Is ethnicity an important determinant of high blood pressure in Nepalese population? A community-based cross-sectional study in Duwakot, Nepal

Background Hypertension is a rising public health problem in Nepal. Most of the upsurge is attributed to the behavioural and lifestyle transitions. However, the hereditary component such as ethnicity, which may also be an important determinant, has not been studied. Objective This study aims to investigate if ethnicity is a key determinant of having a high blood pressure in the Nepalese population. Methods A population-based cross sectional study was conducted in the Duwakot village of Bhaktapur District, Nepal. Systematic random sampling of the adults was done in all the nine wards. A total of 641 adults of both sexes, of age 35 years or more were included in the analysis. Results Most of the life-style related risk factors were comparable in the broad two ethnic groups- Tibeto-Burmans and Indo-Aryans. The prevalence of hypertension was 25.3% in the Tibeto-Burmans compared to the 14.0% in the Indo-Aryans. Crude odds ratio (95% CI) of being hypertensive for the Tibeto-Burmans compared to the Indo-Aryans was 2.07 (1.36-3.15) (p=0.01). After adjusting for the different factors the adjusted odds ratio (95% CI) for the same was found to be 1.78 (1.12-2.81) (p=0.014). Conclusion There is an ethnic variation in the blood pressure distribution in the Nepalese population, which might be acting independent of the different life-style factors. More elaborate studies, including longitudinal and migration studies, and probably genetic analyses, can provide a more definite answer. KATHMANDU UNIVERSITY MEDICAL JOURNAL VOL.10 | NO. 1 | ISSUE 37 | JAN - MAR 2012 | 20-23DOI: http://dx.doi.org/10.3126/kumj.v10i1.6908

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Heart rate variability and blood pressure among Japanese men and women: a community-based cross-sectional study

Hypertension Research ◽

10.1038/hr.2014.73 ◽

2014 ◽

Vol 37 (8) ◽

pp. 779-784 ◽

Cited By ~ 9

Author(s):

Hiromi Mori ◽

Isao Saito ◽

Eri Eguchi ◽

Koutatsu Maruyama ◽

Tadahiro Kato ◽

...

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Heart Rate Variability ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Japanese Men ◽

Men And Women

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Relationship between obesity indices and hypertension among middle-aged and elderly populations in Taiwan: a community-based, cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-031660 ◽

2019 ◽

Vol 9 (10) ◽

pp. e031660 ◽

Cited By ~ 1

Author(s):

Yen-An Lin ◽

Ying-Jen Chen ◽

Yu-Chung Tsao ◽

Wei-Chung Yeh ◽

Wen-Cheng Li ◽

...

Keyword(s):

Blood Pressure ◽

Logistic Regression ◽

Cross Sectional Study ◽

Multiple Logistic Regression ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Elderly Populations ◽

Obesity Indices ◽

Northern Taiwan

ObjectiveObesity and hypertension (HTN) have become increasingly prevalent in Taiwan. People with obesity are more likely to have HTN. In this study, we evaluated several anthropometric measurements for the prediction of HTN in middle-aged and elderly populations in Taiwan.DesignCross-sectional observational study.SettingCommunity-based investigation in Guishan Township of northern Taiwan.ParticipantsA total of 396 people were recruited from a northern Taiwan community for a cross-sectional study. Anthropometrics and blood pressure were measured at the annual health exam. The obesity indices included body mass index (BMI), body fat (BF) percentage and waist circumference (WC).Outcome measuresStatistical analyses, including Pearson’s correlation, multiple logistic regression and the area under ROC curves (AUCs) between HTN and anthropometric measurements, were used in this study.ResultsOf the 396 people recruited, 200 had HTN. The age-adjusted Pearson’s coefficients of BMI, BF percentage and WC were 0.23 (p<0.001), 0.14 (p=0.01) and 0.26 (p<0.001), respectively. Multiple logistic regression of the HTN-related obesity indices showed that the ORs of BMI, BF percentage and WC were 1.15 (95% CI 1.08 to 1.23, p<0.001), 1.07 (95% CI 1.03 to 1.11, p<0.001) and 1.06 (95% CI 1.03 to 1.08, p<0.001), respectively. The AUCs of BMI, BF percentage and WC were 0.626 (95% CI 0.572 to 0.681, p<0.001), 0.556 (95% CI 0.500 to 0.613, p=0.052) and 0.640 (95% CI 0.586 to 0.694, p<0.001), respectively.ConclusionsWC is a more reliable predictor of HTN than BMI or BF percentage. The effect of abdominal fat distribution on blood pressure is greater than that of total BF amount.

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Does the type of sedentary behaviors influence blood pressurein adolescents boys and girls? A cross-sectional study

Ciência & Saúde Coletiva ◽

10.1590/1413-81232018238.23612016 ◽

2018 ◽

Vol 23 (8) ◽

pp. 2575-2585 ◽

Cited By ~ 3

Author(s):

Luciano Machado Ferreira Tenório de Oliveira ◽

Raphael Mendes Ritti-Dias ◽

Breno Quintella Farah ◽

Diego Giulliano Destro Christofaro ◽

Mauro Virgílio Gomes de Barros ◽

...

Keyword(s):

Blood Pressure ◽

Video Games ◽

High Blood Pressure ◽

Television Viewing ◽

Cross Sectional Study ◽

Activity Level ◽

Viewing Time ◽

Sedentary Behaviors ◽

Sectional Study ◽

Cross Sectional

Abstract The aim of this study was to analyze the association between different sedentary behaviors and high blood pressure in adolescent boys and girls. We conducted a cross-sectional study with 6,264 Brazilian adolescents (14 to 19 years old). Demographic data, obesity indicators and blood pressure, were evaluated. Time spent in the sedentary behaviors (television viewing, playing video games, using the computer, non-screen sitting and, total time sitting) were also assessed. The girls spent more time watching television than boys, whereas boys spent more time using computers and video games (12.7% vs. 7.4%, p < 0.001) than girls. Boys who watched more than four hours of television presented higher odds to give high blood pressure after adjustments for physical activity level, body mass index, age and educational level of mother (OR = 2.27, p < 0.001). In girls, we did not find a relation between sedentary behaviors and high blood pressure (p > 0.05). Television viewing time is associated with high blood pressure only boys. So, reduce this sedentary behavior, stimulating physical activities, might be essential to health, principally for male adolescents.

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Epidemiology of high blood pressure among the Kaingang people on the Xapecó Indigenous Land in Santa Catarina State, Brazil, 2013

Cadernos de Saúde Pública ◽

10.1590/0102-311x00058714 ◽

2015 ◽

Vol 31 (2) ◽

pp. 331-344 ◽

Cited By ~ 4

Author(s):

Deise Bresan ◽

João Luiz Bastos ◽

Maurício Soares Leite

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Body Mass Index ◽

High Blood Pressure ◽

Demographic Data ◽

High Body Mass Index ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Indigenous Land

This cross-sectional study describes the prevalence of high blood pressure (HBP; measured at one setting, and suggestive of a clinical diagnosis of arterial hypertension) and mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) and their associations with socio-demographic and anthropometric variables among 355 Kaingang adults (≥ 20 years) on the Xapecó Indigenous Land in Brazil. Weight, height, waist circumference (WC), SBP, and DBP were measured and socio-demographic data were collected. Prevalence of HBP was 53.2% (95%CI: 45.3; 61.1) in men and 40.7% (95%CI: 33.8; 47.6) in women. In women, age and WC were directly associated with HBP; age was associated with SBP and schooling with DBP. In men, HBP was statistically associated with high body mass index (BMI) and tile floor in the home (as a socioeconomic proxy); BMI and WC were associated with SBP; BMI and WC were associated with DBP. The study highlights the need for measures to control risk factors for HBP, especially due to its relevance for cardiovascular diseases and their consequences.

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Association between obesity and high blood pressure among Lithuanian adolescents: a cross-sectional study

Italian Journal of Pediatrics ◽

10.1186/s13052-014-0102-6 ◽

2014 ◽

Vol 40 (1) ◽

Cited By ~ 14

Author(s):

Virginija Dulskiene ◽

Renata Kuciene ◽

Jurate Medzioniene ◽

Rimantas Benetis

Keyword(s):

Blood Pressure ◽

High Blood Pressure ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Association betweenATP2B1andCACNB2polymorphisms and high blood pressure in a population of Lithuanian children and adolescents: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-019902 ◽

2018 ◽

Vol 8 (7) ◽

pp. e019902 ◽

Cited By ~ 1

Author(s):

Sandrita Simonyte ◽

Renata Kuciene ◽

Virginija Dulskiene ◽

Vaiva Lesauskaite

Keyword(s):

Blood Pressure ◽

Gene Polymorphism ◽

Children And Adolescents ◽

High Blood Pressure ◽

Gene Polymorphisms ◽

Critical Role ◽

Cross Sectional Study ◽

Additive Models ◽

Sectional Study ◽

Cross Sectional

ObjectivesRecently, genome-wide associated studies have identified several genetic loci that are associated with elevated blood pressure and could play a critical role in intracellular calcium homeostasis. The aim of this study was to assess the associations ofATP2B1rs2681472 andCACNB2rs12258967 gene polymorphisms with high blood pressure (HBP) among Lithuanian children and adolescents aged 12–15 years.Study design and participantsThis was a cross-sectional study of a randomly selected sample of 646 12–15-year-old adolescents who participated in the survey ‘The Prevalence and Risk Factors of HBP in 12–15 Year-Old Lithuanian Children and Adolescents (from November 2010 to April 2012)’. Anthropometric parameters and BP were measured. The participants with HBP were screened on two separate occasions. Subjects were genotypedATP2B1rs2681472 andCACNB2rs12258967 gene polymorphisms using real-time PCR method.ResultsThe prevalence of HBP was 36.7%, significantly higher for boys than for girls. In the multivariate analysis, after adjustment for body mass index and waist circumference, boys withCACNB2CG genotype,CACNB2GG genotype andCACNB2CG +GG genotype had higher odds of having HBP in codominant (adjusted OR (aOR)=1.92; 95% CI 1.16 to 3.18, p=0.011; and aOR=2.64; 95% CI 1.19 to 5.90, p=0.018) and in dominant (aOR=2.05; 95% CI 1.27 to 3.30, p=0.003) inheritance models. Girls carryingCACNB2CG genotype andCACNB2CG +GG genotype had increased odds of HBP in codominant (aOR=1.82; 95% CI 1.02 to 3.24, p=0.044) and in dominant (aOR=1.89; 95% CI 1.09 to 3.28, p=0.023) inheritance models. Furthermore, significant associations were found in additive models separately for boys (aOR=1.72; 95% CI 1.20 to 2.46, p=0.003) and girls (aOR=1.52; 95% CI 1.05 to 2.20, p=0.027). No significant association was found betweenATP2B1gene polymorphism and the odds of HBP.ConclusionsOur results indicate thatCACNB2gene polymorphism was significantly associated with higher odds of HBP in Lithuanian adolescents aged 12–15 years.

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