Prevalence of obesity and hypertension among adults in Ogbomoso, Nigeria

 Developing countries are now witnessing an increase in overweight; obesity and obesity-related morbidity. We determined the prevalence of obesity using the measure of body mass index (BMI) and hypertension and the association between obesity and hypertension among adults in Ogbomoso, Nigeria. A cross-sectional descriptive study of 400 adults was carried out. Participants were administered a standardized questionnaireand had measurements of weight, height and blood pressure taken. Four hundred subjects were randomly selected (221 females and 179 males) with a mean age of 48.65 ± 16.56 years. The overall prevalence of obesity was 14.75% (8.9% for males and 19.5% for females). In addition, 62.4% of the females were sedentary as compared to 50.8% of the males and the difference is statistically significant. The families of most of the subjects who were obese (88.1%) preferred high calorie diets. The prevalence of hypertension among the study population was 50.5% [49.3% for female and 52.0% for males (p>0.05)]. The prevalence of hypertension among the subjects who were obese was 72.9%. Obesity inthis environment is particularly significant among females and is associated with hypertension, physical inactivity and the consumption of high calorie diets

Hypertension prevalence and awareness among a health workforce in Nigeria

Hypertension is now being widely reported in Africa and it is a major factor in the high mortality of adults in sub-Saharan Africa. Unfortunately hypertension is often unnoticed and undiagnosed because it is usually asymptomatic. As such, many people with hypertension are unaware of their condition. The aim of the study was to determine the prevalence of hypertension and related risk factors and to assess the level of awareness of hypertensive status among the health workers. This study is a descriptive survey carried out among the health workers at the Baptist Medical Centre Ogbomoso, Nigeria. A total of 324 consenting health workers of the institution were enrolled for the study. A standardized questionnaire was used to collect socio-demographic data. Measurements of blood pressure, weight and height were carried out and body mass indices were calculated.The prevalence of hypertension is 20.1% in the studied population. A strong association was found between the prevalence of hypertension and increasing age, body mass index, alcohol consumption and duration of employment. Awareness of hypertensive status was good as 64.7% of the hypertensive subjects in this study were aware of their status.There is a higher awareness of hypertensive status among the health workers in this study than in the general populace. Approximately a third of the health workers were however unaware of their hypertensive status. This demonstrates the asymptomatic nature of the disease and as such routine screening is very important even among health workers.KEY WORDS: Awareness; Health workers; Hypertension; Nigeria; Prevalenc

Management of Odontogenic Fibromyxoma in Pediatric Nigerian Patients: A Review of 8 Cases

Odontogenic fibromyxoma (OFM) is a benign, locally invasive and aggressive nonmetastasizing neoplasm of jaw bones. They are considered relatively rare and known to be derived from embryonic mesenchymal elements of dental origin. Treatment of OFM depends on the size of the lesion and on its nature and behavior. Varying treatment modalities ranging from curettage to radical excision have been documented.Aim; This paper is a review of management of 8 pediatric patients with histologically diagnosed OFM at a Nigerian tertiary health care facility. This was a retrospective study of all patients aged 15 years and below who presented to the Oral and Maxillofacial Surgery Clinic of Aminu Kano Teaching Hospital, Kano, over a 5‑year period (January 2008 to December 2012), with a histologic diagnosis of OFM. The information obtained included patients’ demographics, as well as their clinical characteristics such as the anatomical site and side of lesions. Other information collated included presenting features, the onset of symptoms, type of treatment carried out, as well as treatment outcome. The data were analyzed and the results presented as frequencies and percentages. Among the 8 patients with OFM, more males (n = 5/8; 62.5%) were affected than females (n = 3/8; 37.5%). The mandible (n = 5/8; 62.5%) was the most frequent site of occurrence, and the anterior mandible was the most favored location (n = 4/8; 50%). Seven patients had excision of the lesion with peripheral ostectomy of the underlying bone while only one patient had a bone resection. These patients have been followed up for at least 1 year, and no recurrence was observed throughout the follow‑up period. OFM causes gross facial disfigurement and may result in the destruction of the entire jaw bone; the impact of which may be grave for a growing child. Prompt surgical intervention and follow‑up have proven to be adequate management protocol.Keywords: Odontogenic fibromyxoma, Odontogenic tumor, Pediatri

Estimating the burden of selected non-communicable diseases in Africa: a systematic review of the evidence

Background The burden of non-communicable diseases (NCDs) is rapidly increasing globally, and particularly in Africa, where the health focus, until recently, has been on infectious diseases. The response to this growing burden of NCDs in Africa has been affected owing to a poor understanding of the burden of NCDs, and the relative lack of data and low level of research on NCDs in the continent. Recent estimates on the burden of NCDs in Africa have been mostly derived from modelling based on data from other countries imputed into African countries, and not usually based on data originating from Africa itself. In instances where few data were available, estimates have been characterized by extrapolation and over-modelling of the scarce data. It is therefore believed that underestimation of NCDs burden in many parts of Africa cannot be unexpected. With a gradual increase in average life expectancy across Africa, the region now experiencing the fastest rate of urbanization globally, and an increase adoption of unhealthy lifestyles, the burden of NCDs is expected to rise. This thesis will, therefore, be focussing on understanding the prevalence, and/or where there are available data, the incidence, of four major NCDs in Africa, which have contributed highly to the burden of NCDs, not only in Africa, but also globally. Methods I conducted a systematic search of the literature on three main databases (Medline, EMBASE and Global Health) for epidemiological studies on NCDs conducted in Africa. I retained and extracted data from original population-based (cohort or cross sectional), and/or health service records (hospital or registry-based studies) on prevalence and/or incidence rates of four major NCDs in Africa. These include: cardiovascular diseases (hypertension and stroke), diabetes, major cancer types (cervical, breast, prostate, ovary, oesophagus, bladder, Kaposi, liver, stomach, colorectal, lung and non-Hodgkin lymphoma), and chronic respiratory diseases (chronic obstructive pulmonary disease (COPD) and asthma). From extracted crude prevalence and incidence rates, a random effect meta-analysis was conducted and reported for each NCD. An epidemiological model was applied on all extracted data points. The fitted curve explaining the largest proportion of variance (best fit) from the model was further applied. The equation generated from the fitted curve was used to determine the prevalence and cases of the specific NCD in Africa at midpoints of the United Nations (UN) population 5-year age-group population estimates for Africa. Results From the literature search, studies on hypertension had the highest publication output at 7680, 92 of which were selected, spreading across 31 African countries. Cancer had 9762 publications and 39 were selected across 20 countries; diabetes had 3701 publications and 48 were selected across 28 countries; stroke had 1227 publications and 19 were selected across 10 countries; asthma had 790 publications and 45 were selected across 24 countries; and COPD had the lowest output with 243 publications and 13 were selected across 8 countries. From studies reporting prevalence rates, hypertension, with a total sample size of 197734, accounted for 130.2 million cases and a prevalence of 25.9% (23.5, 34.0) in Africa in 2010. This is followed by asthma, with a sample size of 187904, accounting for 58.2 million cases and a prevalence of 6.6% (2.4, 7.9); COPD, with a sample size of 24747, accounting for 26.3 million cases and a prevalence of 13.4% (9.4, 22.1); diabetes, with a sample size of 102517, accounting for 24.5 million cases and a prevalence of 4.0% (2.7, 6.4); and stroke, with a sample size of about 6.3 million, accounting for 1.94 million cases and a prevalence of 317.3 per 100000 population (314.0, 748.2). From studies reporting incidence rates, stroke accounted for 496 thousand new cases in Africa in 2010, with a prevalence of 81.3 per 100000 person years (13.2, 94.9). For the 12 cancer types reviewed, a total of 775 thousand new cases were estimated in Africa in 2010 from registry-based data covering a total population of about 33 million. Among women, cervical cancer and breast cancer had 129 thousand and 81 thousand new cases, with incidence rates of 28.2 (22.1, 34.3) and 17.7 (13.0, 22.4) per 100000 person years, respectively. Among men, prostate cancer and Kaposi sarcoma closely follows with 75 thousand and 74 thousand new cases, with incidence rates of 14.5 (10.9, 18.0) and 14.3 (11.9, 16.7) per 100000 person years, respectively. Conclusion This study suggests the prevalence rates of the four major NCDs reviewed (cardiovascular diseases (hypertension and stroke), diabetes, major cancer types, and chronic respiratory diseases (COPD and asthma) in Africa are high relative to global estimates. Due to the lack of data on many NCDs across the continent, there are still doubts on the true prevalence of these diseases relative to the current African population. There is need for improvement in health information system and overall data management, especially at country level in Africa. Governments of African nations, international organizations, experts and other stakeholders need to invest more on NCDs research, particularly mortality, risk factors, and health determinants to have evidenced-based facts on the drivers of this epidemic in the continent, and prompt better, effective and overall public health response to NCDs in Africa

Lipid profile of adult Nigerians attending medical outpatient clinic of Baptist medical center Ogbomoso

Background: Economic development and urbanization in many developing countries has led to a nutritional transition characterized by a shift to a higher caloric content of diet and/or to the reduction of physical activity, and whose consequences are changes in the body composition of the individuals and elevated blood lipid levels. This study's aim was to determine the lipid profile and to determine if there is any association between lipid profile and abdominal obesity among adults attending the outpatient clinic at the Baptist Medical Centre, Ogbomoso, a semi urban environment. Methods: A cross-sectional descriptive study of 400 adults aged 18 years and above was carried out. Participants were administered a standardized questionnaire and had measurements of waist circumference and serum lipids taken. Results: Four hundred subjects were randomly selected (221 females and 179 males) with a mean age of 48.65 ± 16.56 years. The mean total cholesterol, LDL- cholesterol, Triglycerides and HDL-cholesterol were 3.78 ± 1.07 mmol/L, 1.18 ± 1.02 mmol/L, 0.97 ± 0.58 mmol/L and 2.15 ± 0.86 mmol/L respectively. The prevalence of abdominal obesity among the study population was 33.75%. The subjects who had abdominal obesity had the highest mean values for total cholesterol, triglycerides, LDL-cholesterol and HDL-cholesterol. The mean values of total cholesterol, HDL-cholesterol, triglycerides and LDL-cholesterol obtained among the physically inactive subjects were higher than those of the subjects who were physically active. Conclusion: Higher mean values for total cholesterol, triglycerides and LDLcholesterol were found among the subjects who had abdominal obesity and those who were physically inactive in Ogbomoso. Keywords: Lipid profile, abdominal obesity, physical activity, Nigeria

Pattern of Limb Injuries seen at the Accident and Emergency Department of the Bowen University Teaching Hospital, Ogbomoso, Nigeria

Limb injuries are common in our society. They may occur in isolation or incombination with injuries to other parts of the body and are usually unintentional but occasionally intentional. This study describes the pattern and causes of limb injuries seen at the accident and emergency department. Across-sectional, institution-based prospective study was conducted at the accident and emergency department of the Bowen University Teaching Hospital (BUTH), Ogbomoso from May 1, 2011 to July 31, 2011. A total of 100 subjects (79 males and 21 females) were recruited for the study and the mean age was 33.9 ± 17years. Road traffic injury (RTI) was the leading cause of limb injury (71.0%). Motorcycle accidents accounted for 64.8% of the RTIs. Soft tissue injury was the most common form of injury sustained (66.0%) while head injury was the commonest associated injury (60.5%).We conclude that RTI were the leading cause of injury at the accident and emergency department of BUTH. Motorcycle accidents were predominant with a preponderance of lower limb injury and associated head injury. None of the victims of motorcycle accidents used a crash helmet

Adherence level to highly active antiretroviral therapy in a Nigerian sub-urban setting teaching hospital

Background: Adherence to medications has been a major challenge in management of chronic medical conditions including HIV infection. The peculiarity of adherence in HIV infection is that high adherence to HAART is required for viral suppression and prevention of drug resistance. The aim of the study is to determine the adherence level of adult patients accessing HAART at Bowen University Teaching Hospital (BUTH), Ogbomoso.Methods and material: A prospective descriptive study of 91 HIV infected patients aged 18 years and older. There were two contact sessions with each participant: the first was for adherence counselling while the second was for assessment of adherence using 8-item Morisky Medication Adherence Questionnaire (MMAQ). The data was analysed using SPSS version 20 software and presented as descriptive and inferential statistics.Results: A total of 91 respondents were recruited for the study. There were more females (72.5%) than males (27.5%) and 31-40 yearswas the modal age group. Most of them were married (61.5%), Christians (68.5%), educated to secondary level (40.7%), unskilled (89.0%), and Yoruba ethnic group (89.0%). Out of a total of 91 respondents who participated in the study, an overwhelming majority (82.4%) had high adherence level. Marital status and occupation, had statistically significant association with adherence.Conclusions: High adherence level was observed in this study. Marriage and gainful employment should be encouraged and strengthened to improve medication adherence among people living with Retroviral Disease. Key words: Adherence, Antiretroviral therapy, HIV, Assessment, Drug Resistanc