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- Title
Ambulatory blood pressure measurement in the main cities of Cameroon: prevalence of masked and white coat hypertension, and influence of body mass index.
- Authors
Takah, Noah; Dzudie, Anastase; Ndjebet, Jules; Wawo, Guela; Kamdem, Félicité; Monkam, Yves; Luma, Henry; Ngu, Kathleen Blackett; Kengne, André Pascal
- Abstract
Introduction: identifying White Coat Hypertension (WCH) may avoid inappropriate commitment of individuals to lifelong and costly blood pressure (BP) lowering medications'. We assessed the prevalence and determinants of WCH in urban clinical settings in Cameroon. Methods: participants were a consecutive sample of adults, who underwent ambulatory BP measurements (ABPM) for the diagnosis of hypertension and evaluation of treatmentin three referral cardiac clinics in the cities of Yaounde and Douala, between January 2006 and July 2011. WCH was defined as an office-based systolic (or diastolic) BP ≥ 140(90) mmHg together with an average day time ambulatory systolic (and diastolic) BP < 135(85) mmHg. Results: of the 500 participants included, 188 (37.6%) were women, 230 (46%) were nonsmokers and 53 (10.6%) had diabetes mellitus. The mean age was 51.6±10.2years. The ABPM readings were higher in men than in women (pConclusion: the prevalence of WCH was high in our study population and was correlated only with BMI. Accurate measurement of BP and appropriate diagnosis of hypertension using ABPM in this setting may help limiting the consequences of over estimating hypertension severity on individuals, families and health systems.
- Subjects
CAMEROON; AMBULATORY blood pressure monitoring; FEAR of doctors; PUBLIC health
- Publication
Pan African Medical Journal, 2014, Vol 19, p1
- ISSN
1937-8688
- Publication type
Article
- DOI
10.11604/pamj.2014.19.240.4887