Maryjoy Kaimuri, Yeri Kombe, Peter Mwaniki


Introduction: Women of reproductive age have relatively low rates of hypertension. However, hypertension in this group present major clinical implications not only because it’s a key risk factor for cardiovascular disease but the challenges it poses during pregnancy and the impact on both maternal and fetal outcomes. This study aimed at determining the prevalence of hypertension and identifying its physiological risk factors among women of reproductive age at Meru County, with a purpose of laying ground work for surveillance and intervention.


Methodology:  A cross-sectional descriptive design was adopted for this study. Anthropometric measurements, Blood sample collection and BP measurements were carried out among 355 women of reproductive age. Regression analysis and descriptive statistics were utilized in data analysis.


Results: The prevalence of hypertension was 11.55% (n=41) and the physiological risk factors include age, family history of hypertension, Increased BMI, higher waist circumference, central obesity, elevated triglycerides, low HDLs and metabolic syndrome presence.

Conclusions and recommendations: This study concludes that the prevalence of hypertension among women of reproductive age in Meru County was relatively low though a bit higher compared to the 2014 demographic health survey estimates. Women of reproductive age should adopt primary prevention strategies to mitigate the modifiable risk factors that predispose them to development of pre-hypertension


Prevalence, Hypertension, Women of reproductive age, Central obesity, BMI

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Abebe, S. M., Berhane, Y., Worku, A., & Getachew, A. (2015). Prevalence and associated factors of hypertension: A crossectional community based study in Northwest Ethiopia. PLoS ONE, 10(4).

Bateman, B. T., Shaw, K. M., Kuklina, E. V., Callaghan, W. M., Seely, E. W., & Hernández-Díaz, S. (2012). Hypertension in women of reproductive age in the United States: NHANES 1999-2008. PLoS ONE, 7(4).

Cappuccio, F. P., Micah, F. B., Emmett, L., Kerry, S. M., Antwi, S., Martin-Peprah, R., Eastwood, J. B. (2004). Prevalence, Detection, Management, and Control of Hypertension in Ashanti, West Africa. Hypertension, 43(5), 1017–1022.

Cordero, A., Laclaustra, M., Grima, A., Casasnovas, J. A., Luengo, E., Rio, A., Alegria, E. (2006). With Insulin Resistance State and Not With an Initial Renal Function Impairment. American Journal of Hypertension, 19, 189–196.

Deng, W. W., Wang, J., Liu, M. M., Wang, D., Zhao, Y., Liu, Y. Q., Dong, G. H. (2013). Body mass index compared with abdominal obesity indicators in relation to prehypertension and hypertension in adults: The CHPSNE study. American Journal of Hypertension, 26(1), 58–67.

Do, H. T. P., Geleijnse, J. M., Le, M. B., Kok, F. J., & Feskens, E. J. M. (2015). National prevalence and associated risk factors of hypertension and prehypertension among vietnamese adults. American Journal of Hypertension, 28(1), 89–97.

Emami, S. G. (2013). Public health law and Non-communicable diseases. London: UK Health Forum.

Goma, F. M., Nzala, S. H., Babaniyi, O., Songolo, P., Zyaambo, C., Rudatsikira, E., Muula, A. S. (2011). Prevalence of hypertension and its correlates in Lusaka urban district of Zambia: a population based survey. International Archives of Medicine, 4(1), 34.

Gudina, E. K., Yadani, M., & Assegid, S. (2013). Prevalence of hypertension and its risk factors in southwest Ethiopia: a hospital-based cross-sectional survey. Integrated Blood Pressure control Journal, 111-117.

Guanglin, W., Huimin, Y., Xiuying, Q., & Zhenlin, J. (2001). A case-control for the association between change in weight, family history and hypertension at different ages. Asia-Pacific Journal of Public Health / Asia-Pacific Academic Consortium for Public Health, 13(2), 96–99.

Gupta, R., Deedwania, P. C., Achari, V., Bhansali, A., Gupta, B. K., Gupta, A., Sharma, K. K. (2013). Normotension , Prehypertension , and Hypertension in Urban Middle-Class Subjects in India : Prevalence , Awareness , Treatment , and Control. American Journal of Hypertension, 26(January), 83–94.

Howteerakul, N., Suwannapong, N., Sittilerd, R., & Rawdaree, P. (2006). Health risk behaviours, awareness, treatment and control of hypertension among rural community people in Thailand. Asia Pac J Public Health, 18(1), 3–9.

Hwang, G.-S., Choi, J.-W., Choi, S.-H., Lee, S.-G., Kim, K.-H., Cho, Y.-M., Rissel, C. (2013). Risk factors for hypertension in a population-based sample of postmenopausal women in Kolkata, West Bengal, India. Asia-Pacific Journal of Public Health / Asia-Pacific Academic Consortium for Public Health, 25(1), 364–7.

Kayima, J., Nankabirwa, J., Sinabulya, I., Nakibuuka, J., Zhu, X., Rahman, M., Kamya, M. R. (2015). Determinants of hypertension in a young adult Ugandan population in epidemiological transition—the MEPI-CVD survey. BMC Public Health, 15(1).

Kenya Demographic Health Survey. (2014). Kenya Demographic Health Survey. Nairobi.

Kishore, J., Gupta, N., Kohli, C., & Kumar, N. (2016). Prevalence of Hypertension and Determination of Its Risk Factors in Rural Delhi. International Journal of Hypertension, 2016.

Marquez, P. V, & Farrington, J. L. (2013). The Challenge of Non-Communicable Diseases and Road Traffic Injuries in Sub-Saharan Africa AN OVERVIEW. Retrieved from Challenge of Non-Communicable Diseases and Road Traffic Injuries in Sub-Saharan Africa - AN OVERVIEW.pdf

National Institute of Health. (2000). Guide Identification , Evaluation , and Treatment of Overweight and Obesity in Adults. NIH Publication, (00–4084).

Ostchega, Y., Hughes, J. P., Terry, A., Fakhouri, T. H. I., & Miller, I. (2012). Abdominal Obesity , Body Mass Index , and Hypertension in US Adults : NHANES 2007 – 2010. American Journal of Hypertension, 25(12), 1271–1278.

Pires, J. E., Sebastião, Y. V, Langa, A. J., & Nery, S. V. (2013). Hypertension in Northern Angola: prevalence, associated factors, awareness, treatment and control. BMC Public Health, 13.

Robbins, C. L., Dietz, P. M., Bombard, J., Tregear, M., Schmidt, S. M., & Tregear, S. J. (2011). Lifestyle Interventions for Hypertension and Dyslipidemia among Women of Reproductive Age. Retrieved September 23, 2013, from Preventing chronic diseases: Public health research, practice and policy:

Sun, Z., Zheng, L., Detrano, R., Zhang, X., Xu, C., Li, J., Sun, Y. (2010). Risk of progression to hypertension in a rural Chinese women population with prehypertension and normal blood pressure. American Journal of Hypertension, 23(6), 627–632.

Tesfaye, F., Byass, P., & Wall, S. (2009). Population based prevalence of high blood pressure among adults in Addis Ababa: uncovering a silent epidemic. BMC Cardiovascular Disorders, 9, 39.

Viigimaa, M., Zemtsovskaja, G., Kaart, T., Abina, J., & Annuk, M. (2014). Journal of Public Health. Scandinavian Journal of Public Health, 42(May), 504–510.

Wang, C., Li, Y., Bai, J., Qian, W., Zhou, J., Sun, Z., Wei, W. (2009). General and Central Obesity , Combined Oral Contraceptive Use and Hypertension in Chinese Women. American Journal of Hypertension, 24(12), 1324–1330.

Wang, Y., Guo, J., Lu, W., Li, Y., Wang, J., & Wan, Z. (2015). Association of Modifiable Lifestyle Behaviors With Hypertension by Various Body Mass Index Categories in Tianjin Province of China: A Cross-Sectional Study . Asia-Pacific Journal of Public Health , 27(2), NP266-NP277.

Wei, Q., Sun, J., Huang, J., Zhou, H. Y., Ding, Y. M., Tao, Y. C., Niu, J. Q. (2015). Prevalence of hypertension and associated risk factors in Dehui City of Jilin Province in China. Journal of Human Hypertension, 29(1).

World Health Organization. (2010). Global status report on noncommunicable diseases. Retrieved from

World Health Organization. (2013). A global brief on hypertension: Silent killer, global public health crisis. Geneva: WHO press.

World Health Organization. (2011). NCD Country Profiles. Geneva: WHO.

Zaw, K.-K., Latt, T.-S., Aung, P.-P., Thwin, T.-G., & Myint, T.-K. (2011). Prevalence of Hypertension and Its Associated Factors in the Adult Population in Yangon Division, Myanmar. Asia-Pacific Journal of Public Health, 23(4) 496–.

Zhang, W., & Li, N. (2011). Prevalence , Risk Factors , and Management of Prehypertension, 2011, 1999–2000.


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