scholarly journals The Prevalence of Hypertension in the Population without Awareness of the Disease: Data from a Rural Town of Shandong Province, China

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Maoti Wei ◽  
Li Dong ◽  
Fenghua Wang ◽  
Kai Cui ◽  
Jiamin Yu ◽  
...  

Objective. To understand the prevalence of hypertension in the population without awareness of hypertension in a rural area, a cross-sectional study was carried out. Methods. Blood pressures were measured in residents over 60 years during the National Basic Public Health Service project carrying on in a rural town of Shandong province. Combined with detail information of the hypertension disease history, the status of prevalence of hypertension was calculated. Basic information and clinical laboratory examinations were analyzed with Student’ t or t’ or chi-square test for univariate analysis. Multinomial logistic analysis was used in exploring multiple variables. Results. According to the individual history and blood pressure levels, the awareness rate of hypertension in the population over 60 years old was 50.3% (1285/2554, 95% CI: 48.3–52.3%). The prevalence of hypertension was 55.1% (1270/2304, 95% CI: 53.1–57.2%) in the population without awareness of hypertension, in which the proportion of stage 1 hypertension was 58.8% (747/1270), stage 2 hypertension was 28.9% (367/1270), and stage 3 hypertension was 12.3% (156/1270). The prevalence of hypertension in men was 54.4% (611/1124, 95% CI: 51.4–57.3%), which was almost the same as that in women (55.8%, 659/1180, 95% CI: 53.0–58.7%) (X2 = 0.515, P = 0.473 ). The prevalence of hypertension increased with age (X2trend = 11.848, P = 0.001 ). Age, BMI, total cholesterol, triglyceride, and drinking rate were positively correlated with the prevalence of hypertension, that is, the higher the level of these factors, the higher the prevalence of hypertension; on the contrary, LDL and smoking rate might be negatively correlated with the prevalence of hypertension, which means, the higher the prevalence of hypertension, the lower the level of these two indicators. Binary and multinominal logistic results showed that age, BMI, and drinking had stronger effects on the higher blood pressure level. Conclusions. The awareness rate of hypertension among the elderly in a rural area needs to be further improved. In the prevention and control of hypertension, close attention should be paid to the group of elder, high BMI index, high levels of total cholesterol and triglyceride, and drinking habits.

1970 ◽  
Vol 12 (2) ◽  
pp. 125-130 ◽  
Author(s):  
HAM Nazmul Ahasan ◽  
MD Ziaul Islam ◽  
MD Billal Alam ◽  
MD Titu Miah ◽  
Zannatun Nur ◽  
...  

Context: The pandemic of diabetes is more explosive in developing countries and Bangladesh is one of the top 10 countries estimated to have the highest numbers of people with diabetes in 2000 and 2030. Aims: The aim of this study was to quantify the prevalence and risk factors of diabetes among secretariat employees of Bangladesh. Settings and Design: A random sample of 1000 employees of Bangladesh Secretariat was included in this cross sectional study. Methods and Material: Blood glucose levels, both Fasting (FPG) and 2-hours after 75gm load, total cholesterol, triglycerides were measured in each case. Body mass index (BMI), blood pressure, was measured as well as collection of information regarding risk factors and socio-demographic variables. Statistical analysis used: Univariate analysis of all variables was done. Cohen’s Kappa was used to find agreement and odds ratios were calculated to assess risk factors. Results: The prevalence of diabetes was 12.3% and 7.5% according to FBG and 2-hours after 75gm glucose, respectively. Age of study population was e”20 years and male, female ratio was 4.75:1. The prevalence was almost similar among men (12.35%) and women (12.05%) considering FBG. While a higher prevalence among women (9.8%) was noticed than men (7%) after 75gm glucose. Pre-diabetic employees were 13.7 %( impaired glucose tolerance) and 31.8% (impaired Fasting glucose). Moderate agreement was observed between FBG and 2-hours after 75gm glucose (kappa 0.6). Increasing age, sedentary lifestyle (OR 1.5), diabetes among first degree relatives (OR 1.7), BMI >30 (OR 1.5), systolic blood pressure >130 (OR 1.2), total cholesterol >200 (OR 1.6), triglycerides >150 (OR 1.4) were found significantly related to diabetes. Conclusion: Increased prevalence of diabetes, IFG and IGT forecasts the upcoming diabetes explosion and calls for urgent steps towards the primary prevention in developing countries. Keyword: Type 2 diabetes, prevalence, risk-factors, BMI, sedentary lifestyle DOI: http://dx.doi.org/10.3329/jom.v12i2.8419 JOM 2011; 12(2): 125-130


2018 ◽  
Vol 1 (2) ◽  
pp. 57-64
Author(s):  
Ashok Raj Pant ◽  
R.K. Rauniyar ◽  
M.K. Gupta ◽  
B. Bartaula ◽  
M. Subedi ◽  
...  

Introduction: Ultrasound guided percutaneous renal biopsy (PRB) is a relatively safe procedure; however, life threatening complications may occur even in current practice. There has been considerable decrease in the risk associated with percutaneous renal biopsy (PRB) in last few decades due to modifications in the biopsy needle as well as advancement in the image guidance. Objectives: To determine the complications and efficacy and to determine relationship between the clinical/ laboratory findings with rate of complications. Material and methods: We retrospectively evaluated hospital records of total of 150 patients who underwent PRB between September 2014 to August 2016 in the department of Radio diagnosis and Imaging at B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal. The renal biopsies had been performed with the current automated biopsy gun under real-time ultrasound guidance. The collected data were entered in MS excel. Results: In the total 150 patients, the efficacy (adequacy of the sample) of the procedure was 97.3%. The complications were seen in 13 cases (8.6 %). Five out of these complications were major with 2 cases requiring blood transfusion. The univariate analysis demonstrated the risk factors for developing complications as follows: low platelet count, prolong PT/INR, elevated Blood Urea Nitrogen (BUN) and serum creatinine value and elevated systolic and diastolic blood pressure. However, elevated diastolic blood pressure and prolong PT/INR were associated with complications in multivariate logistic regression analysis. Conclusions: The percutaneous renal biopsy is the safe and efficacious procedure to establish histological diagnosis of renal parenchymal disease.


Sangyo Igaku ◽  
1963 ◽  
Vol 5 (3) ◽  
pp. 195
Author(s):  
T. Tsuji ◽  
G. Kojima ◽  
M. Ogawa ◽  
T. Takishima ◽  
K. Kijima

To identify the prevalence of early pathology of cardiovascular diseases, a survey of 400 200 girls) in the age group 15 and 17 years old was conducted as a part of routine medical of the level of blood pressure (BP) was carried out, with the calculation of the average level pressure on the basis of three separate measurements estimated by percentile tables for a registration of a standard resting ECG in 12 leads. According to the results of the survey, into 3 groups: with an increase in blood pressure above 95 ‰ (group 1 – 16 people), which recorded in males (p<0,05); Group 2 (67 people) – adolescents with a normal blood pressure level and group 3 of adolescents with a decrease in blood pressure below 5 ‰ changes in the form of rhythm and conduction disturbances were noted in almost every a predominance of sinus tachycardia in the first group. In the third group of adolescents, form of ectopic rhythm and pacemaker migration were significantly more frequently only 78 % of adolescents were referred for consultation and in-depth examination by a pediatric cardiologist.


Hypertension ◽  
1995 ◽  
Vol 26 (6) ◽  
pp. 1195-1199 ◽  
Author(s):  
José Alfie ◽  
Gabriel D. Waisman ◽  
Carlos R. Galarza ◽  
Marissa I. Magi ◽  
Federico Vasvari ◽  
...  

Hypertension ◽  
2003 ◽  
Vol 42 (4) ◽  
pp. 685-692 ◽  
Author(s):  
Alexandre C. Pereira ◽  
Marcilene S. Floriano ◽  
Glória F.A. Mota ◽  
Roberto S. Cunha ◽  
Fernando L. Herkenhoff ◽  
...  

2008 ◽  
Vol 28 (3_suppl) ◽  
pp. 191-195 ◽  
Author(s):  
Chia-Te Liao ◽  
Chih-Chung Shiao ◽  
Jenq-Wen Huang ◽  
Kuan-Yu Hung ◽  
Hsueh-Fang Chuang ◽  
...  

⋄ Objective Loss of residual renal function (RRF) in peritoneal dialysis (PD) patients is a powerful predictor of mortality. The present study was conducted to determine the predictors of faster decline of RRF in PD patients in Taiwan. ⋄ Methods The study enrolled 270 patients starting PD between January 1996 and December 2005 in a single hospital in Taiwan. We calculated RRF as the mean of the sum of 24-hour urea and creatinine clearance. The slope of the decline of residual glomerular filtration rate (GFR) was the main outcome measure. Data on demographic, clinical, laboratory, and treatment parameters; episodes of peritonitis; and hypotensive events were analyzed by Student t-test, Mann–Whitney U-test, and chi-square, as appropriate. All variables with statistical significance were included in a multivariate linear regression model to select the best predictors ( p < 0.05) for faster decline of residual GFR. ⋄ Results All patients commencing PD during the study period were followed for 39.4 ± 24.0 months (median: 35.5 months). The average annual rate of decline of residual GFR was 1.377 ± 1.47 mL/min/m2. On multivariate analysis, presence of diabetes mellitus ( p < 0.001), higher baseline residual GFR ( p < 0.001), hypotensive events ( p = 0.001), use of diuretics ( p = 0.002), and episodes of peritonitis ( p = 0.043) independently predicted faster decline of residual GFR. Male sex, old age, larger body mass index, and presence of coronary artery disease or congestive heart failure were also risk factors on univariate analysis. ⋄ Conclusions Our results suggested that diabetes mellitus, higher baseline residual GFR, hypotensive events, and use of diuretics are independently associated with faster decline of residual GFR in PD patients in Taiwan.


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