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Khamis AG, Senkoro M, Mwanri AW, et al. Prevalence and determinants of hypertension among pastoralists in Monduli District, Arusha region in Tanzania: a cross-sectional study. Arch Public Health. 2020;78:99doi: 10.1186/s13690-020-00485-0.
Khamis, A. G., Senkoro, M., Mwanri, A. W., Kreppel, K., Mfinanga, S. G., Bonfoh, B., & Kwesigabo, G. (2020). Prevalence and determinants of hypertension among pastoralists in Monduli District, Arusha region in Tanzania: a cross-sectional study. Archives of public health = Archives belges de sante publique, 7899. https://doi.org/10.1186/s13690-020-00485-0
Khamis, Ahmed Gharib, et al. "Prevalence and determinants of hypertension among pastoralists in Monduli District, Arusha region in Tanzania: a cross-sectional study." Archives of public health = Archives belges de sante publique vol. 78 (2020): 99. doi: https://doi.org/10.1186/s13690-020-00485-0
Khamis AG, Senkoro M, Mwanri AW, Kreppel K, Mfinanga SG, Bonfoh B, Kwesigabo G. Prevalence and determinants of hypertension among pastoralists in Monduli District, Arusha region in Tanzania: a cross-sectional study. Arch Public Health. 2020 Oct 14;78:99. doi: 10.1186/s13690-020-00485-0. eCollection 2020. PMID: 33072318; PMCID: PMC7556965.
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Arch Public Health. 2020 Oct 14;78:99. doi: 10.1186/s13690-020-00485-0. eCollection 2020.

Prevalence and determinants of hypertension among pastoralists in Monduli District, Arusha region in Tanzania: a cross-sectional study.

Archives of public health = Archives belges de sante publique

Ahmed Gharib Khamis, Mbazi Senkoro, Akwilina Wendelin Mwanri, Katharina Kreppel, Sayoki Godfrey Mfinanga, Bassirou Bonfoh, Gideon Kwesigabo

Affiliations

  1. Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.
  2. National Institute for Medical Research, Muhimbili Research Centre, Dar-es-Salaam, Tanzania.
  3. Department of Food Technology, Nutrition and Consumer Sciences, Sokoine University of Agriculture, Morogoro, Chuo Kikuu Tanzania.
  4. School of Life Sciences and Bio-Engineering, Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania.
  5. Department of Environmental Health and Ecological Sciences, Ifakara Health Institute, Dar-es-salaam, Tanzania.
  6. Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, Abidjan, Côte d'Ivoire.

PMID: 33072318 PMCID: PMC7556965 DOI: 10.1186/s13690-020-00485-0

Abstract

BACKGROUND: Hypertension is among the growing non-communicable diseases (NCDs) in developing countries and the leading cause of death worldwide. Pastoral areas have been identified to be at a higher risk of diseases due to challenges in their daily food production, livelihoods or mobility. Unfortunately, the prevalence of hypertension and the risk factors particularly affecting rural and pastoral populations are not fully understood, making intervention efforts challenging. The aim of this study was to determine the prevalence of hypertension and identify the risk factors among adults living in Monduli district in Tanzania. The findings will be useful for the provision of tailored interventions focused on community-specific nutritional and behavioral practices.

METHODS: We conducted a community based cross-sectional study involving a sample of 510 adults aged above 18 years selected using a multistage cluster sampling in the Monduli district of Arusha region, Tanzania. Data were collected by using interviewer-administered questionnaires containing socio-demographic, physical activity, smoking and alcohol consumption. Anthropometry, systolic (SBP) and diastolic blood pressure (DBP) levels were measured. A one-day 24 h diet recall was conducted to evaluate the dietary habits of all participants. Both linear and logistic regression analysis were used to identify the independent predictors for hypertension and blood pressure levels.

RESULTS: The prevalence of hypertension in this study was 25.7% (

CONCLUSION: About one in every four adults living in pastoral communities have been found to have hypertension in this study. Our findings suggest that older age, obesity or overweight, low physical activity, low income, and consumption of fatty foods increase the risk of hypertension among study population. Their diet was dominated by cereals with moderate intake of meat and milk and low fruits. There is a need to promote physical activities and consumption of fruits in the study population in order to fight against hypertension. Further research should be done to confirm the associations.

© The Author(s) 2020.

Keywords: Blood pressure; Body mass index; Diet; Hypertension; Pastoralist; Physical activity; Tanzania

Conflict of interest statement

Competing interestsThe authors declare no conflict of interest.

References

  1. J Hypertens. 2000 Feb;18(2):145-52 - PubMed
  2. J Am Soc Hypertens. 2016 Oct;10(10):753-754 - PubMed
  3. PLoS One. 2014 Oct 29;9(10):e110447 - PubMed
  4. Lancet. 2015 Dec 5;386(10010):2287-323 - PubMed
  5. Hypertension. 2014 Aug;64(2):215-21 - PubMed
  6. Tanzan J Health Res. 2011 Dec;13(5 Suppl 1):378-86 - PubMed
  7. Tanzan J Health Res. 2011 Dec;13(5 Suppl 1):365-77 - PubMed
  8. Int J Epidemiol. 2018 Jun 1;47(3):872-883i - PubMed
  9. Lancet. 2007 Dec 8;370(9603):1929-38 - PubMed
  10. Int J Behav Nutr Phys Act. 2015 Oct 08;12:131 - PubMed
  11. Am J Med. 2003 Dec 8;115 Suppl 8A:37S-41S - PubMed
  12. Int J Hypertens. 2020 Sep 3;2020:9032476 - PubMed
  13. BMC Med. 2015 May 29;13:126 - PubMed
  14. Nat Rev Cardiol. 2011 Jul 05;8(8):456-65 - PubMed
  15. Curr Cardiovasc Risk Rep. 2011 Aug 1;5(4):287-298 - PubMed
  16. Hum Ecol Interdiscip J. 2015;43(3):411-424 - PubMed
  17. Glob Health Action. 2017;10(1):1321279 - PubMed
  18. Lancet. 2012 Aug 11;380(9841):611-9 - PubMed
  19. Hypertension. 2003 Dec;42(6):1206-52 - PubMed
  20. JAMA Netw Open. 2018 Aug 3;1(4):e181271 - PubMed
  21. BMC Public Health. 2017 Aug 16;17(1):659 - PubMed
  22. J Hum Hypertens. 2010 Dec;24(12):786-95 - PubMed
  23. BMJ Open. 2017 Nov 9;7(11):e018829 - PubMed
  24. Tanzan Health Res Bull. 2006 Jan;8(1):32-6 - PubMed
  25. S Afr Med J. 2003 Apr;93(4):295-9 - PubMed
  26. Ann Intern Med. 2002 Apr 2;136(7):493-503 - PubMed
  27. BMC Public Health. 2018 Sep 10;18(1):1106 - PubMed
  28. Circulation. 2013 Apr 9;127(14):1493-502, 1502e1-8 - PubMed
  29. Am J Hum Biol. 2000 Nov 1;12(6):758-781 - PubMed
  30. Circulation. 2016 Aug 9;134(6):441-50 - PubMed
  31. Biodemography Soc Biol. 2015;61(1):1-17 - PubMed
  32. PLoS One. 2020 Jun 1;15(6):e0233777 - PubMed
  33. J Hum Hypertens. 2007 Jan;21(1):28-37 - PubMed

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