0 (18–40) years. The age-standardised prevalences of pre-hypertension and hypertension were 37.2 (95% CI 34.0–40.6) and 8.5% (95%CI 6.7–10.8), respectively. Of hypertensive patients (n = 98), only 20 (20.4%) were aware of their condition. In multivariate analysis, increasing age, obesity and haemoglobin levels were significantly associated with pre-hypertension and hypertension. Conclusion: Despite a low prevalence of hypertension, over one third of the women had pre-hypertension. This poses a great challenge ahead as pre-hypertensive women may progress into hypertension as they grow older without appropriate interventions. Obesity was the single most important modifiable risk factor for pre-hypertension and hypertension.
KW - hypertension
KW - Pre-hypertension
KW - reproductive age
KW - Tanzania
KW - women
U2 - 10.1111/tmi.13149
DO - 10.1111/tmi.13149
M3 - Journal article
C2 - 30280462
AN - SCOPUS:85054327342
VL - 23
SP - 1176
EP - 1187
JO - Tropical Medicine & International Health
JF - Tropical Medicine & International Health
SN - 1360-2276
IS - 11
ER -
ID: 203868958