The prevalence and risk factors of pre-hypertension and hypertension among clinical students at the university of Ibadan, Nigeria

Abstract Background Hypertension is the most common cardiovascular disease in Africa, with a 19.3% prevalence in Nigeria. Its incidence, along with prehypertension, is rising among young adults, including undergraduate clinical students, due to risk factors like stress, poor sleep, unhealthy eating,...

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Main Authors: Ademola Adetunji, Christabel Uche-Orji, Chioma Ezebialu, Pelumi Catherine Adebayo, Fatihat Sanusi, Uzochukwu Imo, Tijani Adiat, Temitayo Ajala
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Cardiovascular Disorders
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Online Access:https://doi.org/10.1186/s12872-025-04852-z
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author Ademola Adetunji
Christabel Uche-Orji
Chioma Ezebialu
Pelumi Catherine Adebayo
Fatihat Sanusi
Uzochukwu Imo
Tijani Adiat
Temitayo Ajala
author_facet Ademola Adetunji
Christabel Uche-Orji
Chioma Ezebialu
Pelumi Catherine Adebayo
Fatihat Sanusi
Uzochukwu Imo
Tijani Adiat
Temitayo Ajala
author_sort Ademola Adetunji
collection DOAJ
description Abstract Background Hypertension is the most common cardiovascular disease in Africa, with a 19.3% prevalence in Nigeria. Its incidence, along with prehypertension, is rising among young adults, including undergraduate clinical students, due to risk factors like stress, poor sleep, unhealthy eating, inactivity, and substance use. However, data on prehypertension among young adults in Africa, including Nigeria, is limited. This study aims to determine the prevalence of hypertension and prehypertension among clinical undergraduate students and examine the relationship between risk factors and these conditions. Methods A descriptive cross-sectional study of clinical students in the College of Medicine, University of Ibadan, Nigeria. These are students in the Clinical Science department who had crossed from the pre-clinical arm into the clinical arm of their training. They are Physiotherapy and Biomedical Laboratory Sciences students in 400–500 level, as well as Dentistry and Medicine and Surgery students in 300–600 level. 346 participants were selected from the study population through a random probability sampling technique, and data were collected using a self-administered structured questionnaire. Participants’ blood pressure, weight, height, Body Mass Index (BMI), and waist-to-hip ratio were measured. Data were analyzed using SPSS, with descriptive statistics and chi-square test used to determine relationships between sociodemographic factors and hypertension/pre-hypertension. Stress was self-reported. The level of statistical significance was set at 0.05. Results Of the 346 participants, 57% were male, while 43% female. The mean age was 23.9 ± 0.2 years. The prevalence of hypertension was 8%, and that of prehypertension was significantly higher at 33%. The prevalence of hypertension was significantly higher in males than in females. Approximately 6 out of every 50 male students were hypertensive. Hypertension was found to be associated with gender, level of study and marital status. 77% reported a moderate-to-high perceived stress levels, which could be contributing to developing hypertension. Conclusion This study found a high prevalence of prehypertension and hypertension among clinical students, with smoking, poor sleep, and perceived stress as common risk factors. Most affected students were unaware of their condition and received no treatment. The findings underscore the need for institutions to implement cost-effective hypertension awareness and screening programs for undergraduate clinical students, emphasizing early identification, lifestyle modification, and appropriate treatment to reduce future cardiovascular risks. Trial registration Clinical trial number not applicable.
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spelling doaj-art-b40ddbbfff9e4989a55368378487c0742025-08-20T01:52:22ZengBMCBMC Cardiovascular Disorders1471-22612025-05-0125111410.1186/s12872-025-04852-zThe prevalence and risk factors of pre-hypertension and hypertension among clinical students at the university of Ibadan, NigeriaAdemola Adetunji0Christabel Uche-Orji1Chioma Ezebialu2Pelumi Catherine Adebayo3Fatihat Sanusi4Uzochukwu Imo5Tijani Adiat6Temitayo Ajala7College of Medicine, University of IbadanCollege of Medicine, University of IbadanCollege of Medicine, University of IbadanCollege of Medicine, University of IbadanCollege of Medicine, University of IbadanCollege of Medicine, University of IbadanCollege of Medicine, University of IbadanCollege of Medicine, University of IbadanAbstract Background Hypertension is the most common cardiovascular disease in Africa, with a 19.3% prevalence in Nigeria. Its incidence, along with prehypertension, is rising among young adults, including undergraduate clinical students, due to risk factors like stress, poor sleep, unhealthy eating, inactivity, and substance use. However, data on prehypertension among young adults in Africa, including Nigeria, is limited. This study aims to determine the prevalence of hypertension and prehypertension among clinical undergraduate students and examine the relationship between risk factors and these conditions. Methods A descriptive cross-sectional study of clinical students in the College of Medicine, University of Ibadan, Nigeria. These are students in the Clinical Science department who had crossed from the pre-clinical arm into the clinical arm of their training. They are Physiotherapy and Biomedical Laboratory Sciences students in 400–500 level, as well as Dentistry and Medicine and Surgery students in 300–600 level. 346 participants were selected from the study population through a random probability sampling technique, and data were collected using a self-administered structured questionnaire. Participants’ blood pressure, weight, height, Body Mass Index (BMI), and waist-to-hip ratio were measured. Data were analyzed using SPSS, with descriptive statistics and chi-square test used to determine relationships between sociodemographic factors and hypertension/pre-hypertension. Stress was self-reported. The level of statistical significance was set at 0.05. Results Of the 346 participants, 57% were male, while 43% female. The mean age was 23.9 ± 0.2 years. The prevalence of hypertension was 8%, and that of prehypertension was significantly higher at 33%. The prevalence of hypertension was significantly higher in males than in females. Approximately 6 out of every 50 male students were hypertensive. Hypertension was found to be associated with gender, level of study and marital status. 77% reported a moderate-to-high perceived stress levels, which could be contributing to developing hypertension. Conclusion This study found a high prevalence of prehypertension and hypertension among clinical students, with smoking, poor sleep, and perceived stress as common risk factors. Most affected students were unaware of their condition and received no treatment. The findings underscore the need for institutions to implement cost-effective hypertension awareness and screening programs for undergraduate clinical students, emphasizing early identification, lifestyle modification, and appropriate treatment to reduce future cardiovascular risks. Trial registration Clinical trial number not applicable.https://doi.org/10.1186/s12872-025-04852-zHypertensionPrehypertensionClinical studentsStressYoung adults
spellingShingle Ademola Adetunji
Christabel Uche-Orji
Chioma Ezebialu
Pelumi Catherine Adebayo
Fatihat Sanusi
Uzochukwu Imo
Tijani Adiat
Temitayo Ajala
The prevalence and risk factors of pre-hypertension and hypertension among clinical students at the university of Ibadan, Nigeria
BMC Cardiovascular Disorders
Hypertension
Prehypertension
Clinical students
Stress
Young adults
title The prevalence and risk factors of pre-hypertension and hypertension among clinical students at the university of Ibadan, Nigeria
title_full The prevalence and risk factors of pre-hypertension and hypertension among clinical students at the university of Ibadan, Nigeria
title_fullStr The prevalence and risk factors of pre-hypertension and hypertension among clinical students at the university of Ibadan, Nigeria
title_full_unstemmed The prevalence and risk factors of pre-hypertension and hypertension among clinical students at the university of Ibadan, Nigeria
title_short The prevalence and risk factors of pre-hypertension and hypertension among clinical students at the university of Ibadan, Nigeria
title_sort prevalence and risk factors of pre hypertension and hypertension among clinical students at the university of ibadan nigeria
topic Hypertension
Prehypertension
Clinical students
Stress
Young adults
url https://doi.org/10.1186/s12872-025-04852-z
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