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Kunutsor S et al. - Average BPs are not notably high in this predominantly lean rural West African population. Blood pressures do, however, increase as expected with age and BMI. Population-wide approaches need to be developed, appropriate to the level of medical provision, in order to address vascular disease risks resulting from higher than optimal BPs. These should include programs to reduce salt consumption.

Exclusive Author Commentary
Setor Kunutsor, 06/09/09

The low average blood pressures but overall high prevalence of casual high blood pressure in this West African rural adult population is very consistent with findings from similar studies conducted in rural communities in sub-Saharan Africa. It has been erroneously assumed that rural populations living traditional lives do not have problems relating to high blood pressure and this is mainly because of the lack of reliable data in these settings. Increasing blood pressure is contributing to an increase in associated health burdens in these populations and there is the need to develop pragmatic programmes to prevent this. The excessive salt consumption of 12.5g per adult per day in this rural population is a cause for great concern considering that it far exceeds the current international recommendations of <5g of salt per day and also the fact that this rural populace still rely on their predominantly traditional ‘healthy’ diets instead of the patronage of processed foods. The problem of excessive salt consumption will need to be addressed. As salt is added to food by consumers themselves and there is little dependence on processed foods, health education programmes need to be developed targeted specifically at reducing salt intake.

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