| Peer-Reviewed

Blood Pressure-to-height Ratios Can Identify Hypertension in Bantu Young Adults from Kinshasa in Democratic Republic of Congo

Received: 14 February 2021    Accepted: 27 February 2021    Published: 1 April 2021
Views:       Downloads:
Abstract

Background: The diagnosis of hypertension in children and adolescents is not always easy. The blood pressure-to-height ratios (BPHR) have been proposed as a screening tool for diagnosing hypertension. Objective: To evaluate the diagnostic value of BPHR for detecting hypertension in young adults. Methods: A cross-sectional study was conducted among 12621 healthy young adults aged of 18-25 years in Kinshasa, from July 2018 to February 2019. Systolic blood pressure-to-height ratio (SBPHR) was calculated as systolic blood pressure (SBP) in mmHg devised by height in centimeter. Diastolic blood pressure-to-height ratio (DBPHR) was calculated as diastolic blood pressure (DBP) in mmHg devised by height in centimeter. The receiver operating characteristics (ROC) curve analysis had allowed determining the cut-off points of SBPHR and DBPHR to detect hypertension. Results: The prevalence of hypertension, prehypertension, obesity and overweight were 10.5%, 9.2%, 3.0% and 22.4% respectively. The median values of SBPHR were 0.75 (0.69-0.79) mmHg/cm and 0.77 (0.67-0.80) mmHg/cm respectively in men and in women. The median values of DBPHR were 0.48 (0.44-0.53) mmHg/cm and 0.51 (0.49-0.56) mmHg/cm respectively in men and in women. Optimal cutoff points of SBPHR to identify hypertensionwere0.81mmHg/cm and 0.89 mmHg/cm respectively in men and in women. The threshold of DBPHR to detect hypertension was 0.54 mmHg/cm in both men and women. SBPHR and DBPHR had high sensitivity and specificity for identifying hypertension. Conclusion: SBPHR and DBPHR can be used to detect hypertension in Bantu young adults in Kinshasa.

Published in European Journal of Preventive Medicine (Volume 9, Issue 2)
DOI 10.11648/j.ejpm.20210902.13
Page(s) 46-50
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Blood Pressure-to-height Ratios, Hypertension, Diagnosis, Bantu Young Adults, Kinshasa

References
[1] Zhou D, Xi B, Zhao M. Uncontrolled hypertension increases risk of all-cause and cardiovascular disease mortality in US adults: the NHANES III Linked Mortality Study. Sci Rep. 2018; 8: 9418 https://doi.org/10.1038/s41598-018-27377-2.
[2] Pugh D, Gallacher PJ, Dhaun N. Management of Hypertension in Chronic Kidney Disease. Drugs. 2019; 79: 365–379https://doi.org/10.1007/s40265-019-1064-1.
[3] Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020; 16: 223–237 https://doi.org/10.1038/s41581-019-0244-2.
[4] Forouzanfar MH et al. Global burden of hypertension and systolic blood pressure of at least110 to 115 mm Hg, 1990–2015. JAMA. 2017; 317: 165–182.
[5] Zhang Y, Ma C, Yang L, et al. Performance of modified blood pressure-to-height ratio for identifying hypertension in Chinese and American children. J Hum Hypertens. 2018; 32: 408–414 https://doi.org/10.1038/s41371-018-0056-z.
[6] Yazdi M, Assadi F, Daniali SS, et al. Performance of modified blood pressure-to-height ratio for diagnosis of hypertension in children: The CASPIAN-V study. J ClinHypertens. 2020; 22: 867–875. https://doi.org/10.1111/jch.13860.
[7] Katamba G, Collins Agaba D, Migisha R et al. Using blood pressure height index to define hypertension among secondary school adolescents in southwestern Uganda. J Hum Hypertens. 2020; 34: 76–81. https://doi.org/10.1038/s41371-019-0292-x.
[8] Mourato FA, Mourato MF, Mattos SDS, de Lima Filho JL, de Araújo Gueiros Lira GV, Nadruz W Jr. New modifications of the blood pressure-to-height ratio for the diagnosis of high blood pressure in children. J ClinHypertens (Greenwich). 2018 Feb; 20 (2): 413-415. doi: 10.1111/jch.13178.
[9] Nilgün Çöl, Arda Kilinc, Beltinge Demircioğlu-Kılıç, Neriman Aydin, Mehmet Keskin & Ayse Balat. Predictive value of the “Blood Pressure To Height Ratio” in diagnosis of prehypertension and hypertension during childhood in Southeastern Turkey. Clinical and Experimental Hypertension. 2019; 41: 1, 14-19, DOI: 10.1080/10641963.2018.1433198.
[10] Mupepe MD, Kayembe NJM, Nkodila NA, Lupenzi MB, Samafundu MY, Kintoki VE. Hypertension and associated cardiovascular risk factors among candidates enrolled at Kinshasa University for the academic year 2018-2019. Ann. Afr. Med., vol. 13, n° 2, Mars 2020, e3575-83.
[11] KasiamLasi On’Kin JB, Longo-Mbenza B, Nge Okwe A, Kangola Kabangu N. Survey of abdominal obesities in an adult urban population of Kinshasa, Democratic Republic of Congo. cardiovasc j afr 2007; 18: 300–307.
[12] Zou KH, O’Malley AJ, Mauri L. Receiver-operating characteristic analysis for evaluating diagnostic tests and predictive models. Circulation 2007; 115: 654–657.
[13] KatchungaPB, Mirindi P, Baleke A, Ntaburhe T, Twagirumukiza M, et al. The trend in blood pressure and hypertension prevalence in the general population of South Kivu between 2012 and 2016: Results from two representative cross-sectional surveys—The Bukavu observational study. PLOS ONE. 2019; 14 (8): e0219377. https://doi.org/10.1371/journal.pone.0219377.
[14] Kianu PB, Mpembele ME, Kintoki VE, Makulo RJR, Kiazayawoko ZF, Manyebwa KJDD et al. Rates of Hypertension Prevalence, Awareness, Treatment, and Control in a Congolese South West Port City. The Influence of Gender According to Age Groups. Global Journal of Medical Research 2015; 15 (1): 1-8.
[15] Mukeba-Tshialala D, Nachega JB, Mutombo-Tshingwali M et al. Obésité, hypertension artérielle, hypercholestérolémie et diabète non traités chez les adultes infectés oupas par le VIH à Mbuji-Mayi (République démocratiquedu Congo). Bull. Soc. Pathol. Exot. 2017; 110: 301–309. https://doi.org/10.1007/s13149-017-0561-2.
[16] Sumaili EK, Krzesinki JM, Cohen EP, Nseka NM. Epidemiology of chronic kidney disease in the Democratic Republic of Congo: review of cross sectional studies from Kinshasa, the capital. NephrolTher2010; 6 (4): 232-239.
[17] Bukabau BJ, Makulo RJR, Pakasa MN, Cohen PE, Lepira BL, Patrick K Kayembe KP et al. Chronic kidney disease among high school students of Kinshasa. BMC Nephrology 2012 13: 24. doi: 10.1186/1471-2369-13-24.
Cite This Article
  • APA Style

    Danny Mafuta-Munganga, Benjamin Lupenzi-Masikini, Pascal Bayauli-Mwasa, Jean Bosco Kasiam-Lasi-On'Kin, Joseph Bidingija-Mabika, et al. (2021). Blood Pressure-to-height Ratios Can Identify Hypertension in Bantu Young Adults from Kinshasa in Democratic Republic of Congo. European Journal of Preventive Medicine, 9(2), 46-50. https://doi.org/10.11648/j.ejpm.20210902.13

    Copy | Download

    ACS Style

    Danny Mafuta-Munganga; Benjamin Lupenzi-Masikini; Pascal Bayauli-Mwasa; Jean Bosco Kasiam-Lasi-On'Kin; Joseph Bidingija-Mabika, et al. Blood Pressure-to-height Ratios Can Identify Hypertension in Bantu Young Adults from Kinshasa in Democratic Republic of Congo. Eur. J. Prev. Med. 2021, 9(2), 46-50. doi: 10.11648/j.ejpm.20210902.13

    Copy | Download

    AMA Style

    Danny Mafuta-Munganga, Benjamin Lupenzi-Masikini, Pascal Bayauli-Mwasa, Jean Bosco Kasiam-Lasi-On'Kin, Joseph Bidingija-Mabika, et al. Blood Pressure-to-height Ratios Can Identify Hypertension in Bantu Young Adults from Kinshasa in Democratic Republic of Congo. Eur J Prev Med. 2021;9(2):46-50. doi: 10.11648/j.ejpm.20210902.13

    Copy | Download

  • @article{10.11648/j.ejpm.20210902.13,
      author = {Danny Mafuta-Munganga and Benjamin Lupenzi-Masikini and Pascal Bayauli-Mwasa and Jean Bosco Kasiam-Lasi-On'Kin and Joseph Bidingija-Mabika and Symphorien Ditu-Mpandamadi and Remy Kapongo and Magloire Atantama and Dominique Mupepe-Mayuku and Jean-Marie Kayembe-Ntumba and Blaise Makoso-Nimi and Benjamin Longo-Mbenza},
      title = {Blood Pressure-to-height Ratios Can Identify Hypertension in Bantu Young Adults from Kinshasa in Democratic Republic of Congo},
      journal = {European Journal of Preventive Medicine},
      volume = {9},
      number = {2},
      pages = {46-50},
      doi = {10.11648/j.ejpm.20210902.13},
      url = {https://doi.org/10.11648/j.ejpm.20210902.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20210902.13},
      abstract = {Background: The diagnosis of hypertension in children and adolescents is not always easy. The blood pressure-to-height ratios (BPHR) have been proposed as a screening tool for diagnosing hypertension. Objective: To evaluate the diagnostic value of BPHR for detecting hypertension in young adults. Methods: A cross-sectional study was conducted among 12621 healthy young adults aged of 18-25 years in Kinshasa, from July 2018 to February 2019. Systolic blood pressure-to-height ratio (SBPHR) was calculated as systolic blood pressure (SBP) in mmHg devised by height in centimeter. Diastolic blood pressure-to-height ratio (DBPHR) was calculated as diastolic blood pressure (DBP) in mmHg devised by height in centimeter. The receiver operating characteristics (ROC) curve analysis had allowed determining the cut-off points of SBPHR and DBPHR to detect hypertension. Results: The prevalence of hypertension, prehypertension, obesity and overweight were 10.5%, 9.2%, 3.0% and 22.4% respectively. The median values of SBPHR were 0.75 (0.69-0.79) mmHg/cm and 0.77 (0.67-0.80) mmHg/cm respectively in men and in women. The median values of DBPHR were 0.48 (0.44-0.53) mmHg/cm and 0.51 (0.49-0.56) mmHg/cm respectively in men and in women. Optimal cutoff points of SBPHR to identify hypertensionwere0.81mmHg/cm and 0.89 mmHg/cm respectively in men and in women. The threshold of DBPHR to detect hypertension was 0.54 mmHg/cm in both men and women. SBPHR and DBPHR had high sensitivity and specificity for identifying hypertension. Conclusion: SBPHR and DBPHR can be used to detect hypertension in Bantu young adults in Kinshasa.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Blood Pressure-to-height Ratios Can Identify Hypertension in Bantu Young Adults from Kinshasa in Democratic Republic of Congo
    AU  - Danny Mafuta-Munganga
    AU  - Benjamin Lupenzi-Masikini
    AU  - Pascal Bayauli-Mwasa
    AU  - Jean Bosco Kasiam-Lasi-On'Kin
    AU  - Joseph Bidingija-Mabika
    AU  - Symphorien Ditu-Mpandamadi
    AU  - Remy Kapongo
    AU  - Magloire Atantama
    AU  - Dominique Mupepe-Mayuku
    AU  - Jean-Marie Kayembe-Ntumba
    AU  - Blaise Makoso-Nimi
    AU  - Benjamin Longo-Mbenza
    Y1  - 2021/04/01
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ejpm.20210902.13
    DO  - 10.11648/j.ejpm.20210902.13
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 46
    EP  - 50
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20210902.13
    AB  - Background: The diagnosis of hypertension in children and adolescents is not always easy. The blood pressure-to-height ratios (BPHR) have been proposed as a screening tool for diagnosing hypertension. Objective: To evaluate the diagnostic value of BPHR for detecting hypertension in young adults. Methods: A cross-sectional study was conducted among 12621 healthy young adults aged of 18-25 years in Kinshasa, from July 2018 to February 2019. Systolic blood pressure-to-height ratio (SBPHR) was calculated as systolic blood pressure (SBP) in mmHg devised by height in centimeter. Diastolic blood pressure-to-height ratio (DBPHR) was calculated as diastolic blood pressure (DBP) in mmHg devised by height in centimeter. The receiver operating characteristics (ROC) curve analysis had allowed determining the cut-off points of SBPHR and DBPHR to detect hypertension. Results: The prevalence of hypertension, prehypertension, obesity and overweight were 10.5%, 9.2%, 3.0% and 22.4% respectively. The median values of SBPHR were 0.75 (0.69-0.79) mmHg/cm and 0.77 (0.67-0.80) mmHg/cm respectively in men and in women. The median values of DBPHR were 0.48 (0.44-0.53) mmHg/cm and 0.51 (0.49-0.56) mmHg/cm respectively in men and in women. Optimal cutoff points of SBPHR to identify hypertensionwere0.81mmHg/cm and 0.89 mmHg/cm respectively in men and in women. The threshold of DBPHR to detect hypertension was 0.54 mmHg/cm in both men and women. SBPHR and DBPHR had high sensitivity and specificity for identifying hypertension. Conclusion: SBPHR and DBPHR can be used to detect hypertension in Bantu young adults in Kinshasa.
    VL  - 9
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Sections