Prevalence of Prehypertension and Assessment of Renal Function among the Prehypertensive Students of the College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Anambra State, Nigeria

A. Okonkwo, M. Ugwu, S. Meludu, E. Ogbodo, Okwara Je, I. Ezeugwunne, R. Analike, Onah Ce, Amah Uk, P. C. Oha, M. Obiorah
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Abstract

This study was carried out to determine the prevalence of pre-hypertension and assess the renal function in pre-hypertensive students in College of Health Sciences, Okofia, Nnewi. A total of 210 (99 males and 111 females) apparently healthy respondents aged 18-28, were recruited for the initial screening. Their blood pressure readings and body mass index (BMI) were obtained, whereas 5mls of blood sample was collected from 18 prehypertensive and 19 normotensive subjects. 5mls of blood was collect from eligible subjects and dispensed in plain containers for estimation of biochemical parameters. Serum creatinine, urea, Na+, K+, and Cl- were analyzed using standard methods. Result showed a prevalence of 11.4% with a higher percentage in males (12.12%) than in female (10.81%). BMI was significantly higher in pre-hypertensive than in normotensive (26.31±4.76 Vs 21.60±2.44;p> 0.05). Systolic (SBP) and diastolic (DBP)(126.67±5.76 Vs 107.68±9.90; 79.56±6.57 Vs 69.52±7.39;p> 0.05) respectively were significantly higher in prehypertensives than in normotensives. Interestingly, there was no significant difference in the value of renal function markers of the prehypertensives when compared to normotensives (p>0.05). However, there was a positive correlation between SBP and serum urea level(r = 0.628; P =0.009). Therefore, the prevalence of prehypertension in this population was low with reference to studies in other populations. Importantly, this preliminary study did show that the renal functions are not compromised.
尼日利亚阿南布拉州Nnamdi Azikiwe大学健康科学学院高血压前期学生的高血压前期患病率和肾功能评估
本研究旨在确定纽威州奥科菲亚健康科学学院高血压前期学生的患病率并评估其肾功能。共有210名(99名男性和111名女性),年龄在18-28岁之间,明显健康,被招募进行初步筛查。获取他们的血压读数和身体质量指数(BMI),同时采集18名高血压前期受试者和19名正常受试者的5ml血液样本。从符合条件的受试者中采集5ml血液,分配于普通容器中用于估计生化参数。采用标准方法分析血清肌酐、尿素、Na+、K+和Cl-。结果:发病率为11.4%,男性(12.12%)高于女性(10.81%)。高血压前期BMI明显高于正常组(26.31±4.76 Vs 21.60±2.44;p < 0.05)。收缩压(SBP)和舒张压(DBP)(126.67±5.76 Vs 107.68±9.90;分别为79.56±6.57 Vs 69.52±7.39 (p < 0.05),高血压前期组明显高于正常血压组。有趣的是,与血压正常者相比,高血压前期患者的肾功能指标没有显著差异(p < 0.05)。收缩压与血清尿素水平呈正相关(r = 0.628;P = 0.009)。因此,与其他人群的研究相比,该人群的高血压前期患病率较低。重要的是,这项初步研究确实表明肾脏功能没有受到损害。
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