Oladiran Isaiah Olagunju

Wokoma, Victoria Eleba| OjoAbel Adeniji| Adeleye Adekemi Mercy| Obayangbon E. Gloria| Adeniran Bukunmi Felicia| Alangs Manasseh Stephen| Omolere Olakorode Olabosede| Adeyemi Oyinlade

Abstract

Hypertension remains a leading cause of preventable cardiovascular morbidity and mortality in sub- Saharan Africa. However, community-level data quantifying the specific contribution of lifestyle factors to hypertension burden in Nigerian peri-urban settings are scarce. This study assessed the prevalence of hypertension and evaluated the influence of smoking, alcohol consumption, dietary patterns, and sedentary lifestyle on blood pressure among adults in Akure North Local Government Area (LGA), Ondo State, Nigeria. A community-based cross-sectional survey was conducted among 317 adults recruited via multistage stratified sampling (response rate: 95.2%). Data were collected using validated instruments (GATS, AUDIT, FFQ, GPAQ) and standardised digital sphygmomanometry. Data were analysed using IBM SPSS v28, with chi-square tests and multivariable binary logistic regression at p < 0.05. Hypertension prevalence was 52.4% (Stage 1: 24.9%; Stage 2: 27.5%); 41.0% of hypertensive respondents were undiagnosed. In the adjusted analysis, daily smoking (OR=2.97; 95%CI: 1.53–5.78), regular alcohol consumption (OR=2.56; 95%CI: 1.44–4.55), high salt intake (OR=2.39; 95%CI: 1.43– 3.99), and physical inactivity (OR=3.13; 95%CI: 1.64–5.97) were independent predictors of hypertension. Hypertension is a major public health crisis in Akure North LGA, driven by multiple modifiable lifestyle factors. Urgent multi-component interventions addressing physical inactivity, tobacco use, alcohol consumption, and dietary habits are needed, alongside strengthened community-based screening programmes.

   

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Published: 2026

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