A Community-Based Study of Hypertension and Cardio-Metabolic Syndrome in Semi-urban and Rural Communities in Nigeria

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DOI: 10.21522/TIJPH.2013.05.03.Art001

Authors : Orji Ikechukwu Anthony, Orji Ikechukwu Anthony

Abstract:

This work is a critical review of the article titled “A community-based study of hypertension and cardio-metabolic syndrome in semi-urban and rural communities in Nigeria authored by Ulasi Ifeoma. I., Ijoma Chinwuba. K. & Onodugo Obinna. D and published in BMC Health Services Research journal of 2010, volume 10, page 71 with DOI number; doi: 10.1186/1472-6963-10-71 which was retrieved from http://www.biomedcentral.com/1472-6963/10/71. This review appraised literature related to the subject, evaluated the article structure, authority, relevance, currency, accuracy, stability, and objectivity. Other sections appraised were the tables, recent advances on the subject, accessibility, and credibility of the article. The reviewed original article has its objective as determining the prevalence of Cardio Metabolic Syndrome in rural & semi-urban communities in South-East Nigeria, with attention to the general population and population with hypertension. The authors involved the use a cross-sectional design in this population based study which involved adult residents of the selected communities between the ages of 25 & 65 years. They were screened for metabolic syndrome using standard equipment and interviewed with structured questionnaires. The results yielded prevalence among general population of 18% and 10% for Cardio Metabolic Syndrome in the semi-urban & rural community respectively. While among the group with hypertension, the authors recorded a prevalence of 34.7% and 24.7% in the semi-urban and rural communities respectively. The study demonstrated a high prevalence of Cardio Metabolic Syndrome especially as it concerns semi-urban communities as well among the population with hypertension.

Fundamentally, this is a current and relevant work in the area of non-communicable disease epidemiology in Africa and can be generalized to Blacks in other parts of the world. The work has contributed significantly to the pool of knowledge and can be referenced in future works as it's also an avenue that can be explored for future collaborations in research regarding this topic. The work was written objectively, clearly presented, easy to understand and accessible for researchers, academicians, clinicians and other players in the health sector and can serve the members of the above-listed groups in their various capacities.

References:

[1]. Akpa, M.R. & Mato, C.N. (2008). Obesity in Nigeria: Current trends and management. Nigerian Medical Practitioner. 54 (1), 11-15. Retrieved from 

http://www.ajol.info/index.php/nmp/article/view/28941

[2]. Eckel, R.H., Grundy, S. & Zimmet, P. (2005). The metabolic syndrome. Lancet 2005, 365, 1415-1428. Retrieved from 

http://www.biomedcentral.com/pubmed/15836891.

[3]. Gibbs, C., Beever, D. & Lip, G. (1999). The management of hypertensive diseases in black patients. QJM 1999, 92:187. Retrieved from 

http://www.biomedcentral.com/pubmed/10399605

[4].     Guize, L., Pannier, B., Thomas, F., Bean, K., Jégo, B. & Benetos, A., (2008). Recent advances in metabolic syndrome and cardiovascular disease. NCBI resources 101(9), 577-583. Retrieved from www.ncbi.nlm.nih.gov/pubmed/19041842. doi:10.1016/j.acvd.2008.06.011

[5]. Hoogwerf, B. J., Huang. J., C. Cardiovascular Disease Prevention. Cleveland clinic center for continuing education. September 2012. Retrieved from www.cleveland clinicmeded.com/cardiovascular disease convention

[6]. Ibrahim M.M. & Damasceno A. (2012). Hypertension in developing Countries. The Lancet. 380 (9841), 611-619.

[7]. International Diabetes Federation, (2006). The IDF consensus worldwide definition of the metabolic syndrome. Retrieved from 

http://www.idf.org/webdata/docs/IDF_Meta_def_final.pdf

[8]. International Society of Nephrology, (2005). Program for detection and management of chronic kidney disease, hypertension, diabetes and cardiovascular disease in developing countries (KHDC PROGRAM). Brussels, International Society of Nephrology; 2005:17-19.

[9].     Lucas A.O & Gilles H.M. (2003). Short Textbook of Public Health Medicine for the Tropics, 4th Ed., London, Hodder Arnold. 236-237.

[10].  Opie L.H. & Seedat. Y.K. (2005). Hypertension in Sub-Saharan African Populations. American Heart Association Journal. 112, 3562-3568. Doi: 10.1161/CIRCULATIONAHA218. Retrieved from http://www.njcponline.com/article.asp

[11].  Park, K. (2013). Parks textbook of Preventive and Social Medicine, 21st Ed, Jabalpur, India. Bhanot. 344-346.

[12]. Tran, A., Gelaye, B., Girma, B., Lemma, S., Berhane, Y., Bekele, T. ,… Williams, M.A. (2011). Prevalence of Metabolic Syndrome among Working Adults in Ethiopia. SAGE-Hindawi access to research international journal of hypertension. 2011, Article ID 193719, 8 pages doi:10.4061/2011/193719

[13]. World Health Organization: International Society of Hypertension Writing Group (2003). World Health Organization/International Society of Hypertension (ISH) statement on management of hypertension. Journal of Hypertension, 2003, 21:1983-1992. Retrieved from 

http://www.biomedcentral.com/pubmed/14597836

[14]. World Health Organization, WHO. (2003). International Society of Hypertension Writing Group. World Health Organization/International Society of Hypertension (ISH) statement on management of hypertension. Journal of Hypertension, 21, 1983–1999.

[15]. World Health Organization STEPS Manual, (2006). Retrieved from 

http://www.who.int/chp/steps/manual/en/index.html

[16]. World Health Organization, (2015). Diabetes Fact sheet. Retrieved from 

http://www.who.int/mediacentre/factsheets/fs312/en/