Blood pressure patterns in rural, semi-urban and urban children in the Ashanti region of Ghana, West Africa

Agyemang, Charles; Redekop, William K.; Owusu-Dabo, Ellis; Bruijnzeels, Marc A.
January 2005
BMC Public Health;2005, Vol. 5 Issue 1, p114
Academic Journal
Background: High blood pressure, once rare, is rapidly becoming a major public health burden in sub-Saharan/Africa. It is unclear whether this is reflected in children. The main purpose of this study was to assess blood pressure patterns among rural, semi-urban, and urban children and to determine the association of blood pressure with locality and body mass index (BMI) in this sub-Saharan Africa setting. Methods: We conducted a cross-sectional survey among school children aged 8-16 years in the Ashanti region of Ghana (West-Africa). There were 1277 children in the study (616 boys and 661 females). Of these 214 were from rural, 296 from semi-urban and 767 from urban settings. Results: Blood pressure increased with increasing age in rural, semi-urban and urban areas, and in both boys and girls. The rural boys had a lower systolic and diastolic blood pressure than semiurban boys (104.7/62.3 vs. 109.2/66.5; p < 0.001) and lower systolic blood pressure than urban boys (104.7 vs. 107.6; p < 0.01). Girls had a higher blood pressure than boys (109.1/66.7 vs. 107.5/63.8; p < 0.01). With the exception of a lower diastolic blood pressure amongst rural girls, no differences were found between rural girls (107.4/64.4) and semi-urban girls (108.0/66.1) and urban girls (109.8/67.5). In multiple linear regression analysis, locality and BMI were independently associated with blood pressure in both boys and girls. Conclusion: These findings underscore the urgent need for public health measures to prevent increasing blood pressure and its sequelae from becoming another public health burden. More work on blood pressure in children in sub-Saharan African and other developing countries is needed to prevent high blood pressure from becoming a major burden in many of these countries.


Related Articles

  • Personal Empowerment Program. Klam, Joan; McLay, Myrna; Brabke, Diane // Journal of Psychosocial Nursing & Mental Health Services;Aug2006, Vol. 44 Issue 8, p20 

    Three staff nurses in the Outpatient Schizophrenia Service of the Foothills Medical Centre in Calgary, Alberta, Canada, became concerned about the weight gain of their patients. Patients and their family members were also concerned and asking for help. Before integrating a program to address...

  • Prevalence of Overweight and Obesity Among Adults with Diagnosed Diabetes -- United States, 1988--1994 and 1999--2002.  // MMWR: Morbidity & Mortality Weekly Report;11/19/2004, Vol. 53 Issue 45, p1066 

    Presents a report on the prevalence of overweight and obesity among adults in the U.S. with diagnosed diabetes during the period of 1988 through 1994 and 1999 through 2002. Relation between obesity and control of blood glucose, blood pressure and cholesterol levels; Importance of healthy weight...

  • Trends in blood pressure over 10 years in adolescents: analyses of cross sectional surveys in the Northern Ireland Young Hearts project. Watkins, David; McCarron, Peter; Murray, Liam; Cran, Gordon; Boreham, Colin; Robson, Paula; McGartland, Claire; Smith, George Davey; Savage, Maurice // BMJ: British Medical Journal (International Edition);7/17/2004, Vol. 329 Issue 7458, p139 

    Objective To examine secular trends in blood pressure over a 10 year period between two representative cohorts of adolescents from Northern Ireland. Design Repeat cross sectional study. Setting Randomly selected post-primary schools from Northern Ireland. Participants 1015 adolescents...

  • Effectiveness of a Multidisciplinary Program for Management of Obesity: The Unité d’Enseignement, de Traitement et de Recherche sur l’Obésité (UETRO) Database Study. Kamga-Ngandé, Carole N.; Carpentier, André C.; Nadeau-Marcotte, Frédérique; Ardilouze, Jean-Luc; Baillargeon, Jean-Patrice; Bellabarba, Diego; Houde, Ghislaine; Langlois, Marie-France // Metabolic Syndrome & Related Disorders;Aug2009, Vol. 7 Issue 4, p297 

    Background:Obesity is a worldwide health problem assuming epidemic proportions. Development of effective clinical interventions is needed to lower the impact of associated morbidity and mortality, without forgetting related costs. We have established an interdisciplinary clinic for obesity...

  • Multivariate Prediction of Total and Cardiovascular Mortality in an Obese Polynesian Population. Crews, Douglas E. // American Journal of Public Health;Aug1989, Vol. 79 Issue 8, p982 

    Abstract: The effects of body weight and blood pressure on the risk of total mortality and mortality from cardiovascular diseases (CVD) were examined in a prospective sample of 5,866 adult residents of American Samoa, a Polynesian population noted for exhibiting high levels of obesity. Data...

  • Type A behaviour pattern: is it a risk factor for hypertension? Al-Asadi, J. N. // Eastern Mediterranean Health Journal;Jul2010, Vol. 16 Issue 7, p740 

    Type A behaviour pattern has been found to be associated with coronary heart diseases, but its association with hypertension is inconsistent. To investigate the association between type A behaviour pattern and hypertension, 221 known hypertensive patients and a control group of 221...

  • A Population-based Screening of Type 2 Diabetes in High-risk Population of Yasuj, Iran. Safari, Mitra; Yazdanpanah, Behrouz; Yazdanpanah, Behzad; Mobasheri, Ali // Journal of Health, Population & Nutrition;Dec2014, Vol. 32 Issue 4, p677 

    Complications associated with diabetes can be prevented by early diagnostics. A high-risk population was screened for diabetes, and the prevalence of undiagnosed diabetes mellitus (DM) and impaired fasting glucose (IFG) were used for examining the impacts of lifestyle, social and anthropometric...

  • Evaluation of the Healthy Village Program in Kapit District, Sarawak, Malaysia. Kiyu, Andrew; Steinkuehler, Ashley A.; Hashim, Jamilah; Hall, John; Lee, Peter F.S.; Taylor, Richard // Health Promotion International;Mar2006, Vol. 21 Issue 1, p13 

    Sarawak, Malaysia has a large population of ethnic minorities who live in longhouses in remote rural areas where poverty, non-communicable diseases, accidents and injuries, environmental hazards and communicable diseases all contribute to a lower quality of life than is possible to achieve in...

  • BLOOD PRESSURE OF 12- TO 15-YEAR-OLD ESTONIAN ADOLESCENTS OF DIFFERENT HEIGHT-WEIGHT CATEGORIES. Veldre, Gudrun // Papers on Anthropology;2005, Vol. 14, p371 

    The article describes systolic and diastolic blood pressure of 357 healthy schoolboys aged 12-15 years from secondary schools of Tartu in respect of the height-weight category where they belong. In each age group the data were systematised into 5 height-weight SD-classes according to the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics