ArticleHealth science reports2025
Determinants of Cognitive Performance Among Ghanaian Hypertensive Patients: A Cross-Sectional Study.
Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Cognitive decline is one of the most deleterious consequences of hypertension. Hypertension is rife in sub-Saharan Africa, where control of blood pressure is abysmally poor. Objective: This study is aimed at assessing the determinants of cognitive performance among Ghanaian hypertensive patients. Methods: This was a cross-sectional study conducted at a single district hospital among hypertensives aged ≥ 18 years. Global cognitive performance is assessed using the Montreal Cognitive Assessment (MOCA). A multivariable linear regression analysis was performed, and a beta coefficient was computed to identify factors independently associated with the MOCA score. Results: We enrolled 214 adults living with hypertension; the mean (SD) age was 64 (13.4) years, and 168 (78.5%) were females. Factors, with their adjusted beta coefficients (95% CI), independently associated with cognitive performance were age, -0.10 (-0.16, -0.04), Conclusion: Increasing age and female sex are associated with poorer global cognitive performance, while higher educational attainment is associated with good global cognitive performance among Ghanaians living with hypertension.
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