Abstract:
Background: Serum lipid profile abnormalities are major predictors for coronary artery diseases. The relationship
between demographic factors and dyslipidemia in Ethiopia is not completely explored. Thus, this study aimed to
assess the prevalence and predictors of dyslipidemia among hypertensive patients in Lumame Primary Hospital.
Methods: A cross-sectional study was conducted from June to August 30, 2020, on the hypertensive patients in
Lumame Primary Hospital. All adult hypertensive patients who visited the adult hypertensive care services
during the study period were included. Interview-guided self-administered questionnaire and a chart review
were used for data collection. Statistical Package for the Social Sciences (SPSS) software version 24.0 was used
for data analysis.
Results: Out of 372 hypertensive patients, 190(51.1%) were females and the mean age of the study participants
was 43.56 years (SD ± 4.31). The overall prevalence of dyslipidemia in this study was 48.4%. Besides the overall
prevalence, the prevalence of TC, TG, LDL-c, and HDL-c was 73(19.6%), 91(24.5%), 60(16.1%), and 115(30.9%),
respectively. Females were at higher risk for having high levels of TC (AOR = 2.31, 95% CI = 1.54–3.13), TG
(AOR = 1.70, 95% CI = 1.34–3.79), LDL-c (AOR = 2.15, 95% CI = 1.56–2.86), and HDL-c (AOR = 2.67, 95% CI
= 1.44–5.67) than males. Respondents who were from urban were at higher risk for having high levels of TC
(AOR = 1.98, 95% CI = 1.04–6.83), TG (AOR = 1.78, 95% CI = 1.09–2.86), LDL-c (AOR = 3.01, 95% CI =
1.45–7.43), and HDL-c (AOR = 2.01, 95% CI = 1.94–4.55) than respondents who were from rural. Similarly,
obese respondents were at higher risk for having high levels of TC (AOR = 2.03, 95% CI = 1.64–2.00), TG (AOR
= 3.78, 95% CI = 1.06–6.42), LDL-c (AOR = 1.92, 95% CI = 1.66–2.12), and HDL-c (AOR = 4.23, 95% CI =
2.84–4.32) than to respondents who were underweight.
Conclusion: The prevalence of dyslipidemia among hypertensive patients was high. Independent variables such as
age, gender, residence, family history of HTN, smoking, alcohol drinking, fruit diet habits, physical activity, DM,
and BMI were significant determinants of dyslipidemia
