Transcript Joseph _Ghana

Hypertension and Obesity among a
Religious Group in the Akwapim North
District of Ghana, 2012
J. K .L Opare1, 2, C. Ohuabunwo3, E. Afari 1, F. Wurapa2 S. Sackey1
1. School of Public Health, FELTP, UG, Legon
2. Ghana Health Service
3. Morehouse School of Medicine, Atlanta, GA
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Introduction
• Hypertension and obesity constitute increasing
public health concern worldwide
• 3-fold increase in proportional morbidity of
hypertension btw 2006 and 2010 in Akwapim
North District (AKND) of Ghana
• 3/1000 people died from hypertension within a 5month period among a Religious group in AKND
• Created fear and concern among congregants
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Objectives
General
To assess the prevalence of HPT and anthropodemographic risk factors among congregants of this
religious group in AKND
Specific
• To determine the prevalence of hypertension and
obesity among the religious group
• To describe the pattern of hypertension and obesity
among the age groups
• To determine the association between hypertension
and obesity among the group
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Methods 1/2
Study Area:
AKND :Eastern part of
Ghana
• Population 142,068
• 450 km2 land area
• Urban: rural % - 60:40
• 8 sub-districts
• 31 health-facilities
•30 clusters
• 80% access to health
care
AKND
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Methods 2/2
• Recruited 267 congregants in a cross sectional study
• Measured blood pressure (BP) mmHg, body weight
(kg), height (m) and calculated BMI (kg/m²)
• Classified body weight as; normal: BMI< 25kg/m² ,
overweight: BMI≥ 25kg/m², obese: BMI ≥ 30kg/m²
• Defined HPT: SBP ≥140 mmHg and DBP ≥ 90 mmHg
• Determined prevalence of hypertension and obesity
• Any association using Chi square test at 95% CI
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Results 1/3
General characteristics of congregants, AKND, 2012
Variable
Value
Mean age
50.4 ± 13.4
Sex (female)
90.6% (242)
Mean SBP ±SD
125± 22mm of Hg
Mean DBP±SD
74±14 mm of hg
Prevalence of HPT
25% (69/267)
Prevalence of obesity
29% (79/267)
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Results 2/3
• HPT, 94.0% (65/69) were females
• Obese 96% (76/79) were females
• Hypertension was more likely among obese
congregants (OR 2.0; 95% C1: 1.07-3.75)
compared with normal weights
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Results 3/3 : HPT and Obesity by Age and Sex
in the Religious Group Congregants
AKND,2012
25
No of cases
20
15
10
5
0
20-29
30-39
40-49
obesity M
50-59
obesity F
60-69
HPT M
70-79
HPT F
80-89
90>
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Discussion
• HPT prevalence increased across age gradient
from young to old adults and more common in
females [Agyeman et al, 2005: Frank et al 2010]
• Almost 1:4 and 1: 3 of the congregants were
hypertensive and obese respectively
• Positive association between obesity and
hypertension[Hsieh et al 2000;Olatunbosun et
al 2000 ;Shahbazpour et al 2004
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Conclusion
• Hypertension is common and associated with
obesity in this religious population
• All hypertensive congregants
• were counseled
• given anti-hypertensive medications
• Referred to the district hospital for
follow up
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Acknowledgements
• The church of Pentecost Mampong District
• District Health Directorate
• Tetteh Quarshie Memorial Hospital
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