scholarly journals Prevalence, Awareness and Control of Hypertension in a Well-Educated Professional Group in Nepal

2017 ◽  
Vol 14 (1) ◽  
pp. 21-24
Author(s):  
Mani Prasad Gautam ◽  
Usha Ghimire ◽  
Krishna Maya Shrestha ◽  
Bijaya Paudel ◽  
Prakash Khatiwada ◽  
...  
Keyword(s):  
Blood Pressure ◽  
National Level ◽  
Premature Death ◽  
Cross Sectional Study ◽  
Professional Group ◽  
Blood Pressure Goal ◽  
Hypertension Status ◽  
Cross Sectional ◽  
Authentic Data ◽  
And Control

Background and Aims: Hypertension continues to be the major modifiable risk factor leading to premature death due to cardiovascular diseases. Therefore awareness, timely diagnosis, treatment and control of hypertension in primary care are crucial for reducing disease burden. In this respect, authentic data on these issues are paramount of importance. The aim of this study was to address this gap in a well-educated group of Nepalese subjects.Methods: A cross-sectional study in the delegates of the national level meeting of a professional group - lawyers was conducted in 2015 February. Standard criteria were used to define hypertension and blood pressure goal. Awareness and treatment were based on self-report.Results: A total of 249 subjects were included in the study. The prevalence of hypertension was 18.88%. Among hypertensive, 70% subjects were newly detected and they were unaware of their blood pressure status before. Remaining 30% were known cases of hypertension and among them only 64% were on medicine and 36% were not despite awareness of hypertension. Only 55.5% of them on medicine had achieved blood pressure goal.Conclusion: The scenario of hypertension in Nepal even in educated group is very alarming with majority of them being unaware of the hypertension status, more than one third not taking medicine and nearly half on medicine not achieving desired blood pressure goal. From this, the situation obviously seems more warning in general population and needs well-designed assessment.Nepalese Heart Journal 2017; 14(1): 21-24

scholarly journals Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Shikha Singh ◽  
Ravi Shankar ◽  
Gyan Prakash Singh
Keyword(s):  
Blood Pressure ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Sectional Study ◽  
Hypertension Status ◽  
Cross Sectional ◽  
Multistage Sampling ◽  
Associated Risk Factors ◽  
And Control

Hypertension is a major public health problem and important area of research due to its high prevalence and being major risk factor for cardiovascular diseases and other complications.Objectives. (1) To assess the prevalence of hypertension and its associated factors and (2) to estimate awareness, treatment, and adequacy of control of hypertension among study subjects.Methods and Materials. A community based cross-sectional study with multistage sampling design was conducted among urban population of Varanasi. A modified WHO STEPS interview schedule on 640 study subjects aged 25–64 years was used.Results. The prevalence of hypertension was 32.9% (male: 40.9%, female: 26.0%). Mean systolic and diastolic BP were 124.25 ± 15.05 mmHg and 83.45 ± 9.49 mmHg, respectively. Higher odds of being hypertensive were found in male subjects, eldest age group, married subjects, subjects of upper socioeconomic status, illiterate subjects, and retired subjects. Tobacco and alcohol consumption, overweight, obesity, and abdominal obesity were also associated with hypertension. Out of the total hypertensive 211 subjects, only 81 (38.4%) were aware about their hypertension status; out of those, 57 (70.4%) were seeking treatment and 20 (35.08%) had their blood pressure adequately controlled.Conclusion. Around one-third of the subjects were hypertensive and half of the study subjects were prehypertensive in this area. The awareness, treatment, and control of high blood pressure were also very low.

scholarly journals Hypertension among Young Adults in the Shopping Malls of Kathmandu

2013 ◽  
Vol 9 (1) ◽  
pp. 33-36 ◽  
Author(s):  
S Shakya ◽  
M Timilsina ◽  
K Timilsina ◽  
M Lamsal ◽  
S Dhakal ◽  
...  
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Urban Areas ◽  
Cross Sectional Study ◽  
Shopping Malls ◽  
Cross Sectional ◽  
Health Challenge ◽  
Study Population ◽  
Public Health Challenge ◽  
And Control

Background Hypertension is a major public health challenge in the world. Developing countries share the major burden of it. Unlike thought before, hypertension is increasing among poor, young and women. Methods It was a cross sectional study carried out in The Hypertension Screening and Awareness Program conducted in the shopping malls at the heart of Kathmandu on the occasion of World Hypertension Day 2012 by Shahid Gangalal National Heart Center, Kathmandu. The blood pressure was measured according to World Heart Organization’s guideline by registered nurses. There were total 486 participants with the mean age of 29.51±10.77years. Majority of the participants were male (67.1%). Most of the participants were less or equal to 40 years (84.6%). Mean systolic blood pressure was 112.3±14.69mmHg and mean diastolic blood pressure was 75.09±11.89 mmHg. Average mean blood pressure was 87.41±12.28mmHg in the study population. Results Despite majority of participants were at young age, prevalence of hypertension was 23.7%, pre-hypertension was 30% and 46.3% had ideal blood pressure according to JNC-7 Classification. Prevalence of hypertension was higher among male (30.39% vs. 10%). Almost two third of the hypertensive subjects were less or equal to 40 years (64.35%). Awareness, treatment and control of hypertension were 39.13%, 18.26% and 7.38% respectively. Conclusion In conclusion, Hypertension is an emerging public health challenge in urban areas of Nepal. Most importantly, it may be increasing among young population. Moreover, awareness, treatment and control rates are not satisfactory. DOI: http://dx.doi.org/10.3126/njh.v9i1.8346 Nepalese Heart Journal Vol.9(1) 2012 pp.33-36

Assessment of Cardiovascular Risk in Hospitalized Patients with Hypertension Aged 40 and Over

2017 ◽  
Vol 10 (1) ◽  
pp. 50-57
Author(s):  
Joana I. Simeonova ◽  
Snejanka T. Tisheva-Gospodinova ◽  
Yoana M. Todorova ◽  
Petkana A. Hristova ◽  
Asia N. Yanakieva ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Risk Estimation ◽  
Absolute Risk ◽  
Premature Death ◽  
Cross Sectional Study ◽  
Total Serum ◽  
Total Serum Cholesterol ◽  
Cross Sectional ◽  
The Mean

SummaryThe aim of the cross-sectional study was to estimate the absolute 10-year risk for fatal cardiovascular disease (CVD) in patients with hypertension by Systematic Coronary Risk Estimation (SCORE). The study was carried out in 2016 as part of Project No 4/2016. Ninety-one patients aged 40-89 years were included. The mean age of the sample was 66.0±11.0, and 44.0% were males. Information of the patients’ risk profile included about age, gender, blood pressure, smoking and total cholesterol. The patients with hypertension were stratified according to a 10-year absolute risk of CVD. Data were processed by Statistical Package for Social Science versions 19.0 (SPSS.v.19.0). Over two-thirds of the patients had 1 stage hypertension (31.9%) and 2 stage hypertension (37.4%). Median systolic blood pressure on admission to the clinics was 160 mg Hg, and median diastolic blood pressure was 90 mm Hg. Total serum cholesterol values exceeded 4.9 mmol/L in 64.0% of the patients. Smokers accounted for about one-fourth of the patients, most of them having smoked for 40 years. The mean number of risk factors for CVD was 3.0. Over 65% of the patients were found to be at a very high 10-year absolute risk of fatal CVD by SCORE. Cardiovascular risk assessment has important role in prevention of morbidity, premature death and disability of CVD.

scholarly journals Prevalence, awareness, treatment, control and risk factors associated with hypertension in Lebanese adults: A cross sectional study

2018 ◽  
Vol 2018 (1) ◽  
Author(s):  
Bouchra Bakr Mouhtadi ◽  
Reem Mohamad Najib Kanaan ◽  
Mohammad Iskandarani ◽  
Mohamad Khaled Rahal ◽  
Dalal Hammoud Halat
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Adult Population ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Current Status ◽  
Public Health Issue ◽  
Sectional Study ◽  
Cross Sectional ◽  
And Control

Background: The prevention and control of hypertension is an essential component for reducing cardiovascular disease burden. Hypertension is an important public health issue, yet few studies have examined its current status among the Lebanese population. Objective: To examine the prevalence, awareness, treatment and control of hypertension and its associated risk factors among Lebanese adults. Methods: A cross-sectional study was conducted between December 2014, and May 2015, on adults from the five districts of Lebanon. Multistage sampling was used to enroll participants. Hypertension was defined as an average of two blood pressure (BP) measurements with systolic/diastolic blood pressure of at least 140/90 mm Hg, using an automated digital device, or the use of antihypertensive medication. A questionnaire was used to assess hypertension risk factors, awareness, treatment and control. Results: Of the 1362 Lebanese adults interviewed, 399 (29.3%) had hypertension. Of these, 106 (26.5%) were aware of their condition. Sixty-nine patients (65%) of those aware, were receiving treatment, and 38 (55%) participants from those treated were controlled. The significant risk factors were sex, gender, age, family history of hypertension, obesity, and a low level of education. Conclusions: Hypertension is prevalent among the Lebanese adult population and is multifactorial, but remains incompletely recognized, leading to insufficient control. Hypertension was highly prevalent in males in the age category 18-29 years. These findings show that improvements in detection, treatment, and control of hypertension among Lebanese adults, is much needed. 

scholarly journals May Measurement Month 2018: an analysis of blood pressure screening results from Nepal

2020 ◽  
Vol 22 (Supplement_H) ◽  
pp. H92-H95
Author(s):  
Tara Ballav Adhikari ◽  
Harikrishna Bhattarai ◽  
Kamal Ranabhat ◽  
Pratik Khanal ◽  
Shiva Raj Mishra ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Treatment ◽  
National Level ◽  
Cross Sectional Survey ◽  
Hypertension Detection ◽  
Cross Sectional ◽  
Raising Awareness ◽  
Global Initiative ◽  
Definition Of ◽  
And Control

Abstract Raised blood pressure (BP) is a leading risk factor for mortality globally and in Nepal. May Measurement Month (MMM) is a global initiative aimed at screening for hypertension and raising awareness on high BP worldwide. This study provides the results of the 2018 MMM (MMM18) in Nepal. An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2018 nationwide. The standard MMM protocol was followed for BP measurement, the definition of hypertension, and statistical analysis. The campaign was publicized through various social media for recruiting volunteers and inviting participation. A total of 15 561 (58.7% male) from 35 districts of Nepal were screened in MMM18, of which 4 321 (27.8%) had hypertension. A total of 2 633 (19.0%) of 13 873 individuals who were not on antihypertensive treatment were found to be hypertensive. Of those on medication, 799 (47.4%) had uncontrolled BP. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly higher in people on antihypertensive treatment, smokers, and alcohol drinkers compared with those who were not on antihypertensive treatment, smokers, and alcohol drinkers, respectively. Likewise, SBP and DBP steadily increased across increasing body mass index categories. MMM18 was the largest BP screening campaign undertaken in Nepal. MMM has highlighted the importance of a periodic public health program at the national level to increase awareness on hypertension detection and control rate, and thus, the prevention of cardiovascular diseases.

scholarly journals Unawareness of hypertension and its determinants among 'quilombolas' (inhabitants of 'quilombos' - hinterland settlements founded by people of African origin) living in Southwest Bahia, Brazil

2015 ◽  
Vol 20 (3) ◽  
pp. 797-807 ◽  
Author(s):  
Vanessa Moraes Bezerra ◽  
Amanda Cristina de Souza Andrade ◽  
Cibele Comini César ◽  
Waleska Teixeira Caiaffa
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Pharmacological Management ◽  
Medical Visits ◽  
Stage 1 ◽  
And Control

This study sought to evaluate the prevalence of unawareness of arterial hypertension (AH) and associated factors among the quilombola population and to describe aspects of the non-pharmacological management of AH. It involved a cross-sectional study with a sample of 358 people with AH aged 18 years or more. AH was considered systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg and/or reported use of antihypertensive drugs. Unawareness of AH was classified as persons answering negatively when asked if they suffered from AH. Poisson regression was then used. The prevalence of unawareness of AH was 44.1% (95% CI: 38.9-49.3). Among those who already knew the diagnosis and had drug treatment only 24.8% had controlled BP. The unawareness of AH was positively associated with the male sex and Stage 1 of AH and negatively with increasing age, overweight, negative self-perception of health and medical visits. For non-pharmacological management, low percentages of quilombola reported appropriate standard recommendations of care. Arterial hypertension is a serious public health issue among the quilombola population, revealing great vulnerability in health due to poor levels of awareness, treatment and control.

scholarly journals Relation of choline intake with blood pressure in the National Health and Nutrition Examination Survey 2007–2010

2019 ◽  
Vol 109 (3) ◽  
pp. 648-655
Author(s):  
Siraphat Taesuwan ◽  
Francoise Vermeylen ◽  
Marie A Caudill ◽  
Patricia A Cassano
Keyword(s):  
Blood Pressure ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Hypertension Status ◽  
Cross Sectional ◽  
Modifying Factors ◽  
Health And Nutrition ◽  
Increased Risk ◽  
Choline Intake ◽  
Dietary Choline

ABSTRACT Background Dietary choline is a precursor of trimethylamine N-oxide (TMAO), a metabolite that has been associated with an increased risk of cardiovascular disease. The mechanism underlying this association is unknown, but may include TMAO effects on blood pressure (BP). Objectives This study assessed the association of choline intake with hypertension and BP in US adults through the use of NHANES 2007–2010 data. Methods This cross-sectional study was conducted in nonpregnant individuals aged ≥20 y. Choline intake was assessed with the use of two 24-h recalls. Outcomes were BP and hypertension status, which was assessed through the use of questionnaires and BP measurements. Modifying factors (e.g., sex, race/ethnicity) and dietary compared with supplemental sources of choline intake were also investigated. Results The associations of total (dietary + supplemental) and dietary choline intake with the prevalence odds of hypertension differed by sex (n = 9227; P-interaction = 0.04 and 0.03, respectively). In women, both total and dietary choline intake tended to be inversely associated with hypertension (n = 4748; prevalence OR per 100 mg of choline intake: 0.89; 95% CI: 0.77, 1.02; P < 0.10 for both total and dietary choline). No association was observed in men (n = 4479; P = 0.54 and 0.49 for total choline and dietary choline, respectively). Use of choline supplements was inversely associated with hypertension in both sexes (user compared with nonuser; OR: 0.68; 95% CI: 0.49, 0.92; P = 0.01). There was little to no association of total, dietary, or supplemental choline intake with systolic or diastolic BP (n = 6,554; the mean ± SEM change in BP associated with a 100-mg difference in total choline was −0.26 ± 0.22 mm Hg for systolic BP and −0.29 ± 0.19 mm Hg for diastolic BP). Conclusions Cross-sectional NHANES data do not support the hypothesis of a positive association between choline intake and BP.

scholarly journals Prevalence of hypertension amongst spouses in urban area of Nagpur city, Maharashtra, India

2018 ◽  
Vol 5 (4) ◽  
pp. 1381
Author(s):  
Amit V. Deshpande ◽  
Sanjeev M. Chaudhary
Keyword(s):  
Blood Pressure ◽  
Environmental Factors ◽  
Urban Area ◽  
Married Couples ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Hypertension Awareness ◽  
And Control ◽  
Current Guidelines ◽  
Husband And Wife

Background: Students of human biology share an interest in studies of family clusters of heart disease and its antecedents. The recent inclusion of husband and wife pairs (spouse pairs) has added a new dimension to earlier studies of first degree relatives. Blood pressure is influenced by environmental factors operating within genetic limits. Since married couples share a similar environment, the study can identify environmental factors. This study was done to find out prevalence and control of hypertension among spouses in urban area of Nagpur.Methods: This was a community based cross sectional study conducted in urban area of Nagpur city. 260 couples in whom both husband and wife were of age 30 or more were included. Blood pressure was measured and classified as per WHO guidelines.Results: Prevalence of hypertension was found to be 51.9% among husbands and 40.8% among wives. 57.8% husbands and 50.9% wives were unaware of their hypertensive status. Among those who were aware, 35.1% husbands and 15.4% wives had their blood pressure.Conclusions: The observation suggests need for targeting married couples as a unit of intervention for hypertension awareness and control. This study also emphasizes the need to increase the knowledge of current guidelines for detection and treatment of hypertension among physicians.  

Sign in / Sign up

Export Citation Format

Share Document