scholarly journals Prevalence and associated risk factors of prehypertension and hypertension among army personnel

2018 ◽  
Vol 18 (17) ◽  
pp. 113-120
Author(s):  
Sapana Gurung ◽  
Padma Rai

Hypertension (HTN) is most likely a common disease in the world. In every 3 adult ages over 20 years have this disease. As a consequence, Non-communicable diseases (NCDs), such as hypertension and other cardiovascular diseases are becoming increasingly important as causes of mortality and morbidity in all developing countries. The aim of this study is to determine the prevalence of pre-hypertension and hypertension among the Army personnel in Nepal. This was a cross-sectional descriptive study of 315 respondents, who met eligible criteria. All respondents were enumerated by census method using self-interviewing questionnaire focusing measurement of the blood pressure, weight and height along with the demographic and other socio-economic as well as cultural characteristics. The study shows that overwhelming respondents (77.5%) are normal. And about 13 percent respondents are seemed to be in the pre-hypertension, followed by stage I HTN (6%) and stage II HTN (3.5%). It also shows that there is a significant association between prevalence of hypertension and body mass index of the respondents.

2009 ◽  
Vol 7 (3) ◽  
pp. 380-391 ◽  
Author(s):  
Mansour A. Al-Ghamdi ◽  
Graham Bentham ◽  
Paul R. Hunter

Diarrhoeal disease is still one of the major causes of mortality and morbidity of children in developing countries. Our objective was to assess the prevalence of diarrhoeal disease among male schoolchildren in Jeddah and to identify the associated risk factors, especially those related to drinking water and sanitation disposal. This cross-sectional study was conducted randomly where self-administered questionnaires were issued to parents through the schools. The data were collected from 1,064 respondents indicating that 14.9% of the children had diarrhoea during the previous month. The main risk factors were: the number of children under five years living in the same house (OR per child 1.34, 95% confidence intervals 1.15–1.56), being of Saudi nationality (OR 1.75, 1.08–2.84), reporting sewage spillage near the home (OR 1.69, 1.14–2.53), eating out after school hours (OR 1.74, 1.16–2.60), not drying hands after washing them (OR 1.66, 1.10–2.51), using reusable cloths or sponges to dry dishes (OR 1.70, 1.14–2.52).


2020 ◽  
Vol 18 ◽  
pp. 205873922096054
Author(s):  
Faiz Ullah Khan ◽  
Yu Fang ◽  
Zakir Khan ◽  
Farman Ullah Khan ◽  
Zafar Iqbal Malik ◽  
...  

Globally, surgical site infections are one of the common infections which lead to a large amount of mortality and morbidity in postsurgical care. The risk for surgical site infection is multidimensional which includes mainly; patient, surgery, and hospital-related factors. This study is aimed to determine the burden of SSIs along with contributed risk factors. A prospective observational cross-sectional study was conducted in one of the largest public-sector hospitals in Pakistan. A total of 412 patients were recruited in the study with full consent and monitored for 30 days after surgery with direct and indirect surveillance. Overall, in seven different surgical procedures the incidence (29.8%) rate of SSI was observed; in appendectomy ( n = 17, 4.1%), exploratory laparotomy ( n = 51, 12.6%), laparoscopic cholecystectomy ( n = 12, 2.90%), mesh repair ( n = 17, 4.01%), thyroidectomy (5, 1.2%), transurethral resection of the prostate ( n = 11, 2.6%), and transurethral resection of the bladder (10, 2.4%). The average SSI rate in every single procedure was about 18 (4.27%) per surgical procedure out of 123 (29.85%) SSI cases. Types of SSI identified were superficial, deep incisional and organ/space ( n = 76, 18.4%, n = 23, 5.5%, and n = 24, 5.7%). Incidence of SSIs during admission, at readmission, and post-surveillance cases were ( n = 50, 12.1%, n = 25, 6.0% and n = 48, 11.6%). Associated risk factors found contributed to the incidence of SSI ( p < 0.05). Pre-operative ( n = 348, 84.5%) and 6 (1.5%) surgical patients did not received the post-operative antibiotics. The P. aeruginosa ( n = 15, 12.1%) and S. aureus (13, 10.5%). Cefoperazone and sulbactam were the most prescribed antibiotics. Associated risk factors and treatment outcomes of surgical patients have a direct association with the incidence of SSI. Hospital-based antimicrobial stewardship, implementation of surgical guidelines, patient care, and education are needed to develop at wards level in hospitals.


Author(s):  
Anika Boitchia ◽  
Shabnam Naher ◽  
Sabbir Pervez ◽  
Moyazzem Hossainc

Abstract The purpose of this cross-sectional quantitative study was to identify the prevalence and associated risk factors of hypertension among rural women. Data collection was carried out between March to June 2019 among 380 women in Kumarkhali Upazila, Kushtia, Bangladesh. Participants were interviewed with a structured questionnaire including background characteristics, anthropometric measurements, prevalence, and risk factors of hypertension. IBM SPSS version 25 was used for analyzing the data. The prevalence of hypertension and prehypertension among the total participants was 21.3% and 17.1%, respectively. The mean systolic and diastolic blood pressure was 126.65 (±19.31) mmHg and 77.21 (±12.51) mmHg. Association was found between the prevalence of hypertension and participant’s age, marital status, educational level, body mass index, intake of raw salt, secondary smoking, stress, and diabetes (p<0.05). Among the diabetic women, prehypertension and hypertension prevailed as 26.3% and 55.3% respectively. The lowest risk of hypertension was found with limited raw salt (aOR: 1.42) and red meat (aOR: 0.05) consumption. Hypertension was more likely to affect overweight (aOR: 3.98) and women aged 55 to 64 years (aOR: 13.44). Thus, effective and integrated intervention agendas are required for women, which can improve the rate of diagnosis and prevent uncontrolled hypertension in Bangladesh. Keywords: Prevalence, hypertension, women, blood pressure, risk factor, Bangladesh


BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e029714 ◽  
Author(s):  
Soumitra Ghosh ◽  
Manish Kumar

ObjectivesThis is the first attempt to provide estimates on the prevalence of hypertension at the national, state and district level, a prerequisite for designing effective interventions. Besides, the study aims to identify the risk factors of hypertension.DesignWe analysed cross-sectional survey data from the fourth round (2015–2016) of National Family Health Survey (NFHS). NFHS was conducted between January 2015 and December 2016, gathering information on a range of indicators including blood pressure. The age adjusted prevalence of hypertension was calculated for state comparison, while multilevel logistic regression analysis was done to assess the correlates of hypertension.Setting and participantsIndia (2015–2016; n=811 917) aged 15–49.Primary and secondary outcome measuresThe primary outcome is hypertension, which has been defined as systolic blood pressure ≥140 mm Hg and/or diastolic blood pressure ≥90 mm Hg.ResultsThe age-adjusted prevalence of hypertension in India was 11.3% (95% CI 11.16% to 11.43%) among persons aged between 15 and 49 and was four percentage points higher among males 13.8% (95% CI 13.46% to 14.19%) than among females 10.9% (95% CI 10.79% to 11.06%). Persons in the urban location (12.5%, 95% CI 12.25% to 12.80%) had a marginally higher prevalence than persons in rural location (10.6%, 95% CI 10.50% to 10.78%). The proportion of population suffering from hypertension varied greatly between states, with a prevalence of 8.2% (95% CI 7.58% to 8.85%) in Kerala to 20.3% (95% CI 18.81% to 21.77%) in Sikkim. Advancing age, obesity/overweight, male sex, socioeconomic status and consumption of alcohol were found to be the major predictors of hypertension.ConclusionsHypertension prevalence is now becoming more concentrated among the poor. Policy measures should be taken to improve the hazardous working conditions and growing social pressures of survival responsible for ‘life-style’ changes such as consumption of high calorie food and alcohol.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Feyissa Challa ◽  
Tigist Getahun ◽  
Meron Sileshi ◽  
Bikila Nigassie ◽  
Zeleke Geto ◽  
...  

Hyperhomocysteinaemia (HHcy) is an independent risk factor for major cardiovascular diseases, but data on the prevalence and predictors of HHcy in low- and middle-income countries like Ethiopia are scant. The aim of this study was to estimate the prevalence of HHcy and associated risk factors in the Ethiopian adult population. A cross-sectional survey on risks of noncommunicable diseases (NCDs) using the STEPwise approach to surveillance (STEPS) survey was conducted between April and June 2015. A total of 4,175 study participants were surveyed. Serum homocysteine (Hcy) and metabolic profile were determined using Cobas Integra 400 Plus and CardioChek PA analyzer, respectively. Factors associated with HHcy were determined using logistic regression. The mean serum tHcy concentration was 14.6 μmol/L, with 16.4 μmol/L in males and 13.4 μmol/L in females. Overall, 38% had HHcy, with figures in males (49%) higher than females (30%). Increased age, being male, and high blood pressure and/or taking blood pressure medication, as well as low consumption of fruit and/or vegetables, were independent risk factors for HHcy. In conclusion, the prevalence of HHcy among the adult Ethiopian population is alarmingly high. Improving diets through the promotion of fruit and vegetable consumption is needed to reduce the risk of NCDs.


Author(s):  
Ganesh S. Lokhande ◽  
Sachin B. Jadhav ◽  
Shekhar S. Rajderkar ◽  
Yogita G. Bavaskar

Background: The transition from childhood to adulthood may be referred to as ‘adolescence’ or ‘teenage’. Adolescence is not only a time of opportunity but also of vulnerability to risky behavior, which can have life-long consequences, especially on education, career and various aspects of health. Behavior patterns that influence health in adulthood have their origin in adolescence. Considering such factors, the present study had been undertaken with the objectives to study dietary habits and nutritional status of study population, to study knowledge, attitude & practices of study population regarding risk factors and to study the significant behavioral deviation including drug abuse.Methods: Cross sectional, descriptive study was being conducted in selected High schools and Junior Colleges in the Miraj town. The method of data collection was the pre-designed, pre-tested proforma. The data was analyzed by using SPSS.Results: Overall prevalence of under-nutrition was 49.83%. Prevalence of overweight and obesity was 3.68% and 1.49% respectively. Overall prevalence of overweight and obesity was more in participants with habit of eating outside home. Various forms of tobacco, alcohol and pan masala were used by 58.9% of the family members / friends / peer groups of the study participants.Conclusions: The students of age group 18-19 year were more likely to have risk taking behavior than students of age-group 13-17 year. 


2015 ◽  
Vol 1 (2) ◽  
pp. 13-19
Author(s):  
NC Ogu ◽  
AE Ladele ◽  
DO Afolabi ◽  
JO Sotunsa ◽  
FI Ani

Objectives: High blood pressure among adolescents is not as researched as it is among adults, notwithstanding that hypertension in adults is being tracked back to childhood. This study identied the prevalence of hypertension among adolescents, the age related pattern of prevalence and associated risk factors. Method: A cross sectional study was conducted among university students who presented for preadmission medical examination. Blood pressuremeasurement was conducted and cut off reading was based on JNC VII classication for hypertension.  Results: A total of 952 students had complete data. Participants were aged 14 – 19 years with a mean age of 16.6 ± 1.03 years. Prevalence of hypertensionamong the adolescents was 6.4%. High blood pressure (HBP) distribution was as follows; systolic HBP (54%), diastolic HBP (31.15%) and combinedsystolic and diastolic HBP (14.75%). The risk factors significantly associated with HBP were male gender, obesity, overweight, alcohol, smoking and high blood sugar (p values 0.001, 0.039, 0.001, 0.016, and 0.001 respectively). However family history of hypertension was not significantly associated with hypertension (p=0.053). The majority of the adolescents with hypertension were unaware of the morbidity. Conclusion: Hypertension is identifiable in adolescents  and it appears to increase with age. Notable risk factors for hypertension in adults are also associatedwith hypertension among adolescents. Regular screening will improve awareness and help mitigate the complications of this condition.


KYAMC Journal ◽  
2017 ◽  
Vol 8 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Mohammed Solayman ◽  
Sayama Hoque ◽  
Taslima Akber ◽  
Md Imtiajul Islam ◽  
Md Anwarul Islam

Background: Perinatal asphyxia (PNA) is one of the most important causes of perinatal mortality and morbidity which can be preventable and managable.Objectives: The purpose of the study was to determine the prevalence of perinatal asphyxia and to explore the factors influencing or related to the development of the PNA.Materials and Methods: It is a cross-sectional study conducted in the neonatal unit of department of pediatrics, KYAMC hospital from January 2015 to December 2016. Two hundred eleven neonates admitted in neonatal unit including SCABU were enrolled in the study considering inclusion criteria. Necessary information about sociodemography, peri-natal history (including antepartum, intrapartum and fetal risk factors) were collected by detailed history taking on a pre-designed questionnaire. Clinical examinations and outcomes were also recorded. We used Student's t-test and ?2-test to determine the association of PNA with various risk factors.Results: The male to female ratio was 1.6:1. The mean age of the neonates during admission time was 3.66 (±5.506) days (in PNA 1.8±2.803 days and in normal group 6.11±7.047 days). The overall prevalence of PNA was 56.9% (120); male 60.8% (73) and female 39.2% (47). Identified significant materno-fetal risk factors were maternal young age (p= .038), low socioeconomic condition (p = .000,) primiparity (p = .003), muconium stained amniotic fluid (p = .004), obstructed labour (p = .019), low birth weight (p = .009) and home vaginal delivery by local dai and midwives (p = .017). Serious neonatal complications noted among the asphyxiated babies were hypoxic ischemic encephalopathy with convulsion, neonatal jaundice, septicemia, transient tachypnoea of neonate, hypoglycemia, respiratory distress syndrome, caput succedaneum and feeding problem.Conclusions: Findings of this study highlight the need for the better obstetrical care and awareness of the possible presence of the risk factors of PNA among mothers and fetus, so that the occurrence and worsening of PNA could be prevented or at least appropriately managed. It can reduce the high incidence of morbidity and mortality due to birth asphyxia.KYAMC Journal Vol. 8, No.-1, Jul 2017, Page 43-48


Author(s):  
T. K. Raja ◽  
T. Muthukumar ◽  
Anisha Mohan P.

Background: Hypertension is one of the non-communicable diseases, which is an important global public health problem and also the most leading cause for cardiovascular disease in both developed and developing countries. The aim and objectives of the study were to estimate the prevalence of hypertension and to assess the associated risk factors among adults of rural population.Methods: A community based cross sectional study was done on 225 study subjects, using systemic random sampling method at Kancheepuram district, Tamil Nadu. Results: The study included 225 participants of which 53% were male and 47% were female. The overall prevalence of hypertension among the study population was 26.2%. Risk among male was greater than female (OR=1.390). Factors like age, body mass index, diet, family history of hypertension had significant association (p<0.05) with hypertension. Conclusions: Regular screening for hypertension among adults should be done in the general OPD as well as in health camps so that they have a knowledge regarding their own blood pressure status. Among those who already have hypertension, anti -hypertensive drugs, timely blood pressure check-up, screening for cardio vascular diseases and self-care management of hypertension need to be promoted. 


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