scholarly journals Prevalence of and factors associated with hypertension according to JNC 7 and ACC/AHA 2017 guidelines in Bangladesh

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Md. Ashfikur Rahman ◽  
Henry Ratul Halder ◽  
Uday Narayan Yadav ◽  
Sabuj Kanti Mistry
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Adult Population ◽  
Heart Association ◽  
Joint National Committee ◽  
World Health ◽  
National Committee ◽  
Public Health Importance ◽  
Significant Public Health ◽  
Health Organization

AbstractMost studies either followed Joint National Committee 7 (JNC 7) or World Health Organization-International Society of Hypertension (WHO-ISH) guidelines to ascertain the prevalence of hypertension among Bangladeshi adults. The American College of Cardiology/American Heart Association (ACC/AHA) revised the definition of hypertension in 2017, which has significant public health importance. In Bangladesh, the new guideline has resulted changes in prevalence and risk factors for hypertension compared to the JNC7 guideline. This study used data from the most recent round (2017–2018) of the Bangladesh Demographic and Health Survey (BDHS). According to the 2017 ACC/AHA guideline, the participants were categorized as hypertensive if they had blood pressure (BP) ≥ 130/80 mmHg, but it was ≥ 140/90 mmHg in JNC 7 guideline. A total of 11,959 participants were involved in the analysis. The median (IQR) age of the respondents was 34.0 (18.0–95.0) years. The prevalence of hypertension was 24.0% according to the JNC 7 guideline, which was 50.5% according to the 2017 ACC/AHA guideline. Participants who were overweight and obese, aged, member of affluent households, Rangpur and Rajshahi division inhabitants had significantly higher odds of being hypertensive according to both guidelines. The new guideline suggests that half of the adult population in Bangladesh is hypertensive when measured according to the new guideline, urging the policymakers and public health practitioners to take immediate action to address the already established modifiable risk factors.

scholarly journals Estimated Change in Prevalence of Hypertension in Bangladesh According to Following JNC 7 and ACC/AHA 2017: Secondary Analysis From Nationally Representative Data

2021 ◽  
Author(s):  
Md Ashfikur Rahman ◽  
Henry Halder ◽  
Uday Narayan Yadav ◽  
Sabuj Kanti Mistry
Keyword(s):  
Public Health ◽  
Adult Population ◽  
Secondary Analysis ◽  
Heart Association ◽  
Joint National Committee ◽  
World Health ◽  
National Committee ◽  
Public Health Importance ◽  
Nationally Representative ◽  
Health Organization

Abstract Most studies followed either Joint National Committee 7 (JNC 7) or World Health Organization-International Society of Hypertension (WHO-ISH) guidelines to ascertain the prevalence of hypertension among Bangladeshi adults. The American College of Cardiology/American Heart Association (ACC/AHA) revised the definition of hypertension in 2017, which has significant public health importance. Identifying the change in the new guideline has resulted in the prevalence and associated factors of hypertension compared to that of the JNC7 guideline in Bangladesh. This study used data from the most recent round (2017-18) of the Bangladesh Demographic and Health Survey (BDHS). According to the 2017 ACC/AHA guideline, the participants were categorized as hypertensive if they had BP measurements greater than or equal to 130/80 mm Hg, which was greater than or equal to 140/90 mm Hg according to the JNC 7 guideline. A total of 11 959 weighted participants were included in the analysis. The median (IQR) age of the respondents was 34.0 (18.0-95.0) years. The prevalence of hypertension was 24.0% according to the JNC 7 guideline, which was 50.5% according to the 2017 ACC/AHA guideline. Participants who were overweight and obese, aged, member of affluent households, urban residents, and Rangpur division inhabitants had significantly higher odds of being hypertensive according to both guidelines. The new guideline suggests that half of the adult population in Bangladesh is hypertensive when measured according to the new guideline, urging the policymakers and public health practitioners to take immediate action to address the already established modifiable risk factors.

scholarly journals ASSESSMENT OF RISK FACTORS OF HYPERTENSION AMONG ADULTS RESIDING IN URBAN SLUM OF DELHI.

2018 ◽  
Vol 11 (1) ◽  
pp. 405
Author(s):  
Supriya Dwivedi ◽  
Zaozianlungliu Gonmei ◽  
Gurudayal Singh Toteja ◽  
Nidhi Srivastava
Keyword(s):  
Risk Factors ◽  
Adult Population ◽  
Density Lipoprotein ◽  
Urban Slum ◽  
Joint National Committee ◽  
Urban Slums ◽  
Lipoprotein Cholesterol ◽  
World Health ◽  
National Committee ◽  
Cross Sectional

 Objective: The objective of this study is to assess the risk factors of hypertension among adults residing in urban slums of West Delhi.Methods: A cross-sectional study was carried out among adult population of 18–59 years residing in urban slums of West Delhi. Blood pressure was measured twice using digital machine (OMRON). Height, waist circumference, and hip circumference were measured, weight was taken, and body mass index (BMI) was calculated. The Joint National Committee VII criteria were used to define hypertension, and the National Cholesterol Education Program and Adult Treatment Panel-III guidelines were used to define different categories of dyslipidemia. The World Health Organization (2014) criteria were used to classify the BMI.Results: The overall prevalence of hypertension among adults (n=423) was 25.3%. Among hypertensive adults, the prevalence of obesity was 22.7%, while among non-hypertensives, it was 10.9%. Similarly, overweight prevalence was higher (27.3%) in hypertensive adults compared to non-hypertensive adults (20.6%). The overall prevalence of hypercholesterolemia, hypertriglyceridemia, high-density lipoprotein-cholesterol <40/<50 mg/dl, and low-density lipoprotein-cholesterol (LDL-C) ≥130 was 19.7%, 33.7%, 75.7%, and 21.8%, respectively. The prevalence of hypercholesterolemia, hypertriglyceridemia, and serum LDL-C ≥130 mg/dl was 38%, 50%, and 32% among hypertensive adults, while among non-hypertensive adults, it was 15%, 29%, and 19%, respectively.Conclusion: Hypertensive adults had higher BMI, serum cholesterol, triglycerides, and LDL-C compared to non-hypertensives.

scholarly journals ASSESSMENT OF RISK FACTORS OF HYPERTENSION AMONG ADULTS RESIDING IN URBAN SLUM OF DELHI.

2018 ◽  
Vol 11 (1) ◽  
pp. 405
Author(s):  
Supriya Dwivedi ◽  
Zaozianlungliu Gonmei ◽  
Gurudayal Singh Toteja ◽  
Nidhi Srivastava
Keyword(s):  
Risk Factors ◽  
Adult Population ◽  
Density Lipoprotein ◽  
Urban Slum ◽  
Joint National Committee ◽  
Urban Slums ◽  
Lipoprotein Cholesterol ◽  
World Health ◽  
National Committee ◽  
Cross Sectional

 Objective: The objective of this study is to assess the risk factors of hypertension among adults residing in urban slums of West Delhi.Methods: A cross-sectional study was carried out among adult population of 18–59 years residing in urban slums of West Delhi. Blood pressure was measured twice using digital machine (OMRON). Height, waist circumference, and hip circumference were measured, weight was taken, and body mass index (BMI) was calculated. The Joint National Committee VII criteria were used to define hypertension, and the National Cholesterol Education Program and Adult Treatment Panel-III guidelines were used to define different categories of dyslipidemia. The World Health Organization (2014) criteria were used to classify the BMI.Results: The overall prevalence of hypertension among adults (n=423) was 25.3%. Among hypertensive adults, the prevalence of obesity was 22.7%, while among non-hypertensives, it was 10.9%. Similarly, overweight prevalence was higher (27.3%) in hypertensive adults compared to non-hypertensive adults (20.6%). The overall prevalence of hypercholesterolemia, hypertriglyceridemia, high-density lipoprotein-cholesterol <40/<50 mg/dl, and low-density lipoprotein-cholesterol (LDL-C) ≥130 was 19.7%, 33.7%, 75.7%, and 21.8%, respectively. The prevalence of hypercholesterolemia, hypertriglyceridemia, and serum LDL-C ≥130 mg/dl was 38%, 50%, and 32% among hypertensive adults, while among non-hypertensive adults, it was 15%, 29%, and 19%, respectively.Conclusion: Hypertensive adults had higher BMI, serum cholesterol, triglycerides, and LDL-C compared to non-hypertensives.

scholarly journals Diabetes Mellitus and Its Associated Risk Factors among adult Population in Bisha Province, Southwest of Saudi Arabia

2016 ◽  
Vol 9 (6) ◽  
pp. 22 ◽  
Author(s):  
Abdullah M. Al-Shahrani ◽  
Mohammed A. Al-Saleem ◽  
Mohamed O’haj ◽  
Faleh Th. Mohammed ◽  
Mutasim E. Ibrahim
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Healthy Lifestyle ◽  
Adult Population ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Married Individuals ◽  
Health Organization ◽  
Associated Risk Factors

OBJECTIVES: To determine the prevalence and associated risk factors of diabetes mellitus (DM) among the adult population in Bisha province, Saudi Arabia.METHODS: A cross sectional study was conducted during December, 2015 using the World Health Organization STEPS wise approach for data collection. Blood glucose level and anthropometric measurements of blood pressure, height, weight, and waist circumference were performed per standard methods.  Logistic regression analysis was used to assess the prevalence and risk of diabetes.RESULTS: Of 542 adult individuals included in the study, 13.3% (72) had diabetes, of which 8.1% were previously diagnosed and 5.2% represented new cases. The proportions of DM were 14.7% for men and 10.8% for women. Diabetes was significantly higher among married compared to unmarried individuals (19.3% vs 5.5 %; p<0.001) and among individuals aged ≥40 years old compared to those <40 years (31.3% vs 9.3%; p<0.001). The risk of diabetes was significantly increased with older age (Odds Ratio=4.470; 95% CI 2.264-7.614), married individuals (OR=4.097; 95% CI 2.188-7.672), weight/obesity (OR=2.827; 95% CI 1.567-5.072), hypertension (OR=4.383; 95% CI 2.085-9.214) and having a job (OR=2.327; 95% CI 1.347-4.02). The independent risk factors predicted diabetes were hypertension (Adjusted OR=2.897; 95% CI 1.269-66.13) and job patterns (Adjusted OR=2.793; 95% CI 1.064-7.329).CONCLUSION: Different risk factors alarming diabetes among adult population in Bisha province were detected.  Strategies aimed to improving a healthy lifestyle are necessary to reduce the burden of the disease. 

scholarly journals RESEARCH ON SELF MEDICATION: A HYPE OR A HOPE? A LITERATURE REVIEW.

2016 ◽  
Vol 9 (6) ◽  
pp. 28
Author(s):  
Mythri Halappa
Keyword(s):  
Public Health ◽  
Prescription Drugs ◽  
Health Care Professionals ◽  
Recent Trend ◽  
Public Health Practice ◽  
World Health ◽  
Public Health Importance ◽  
Self Medication ◽  
Over The Counter ◽  
Health Organization

AbstractMedications are one of the most important tools in public health practice. Since the 1980s, self‑medication is of prime public health importance as World Health Organization, in order to reduce the burden on health care professionals changed some prescription drugs to be sold over the counter. Each drug has its own advantages & disadvantages. Hence, always they have to be taken with caution. Considering this a recent trend has increased in surveying the prevalence of self medication. Hence, this review critically evaluated the studies to put a light on basic concept of self medication.Key words: Self medication, Drug abuse, Self care, Substance abuse, Antibiotic usage. 

scholarly journals The Effect of COVID-19 Illness on Pregnant Patients With Rheumatic Disease: Early Reassuring Data

2021 ◽  
pp. jrheum.211050
Author(s):  
Lisa R. Sammaritano
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Health Workers ◽  
Healthcare Providers ◽  
World Health ◽  
Novel Therapies ◽  
Serious Illness ◽  
The World ◽  
Public Health Workers ◽  
Health Organization

As of September 20, 2021, the World Health Organization (WHO) reported 228,206,384 cases of coronavirus disease 2019 (COVID-19), with over 4.5 million deaths worldwide.1 International responses by healthcare providers (HCPs), medical and pharmacologic researchers, and public health workers identified risk factors for serious illness and developed novel therapies and vaccines in real time, even as new variants emerge.

scholarly journals Suicide, A Public Health Problem in Brazil

2021 ◽  
Author(s):  
Maria Cecília de Souza Minayo ◽  
Camila Alves Bahia
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Mortality Rate ◽  
Health Problem ◽  
Age Groups ◽  
Public Health Problem ◽  
Incidence Rates ◽  
World Health ◽  
History Of ◽  
Health Organization

This text focuses on the situation of suicide in Brazil, defines and quantifies information, and presents a description of the main risk factors, as well as a reflection on the phenomenon and the possibilities for prevention. Fatal suicide is a serious public health problem. In 2012, 172 member states of the World Health Organization registered 804,000 self-inflicted deaths, representing an annual rate of 11.4/100,000, of which 15/100,000 men and 8.0/100,000 women. Consummate suicide rates are unevenly distributed globally, within countries, according to sex and according to age groups. The mortality rate is highest in Asia (17.7/100 thousand inhabitants), followed in Europe (12/100 thousand inhabitants). The Americas have a mortality rate of 7.3/100 thousand inhabitants (WHO, 2014). In Brazil, with an unevenly distributions between the regions, gender and ages, the total rate is 4.5/100,000. In the country and everywhere, risk factors are classified as medical, psychiatric and psychological, micro social, social and environmental. The history of the occurrence of suicides shows that it is possible to prevent them and to reduce the incidence rates. This requires investment in local diagnostics and multidisciplinary action. Given the delicacy of the problem and the taboos that surround it, the protection network for people at risk for suicide needs to be constantly in the process of training and taking action. As national and international surveys show, at least two-thirds of the individuals who tried or committed suicide had somehow communicated to friends, family, acquaintances or health professionals their intention to kill themselves.

WHO recommendation and India’s practice on tetanus vaccination—How much is too much?

2021 ◽  
pp. 004947552110108
Author(s):  
P Karpaga Priya ◽  
Pragyan P Parija ◽  
Anubhuti Kujur
Keyword(s):  
Public Health ◽  
World Health Organization ◽  
Tetanus Toxoid ◽  
Morbidity And Mortality ◽  
World Health ◽  
Public Health Importance ◽  
Health Organizations ◽  
The World ◽  
Tetanus Vaccination ◽  
Health Organization

Tetanus is one of the dreaded fatal diseases which is of public health importance. Reducing the morbidity and mortality due to tetanus, especially maternal and neonatal, is one of the major aims of health organizations around the world. Vaccination against tetanus is one of the most salient interventions. In order to ensure the unerring vaccination practices, the World Health Organization has been updating its position papers on all vaccines. To enable India to follow the appropriate vaccine policy, this article highlights the category and situation-based schedule of tetanus toxoid vaccination.

Newly developed diagnostic methods for SARS-CoV-2 detection

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Ebru Saatçi
Keyword(s):  
Public Health ◽  
Public Health Problem ◽  
Diagnostic Methods ◽  
World Health ◽  
Detailed Explanation ◽  
Significant Public Health Problem ◽  
Significant Public Health ◽  
Public Health Officials ◽  
Health Organization ◽  
Diagnostic Technologies

AbstractThe emergence of SARS-CoV-2, responsible for COVID-19 disease, has caused a substantial worldwide pandemic and has become a significant public health problem. World Health Organization (WHO) has declared COVID-19 as a devastating health emergency for all countries. Public health officials continue to monitor the situation closely to control this new virus-related outbreak. In order to continue to manage this pandemic, a fast and sensitive diagnosis of COVID-19 is attempted. Emerging tests have become an essential part of the management of the COVID-19 crisis. This review article aims to provide a detailed explanation of ongoing and new diagnostic technologies for SARS-CoV-2 and a summary of method principles. Examples of new diagnostic methods for providing efficient and rapid diagnostic tests for managing the SARS-CoV-2 outbreak are also mentioned.

The public health importance of hookworm disease

Parasitology ◽  
2000 ◽  
Vol 121 (S1) ◽  
pp. S39-S50 ◽  
Author(s):  
D.W.T. CROMPTON
Keyword(s):  
Public Health ◽  
Iron Status ◽  
Feeding Activity ◽  
Risk Groups ◽  
First Trimester ◽  
World Health ◽  
Public Health Importance ◽  
The Public ◽  
Health Organization ◽  
The Impact

The public health significance of hookworm disease is briefly reviewed. The latest evidence confirms that blood loss caused by the worms' feeding activity in the gut is a contributing factor in the development of poor iron status leading to iron-deficiency anaemia. The World Health Organization has identified adolescent girls and women of child-bearing age as high-risk groups regarding the impact of hookworm disease. The merits of treating pregnant women with anthelminthic drugs after the first trimester are discussed.

Sign in / Sign up

Export Citation Format

Share Document