Prevalence and Risk Factors of Elevated Blood Pressure and Elevated Blood Glucose among Residents of Kajiado County, Kenya: A Population-Based Cross-Sectional Survey

Anita Nyaboke Ongosi, Calistus Wilunda, Patou Masika Musumari, Teeranee Techasrivichien, Chia-Wen Wang, Masako Ono-Kihara, Charlotte Serrem, Masahiro Kihara and Takeo Nakayama
Additional contact information
Anita Nyaboke Ongosi: Department of Health Informatics, Kyoto University School of Public Health, Yoshida Konoe-cho, Sakyo-Ku, Kyoto 606-8501, Japan
Calistus Wilunda: African Population and Health Research Centre, Manga Close, Nairobi P.O. Box 10787-00100, Kenya
Patou Masika Musumari: Interdisciplinary Unit for Global Health, Centre for the Promotion of Interdisciplinary Education and Research, Kyoto University, Yoshida hon-machi, Sakyo-ku, Kyoto 606-8501, Japan
Teeranee Techasrivichien: Interdisciplinary Unit for Global Health, Centre for the Promotion of Interdisciplinary Education and Research, Kyoto University, Yoshida hon-machi, Sakyo-ku, Kyoto 606-8501, Japan
Chia-Wen Wang: Population Health Research Centre, College of Public Health, National Taiwan University, Taipei 100, Taiwan
Masako Ono-Kihara: Interdisciplinary Unit for Global Health, Centre for the Promotion of Interdisciplinary Education and Research, Kyoto University, Yoshida hon-machi, Sakyo-ku, Kyoto 606-8501, Japan
Charlotte Serrem: Department of Consumer Science, School of Agriculture and Biotechnology, University of Eldoret, Eldoret P.O. Box 1125-30100, Kenya
Masahiro Kihara: Interdisciplinary Unit for Global Health, Centre for the Promotion of Interdisciplinary Education and Research, Kyoto University, Yoshida hon-machi, Sakyo-ku, Kyoto 606-8501, Japan
Takeo Nakayama: Department of Health Informatics, Kyoto University School of Public Health, Yoshida Konoe-cho, Sakyo-Ku, Kyoto 606-8501, Japan

IJERPH, 2020, vol. 17, issue 19, 1-22

Abstract: Kenya is experiencing a rising burden of non-communicable diseases (NCDs), yet data to inform effective interventions are limited. We investigated the prevalence of elevated blood pressure, elevated blood glucose and their determinants in a rapidly urbanizing area in Kenya. Data on socio-demographics, dietary and behavioural risk factors, anthropometric measurements, blood pressure, blood glucose, plasma lipids and urinary biomarkers were collected from 221 men and 372 women (25–64 years). Multivariable logistic regression models assessed correlates of elevated blood pressure (EBP) and elevated blood glucose (EBG). Participants’ mean age was 38.0. ± 11.1 years. The prevalence rates of pre-hypertension and hypertension were 49.0% and 31.6% in men and 43.7% and 20.1% in women, respectively, while those of pre-diabetes and diabetes were 8.4% and 8.0% in men and 11.6% and 7.4% in women, respectively. The prevalence of Body Mass Index (BMI) ≥ 25 kg/m 2 was higher in women (60.2%) than in men (39.7%). However, both the risk of EBP and EBG were stronger among men than among women. The high prevalence rates of EBP, EBG and overweight/obesity coupled with low physical activity and low fruit and vegetable intake predispose this population to a higher NCD risk. Interventions to mitigate this risk considering the sex differences are urgently required.

Keywords: prevalence; risk; pre-hypertension; hypertension; pre-diabetes; diabetes; sex; gender; elevated; Kajiado (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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