Metabolic syndrome among individuals living with hypertension in Accra, Ghana.

Metabolic syndrome (MetS) is a major risk factor to cardiovascular diseases. In this study, we investigate the prevalence and associated risky behaviour of MetS in resource-poor urban communities in Accra, Ghana. We analysed data on 111 persons with hypertension, screened and recruited for a therape...

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Autores principales: Aaron Kobina Christian, Olutobi Adekunle Sanuade, Sandra Boatemaa Kushitor, Mawuli Kushitor, Irene Kretchy, Charles Agyemang, Ama de-Graft Aikins
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/80521b9873d54586a9d924c77b7739dd
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spelling oai:doaj.org-article:80521b9873d54586a9d924c77b7739dd2021-12-02T20:13:37ZMetabolic syndrome among individuals living with hypertension in Accra, Ghana.1932-620310.1371/journal.pone.0253837https://doaj.org/article/80521b9873d54586a9d924c77b7739dd2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253837https://doaj.org/toc/1932-6203Metabolic syndrome (MetS) is a major risk factor to cardiovascular diseases. In this study, we investigate the prevalence and associated risky behaviour of MetS in resource-poor urban communities in Accra, Ghana. We analysed data on 111 persons with hypertension, screened and recruited for a therapeutic lifestyle intervention program in August 2015. MetS was measured using the International Diabetes Federation (IDF) and the World Health Organization definitions. The prevalence of MetS was 58.4% and 16.8% by the IDF and WHO definitions respectively. More women (61.8%) compared to men (31.8%) had MetS (p = 0.011). Approximately 31% of the hypertensive patients were engaged in moderate-intensity physical activity; 9.0% were current smokers, 42.0% consumed excess alcohol over the past month prior to the interview and 41.0% discontinued taking their antihypertensive medications without consulting with a doctor. About 42.0% and 37.0% of respondents always consumed fruits and vegetables respectively at least two times a day. The binary logistic regression showed that compared to women, men had lower odds of consuming two or more servings of vegetable in a day (OR: 0.2; 95% CI; 0.1, 0.8). Increase in age was associated with higher odds of consuming fruits at least twice a day (1.0; 1.0, 1.1) but with lower odds of engaging in moderate intensity physical activity (0.9; 0.8, 1.0). Being married was associated with higher odds of engaging in moderate physical activity (2.8; 1.0, 8.2). Therapeutic methods essential for the management of patients with hypertension and MetS should include non-pharmacological remedies targeting the promotion of medication adherence, Dietary Approaches to Stop Hypertension (DASH) and physical activities; these are vital to changing unhealthy lifestyle which worsens the underlying pathology.Aaron Kobina ChristianOlutobi Adekunle SanuadeSandra Boatemaa KushitorMawuli KushitorIrene KretchyCharles AgyemangAma de-Graft AikinsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0253837 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Aaron Kobina Christian
Olutobi Adekunle Sanuade
Sandra Boatemaa Kushitor
Mawuli Kushitor
Irene Kretchy
Charles Agyemang
Ama de-Graft Aikins
Metabolic syndrome among individuals living with hypertension in Accra, Ghana.
description Metabolic syndrome (MetS) is a major risk factor to cardiovascular diseases. In this study, we investigate the prevalence and associated risky behaviour of MetS in resource-poor urban communities in Accra, Ghana. We analysed data on 111 persons with hypertension, screened and recruited for a therapeutic lifestyle intervention program in August 2015. MetS was measured using the International Diabetes Federation (IDF) and the World Health Organization definitions. The prevalence of MetS was 58.4% and 16.8% by the IDF and WHO definitions respectively. More women (61.8%) compared to men (31.8%) had MetS (p = 0.011). Approximately 31% of the hypertensive patients were engaged in moderate-intensity physical activity; 9.0% were current smokers, 42.0% consumed excess alcohol over the past month prior to the interview and 41.0% discontinued taking their antihypertensive medications without consulting with a doctor. About 42.0% and 37.0% of respondents always consumed fruits and vegetables respectively at least two times a day. The binary logistic regression showed that compared to women, men had lower odds of consuming two or more servings of vegetable in a day (OR: 0.2; 95% CI; 0.1, 0.8). Increase in age was associated with higher odds of consuming fruits at least twice a day (1.0; 1.0, 1.1) but with lower odds of engaging in moderate intensity physical activity (0.9; 0.8, 1.0). Being married was associated with higher odds of engaging in moderate physical activity (2.8; 1.0, 8.2). Therapeutic methods essential for the management of patients with hypertension and MetS should include non-pharmacological remedies targeting the promotion of medication adherence, Dietary Approaches to Stop Hypertension (DASH) and physical activities; these are vital to changing unhealthy lifestyle which worsens the underlying pathology.
format article
author Aaron Kobina Christian
Olutobi Adekunle Sanuade
Sandra Boatemaa Kushitor
Mawuli Kushitor
Irene Kretchy
Charles Agyemang
Ama de-Graft Aikins
author_facet Aaron Kobina Christian
Olutobi Adekunle Sanuade
Sandra Boatemaa Kushitor
Mawuli Kushitor
Irene Kretchy
Charles Agyemang
Ama de-Graft Aikins
author_sort Aaron Kobina Christian
title Metabolic syndrome among individuals living with hypertension in Accra, Ghana.
title_short Metabolic syndrome among individuals living with hypertension in Accra, Ghana.
title_full Metabolic syndrome among individuals living with hypertension in Accra, Ghana.
title_fullStr Metabolic syndrome among individuals living with hypertension in Accra, Ghana.
title_full_unstemmed Metabolic syndrome among individuals living with hypertension in Accra, Ghana.
title_sort metabolic syndrome among individuals living with hypertension in accra, ghana.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/80521b9873d54586a9d924c77b7739dd
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