Dyslipidemia in blood pressure control among adult hypertensive patients in Kiambu County Hospital Kenya

Simple item page
dc.contributor.authorNderitu, Monica. N.
dc.contributor.authorWala, Jonathan
dc.contributor.authorOtieno, Otieno O.
dc.date.accessioned2020-12-01T12:56:52Z
dc.date.available2020-12-01T12:56:52Z
dc.date.issued2020
dc.descriptionA research article published in East and Central Africa Medical Journalen_US
dc.description.abstractIntroduction: Hypertension is one of the most common non-communicable diseases with about 40% global prevalence in adults and 46% in Africa. Dyslipidemia, among other factors may lead to poor blood pressure control in hypertensive patients. Dyslipidemia occurs when someone has abnormal levels of lipids in their blood However, the role of dyslipidemia in predicting hypertension has not received adequate attention. Objectives: This study aims to determine the relationship between dyslipidemia and blood pressure control among hypertensive patients in Kiambu County Hospital Kenya. Methods: This was a cross-sectional analytical study assessing independent association between blood pressure control and dyslipidemia in a cohort of 251 hypertensive patients in a hospital set up. Multiple logistic regression model was applied to determine factors associated with poor blood pressure control. Results: In total, 251 hypertensive patients, mean age 55.7 years, females-majority (80.9%) were considered in the study. The mean systolic blood pressure was 145.1±22.4mmHg and 87.4±13.0mmHg for diastolic blood pressure. Blood pressure was poorly controlled in 56.6% of the patients. High LDL levels was diagnosed in 82.1% of the patients, 23.1% low HDL levels, 31.9% high triglycerides and 59.8% high total cholesterol levels. Patients with poorly controlled hypertension (68.7%) recorded significantly higher mean total cholesterol (221.4 mg/dl) compared to193.4 mg/dl in the wellcontrolled group (mean 193.4 mg/dl), p0.05). Conclusion: Dyslipidemia was recorded in 68% of adult hypertensive patients and was significantly associated with development of of inadequate blood pressure control. Low density lipids ( LDL) was significantly higher in the poorly controlled group where 68.7% of the patients with high level of total cholesterol had poorly controlled blood pressure. Lifestyle modification, routine lipid profile testing among hypertensive patients, early treatment on high lipid level patients, change of lifestyle and use of statin were recommended for dyslipidemia treatment.en_US
dc.identifier.citationNderitu, M. N., Wala, J., & Otieno, O. O. (2020). Dyslipidemia in blood pressure control among adult hypertensive patients in Kiambu County Hospital Kenya. The East and Central Africa Medical Journal, 4(1), 11-17.en_US
dc.identifier.issn2078-5909
dc.identifier.otherDOI: https://doi.org/10.33886/ecamj.v4i1.175
dc.identifier.urihttps://journals.ku.ac.ke/index.php/ecamj/article/view/175
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/21044
dc.language.isoenen_US
dc.publisherThe East and Central Africa Medical Journalen_US
dc.subjectHypertensionen_US
dc.subjectcardiovascularen_US
dc.subjectblood pressureen_US
dc.subjectdiastolicen_US
dc.subjectsystolicen_US
dc.subjectnon-communicable diseaseen_US
dc.titleDyslipidemia in blood pressure control among adult hypertensive patients in Kiambu County Hospital Kenyaen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Dyslipidemia in blood pressure control among adult hypertensive.pdf
Size:
605.66 KB
Format:
Adobe Portable Document Format
Description:
Full text article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
RP-Department of Medical Physiology