Burden of Non-Communicable Diseases among Geriatric Nigerians in a Rural Hospital in Resource-Constrained Setting of Eastern Nigeria
Science Journal of Public Health
Volume 1, Issue 3, July 2013, Pages: 141-146
Received: May 25, 2013;
Published: Jul. 30, 2013
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Gabriel Uche Pascal Iloh, Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria and visiting Consultant Family Physician, St. Vincent De Paul Hospital, Amurie- Omanze, Imo state, Nigeria
Agwu Nkwa Amadi, Department of Public Health Technology, Federal University of Technology, Owerri, Imo state, Nigeria
Abali Chuku, Department of Ophthalmology Federal Medical Centre, Umuahia, Abia state, Nigeria
Background: Globally, there is an emerging increase in the population of elder citizens. Despite the process of natural aging, elderly population in addition suffers acute and chronic non-communicable diseases (NCDs) which are often neglected. Aim: This study was aimed at describing the burden (prevalence and pattern) of non-communicable diseases among geriatric Nigerians in a rural hospital in resource-constrained setting of Eastern Nigeria. Materials and Methods: This study was a descriptive hospital-based study of 286 geriatric patients with NCDs out of a total of 872 geriatric patients’ population in a rural Hospital in Imo state, South-Eastern Nigeria. The data collected included age, sex and diagnoses. Diagnoses of NCDs were based on clinical method of subjective complaints, objective findings and appropriate laboratory and radio-diagnostic confirmations. Results: Eight hundred and seventy two patients out of a total patients population of 9885 were 65 years and above. The geriatric population constituted 8.8% of total patients’ population. Five hundred and thirty (60.8%) of geriatric health problems were due to communicable diseases; two hundred and eighty-six (32.8%) were due to NCDs and fifty-six (6.4%) resulted from accidents, trauma and injuries. Of the 286 who had non-communicable diseases 176 (61.5%) were males while 110(38.5%) were females with a male to female ratio of 1.6: 1. The top five non-communicable diseases were hypertension 192 (67.1%), musculoskeletal disorders 126 (44.1%), dyspepsia 99 (34.6%), non-communicable visual impairment 96 (33.6%), and diabetes mellitus 25(8.7%) Conclusion: This study has shown that geriatric patients in the study area suffer NCDs with three most common being hypertension, musculoskeletal disorders and dyspepsia. There is therefore the need for preventive action against the scourge of geriatric non-communicable diseases.
Gabriel Uche Pascal Iloh,
Agwu Nkwa Amadi,
Burden of Non-Communicable Diseases among Geriatric Nigerians in a Rural Hospital in Resource-Constrained Setting of Eastern Nigeria, Science Journal of Public Health.
Vol. 1, No. 3,
2013, pp. 141-146.
Shapiro DP. Geriatric demographics and the practice of Otolaryngology. Ear, Nose, Throat J 1999; 78: 418-421.
Guralnik J, Havlik R. Demographics. In: Beers MH, Berkow R editors. The Merck Manual of Geriatrics, 3rd edition. New Jersey(USA) Merck & Co Inc White house station 2001: p.26.
Abanobi OC. Health: Wellness and iIlness states. Biological, Social, Cultural, Environmental, Nutritional, Behavioural and Health System Factors. Owerri, Opinion Research Communications Inc 2005; 57-65.
Mobbs C. Biology of aging. In: Beers MH, Berkow R editorss. The Merck Manual of Geriatrics, 3rd edn. New Jersey(USA) Merck & Co Inc White house station 2001:p. 25.
BreeJohnston C, Lyons WL, Covinsky KE. Geriatric Medicine. In: McPhee SJ, Papadakis MA, Tierney LM editors. Current Medical Diagnosis and Treatment, 42nd edn., New York. Lange Medical Books 2003; p.41-46.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL et al. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of high blood pressure: The JNC VII report. JAMA 2003; 289(19):2560-2572.
Akinkugbe OO. Non-communicable diseases in Nigeria, The next epidemics: Nigeria preparedness. Third Biennial Abayomi Bamidele Memorial Lectures. Niger J Clin Pact 2000; 3:37-42.
Murray CJL, Lopez D. Global mortality, disability and the contribution of risk factors: Global Burden of Disease Study. Lancet 1997; 349: 1436-1442.
Yach D, Hawkes C, Gould CL, Hofman KJ. The global burden of chronic diseases: Overcoming the impediments to prevention and control. JAMA 2004; 291: 2616-2622.
Alberti G. Noncommunicable diseases: tommorows pandemics(Editorial). Bull World Health Organ 2001; 79:907
Iloh GUP, Obikwu CE, Amadi AN. Common Geriatric Morbidity from Communicable Diseases in a Rural Hospital in Eastern Nigeria. Niger J Med 2012; 21: 231-236.
Iloh G, Amadi AN, Awa-Madu J. Common geriatric emergencies in a rural hospital in South-Eastern Nigeria. Niger J Clin Pract 2012; 15:333-7.
Adebusoye LA, Ladipo MM, Owoaje ET, Ogunbode AM. Morbidity pattern amongst elderly patients presenting at a primary care clinic in Nigeria. Afr J Prm Health Care Fam Med 2011; 3(1).
Omran AR. The epidemiologic transition: A theory of the epidemiology of population change. Bull World Health Organ 2001; 79: 161-170.
Okeahialam BN, Ogbonna C, Otokwula AE, Joseph DE, Chuwak EK, Isiguzoro IO. Cardiovascular Epidemiological Transition in a Rural Habitat of Nigeria: The Case of Mangu Local Government Area. West Afr J Med 2012; 31: 14-18.
Nnebue CC. The epidemiologic transition: Policy and planning implications for developing countries. Niger J Med 2010; 19(3): 250-256.
Foliaki S, Pearce N. Changing pattern of ill health for indigenous people. BMJ 2003; 327: 406-407.
Tucker KL, Buranapin S. Nutrtion and Aging in Developing Countries. Journal of Nutrition 2001; 131: 2417S-2423S.
Unwin N, Setel P, Rashid S, Mugusi F, Mbanya JC, Kitange H, et al. Non-communicable diseases in sub-Saharan Africa: where do they feature in the health research agenda? Bull World Health Organ 2001; 79(10): 947-953.
Iyaniwura CA. Health promotion in general practice in Ogun state. Niger Med Pract 2004; 45: 29-42.
Araoye MO. Sample size determination. Research Methodology with Statistics for Health and Social Sciences, Ilorin, Nathadex Publishers, 2004; p.115-121.
Agrawal S, Deo J, Verma AK, Kotwal A. Geriatric health: Need to make it an essential element of primary health care. India J Public Health 2011; 55: 25 – 9.
Iloh GU, Ofoedu JN, Njoku PU, Amadi AN. Blood pressure control among geriatric Nigerians with essential hypertension in a rural hospital in South-Eastern Nigeria. Port Harcourt Med J 2013; 7: 50-58.
DelGuidice A, Pompa G, Ancella F. Hypertension in the elderly. J Nphrol 2010; 1S: S61-S71.
Sawabe M. Vascular aging: from the molecular mechanism to clinical significance. Geriatr Gerontol Int 2010; 1: S213 –S220
Mukhopadhyay K, Singh R. Common Geriatric Cases Seen by a General Practitioner in an Urban Area of Jharkhand State, India. J Fam Med Primary Care 2012;1: 164 – 5.
Tsou IY, Ching HH. The bone and joint decade 2000-2010 for prevention and treatment of musculoskeletal disease. Ann Acad Med Singapore 2002; 31: 69-70.
Ettinger W. Aging and osteoarthritis In: Beers MH, Berkow R editors. The Merck Manual of Geriatrics, 3rd edn. New Jersey(USA) Merck & Co Inc White house station 2001: p.467-472.
Mamdani M, Rochon P, Juurlink D. Observational study of upper gastrointestinal haemorrhage in elderly patients given selective cyclo-oxygenase 2 inhibitors or conventional non-steroidal anti-inflammatory drugs. BMJ 2002; 325: 619-624.
Page J, Henry D. Consumption of NSAIDs and the development of congestive heart failure in elderly patients: An under recognized public health problem. Arch Intern Med 2000; 160: 777-784.
Iloh GUP, Chuku A, Dike OJ, Amafili OP, Nnaji BC. Burden of Limitations of Activities of Daily Living Among Geriatric Nigerians with Musculoskeletal Disorders in a Resource-Limited Nigerian Primary Care Clinic in Eastern Nigeria. American Journal of Health Research 2013; 1: 9-16.
Laine L. Approach to non-steroidal anti-inflammatory drug use in the high risk patients. Gastroenterology 2001; 120: 594-606.