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 ◽  
...  

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

1984 ◽  
Vol 66 (4) ◽  
pp. 427-433 ◽  
Author(s):  
Ottar Gudmundsson ◽  
Hans Herlitz ◽  
Olof Jonsson ◽  
Thomas Hedner ◽  
Ove Andersson ◽  
...  

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.


Author(s):  
Akash K. Singh ◽  
Sunil K. Misra ◽  
Shailendra S. Chaudhary ◽  
Geetu Singh

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.


2021 ◽  
pp. 183-191
Author(s):  
D Čelovská ◽  
K Vlčková ◽  
J Gonsorčík

The relationship between baroreflex sensitivity (BRS) and inflammatory vascular biomarker Lipoprotein associated phospholipase A2 (Lp-PLA(2)) in subjects with high normal blood pressure (HNBP, prehypertensives) with a positive family history of hypertension (FHH+) and hypertension history free control subjects (FHH-) was evaluated. A total of 24 HNBP participants (age 39.5 ± 2.5 years, 18 male/ 6 female) were studied. 14 HNBP subjects FHH+ were compared to 10 HNBP participants FHH-, being of similar age and body mass index. BRS (ms/mmHg) was determined by the sequence and spectral methods (five-minute non-invasive beat-to-beat recording of blood pressure and RR interval, controlled breathing at a frequency of 0.33 Hz). Venous blood was analyzed for Lp-PLA(2) biomarker of vascular inflammation and atherothrombotic activity. A significant negative correlation between spontaneous BRS obtained by both methods and systolic blood pressure (BP) was present (BRS spect r = –0.54, P<0.001, BRS seq r = –0.59, P<0.001). BRS obtained by sequence and spectral methods were reduced in HNBP FHH+ compared to the group of HNBP FHH- (P = 0.0317 BRS seq, P = 0.0395 BRS spect). Lp-PLA(2) was significantly higher in HNBP FHH+ compared to FHH- controls (P< 0.05). Lp-PLA(2) was negatively correlated with BRS obtained by sequence method (r = -0.798, R2 = 0.636, P< 0.001) in the HNBP FHH+ subjects. These findings demonstrate that reduced baroreflex sensitivity, as a marker of autonomic dysfunction, is associated with vascular inflammation, predominantly in otherwise healthy participants with a positive family history of hypertension who could predispose to increased risk of hypertension. We conclude that our transversal study suggests that a low baroreflex sensitivity could be an early sign of autonomic dysfunction even in the prehypertensive period, and to corroborate these findings, a longitudinal study is needed.


2020 ◽  
Vol 9 (2) ◽  
pp. 121
Author(s):  
Selam Ayele Kassie ◽  
Kidanemariam G/Michael Beyene ◽  
Mesafint Abeje Tiruneh

<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>


1982 ◽  
Vol 63 (s8) ◽  
pp. 371s-374s ◽  
Author(s):  
L. Andrén ◽  
S. Piros ◽  
L. Hansson ◽  
H. Herlitz ◽  
O. Jonsson

1. Stimulation with noise (100 dBA) for 10 min caused a significant increase in diastolic and mean arterial pressure in normotensive subjects with and without a positive family history of hypertension. 2. The blood pressure response in the group with a positive family history of hypertension was due to a significant increase in total peripheral resistance (9%, P < 0.05); no such change was seen in the group without heredity for hypertension. 3. Systolic blood pressure, heart rate, stroke volume and cardiac output did not change significantly during exposure to noise. 4. There was no difference between the groups in mean intracellular sodium concentration measured in erythrocytes.


EP Europace ◽  
2020 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
V Kommata ◽  
A Delgado-Vega ◽  
A Wisten ◽  
E Hagstrom ◽  
E L Stattin

Abstract Background Arrhythmogenic right ventricular cardiomyopathy (ARVC) is autosomal dominant inherited, and associated with a significant risk of sudden cardiac death (SCD) due to a progressive fibrofatty replacement of the myocardium predisposing for ventricular arrhythmias. It is a main cause of SCD in individuals younger than 40 years of age. The prevalence of ARVC in young individuals with SCD in Sweden has recently been approximated to 4 %, but the characteristics of these patients have not been described before. Purpose To study the patient characteristics, physical activity level, medical history, family history and symptoms prior death in subjects who died due to ARVC. Methods A retrospective study of all subjects aged 1-35 years who died a SCD due to ARVC in Sweden between 1 January 2000 and 31 December 2010. The diagnosis ARVC was based on data from a forensic or clinical autopsy and a histological examination. We also collected data from the police report, medical records, as well as through interviews with family members. Results A total of 552 individuals died from SCD during the study period. The study population consists of 22 cases with autopsy verified ARVC. In our cohort there were included 14 males and 8 females. The mean age was 23.7 years old (min age: 13, max age: 35). Two subjects were diagnosed with ARVC prior to the SCD. In addition, one subject had survived a cardiac arrest a few years before, and got diagnosed with Long QT Syndrome. Another subject was diagnosed with myocarditis just a few months before death. Further, four subjects had a history of ventricular tachycardia, and three subjects had a history of seizures. Fifteen of the subjects had experienced cardiac symptoms before SCD nine had a history of syncope, presyncope or both; six subjects had experienced chest discomfort; nine subjects had a history of palpitations. In total, eight of fifteen subjects had sought medical care prior to SCD because of cardiac symptoms. The majority of the cases were physically active, five participated in competitive sports and 12 in recreational activities. Regarding the type of physical activity, 15/22 participated in a high dynamic physical activity. Twelve subjects had a positive family history of SCD. In 10 cases, there was a family history of SCD, but only in two in a first degree relative. Three family members had ICD. In four cases there was a family history of cardiomyopathy (one case with Hypertrophic Cardiomyopathy, one with myocarditis, and two with ARVC). CPVT was also diagnosed in one family prior to SCD.  Conclusions In this nationwide study of SCD in the young, only two of the 22 subjects had a clinical diagnosis of ARVC prior to death, despite that, most of the individuals had either a history of ventricular arrhythmias or had experienced cardiac symptoms.


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