SynthesisBMC cardiovascular disorders2019
Determinants of systemic hypertension in older adults in Africa: a systematic review.
Synthesis in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A systematic review and meta-analysis on the effects of ill health and health shocks on labour supply.Systematic reviews · 2024Pooled it
- Factors associated with blood pressure variation in sickle cell disease patients: a systematic review and meta-analyses.Expert review of hematology · 2022Pooled it
- Prevalence of hypertension in Ghanaian society: a systematic review, meta-analysis, and GRADE assessment.Systematic reviews · 2021Pooled it
- Prevalence, awareness and control of hypertension in Ghana: A systematic review and meta-analysis.PloS one · 2021Pooled it
- Socio-demographic, lifestyle, and anthropometric predictors of ambulatory blood pressure among adults in semi-urban Nigeria.BMC public health · 2026Article
- May Measurement Month 2022: an analysis of blood pressure screening results from Ghana.European heart journal supplements : journal of the European Society of Cardiology · 2025Article
- Anthropometric characteristics between ever and never screened for hypertension in Burkina Faso.Journal of public health in Africa · 2025Article
- Factors influencing physical activity for hypertension prevention among older adults in a peri-urban community in Ho, Ghana.PloS one · 2025Article
- Association of relationship satisfaction with blood pressure: a cross-sectional study of older adults in rural Burkina Faso.BMJ open · 2024Article
- Daily exercises uptake and associated factors among Social Security and National Insurance Trust pensioners in the Greater Accra Region of Ghana.Journal of health, population, and nutrition · 2024Article
- Association of the weight-adjusted waist index with hypertension in the context of predictive, preventive, and personalized medicine.The EPMA journal · 2024Article
- OBESITY & HYPERTENSION - 'TWO PEAS IN A POD'.Annals of Ibadan postgraduate medicine · 2024Article
- Prevalence, risks factors, and control of hypertension in Guinean older adults in 2021: a cross-sectional survey.BMC public health · 2024Article
- Risk Assessment Score and Chi-Square Automatic Interaction Detection Algorithm for Hypertension Among Africans: Models From the SIREN Study.Hypertension (Dallas, Tex. : 1979) · 2023Article
- Abdominal obesity, serum estradiol and cardiovascular risk among Nigerian postmenopausal women: a cross-sectional study.African health sciences · 2023Article
- Prevalence of uncontrolled hypertension and its associated factors in 50-74 years old Iranian adults: a population-based study.BMC cardiovascular disorders · 2023Article
- BMI mediates the association of family medical history with self-reported hypertension and diabetes among older adults: Evidence from baseline wave of the longitudinal aging study in India.SSM - population health · 2022Article
- Differences in the relationship between social capital and hypertension in emerging vs. established economies in Sub-Saharan Africa.BMC public health · 2022Article
- Factors associated with hypertension among stroke-free indigenous Africans: Findings from the SIREN study.Journal of clinical hypertension (Greenwich, Conn.) · 2021Article
- Prevalence and factors associated with hypertension among people living with HIV/AIDS on antiretroviral therapy in Uganda.The Pan African medical journal · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAn estimated 55% of older adults in Africa have systemic hypertension, a major risk factor for stroke, heart failure and dementia in the region. The risk factors associated with hypertension in this population group in Africa have not been systematically evaluated. We, therefore, undertook a systematic review to identify these risk factors.
methodsWe searched for population-based studies of adults aged ≥50 years living in Africa and reporting an estimate of hypertension and associated risk factors. We included articles published in any language between January 1980 and May 2018 using a comprehensive search strategy. We extracted data including the sample characteristics, prevalence of hypertension and risk factors with their effect sizes.
resultsFrom an initial 10,719 records, we retained 63 eligible full text articles for review out of which we analyzed 23 studies made up of 19 primary and four multiple publications which had data on risk factors from bivariate or multivariable analysis. The primary studies, published from 2010 to 2018, involved a total of 30,500 participants in 12 different countries with mean ages ranging from 62.7 ± 9 years to 76.9 ± 8.4 years. Through narrative synthesis, we found consistent determinants of hypertension (overweight/obesity and history of stroke), less consistent but frequent determinants (including older age group, female sex and urban residence), inconsistent determinants (including education, wealth index, alcohol intake and physical activity) and nonsignificant covariates (marital status and having health insurance). Overall, the highest adjusted odds ratios were those associated with obesity and history of stroke.
conclusionThe key determinants of systemic hypertension in older adults in Africa are older age group, overweight/obesity, history of stroke and female sex. Health programmes should promote weight reduction throughout the life course, including during the middle and older age of African adults.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.