Start Submission Become a Reviewer

Reading: Systematic Review of Hypertension and Diabetes Burden, Risk Factors, and Interventions for P...

Download

A- A+
Alt. Display

Review

Systematic Review of Hypertension and Diabetes Burden, Risk Factors, and Interventions for Prevention and Control in Malawi: The NCD BRITE Consortium

Authors:

Alemayehu Amberbir ,

Dignitas International, Zomba, MW; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CA
X close

Sabrina H. Lin,

Dignitas International, Zomba, MW; Faculty of Health Sciences, McMaster University, Hamilton, Ontario, CA
X close

Joshua Berman,

Dignitas International, Zomba, MW
X close

Adamson Muula,

College of Medicine, University of Malawi, Blantyre, MW
X close

Darren Jacoby,

Center for Innovative Global Health Technologies, Northwestern University, Chicago, Illinois, IN
X close

Emily Wroe,

Partners In Health, Neno, MW
X close

Cecilia Maliwichi-Nyirenda,

College of Medicine, University of Malawi, Blantyre, MW
X close

Victor Mwapasa,

College of Medicine, University of Malawi, Blantyre, MW
X close

Amelia Crampin,

Malawi Epidemiology and Intervention Research Unit, Lilongwe, MW
X close

Martha Makwero,

College of Medicine, University of Malawi, Blantyre, MW
X close

Emmanuel Singogo,

Dignitas International, Zomba, MW
X close

Sam Phiri,

University of North Carolina-Malawi Project, Lilongwe, MW
X close

Stephen Gordon,

Lighthouse Trust, Lilongwe, MW
X close

Sheldon W. Tobe,

Faculty of Health Sciences, McMaster University, Hamilton, Ontario, CA; Malawi-Liverpool Wellcome Trust, Blantyre, MW
X close

Jones Masiye,

Northern Ontario School of Medicine, Sudbury, Ontario, CA
X close

Brad Newsome,

Ministry of Health, Lilongwe, MW
X close

Mina Hosseinipour,

National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, US
X close

Moffat J. Nyirenda,

College of Medicine, University of Malawi, Blantyre, MW
X close

Joep J. van Oosterhout

Dignitas International, Zomba; College of Medicine, University of Malawi, Blantyre, MW
X close

Abstract

Recent studies have found an increasing burden of noncommunicable diseases in sub-Saharan Africa. A compressive search of PubMed, Medline, EMBASE, and the World Health Organization Global Health Library databases was undertaken to identify studies reporting on the prevalence, risk factors, and interventions for hypertension and diabetes in Malawi. The findings from 23 included studies revealed a high burden of hypertension and diabetes in Malawi, with estimates ranging from 15.8% to 32.9% and from 2.4% to 5.6%, respectively. Associated risk factors included old age, tobacco smoking, excessive alcohol consumption, obesity, physical inactivity, high salt and sugar intake, low fruit and vegetable intake, high body mass index, and high waist-to-hip ratio. Certain antiretroviral therapy regimens were also associated with increased diabetes and hypertension risk in human immunodeficiency virus patient populations. Nationwide, the quality of clinical care was generally limited and demonstrated a need for innovative and targeted interventions to prevent, control, and treat noncommunicable diseases in Malawi.

Highlights

  • There is high burden of hypertension and diabetes in Malawi: most cases are undiagnosed, untreated, or inadequately controlled.
  • Risk factors for hypertension and diabetes including obesity, smoking, unhealthy diet, excessive alcohol drinking, and physical inactivity appear to be increasing.
  • This review uncovers a need for a greater amount of high-quality research related to hypertension and diabetes.
How to Cite: Amberbir A, Lin SH, Berman J, Muula A, Jacoby D, Wroe E, et al.. Systematic Review of Hypertension and Diabetes Burden, Risk Factors, and Interventions for Prevention and Control in Malawi: The NCD BRITE Consortium. Global Heart. 2019;14(2):109–18. DOI: http://doi.org/10.1016/j.gheart.2019.05.001
14
Views
14
Downloads
Published on 01 Jun 2019.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus