Excessive Daytime Sleepiness and Hypertension in Cameroonian Adult Population
American Journal of Internal Medicine
Volume 8, Issue 1, January 2020, Pages: 8-13
Received: Dec. 18, 2019; Accepted: Dec. 30, 2019; Published: Jan. 8, 2020
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Authors
Eric Walter Pefura-Yone, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon; Pneumology A Service, Yaoundé Jamot Hospital, Yaoundé, Cameroon
Olen Jean Pierre Kamga, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon; Psychiatry A Service, Yaoundé Jamot Hospital, Yaoundé, Cameroon
Adamou Dodo Balkissou, Faculty of Medicine and Biomedical Sciences of Garoua, University of Ngaoundéré, Garoua, Cameroon
Jérôme François Kaze-Folefack, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon; Nephrology Center, Yaoundé Teaching Hospital, Yaoundé, Cameroon
Amadou Djenabou, HIV Approved Treatment Center, Yaoundé Jamot Hospital, Yaoundé, Cameroon
Virginie Poka-Mayap, Pneumology A Service, Yaoundé Jamot Hospital, Yaoundé, Cameroon
Alain Kuaban, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon
Haman Djabbo Abdoul Whahab, Sub-division Health Medical Center of Koza, Koza, Cameroon
Sounou Asmaou, Meiganga District Hospital, Meignaga, Cameroon
Corine Kenne-Kenyo, Institut Supérieur de Technologie Médicale, Yaoundé, Cameroon
Christopher Kuaban, Faculty of Health Sciences, University of Bamenda, Bamenda, Cameroon
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Abstract
Data on association between excessive daytime sleepiness (EDS) and hypertension are very limited in sub-Saharan Africa. The aim of this study was to look for an independent association between EDS and hypertension and identify the factors associated to EDS in adult subjects with hypertension in Cameroon. Data from cross-sectional community surveys conducted from 2015 to 2018 in three regions of Cameroon (West, Littoral, and North) were analyzed. The participants aged ≥ 19 years were included using multilevel stratified random sampling method. EDS was defined as an Epworth score ≥ 10. Subjects were considered to have hypertension if they were on treatment for hypertension or had a blood pressure ≥ 140/90 mmHg measured by standard protocols. Logistic regression was used to investigate the factors associated to EDS. The p-value < 0.05 was set as significant statistical threshold. A total of 8288 subjects (55.2% females) of median age (25th -75th percentiles) of 39 (27-54) years were included. The prevalence of EDS was higher in subjects who had hypertension as than in those without hypertension (13.4% vs 11.5%, p = 0.015), with an unadjusted odds ratio (IC 95%) of 1.19 (1.04-1.38). After multivariate analysis including place of residence, age, sex, education level and body mass index (BMI), we did not find an independent association between EDS and hypertension [odds ratio 95% CI): 1.01 (0.8-1.18), p = 0.937]. The determinants of EDS in subjects with hypertension were residence in Bandjoun [2.23 (1.12-4.11), p = 0.10], Douala [2.78 (1.48-5.25), p = 0.002] and Garoua [1.95 (1.01-3.74), p = 0.045] compared to Figuil; and BMI [1.04 (1.02-1.06) per 1kg/m2 increase, p = 0.001]. In conclusion, we did not find an independent association between EDS and hypertension in Cameroon. Obesity is associated with EDS in subjects with hypertension.
Keywords
Sleep Disorders, Daytime Sleepiness, Sleep Apnea Syndrome, High Blood Pressure, Hypertension
To cite this article
Eric Walter Pefura-Yone, Olen Jean Pierre Kamga, Adamou Dodo Balkissou, Jérôme François Kaze-Folefack, Amadou Djenabou, Virginie Poka-Mayap, Alain Kuaban, Haman Djabbo Abdoul Whahab, Sounou Asmaou, Corine Kenne-Kenyo, Christopher Kuaban, Excessive Daytime Sleepiness and Hypertension in Cameroonian Adult Population, American Journal of Internal Medicine. Vol. 8, No. 1, 2020, pp. 8-13. doi: 10.11648/j.ajim.20200801.12
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Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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