Browsing by Author "Durowade, Kabir Adekunle"
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Item Pattern and Predictive Factors of Health‑related Quality of Life of Patients with Hypertension, Diabetes and Concomitant Hypertension with Diabetes in Ilorin, Nigeria(Nigerian Postgraduate Medical Journal - Wolters Kluwer: Medknow, 2016) Bolarinwa, Oladimeji Akeem; Ameen, Hafsat Abolore; Sanya, Emmanuel Olatunde; Kolo, Philip Manma; Durowade, Kabir Adekunle; Uthman, Mohammed-Mubashir Babatunde; Ogunmodede, James Ayodele; Biliaminu, Sikiru Ayobami; Odeigah, Loius Okeibunor; Akande, Tanimola MakanjuolaBackground: Hypertension and diabetes are the two most important modifiable risk factors for cardiovascular disease (CVD) among Nigerian population. Because of the lifelong nature of the two diseases and the attendant long treatment regimen required, assessing the health‑related quality of life (HRQoL) is an important outcome of these diseases. Objective: This study assessed the pattern and predictive factors of HRQoL among patients with hypertension, diabetes and concomitant hypertension and diabetes using the 36‑item short‑form version 2. Patients and Methods: A cross‑sectional study of 1203 patients attending the outpatient clinics of the University of Ilorin Teaching Hospital, Ilorin; the patients were sampled using systematic random sampling methods. Patients were divided into those with hypertension, diabetes and both diseases. The predictors of physical and mental component summaries of HRQoL were analysed using Norm‑based Scoring. The level of significance was set at P < 0.05 and 95% confidence interval. Results: The patients with both diseases have lowest physical HRQoL (45.6), while the diabetic patients have the worst mental HRQoL (39.5). Negative predictors of physical HRQoL across the three groups were: drug regimen (hypertension P < 0.001, diabetes P < 0.001, both P = 0.005), CVD complication (hypertension P < 0.001, diabetes P = 0.025) and accompanying persons (P < 0.001). The positive predictors of physical HRQoL across the three groups were medication adherence (hypertension P < 0.001, diabetes P < 0.001 and both P = 0.002). Similarly, medication adherence was the positive predictor for mental HRQoL across the three groups of patients (hypertension P < 0.001, diabetes P = 0.001 and both P < 0.001). Conclusion: This study provided evidence to show that HRQoL across the three categories of patients in Ilorin, Nigeria, is suboptimal. Drug regimen, medication adherence and support from accompanying persons were important predictive factors of HRQoL.Item Prevalence and Pattern of Blood Pressure and Anthropometric Measurements: A comparative cross-sectional study in Kwara Central, North-Central Nigeria(Kenya Medical Research Institute (KEMRI) and the African Forum for Health Sciences (AFHES), 2022) Fasiku, Mojirola Martina; Bojuwoye, Matthew Olumuyiwa; Durowade, Kabir Adekunle; Bolarinwa, Oladimeji Akeem; Fasiku, Olushola Kayode; Adaramola, Samuel Oluwasola; Akande, Tanimola MakanjuolaBACKGROUND The elderly are usually prone to different age-related chronic non-communicable diseases like cardiovascular diseases (CVDs). CVDs cause mortality, particularly in the elderly, and hypertension and obesity are important risk factors in their development. This study assessed the prevalence and pattern of blood pressure and anthropometric measurements among the elderly in rural and urban areas of Kwara Central, North-Central Nigeria MATERIALS AND METHODS This study was a cross-sectional analytical (comparative) study among 300 elderly people in the rural and urban communities in Kwara Central, North-central, Nigeria. Respondents were selected through a multi-stage random sampling technique. Data was collected through the use of pre-tested semi-structured interviewer-administered questionnaires. Analysis was carried out using IBM Statistical Package for Social Sciences (IBM-SPSS) version 20. Data were presented in tables and charts. The level of significance was predetermined at a p-value of less than 0.05 at a 95% confidence level. RESULTS The mean age of the elderly in the rural community was 76 ± 11.6 years compared to 74 ± 10.4 years for the urban community. The proportion of the female respondents was higher than males in both rural group 96 (64.0%) and urban group 84 (56.0%). The waist circumferences and waist-to-hip ratios were significantly higher among the elderly in the urban communities (20.0%, 20.7%) than in the rural communities (11.3%, 16%) (p= 0.039). Similarly, there were significantly more overweight and obese elderly in the urban communities (18.0%, 16.0%) than those in the rural communities (12.7%, 4.7%) (p= 0.003). The proportion of those with elevated blood pressure in the urban group was significantly higher than those in the rural group (p =0.038). CONCLUSION The blood pressure pattern and anthropometric indices that portend an increased cardiovascular risk among the elderly were more prevalent in the urban than in the rural communities.Item Unmet needs for assistance with activities of daily living among elderly in rural and urban areas in Kwara State Central Senatorial District, Nigeria(Babcock University Medical Society, Ogun State, 2021) Fasiku, Mojirola Martina; Durowade, Kabir Adekunle; Bojuwoye, Matthew Olumuyiwa; Ahmed, A; Osinubi, M.O.; Musa, O.I.; Osagbemi, G.K.; Akande, Tanimola MakanjuolaAbstract Objective: The elderly usually require assistance and sometimes have unmet needs for assistance with activities of daily living. This study assessed the unmet needs for assistance with activities of daily living among the elderly in rural and urban areas in Kwara Central Senatorial District, Nigeria. Methods: Cross-sectional data were collected using pre-tested semi-structured interviewer-administered questionnaires from 300 elderly using the multistage sampling technique. The Statistical Package for Social Sciences 20 was used to analyze data, and the level of significance was predetermined at a p-value less than 0.05. Results: Overall, 60% of the elderly in the urban than rural group (46%) had unmet needs for assistance with activities of daily living. The prevalence of unmet needs for assistance with basic activities of daily living in the rural areas ranged from 0.0% (eating) to 70.8 % (bathing) and 0.0% (eating) to 68.8 % (transferring) in the urban areas. The prevalence of unmet needs for instrumental activities of daily living ranged from 16.7% (handling finances) to 59.3 % (cooking) for those in the rural areas. However, the range was from 33.3% (transportation) to 75.0% (taking medications) in the urban areas. The urban respondents had higher unmet needs for assistance with telephone use than rural respondents. (p=0.004*). Conclusion: The elderly in the urban areas had a higher prevalence of unmet needs for assistance with activities of daily living. The government must address the needs of the elderly through a policy to prevent unmet needs for assistance with activities of daily living.