Determinants of mean blood pressure and hypertension among workers in West Africa

Bosu, William (2016) Determinants of mean blood pressure and hypertension among workers in West Africa. International Journal of Hypertension, 2016. ISSN 2090-0392

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Abstract

Background. This review was undertaken to estimate the mean blood pressure and evaluate its determinants as well as the determinants of hypertension among workers in West Africa. Methods. In a follow-up to an earlier study, a systematic search for articles published between 1980 and August 2015 was undertaken using major databases. Results. A total of 55 articles involving 34,919 different cadres of workers from six countries were retrieved. The mean systolic blood pressure (BP) ranged from 116.6 +-1.3 mmHg to 15137 +- 13.6  mmHg while the mean diastolic BP ranged from 69.9 +- 11.0  mmHg to 97.1 +-  9.1 mmHg. Population-wide prehypertension was -common. The major determinants of mean BP and hypertension were similar and included male sex, older age group, higher socioeconomic status, obesity, alcohol consumption, plasma glucose, and sodium excretion. Ethnicity and educational level were inconsistently associated with hypertension. Workers at higher risk of cardiovascular event did not perceive themselves as such. Conclusion. The prevailing mean prehypertensive BP, low perception of risk, and clustering of risk factors call for interventions such as healthy diets, improved physical activity, and a favourable work environment. Successful models for improving the cardiovascular health of sedentary informal sector workers in Africa are urgently needed.

Item Type:
Journal Article
Journal or Publication Title:
International Journal of Hypertension
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2700/2724
Subjects:
ID Code:
83093
Deposited By:
Deposited On:
22 Nov 2016 15:16
Refereed?:
Yes
Published?:
Published
Last Modified:
03 Apr 2020 03:45