scholarly journals Determinants of hypertension among adults living in Bole Sub-city, Addis Ababa

2020 ◽  
Vol 9 (2) ◽  
pp. 121
Author(s):  
Selam Ayele Kassie ◽  
Kidanemariam G/Michael Beyene ◽  
Mesafint Abeje Tiruneh
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Body Mass Index ◽  
Family History ◽  
Tobacco Use ◽  
Addis Ababa ◽  
Diabetic Mellitus ◽  
Salt Consumption ◽  
History Of ◽  
Family History Of Hypertension

<p>Complications of hypertension account for 9.4 million deaths world wide every year. Evidences indicated that hypertension and elevated blood pressure are increasing partly due to increase in determinants. In Addis Ababa, there is limited information on determinants of hypertension among adults. Hence, this study aimed to assess determinants of hypertension among adults living in Bole Sub-city, Addis Ababa. Community based unmatched case-control study was conducted. Simple random sampling technique was used to select 122 cases and 244 controls. Data were collected using interviewer administered structured questionnaire and measurement of blood pressure, weight and height. Binary logistic regression model was used for data analysis. A total of 348 adults were included in the study with 95% response rate. The study showed that age (AOR=7.68, 95% CI: 2.31–25.48), average family monthly in come (AOR=6.39, CI: 1.60-25.55), family history of hypertension (AOR=4.50, CI: 1.14-17.62), body mass index (AOR=3.76, CI: 1.49-9.48), physical activity (AOR=3.66, CI: 1.21–11.07), tobacco use (AOR=8.99,CI:2.02-39.86), salt consumption (AOR=5.22, CI: 1.47-18.48), stress (AOR=5.18, CI:2.42–11.09), knowledge (AOR=8.82, CI: 3.14-24.72) and diabetic mellitus (AOR=8.42, CI: 1.44-48.97) were significantly associated with hypertension. Cases had higher exposure to risk factors of hypertension than controls. Age, average family monthly income, physical activity, saltcon sumption, diabetic mellitus, stress, tobacco use, body mass index, family history of hypertension and knowledge were associated with hypertension. There is a need to health education to prevent tobacco use, regular exercise, reduce salt consumption and other life style modifications to reduce hypertension.<strong></strong></p>

scholarly journals The study of blood pressure profile among school going adolescents in urban Agra

2019 ◽  
Vol 6 (7) ◽  
pp. 2891
Author(s):  
Akash K. Singh ◽  
Sunil K. Misra ◽  
Shailendra S. Chaudhary ◽  
Geetu Singh
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Family History ◽  
Dietary Habits ◽  
Pressure Profile ◽  
Age Group ◽  
Parental History ◽  
Blood Pressure Profile ◽  
History Of ◽  
Family History Of Hypertension

Background: Hypertension once considered a problem of adults only in the high income countries, now dramatically is on the rise in low and middle income countries. An established predictor of adult hypertension and organ damage is childhood hypertension. Thus for the control, effective treatment and prevention of its complications, early diagnosis of hypertension in adolescents in an important strategy. The objective was to study the blood pressure profile and its socio-demographic determinants among school going adolescents in urban Agra.Methods: A cross-sectional survey was done among 534 adolescent in age group of 13-18 years studying in various government and private schools in urban Agra. Socio demographic details, anthropometric measurements and family history of hypertension were obtained. Also the dietary habits, physical activity, mode of transport to school were included in the present study. Blood pressure was measured at 0 and 30 minutes and average of two readings was taken as the final reading of that individual.Results: It was found that 49.82% of the study subjects had above normal blood pressure and among them 21.16% were hypertensive and 28.66% had pre-hypertension. Higher blood pressure showed a statistically significant (p<0.05) association with gender, age, dietary habits, physical activity, body mass index, and parental history of hypertension.Conclusions: Hypertension among the adolescent age group was very high. Prevalence of high blood pressure significantly associated with age, gender, family history of hypertension, physical activity, type of school and dietary habits.

scholarly journals The Prevalence rate of Hypertension in Rural Population of Bangladesh

2012 ◽  
Vol 18 (1) ◽  
pp. 12-17 ◽  
Author(s):  
MA Rahim ◽  
MM Rahman ◽  
M Rahman ◽  
F Ahmed ◽  
J Chowdhury ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Family History ◽  
Rural Population ◽  
Prevalence Rate ◽  
Positive Family History ◽  
Significant Risk ◽  
Major Health Problem ◽  
History Of ◽  
Family History Of Hypertension

Background: The non-communicable diseases like hypertension, diabetes and asthma are emerging as a major health problem in Bangladesh. Recently, these are given high research priority by the Government of Bangladesh. The prevalence of hypertension is increasing rapidly, but there is no current study on prevalence of hypertension in rural population of Bangladesh. There are some studies conducted on prevalence of hypertension from mid 70's to late 90's. Those studies showed the prevalence of hypertension is increasing significantly in both urban and rural population. In rural population the prevalence of hypertension was in 23.6% 1. After that there is no population based study was conducted on prevalence of hypertension in rural population of Bangladesh. Methods: We measured blood pressure, body weight and height of 532 individuals at and above the age of 20 years (age range 20-70 years) of both sexes accept pregnant and those who were under medication of hypertension. We collected information about smoking, family history of hypertension, status of physical activity, diabetes, annual income etc. Result: The overall prevalence rate of hypertension was 30.64% (male 31.53% and female 29.36%). In the study, the blood pressure was measured in all study subjects. The mean blood pressure was higher in hypertensive participants than that of non hypertensive. The prevalence of hypertension (30.64%) observed in this study was higher than the previous study. In this study showed that with the increasing age more the prevalence of hypertension. The similar funding also observed in recent Indian study. Our study showed that the hypertension prevalence was high among people with high BMI and obesity, positive family history, smoking and less physical activity. Conclusion: The prevalence of hypertension in the rural population was found to be on the increased compare to previous reports of Bangladesh and other Asian studies. Advanced age, obesity, higher incomes, family history of hypertension, smoking and reduced physical activity were proved significant risk factors for hypertension, whereas, sex, occupation, showed no association with hypertension. DOI: http://dx.doi.org/10.3329/jdnmch.v18i1.12225 J. Dhaka National Med. Coll. Hos. 2012; 18 (01): 12-17

scholarly journals Correlation between Body Mass Index and Fasting Blood Glucose Level in a Selected Group of Teenagers in Bangladesh

2018 ◽  
Vol 30 (2) ◽  
pp. 74-77
Author(s):  
Md Hanif Howlader ◽  
AKM Mazharul Islam ◽  
Md Mostafizur Rahman ◽  
Umme Sadia Mili ◽  
Rommana Sayla Nur ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Blood Glucose ◽  
Family History ◽  
Body Mass ◽  
Fasting Blood Glucose ◽  
Overweight And Obesity ◽  
Female Students ◽  
History Of ◽  
Family History Of Hypertension

The trend of increasing overweight and obesity is not related to genetic factors only; rather majority of this burden is attributable to the environmental factors. The aim of the study was to observe the correlation between body mass index (BMI) and fasting blood glucose (FBG) level in a selected group of teenagers of Bangladesh. A cross sectional study was conducted involving 39 male and 41 female MBBS students of Faridpur Medical College during 06-04-2014 to 22-05- 2014 by purposive sampling. Data were collected using a questionnaire & check list. Out of 80 students 48.8% male, 51.2% female, 12.5% underweight, 67.5% normal, 16.2% overweight & 3.8% was obese. Mean age of the students was 18.99, BMI 21.99, SBP 121.12, DBP 79.19 and FBG 4.53. Most of students were normotensive (SBP 88.8%; DBP 96.2%) & a few students (SBP 8.8% & DBP 3.8%) were hypertensive. Majority of students (66.2%) were normoglycemic and rest of the students were hypoglycemic. Correlation between BMI and FBG (P=0.65) was not significant but correlation between BMI and systolic blood pressure (SBP) (p<0.0001); BMI & diastolic blood pressure (DBP) (p<0.05) was significant. Comparison of SBP between male and female students showed (p<0.001) was significant. BP and family history of hypertension showed (x2=5.85), p=0.05 level of significance. BMI and FBG showed no significant correlation. BMI and BP showed positive correlation. Male has higher BP than female. Students with family history of hypertension are prone to develop hypertension.Medicine Today 2018 Vol.30(2): 74-77

scholarly journals Modifiable and Non-Modifiable Risk Factors for Atherothrombotic Ischemic Stroke among Subjects in the Malmö Diet and Cancer Study

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1952
Author(s):  
Anna Johansson ◽  
Isabel Drake ◽  
Gunnar Engström ◽  
Stefan Acosta
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Body Mass Index ◽  
Ischemic Stroke ◽  
Family History ◽  
Diet Quality ◽  
Alcohol Intake ◽  
Modifiable Risk Factors ◽  
History Of ◽  
Diet And Cancer

Risk factors for ischemic stroke is suggested to differ by etiologic subtypes. The purpose of this study was to examine the associations between modifiable and non-modifiable risk factors and atherothrombotic stroke (i.e., excluding cardioembolic stroke), and to examine if the potential benefit of modifiable lifestyle factors differs among subjects with and without predisposing comorbidities. After a median follow-up of 21.2 years, 2339 individuals were diagnosed with atherothrombotic stroke out of 26,547 study participants from the Malmö Diet and Cancer study. Using multivariable Cox regression, we examined non-modifiable (demographics and family history of stroke), semi-modifiable comorbidities (hypertension, dyslipidemia, diabetes mellitus and atherosclerotic disease), and modifiable (smoking, body mass index, diet quality, physical activity, and alcohol intake) risk factors in relation to atherothrombotic stroke. Higher age, male gender, family history of stroke, and low educational level increased the risk of atherothrombotic stroke as did predisposing comorbidities. Non-smoking (hazard ratio (HR) = 0.62, 95% confidence interval (CI) 0.56–0.68), high diet quality (HR = 0.83, 95% CI 0.72–0.97) and high leisure-time physical activity (HR = 0.89, 95% CI 0.80–0.98) decreased the risk of atherothrombotic ischemic stroke independent of established risk factors, with non-significant associations with body mass index and alcohol intake. The effect of the lifestyle factors was independent of predisposing comorbidities at baseline. The adverse effects of several cardiovascular risk factors were confirmed in this study of atherothrombotic stroke. Smoking cessation, improving diet quality and increasing physical activity level is likely to lower risk of atherothrombotic stroke in the general population as well as in patient groups at high risk.

scholarly journals Prevalence of Hypertension and Its Associated Factors among Indonesian Adolescents

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Andra Kurnianto ◽  
Deni Kurniadi Sunjaya ◽  
Fedri Ruluwedrata Rinawan ◽  
Dany Hilmanto
Keyword(s):  
Physical Activity ◽  
Family History ◽  
Nutritional Status ◽  
Perceived Stress ◽  
Associated Factors ◽  
Equation Model ◽  
Behavior Changes ◽  
Cross Sectional ◽  
History Of ◽  
Family History Of Hypertension

Background. Given that hypertension in adulthood has its onset in childhood, it is not surprising that the prevalence of hypertension among adolescents has also increased in recent years. However, there are limited data on the prevalence of hypertension and also the new AAP guideline has not yet been applied to the Indonesian adolescent population. Thus, this study aimed to evaluate the prevalence of hypertension using the new AAP guideline and to assess the occurrence of its associated factors among Indonesian adolescents. Methods. This was a cross-sectional study conducted at twelve senior high schools in Palembang, South Sumatera, Indonesia, from June to December 2019. The study included adolescents aged 13 to 18 years old. Anthropometric measurements were obtained. Multiple logistic regression was used to assess the risk factors most associated with hypertension among adolescents, and then an equation model was created. The prevalence of hypertension was evaluated, together with several factors such as age group, sex, ethnicity, family history of hypertension, nutritional status, physical activity, perceived stress, sleep duration, nutritional intake, and smoking. Results. In total, 1200 adolescents aged 15.9 ± 0.99 years were evaluated. The prevalence of hypertension and elevated blood pressure among adolescents was 8% and 12.2%, respectively. There were significant associations between sex, family history of hypertension, hypertensive father, nutritional status, physical activity, perceived stress, and hypertension among Indonesian adolescents (p<0.05). Stress was the most powerful risk factor of hypertension with an odds ratio of 5.83 (95% confidence interval 2.91–11.6). Conclusions. Nowadays, the prevalence of hypertension among Indonesian adolescents is quite high. This may be caused by lifestyle or behavior changes among adolescents. Sex, family history of hypertension, nutritional status, physical activity, and perceived stress influenced the 27% hypertension prevalence rate among Indonesian adolescents, particularly in Palembang, South Sumatera. In order to decrease the prevalence of hypertension in adults, concern about lifestyle or behavior changes and hypertension among adolescents should be given.

Blood Pressure and Intra-Erythrocyte Sodium during Normal and High Salt Intake in Middle-Aged Men: Relationship to Family History of Hypertension, and Neurogenic and Hormonal Variables

1984 ◽  
Vol 66 (4) ◽  
pp. 427-433 ◽  
Author(s):  
Ottar Gudmundsson ◽  
Hans Herlitz ◽  
Olof Jonsson ◽  
Thomas Hedner ◽  
Ove Andersson ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Family History ◽  
Salt Intake ◽  
Sodium Intake ◽  
Positive Family History ◽  
Sodium Content ◽  
High Salt Intake ◽  
History Of ◽  
Family History Of Hypertension ◽  
Erythrocyte Sodium

1. During 4 weeks 37 normotensive 50-year-old men identified by screening in a random population sample were given 12 g of NaCl daily, in addition to their usual dietary sodium intake. Blood pressure, heart rate, weight, urinary excretion of sodium, potassium and catecholamines, plasma aldosterone and noradrenaline and intra-erythrocyte sodium content were determined on normal and increased salt intake. The subjects were divided into those with a positive family history of hypertension (n = 11) and those without such a history (n = 26). 2. Systolic blood pressure and weight increased significantly irrespective of a positive family history of hypertension. 3. On normal salt intake intra-erythrocyte sodium content was significantly higher in those with a positive family history of hypertension. During high salt intake intra-erythrocyte sodium content decreased significantly in that group and the difference between the hereditary subgroups was no longer significant. 4. In the whole group urinary excretion of noradrenaline, adrenaline and dopamine increased whereas plasma aldosterone decreased during the increased salt intake. 5. Thus, in contrast to some earlier studies performed in young subjects, our results indicate that moderately increased sodium intake acts as a pressor agent in normotensive middle-aged men whether there was a positive family history of hypertension or not. We confirm that men with positive family history of hypertension have an increased intra-erythrocyte sodium content, and that an increase in salt intake seems to increase overall sympathetic activity.

scholarly journals Childhood hypertension and family history of hypertension in primary school children in Port Harcourt

2013 ◽  
Vol 40 (2) ◽  
pp. 184-188
Author(s):  
BAN Okoh ◽  
EAD Alikor
Keyword(s):  
Blood Pressure ◽  
Family History ◽  
Primary School ◽  
School Children ◽  
Antihypertensive Drugs ◽  
Sampling Technique ◽  
Primary School Children ◽  
History Of ◽  
Family History Of Hypertension ◽  
Childhood Hypertension

Objective: To determine the relationship between childhood hypertension and family history of hypertension in primary school children in Port Harcourt.Methods: A stratified multi-staged sampling technique was used torecruit pupils between 6-12 years of age, from thirteen primary schoolslocated in three school districts. Data was collected using a pretestedquestionnaire completed by parents / guardians. The average of three blood pressure measurements, weight and height were taken for each pupil, using standardized techniques. Hypertension was defined as average systolic and / or diastolic blood pressure greater than or equalto the 95th percentile for age, gender and height using the standard bloodpressure charts. Family history of hypertension was defined as eitherparent indicating on the submitted questionnaire that they were hypertensive (diagnosed by a physician and/or on antihypertensive drugs)or had a family history of hypertension.Results: A total of 1302 pupils with 717 (55.1%) females and 585(44.9%) males were studied, giving a female to male ratio of 1.2:1. Themean age of pupils studied was 8.82±1.91 years. Sixty one (4.7%)of the pupils examined had hypertension. Of the 1302 pupils, 316(24.3%) had a family history of hypertension. The mean systolic(p<0.001) and diastolic (p=0.220) blood pressures were higher in childrenwith a family history of hypertension than in those without. Ofthe pupils that had a family history of hypertension, 7.9% had  hypertension, while 3.7% of those that did not have a family history, werefound to be hypertensive (p=0.001).Conclusion: A family history of hypertension was associated with a higher prevalence of childhood hypertension than was seen in children without a family history of hypertension.Key words: Childhood Hypertension, Family history.

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