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Hypertension, Cardiovascular Risk Factors and Complications in Large Population Based Study in Senegal

Objectives: We aim to determine the prevalence of hypertension, cardiovascular risk factors and complications among the population living in the semi-rural area of Gueoul in Senegal. Matariels and method: This is a cross-sectional, descriptive study. In 2012, we conducted an exhaustive survey according to the STEPSwise approach of the world health organization among Senegalese aged of 35 years and over who resided for at least 6 months in semi-rural area. Pregnant women were excluded. Cardiovascular risk factors and complications were collected and data analyzed using SPSS 18.0 software. The significance level was agreed for a value of p < 0.05. Results: We examined 1411 subjects (1052 women) with a mean age of 48.5 ± 12.68 years. The prevalence of hypertension was 46,4%. The other cardiovascular risk factors were dyslipidemia (61,1%), sedentarity (56.2%), abdominal obesity according to the International Diabetes Federation (53.9%), global obesity (13%), diabetes (7.2%) and smoking (2.5%). Hypertension was known in 19% of case and detected in 27.4%. It was more frequent in subjects over 65 years (p = 0.001), in those with diabetes (p = 0.001), abdominal (p = 0.001) or global (p = 0.0001) obesity. Some complications occurred as soon as peripheral arterial disease (28.6 %), coronary artery disease (18.6% %), kidney disease (37%) and carotid atheroma (8.6%). Hypertensive subjects presented more frequently kidney disease (p = 0.0001) and carotid atheroma (p = 0.0001) as far as, left ventricular hypertrophy was noted in 16.7 % of them. Conclusion: Hypertension and other cardiovascular risk factors are frequent and often associated with complications in semi-rural area of Senegal. Adapted strategies are necessary to prevent serious cardiovascular diseases.

Auteur(s) : A Mbaye, AA Ngaïde, ND Gaye, M Gazal, M Ka, M Faye, K Babaka, G Lo, E Kluvi, JS Mingou, M Dioum, K Niang, F Aw, A Dodo, SA Sarr, M Bodian, MB Ndiaye,
Pages : 046 - 049
Année de publication : 2016
Revue : Archives of Clinical Hypertension
Type : Article
Mise en ligne par : NDOUR Ndèye Maïmouna