Evidence map›Paper›PMID 29937878›Full record

ArticleAfrican health sciences2017

Cardiovascular risk factors in adult general out-patient clinics in Nigeria: a country analysis of the Africa and Middle East Cardiovascular Epidemiological (ACE) study.

Geoffrey C Onyemelukwe, Oluwagbenga Ogunfowokan, Amam Mbakwem, A Kayode Alao, Kodjo Soroh, Osahon Omorodion, Paula Abreu

Open access · diamondAbstract read
In one paragraph

Article in African health sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  4. Diabetes Mellitus as a risk factor for stroke among Nigerians: A systematic review and meta-analysis.International journal of cardiology. Cardiovascular risk and prevention · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 2 countries.

Geoffrey C OnyemelukweDepartment of Medicine, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria.
Oluwagbenga OgunfowokanDepartment of Family Medicine, National Hospital Abuja, Abuja, Nigeria.
Amam MbakwemDepartment of Medicine, Lagos University Teaching Hospital, Lagos, Nigeria.
A Kayode AlaoDepartment of Family Medicine, Federal Medical Centre Keffi, Nigeria.
Kodjo SorohPfizer Specialties Ltd, Nigeria/East Africa Region, Lagos, Nigeria.
Osahon OmorodionPfizer Specialties Ltd, Nigeria/East Africa Region, Lagos, Nigeria.
Paula AbreuPfizer Inc, New York, NY, USA.
Lagos State Health Service Commission · NGAhmadu Bello University Teaching Hospital · NGFederal Medical Centre · NGLagos University Teaching Hospital · NGNational Hospital Abuja · NGPfizer (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith globalization and rapid urbanization, demographic and epidemiologic transitions have become important determinants for the emergence of cardiovascular disease (CVD).

objectiveTo estimate the prevalence of CVD risk factors in adult out-patients attending general practice and non-specialist clinics in urban and rural Nigeria.

methodsAs part of the Africa and Middle East Cardiovascular Epidemiological (ACE) study, a cross-sectional epidemiologic study was undertaken for the presence of hypertension, diabetes mellitus, dyslipidemia, obesity, smoking and abdominal obesity in Nigeria.

resultsIn total, 303 subjects from 8 out-patient general practice clinics were studied, 184 (60.7%) were female and 119 (39.3%) were male. Mean age was 42.7±13.1 years; 51.8% were aged <45 years; 4% ≥65 years. Over 90% of subjects had ≥1 of 6 selected modifiable cardiovascular risk factors: 138 (45.6%) had 1-2; 65 (21.5%) had 3; 60 (19.8%) had 4; and 11 (3.6%) had 5 concurrent risk factors. Screening identified 206 subjects (68.0%) with dyslipidemia who did not have a prior diagnosis.

conclusionCardiovascular risk factors are highly prevalent in Nigerian subjects attending out-patient clinics. Moreover, many subjects were undiagnosed and therefore unaware of their cardiovascular risk status. Opportunistic screening alongside intensive national, multisectoral education or risk factor education is needed, should be scaled up nationwide and rolled out in both urban and rural communities in Nigeria.

Indexed as

AdultAgedCardiovascular DiseasesCross-Sectional StudiesDiabetes MellitusDyslipidemiasFemaleHumansHypertensionMaleMiddle AgedNigeriaObesityPrevalenceResidence CharacteristicsRisk Factorscardiovascular risk factorsNigeriarisk factor managementscreening programsThe Africa and Middle East Cardiovascular Epidemiological (ACE) study

Identifiers

PMID29937878
PMCPMC5870272
OpenAlexW2782558397

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.