scholarly journals BLOOD PRESSURE PROFILES AMONG EAST BONGAS AND WEST BONGAS PEOPLE IN EFFORT AND SUPPORT FROM UNIVERSITAS PADJADJARAN AND THE REGENT OF MAJALENGKA REGENCY AND CHIEVES OF THE VILLAGES

2017 ◽  
Vol 9 (6) ◽  
pp. 215
Author(s):  
Diah Dhianawaty D. ◽  
Henhen Heryaman ◽  
Mas Rizky Anggun Adipurna Syamsunarno
Keyword(s):  
Blood Pressure ◽  
Age Groups ◽  
Simple Random Sampling ◽  
Pressure Profile ◽  
Joint National Committee ◽  
National Committee ◽  
Cross Sectional ◽  
Male And Female ◽  
The People ◽  
Pressure Profiles

Objective: To support the people in East Bongas and West Bongas villages to prevent and treatment the hypertension disease.Methods: This was a cross-sectional design while the subjects were taken by a simple random sampling. A total of 323 families were included, and blood pressure of the male and female subjects aged between 18 to 65 y was measured and had been given a question relating to their blood pressure.Results: The blood pressure profile was classified based on the seventh report of the Joint National Committee (JNC 7). The youngest male and female participants of pre-hypertension were 18 and 22 y, respectively. The normal blood pressure, pre-hypertension, hypertension stage-1, and hypertension stage-2 were 34.3%, 49.5%, 12.1%, and 4.1%, respectively. Prevalence of patients with hypertension based on the age groups 30-39, 40-49, 50-59, and 60-69 y were 6.8%, 15.6%, 33.9%, and 37.3%, respectively. Prevalence of patients with hypertension in male was 16.8%, the female was 15.7%, and the total of both were 16.2%. Prevalence based on gender showed that those who had information about hypertension in male was 46.8%, the female was 47.9%, and the total of both were 47.4%. Prevalence of hypertension patients increased, for a male was 8.9%, the female was 8.2%, and the total of both were 8.5% after the participants declared that they were not hypertension patients.Conclusion: In both villages occurred an increase of hypertension prevalence. Based on this information, the people in two villages should be given the appropriate knowledge and awareness regarding hypertension.

An Epidemiological Study of Diabetes Mellitus in Productive Aged Urban Nepalese of Makalbari Area of Gokarneshwor Municipality

2020 ◽  
Vol 22 (3) ◽  
pp. 173-180
Author(s):  
Bharati Shakya ◽  
N Shrestha ◽  
SR Shrestha
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Age Groups ◽  
Sampling Technique ◽  
Joint National Committee ◽  
National Committee ◽  
Age Group ◽  
Cross Sectional ◽  
The People ◽  
Diagnosed Diabetes

Diabetes mellitus is a chronic disease that through its complications can seriously impact the quality of life of an individual. The incidence of diabetes mellitus is starting to rise at a younger age. This study is carried out to determine the prevalence of diagnosed diabetes mellitus in productive aged persons and to study the association of socio-demographic characteristics, body mass index (BMI) and blood pressure among persons with and without diabetes mellitus. A community-based cross-sectional, observational study was conducted in Makalbari area. Systematic random sampling technique was used to select the households. The family members from those households who met the inclusion criteria were interviewed with self-constructed semi-structured questionnaire which included socio-demographic information of respondents. Height, weight and blood pressure were recorded. BMI was interpreted as per WHO guidelines and hypertension was defined as per Joint National Committee (JNC) VII guidelines. Among total 662 participants, 342 (51.7%) were female and 320 (48.3%) were male. About 196 (29.6%) of subjects were between 25 to 34 age group followed by 145(21.9%) of them in 35 to 44 age group. Prevalence of diagnosed diabetes mellitus in productive aged persons in urban area was 3.8%. The prevalence of BMI of ≥25 was 42.4%. Out of total subjects, maximum number of respondents were prehypertensive 406 (61.3%). Mean age of total participants was 37.9±13.59 and BMI was 24.15±3.89.The age of respondents was highly statistically significant among the persons with diabetes (p = 0.000). The number of diabetes mellitus increased with increase in age and BMI of the participants. Prevalence of diabetes mellitus was almost same in both male 13 (52.0%) and female 12 (48.0%). Diabetes mellitus was seen more in subjects who had completed secondary level education 11 (44.0%) and in homemakers and government job holders, 3 (33.3%) each. In conclusion, most of the people in productive age groups were preobese and were in prehypertensive stage which may increase the risk of acquiring diabetes mellitus in future. This necessitates the screening of more persons in productive age group for diabetes mellitus.

scholarly journals Association of Blood Pressure, BMI and Age among Adults above 18 Years of Makalbari Area of Gokarneswor Municipality in Kathmandu

2019 ◽  
Vol 21 (4) ◽  
pp. 283-287
Author(s):  
SR Shrestha ◽  
B Shakya ◽  
R Oli
Keyword(s):  
Blood Pressure ◽  
Age Groups ◽  
High Body Mass Index ◽  
Cross Sectional Study ◽  
Joint National Committee ◽  
National Committee ◽  
Age Group ◽  
Cross Sectional ◽  
Younger Age ◽  
Relationship Of

In Nepal the prevalence of hypertension is in increasing trend with an increased number of deaths from heart disease and stroke. The morbidity and mortality from hypertension, cardiovascular disease and other chronic diseases has been associated with high Body mass index (BMI). The current study aimed to study the association between BMI, blood pressure and age of the adults in Makalbari area. A community based cross-sectional study was conducted among 643 respondents. The information was obtained using self constructed structured questionnaire which included demographic information of individuals. Height, weight and blood pressure were recorded and hypertension was defined as per Joint National Committee (JNC) VII guidelines. Maximum value of mean BMI was found among 40– 49 years age group. BMI was found to be lowest among younger age group. Both the mean systolic and diastolic BP were found to be lowest among the youngest age groups. Mean Systolic BP increased steadily with age and the highest value was found among the oldest age group. Mean Diastolic BP increased with age till 40–49 years and declined thereafter. There was significant (P <0.01) positive correlation of BMI with systolic and diastolic BP. It showed that BP increased with increase in BMI. Correlation coefficient showed that relationship of BMI with systolic BP (0.231) was stronger than diastolic BP (0.167). Thus the present study provides valuable information regarding the association of BMI with systolic and diastolic blood pressure. It also showed the correlation of blood pressure with increasing age independently.

scholarly journals Agreement between 2017 ACC/AHA Hypertension Clinical Practice Guidelines and Seventh Report of the Joint National Committee Guidelines to Estimate Prevalence of Postmenopausal Hypertension in a Rural Area of Bangladesh: A Cross Sectional Study

Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 315 ◽  
Author(s):  
Barua ◽  
Faruque ◽  
Banik ◽  
Ali
Keyword(s):  
Blood Pressure ◽  
Postmenopausal Women ◽  
Rural Area ◽  
Cross Sectional Study ◽  
Joint National Committee ◽  
Elevated Blood Pressure ◽  
National Committee ◽  
Elevated Blood ◽  
Sectional Study ◽  
Cross Sectional

Background and objectives: Justification for application of 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines to detect hypertension (HTN) among Bangladeshi population is understudied. This prompted us to examine the level of agreement between 2017 ACC/AHA and Joint National Committee 7 (JNC 7) guidelines to detect postmenopausal HTN in a rural area of Bangladesh. Materials and Methods: This cross-sectional study recruited 265 postmenopausal women of 40–70 years of age who visited a rural primary health care centre of Bangladesh. HTN was diagnosed based on two definitions: the JNC 7 guidelines (SBP ≥ 140 or DBP ≥ 90 mmHg), and the 2017 ACC/AHA guidelines (SBP ≥ 130 mmHg, or DBP ≥ 80 mmHg). The prevalence of postmenopausal HTN, its sub-types and stages were reported and compared using frequency and percentage. Agreement was evaluated using Cohen’s Kappa (κ), Prevalence-Adjusted Bias-Adjusted Kappa (PABAK) and First-order Agreement Coefficient (AC1). Results: The prevalence of postmenopausal HTN was 67.5% and 41.9% using 2017 ACC/AHA and JNC 7 guidelines respectively. Among the HTN sub-types and stages, the new 2017 ACC/AHA guideline classified higher proportion of respondents as having isolated systolic hypertension (ISH) (42.6%) and stage 2 HTN (35.8%) compared to JNC 7 (28.7% and 6.8% respectively). On the other hand, the JNC 7 guideline identified more respondents as pre-hypertensive (32.5%) when compared with the 2017 ACC/AHA guideline (3.8%). Between two guidelines, highest agreement was observed for ISH (86.03%) and those had pre-hypertension/elevated blood pressure (71.3%). Similarly, Landis & Koch’s approach detected highest agreement for ISH (κ = 0.74, substantial; PABAK = 0.76, substantial; AC1 = 0.84, excellent; p < 0.001) and pre-hypertension/elevated blood pressure (κ= 0.12, slight; PABAK = 0.42, moderate; AC1 = 0.83, excellent; p < 0.001). Conclusions: The 2017 ACC/AHA HTN guideline reported high agreement and detected more participants as hypertensive when compared with JNC 7 guideline for Bangladeshi postmenopausal women that demands further large-scale study in general population to clarify the current findings more precisely.

scholarly journals Blood pressure profiles in patients with arterial hypertension and obstructive sleep apnea in different age groups

2021 ◽  
Vol 27 (5) ◽  
pp. 530-535
Author(s):  
A. N. Kuchmin ◽  
V. V. Ekimov ◽  
D. A. Galaktionov ◽  
I. M. Borisov ◽  
A. A. Sheveliov ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Age Groups ◽  
Pressure Profile ◽  
Control Group ◽  
Apnea Hypopnea Index ◽  
Blood Pressure Profile ◽  
Pressure Profiles ◽  
Obstructive Sleep

Background. Obstructive sleep apnea (OSA) is frequently associated with hypertension (HTN), and about 50 % hypertensive patients have concomitant OSA. Episodes of transient upper airway obstruction affect the daily blood pressure profile, leading to nocturnal HTN. Although the general relationship between OSA and the daily blood pressure profile is known, the association between the frequency of various daily blood pressure profiles and OSA severity as well as the age-specific differences remain unknown. The aim of the study was to determine the daily blood pressure profiles in patients with HTN and OSA, depending on the OSA severity and age. Design and methods. The study included 236 HTN patients underwent treatment in the period from 2008 to 2021 years and were diagnosed with OSA by cardiorespiratory monitoring: 84 patients had mild OSA (apnea/hypopnea index (AHI) < 15 episodes/h), 46 patients — moderate OSA (15 ≤ AHI < 30 episodes/h), and 106 patients — severe OSA (AHI ≥ 30 episodes/h). The control group included 140 HTN patients without OSA. Both groups were divided into 3 age subgroups: younger than 45 years, 45–59 years and ≥ 60 years. At baseline, all patients underwent cardiorespiratory monitoring (“Kardiotekhnika‑07–3/12P”, Inkart, St Petersburg, Russia) and 24-hour blood pressure (BP) monitoring (BPLab, Nizhny Novgorod, Russia). Results. We found an association between the distribution of daily BP profiles and age, which differs from that in HTN patients without OSA. Non-dipper and night-peaker BP profiles are predominant in young and middle age. Among OSA patients, the severity of OSA was associated with the BP profiles only in the young and middleage groups. Unfavorable BP profiles (non-dipper and night-peaker) were more common in patients with severe OSA, which was not observed in elderly subgroup. In the elderly, compared to younger patients, the overdipper profile was the most common and its frequency was not associated with OSA severity. Conclusions. The study shows the relationship between the age of patients with HTN and OSA, the OSA severity and the distribution of daily BP profiles.

scholarly journals Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: a cross-sectional analysis of the demographic and health survey 2016

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e030206 ◽  
Author(s):  
Rajat Das Gupta ◽  
Sojib Bin Zaman ◽  
Kusum Wagle ◽  
Reese Crispen ◽  
Mohammad Rashidul Hashan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Household Wealth ◽  
Joint National Committee ◽  
National Committee ◽  
Wealth Status ◽  
Cross Sectional ◽  
Ecological Regions

ObjectivesThis study investigated the determinants of hypertension in Nepal according to both the Joint National Committee 7 (JNC7) and the American College of Cardiology/American Heart Association (2017 ACC/AHA) guidelines.DesignCross-sectional study.SettingThis study used data collected from the 2016 Nepal Demographic and Health Survey data.Participants13 393 weighted adults aged ≥18 years enrolled by a stratified cluster sampling strategy were included in our analysis.Primary and secondary outcome measuresThe primary outcome was hypertension, which was defined according to JNC7 (systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg) and 2017 ACC/AHA guidelines (SBP ≥130 mm Hg and/or DBP ≥80 mm Hg). Antihypertensive medication users were also classified as hypertensive. After descriptive analysis, multilevel logistic regression was applied to obtain ORs.ResultsAbout 21% (n=2827) and 44% (n=5918) of the individuals aged ≥18 years were classified as hypertensive according to the JNC7 and 2017 ACC/AHA guidelines, respectively. Following factors were found to be significantly associated with hypertension according to the 2017 ACC/AHA guideline: ≥70 years (adjusted OR (AOR) 5.2; 95% CI 4.3 to 6.2), 50–69 years (AOR 3.9; 95% CI 3.4 to 4.4) and 30–49 years (AOR 2.7; 95% CI 2.4 to 3.0) age groups, male gender (AOR 1.7; 95% CI 1.6 to 1.9), being overweight/obese (AOR 3.0; 95% CI 2.7 to 3.3), residence in provinces 4 (AOR 1.5; 95% CI 1.2 to 2.0) and 5 (AOR 1.5; 95% CI 1.2 to 1.9). No significant association was identified with household wealth status and ecological regions of residence using the 2017 ACC/AHA guideline.ConclusionsPer both guidelines, multiple factors were associated with hypertension. Public health programme aiming to prevent and control hypertension in Nepal should prioritise these factors and focus on individuals with a higher likelihood of hypertension irrespective of educational level, household wealth status and ecological regions of residence.

scholarly journals High Blood Pressure Prevalence and Significant Correlates: A Quantitative Analysis from Coastal Karnataka, India

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Chythra R. Rao ◽  
Veena G. Kamath ◽  
Avinash Shetty ◽  
Asha Kamath
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Joint National Committee ◽  
Overweight And Obesity ◽  
National Committee ◽  
Cross Sectional ◽  
Total Prevalence ◽  
The Social ◽  
Sociodemographic Correlates ◽  
History Of

Hypertension is a premier risk factor for cardiovascular disease which can be recognized if sought and treated effectively. Effective management of high blood pressure is possible when the magnitude of the problem is identified. So, a cross-sectional community based survey among 1,239 respondents aged ≥30 years was designed to estimate the prevalence and the sociodemographic correlates of hypertension among adults aged ≥30 years. Data was collected by personal interviews, followed by anthropometric and blood pressure measurements. Analysis was done using Statistical Package for the Social Sciences (SPSS) version 11.5. The prevalence of hypertension was 43.3%, with the prevalence being more among males (51.6%) as compared to females (38.9%). Of the total prevalence 23.1% (287) were known cases, and 20.2% (250) were newly detected cases. Based on the seventh report of the Joint National Committee (JNC VII) on high blood pressure, prehypertension was noted among 38.7%. Advancing age, male gender, current diabetic status, central obesity, overweight and obesity as defined by body mass index, and family history of hypertension were identified as significant correlates for hypertension by multivariate logistic regression.

scholarly journals PREVALENCE OF HYPERTENSION AMONG ADULT POPULATION IN SLUMS OF WEST DELHI

2017 ◽  
Vol 10 (12) ◽  
pp. 350
Author(s):  
Supriya Dwivedi ◽  
Zaozianlungliu Gonmei ◽  
Gurudayal Singh Toteja ◽  
Nidhi Srivastava ◽  
Naval Kishore Vikram ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Lifestyle Modification ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Joint National Committee ◽  
National Committee ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Detection Evaluation

Objective: The present study was conducted to assess the prevalence of hypertension in adult population residing in slums of West Delhi.Methods: A cross-sectional study was conducted among adult population of 18-59 years residing in urban slums of West Delhi. Blood pressure was measured using digital machine (OMRON). The data obtained were analyzed for percent prevalence, mean, standard deviation, and median. Joint National Committee (JNC)on prevention, detection, evaluation, and treatment of high blood pressure (JNC)VI and JNC VII criteria were used to classify hypertension.Results: The overall prevalence of hypertension was 25.3%. The prevalence was higher (27.9%)in males than females (22.8%)and also in the age group 46-59 years (43.0%)as compared to 18-45 years (19.8%). The overall prevalence of prehypertension, Stage I and Stage II hypertension, respectively, was 35.2%, 16.1% and 9.2%.Conclusion: A one-fourth of the adult population is hypertensive. Early diagnosis and treatment are advisable, besides awareness about dietary and lifestyle modification.

scholarly journals Aortic Root Diameter and Longitudinal Blood Pressure Tracking

Hypertension ◽  
2008 ◽  
Vol 52 (3) ◽  
pp. 473-477 ◽  
Author(s):  
Erik Ingelsson ◽  
Michael J. Pencina ◽  
Daniel Levy ◽  
Jayashri Aragam ◽  
Gary F. Mitchell ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Aortic Root ◽  
Odds Ratio ◽  
Joint National Committee ◽  
Root Diameter ◽  
National Committee ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Study Participants

Proximal aortic diameter, including aortic root (AoR) diameter, has been inversely related to pulse pressure in cross-sectional studies. So, investigators have hypothesized that a smaller AoR diameter may increase the risk of developing hypertension. Prospective studies are lacking to test this hypothesis. We measured AoR diameter in 3195 Framingham Study participants (mean age: 49 years; 57% women; 8460 person-examinations) free from hypertension and previous cardiovascular disease who underwent routine echocardiography. We related AoR to hypertension incidence and blood pressure (BP) progression (increment of ≥1 category, as defined by the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure). On follow-up (median: 4 years), 1267 individuals (15%; 661 women) developed hypertension, and 2978 participants experienced BP progression (35%; 1588 women). In logistic regression models adjusted for age, sex, and height, AoR was positively associated with hypertension incidence (odds ratio: 1.15; 95% CI: 1.08 to 1.23) and BP progression (odds ratio: 1.09; 95% CI: 1.04 to 1.14) on follow-up. However, adjustment for other factors known to influence BP tracking (baseline systolic and diastolic BP, smoking, diabetes, and weight) rendered these relations statistically nonsignificant (odds ratio: 1.03; 95% CI: 0.96 to 1.11 for hypertension incidence; odds ratio: 1.03; 95% CI: 0.97 to 1.08 for BP progression). In our large community-based sample of nonhypertensive individuals, AoR diameter was not associated with hypertension incidence or BP progression prospectively after adjustment for potential confounders. Our prospective study does not support the notion that a smaller AoR predisposes to hypertension.

scholarly journals Hypertension: prevalence, awareness, treatment and control in a rural area of North Kerala, India

2017 ◽  
Vol 4 (10) ◽  
pp. 3561 ◽  
Author(s):  
Suma R. K. ◽  
Mayamol T. R. ◽  
Binoo Divakaran ◽  
Usha Karunakaran ◽  
Jayasree A. K.
Keyword(s):  
Blood Pressure ◽  
Control Strategies ◽  
Pressure Control ◽  
Joint National Committee ◽  
Effective Control ◽  
Considerable Proportion ◽  
National Committee ◽  
Cross Sectional ◽  
Cardiovascular Morbidity And Mortality ◽  
And Control

Background: High blood pressure is prevalent all over the world and is one of the major causes of cardiovascular morbidity and mortality. In considerable proportion of cases the disease tends to be asymptomatic for prolonged time, hence also labelled as “silent killer”. Awareness, treatment, and control of hypertension remain major challenges worldwide. The objective of this study was to determine the prevalence, awareness, treatment and control of hypertension in Northern Kerala. Methods: A community-based cross-sectional study among 687 subjects aged ≥20 years was conducted from March 2017 to July 2017. Data was collected by personal interviews, followed by anthropometric and blood pressure measurements. Diagnosis of hypertension was based on Joint National Committee (JNC) VIII guidelines. Results: The prevalence of hypertension (JNC VIII) was 48.2% with a 95% confidence interval ranging from 44.46% to 51.94%. Prevalence among males: 58.1% and females: 44.5%. Among the total hypertensives, 38.7% were aware. Of these, 94.5% taking treatment, 47.1% achieved adequate blood pressure control. Advancing age, current diabetic status, body mass index, and family history of hypertension were identified as risk factors for hypertension by multivariate logistic regression. Conclusions: High prevalence of hypertension was observed in the population. The low levels of awareness and control underscores the large gap between evidence and practice that needs to be bridged, for effective control of hypertension. This calls for plan to adopt preventive and control strategies and promote the health of the population. 

scholarly journals Blood Pressure and Cardio-Metabolic Risk Profile in Young Saudi Males in a University Setting

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 755
Author(s):  
Said EL-Ashker ◽  
Mangesh S. Pednekar ◽  
Sameer S. Narake ◽  
Waleed Albaker ◽  
Mohammed Al-Hariri
Keyword(s):  
Blood Pressure ◽  
Early Stage ◽  
The United States ◽  
Cross Sectional Study ◽  
Joint National Committee ◽  
Overweight And Obesity ◽  
National Committee ◽  
Metabolic Risk ◽  
Fat Percentage ◽  
Cross Sectional

Background and Objectives: The prevalence of cardiovascular diseases (CVDs) poses significant clinical and public health challenges across the world. This study aimed to study the metabolic risk factors and the association with blood pressure alteration. Materials and Methods: This was a cross-sectional study conducted between 2017 and 2018 among 284 male university students in Eastern province, Saudi Arabia. The obesity and cardiovascular measurements were taken using standardized instruments, including blood pressure (BP), mean arterial pressure, body mass index (BMI), body adiposity index (BAI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), body fat percentage (BFP), and basal metabolic rate (BMR). Statistical Analysis: Blood pressure was classified according to the United States of America, Sixth Joint National committee (JNC-VI) guidelines. The mean and standard error were calculated for each hypertension group variable. Logistic regression was applied to predict associations. Results: The prevalence of hypertension in the present study was 61.6%., and that of overweight and obesity was 16.5% and 34.9%, respectively. The cut-off values of BMI and WC were 22.23 and 75.24, respectively. Conclusions: The results demonstrated that BMI, WC, WHR, and WHtR significantly predict hypertension and that WC has a greater discrimination capacity than other measures. The findings also emphasize the importance of cardiovascular risk screening for young adults to detect any alterations in blood pressure and thus identify the population that is vulnerable to CVDs at an early stage. The findings highlight the need for health and university policymakers to adopt measures to monitor and control hypertension and obesity at the university level.

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