The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.
Traditional Herbal Medicine Use Among Hypertensive Patients in Sub-Saharan Africa: A Systematic Review
Open accessAbstract
Hypertension is increasingly common in sub-Saharan Africa, and rates of hypertension control are low. Use of traditional herbal medicines (THM) is common among adults in sub-Saharan Africa and may affect hypertension therapy. We searched Ovid MEDLINE, Ovid EMBASE, and Web of Knowledge in June 2013 to find studies about THM use among hypertensive patients living in sub-Saharan Africa. Two independent reviewers evaluated titles and abstracts. Qualifying references were reviewed in full text. Data were extracted using a standardized questionnaire. Four hundred and eighty-one references were retrieved, and four articles from two countries met criteria for inclusion. The prevalence of THM use was 25-65% (average 38.6%). THM was the most common type of complementary and alternative medicines used by patients (86.7-96.6%). Among THM users, 47.5% concomitantly used both allopathic medicine and THM. Increased age (p<0.001), male sex (RR 2.58), belief in a supernatural cause of hypertension (RR 2.11), and family history of hypertension (OR 1.78) were positively associated with THM use, while belief that hypertension is preventable was negatively associated with THM use (OR 0.57). More than one-third of adults with hypertension in sub-Saharan Africa use THM. Half of these patients use THM concurrently with allopathic medicine. Healthcare workers in sub-Saharan Africa must discuss THM use with their hypertensive patients. More research is urgently needed to define the impact of THM use on hypertension control and outcomes in sub-Saharan Africa.
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“Large proportions of hypertensive patients use complementary, alternative or traditional medicines (in regions such as Africa and China) 61,62”
From 2020 International Society of Hypertension Global Hypertension Practice Guidelines (2020) · cites this paper as [62]
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Cites
Global status report on noncommunicable diseases 2010.
Alwan, A. (2011) · Cited by 8,494
Hypertension in developing countries
Ibrahim, M. M., & Damasceno, A. A. M. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60861-7 · Cited by 757
Hypertension In Sub-Saharan Africa
Addo, J., Smeeth, L. L., & Leon, D. A. (2007) · Hypertension · doi:10.1161/hypertensionaha.107.093336 · Cited by 650
Eddouks, M., Maghrani, M., Lemhadri, A., Ouahidi, M. L., & Jouad, H. (2002) · Journal of Ethnopharmacology · doi:10.1016/s0378-8741(02)00164-2 · Cited by 625
Hypertension in Sub-Saharan Africa: Cross-Sectional Surveys in Four Rural and Urban Communities
Hendriks, M. E., Wit, F. W. N. M., Roos, M. T. L., Brewster, L. M., Akande, T. M., de Beer, I. H., Mfinanga, S., Kahwa, A. M., Gatongi, P. M., Rooy, G. V., et al. (2012) · PLoS ONE · doi:10.1371/journal.pone.0032638 · Cited by 429
Prevalence, Detection, Management, and Control of Hypertension in Ashanti, West Africa
Cappuccio, F. P., Micah, F. B., Emmett, L., Kerry, S., Antwi, S., Martin-Peprah, R., Phillips, R. O., Plange‐Rhule, J., & Eastwood, J. B. (2004) · Hypertension · doi:10.1161/01.hyp.0000126176.03319.d8 · Cited by 290
Cardiovascular pharmacotherapy and herbal medicines: the risk of drug interaction
Izzo, A. A., Carlo, G. D., Borrelli, F., & Ernst, E. (2004) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.06.039 · Cited by 277
Role of natural herbs in the treatment of hypertension
Tabassum, N., & Ahmad, F. (2011) · Pharmacognosy Reviews/Bioinformatics Trends/Pharmacognosy review · doi:10.4103/0973-7847.79097 · Cited by 252
Herbal medicine use among urban residents in Lagos, Nigeria
Oreagba, I. A., Oshikoya, K. A., & Amachree, M. (2011) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-11-117 · Cited by 240
Twagirumukiza, M., Bacquer, D. D., Kips, J. G., Backer, G. D., Stichele, R. V., & Bortel, L. M. V. (2011) · Journal of Hypertension · doi:10.1097/hjh.0b013e328346995d · Cited by 214
Research works printed but not linked: 3
- Department of Cardiology Cairo University Faculty of Medicine and Qalyub Training and Demonstration Centre. Qalyub heart survey. Bull Egypt Soc Cardiol. 1958;1:99–105.
- World Health Organization. WHO traditional medicine strategy 2002–2005. Geneva: WHO Press; 2002.
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2020 International Society of Hypertension Global Hypertension Practice Guidelines
Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., et al. (2020) · Hypertension · doi:10.1161/hypertensionaha.120.15026 · Cited by 4,132
2020 International Society of Hypertension global hypertension practice guidelines
Unger, T., Borghi, C., Charchar, F., Khan, N. A., Poulter, N. R., Prabhakaran, D., Ramirez, A., Schlaich, M., Stergiou, G. S., Tomaszewski, M., et al. (2020) · Journal of Hypertension · doi:10.1097/hjh.0000000000002453 · Cited by 1,283
Metadata
- Authors
- Liwa, A. C., Smart, L. R., Frumkin, A., Epstein, H.-A. B., Fitzgerald, D. W., & Peck, R. N.
- Affiliations
- Catholic University of Health and Allied Sciences (TZ)
- Yale University (US)
- Cornell University (US)
- Weill Cornell Medicine (US)
- Corresponding author
- Smart, Luke R.
- Venue
- Current Hypertension Reports
- Published
- 2014-04-25
- Volume
- 16
- Issue
- 6
- Pages
- 437-437
- ISSN
- 1522-6417 (ISSN-L)
- 1534-3111
- PMC
- PMC4076776
- OpenAlex
- W2171717231
- Cited by
- 84
- References
- 36
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 10 · 2023: 8 · 2022: 5 · 2021: 16 · 2020: 9 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 1
- FWCI
- 1.18
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Hypertension Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- United States Agency for International Development
- National Institutes of Health
- National Institute of Allergy and Infectious Diseases (K24AI098627, AI 098627)
- Fogarty International Center (R25TW009337)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Ethnobotanical and Medicinal Plants Studies
- Keywords
- traditional herbal medicine, hypertension, sub-Saharan Africa, complementary and alternative medicine, polypharmacy, hypertension control, family history of hypertension
- MeSH terms
- Adult, Aged, Blood Pressure Determination, Developing Countries, Female, Humans, Hypertension, Male, Phytotherapy, Middle Aged, Severity of Illness Index, Treatment Outcome, Africa South of the Sahara, Risk Assessment, Herbal Medicine
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