Concurrent Prediabetes and Prehypertension in a Rural Community in South East Nigeria
C. B. Nwatu *
Division of Endocrinology, Department of Medicine, College of Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria
E. E. Young
Division of Endocrinology, Department of Medicine, College of Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria
C. C. Okwara
Division of Endocrinology, Department of Medicine, College of Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria
C. E. Okoli
College of Natural and Applied Sciences, Gregory University Uturu, Abia State, Nigeria
P. C. Obi
Division of Endocrinology, Department of Medicine, Federal Medical Center, Owerri, Imo State, Nigeria
O. B. Anyim
Division of Endocrinology, Department of Medicine, College of Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria
B. C. Ubani
Division of Endocrinology, Department of Medicine, University of Uyo Teaching Hospital, Uyo, Akwa-Ibom State, Nigeria
C. I. Okafor
Division of Endocrinology, Department of Medicine, College of Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria
J. M. Oli
Division of Endocrinology, Department of Medicine, College of Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Enugu State, Nigeria
*Author to whom correspondence should be addressed.
Abstract
Aim: To determine the prevalence of concurrent prediabetes and prehypertension among apparently healthy adults in Ihuokpara, a rural community, South East Nigeria.
Study Design: The study was cross-sectional.
Place and Duration of Study: Ihuokpara, Nkanu East Local Government Area Enugu State Nigeria, May 2013.
Methodology: Eight hundred and twenty four (538 females and 286 males)consenting adult residents of Ihuokpara, a rural community in Enugu State of Nigeria, were recruited for the study through a cross-sectional, stratified, convenient sampling technique. A structured questionnaire assessed subject’s socio-demographic data, detailed anthropometric indices and blood pressure using standard protocols. Subject’s fasting plasma samples in addition to 2-hour post 75-gram-glucose-load plasma samples were assessed for glucose levels.
Results: The mean age of the participants was 51.1±16.2 years; females constituted 65.3% of the subjects and 46.3% of the study population had no formal education. Concurrent prediabetes and prehypertension was prevalent at 10.4% with no significant gender bias (P =.13). Older age, physical inactivity and impaired glucose tolerance were significant predictors of concurrent prediabetes and prehypertension (P =.007, .003 and .006 respectively) with older age and physical inactivity emerging as consistent significant predictors, after logistic regression models.
Conclusion: There was a high prevalence of concurrent prediabetes and prehypertension among adults in this rural Nigerian community.
Keywords: Concurrent, prediabetes, prehypertension, prevalence, rural, Nigeria