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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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) |
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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. |
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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 |
work_keys_str_mv |
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