Prevalence and Determinants of Masked Hypertension Among Black Nigerians Compared With a Reference Population

Odili, Augustine N
Thijs, Lutgarde
Hara, Azusa
Wei, Fang-Fei
Ogedengbe, John O
Nwegbu, Maxwell M
Aparicio, Lucas S
Asayama, Kei
Niiranen, Teemu J
Boggia, José
Luzardo, Leonella
Jacobs, Lotte
Stergiou, George S
Johansson, Jouni K
Ohkubo, Takayoshi
Jula, Antti M
Imai, Yutaka
O'Brien, Eoin
Staessen, Jan A

Open link

Publication date

June 2016

DOI

10.1161/HYPERTENSIONAHA.116.07242

Publisher

Ovid Technologies (Wolters Kluwer Health)

Journal

Hypertension

Abstract

Hitherto, diagnosis of hypertension in sub-Saharan Africa was largely based on conventional office blood pressure (BP). Data on the prevalence of masked hypertension (MH) in this region is scarce. Among individuals with normal office BP (<140/90 mm Hg), we compared the prevalence and determinants of MH diagnosed with self-monitored home blood pressure (≥135/85 mm Hg) among 293 Nigerians with a reference population consisting of 3615 subjects enrolled in the International Database on Home Blood Pressure in Relation to Cardiovascular Outcomes. In the reference population, the prevalence of MH was 14.6% overall and 11.1% and 39.6% in untreated and treated participants, respectively. Among Nigerians, the prevalence standardized to the sex and a...