Prevalence and Associated Risk Factors of Hypertension Among Adults in Palpa District, Nepal
DOI:
https://doi.org/10.22502/jlmc.v7i2.300Keywords:
Hypertension, Prevalence, Risk factorsAbstract
Introduction: Hypertension mostly remains asymptomatic when controlled, however, there is always an increased risk of heart disease, stroke, and renal failure. The higher the blood pressure, the higher the likelihood of harmful consequences to the heart, blood vessels, eyes, brain, and kidneys. Methods: A community-based cross-sectional study was conducted in the adult population. The blood pressure was measured from the left arm, the respondents in sitting posture and arm support at the heart level. Results: The prevalence of hypertension was 22% and higher in people above 60 years of age. The prevalence of hypertension was more in people who had elevated waist to hip ratio (65%) and positive family history (40.8%). The prevalence of hypertension was observed high among diabetics (63.2%) and in smokers (33.3%). Conclusion: The prevalence of hypertension was seen positively associated with increasing age, smoking, alcohol sedentary lifestyle, diabetes, stress, central obesity and >25 BMI.
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References
World Health Organization. A global brief on Hypertension. World Health Organization. WHO/DCO/WHD/2013.2, 2013. Available from: https://www.who.int/cardiovascular_diseases/publications/global_brief_hypertension/en/
World Health Organization. Sustainable Development and Healthy Environments. Hypertension fact sheet. 2017.
Ministry of Health and Population. Department of Health Services, Government of Nepal. Nepal Demographic and Health Survey (NDHS), report. 2016. http://www.mohp.gov.np/english/publication
Pan American Health Organization / WHO. World Hypertension Day 2017: Know your numbers. Available from: https://www.paho.org/hq/index.php?option=com_content&view=article&id=13257:diamundial-de-la-hypertension-2017-conoce-tus-numeros&Itemid=42345&lang=en
World Health Organization. WHO STEPS Surveillance Manual: the WHO STEPwise approach to chronic disease risk factor surveillance / Non¬communicable Diseases and Mental Health, World Health Organization. WHO. ISBN: 9241593830, 2005. Available from: https://apps.who.int/iris/handle/10665/43376
Chobanian AV, Bakris GL, Black HR, Cush¬man WC, Green LA, Izzo JL Jr, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treat¬ment of High Blood Pressure: the JNC 7 report. Journal of the American Medical Association. 2003;289(19):2560–72. PMID: 12748199. DOI: https://doi.org/10.1001/jama.289.19.2560
World Health Organization. Obesity: prevent¬ing and managing the global epidemic: report of the WHO consultation of obesity, Geneva, 3-5 June 1997. WHO. WHO/NUT/NCD/98.1,1998. Available from: https://extranet.who.int/iris/restricted/handle/10665/63854
World Health Organization. Waist circumference and waist–hip ratio. WHO. ISBN: 9789241501491, 2008. Available from: https://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491_eng.pdf?ua=1
Mahid SS, Minor KS, Stromberg AJ, Galandiuk S. Active and Passive Smoking in Childhood Is Related to the Development of Inflammatory Bowel Disease. Inflammatory Bowel Diseases. 2007;13(4):431-38. DOI: https://doi.org/10.1002/ibd.20070
World Health Organization. WHO STEPS Instrument (Core and Expanded). WHO. 2008. Available from: https://www.who.int/ncds/surveillance/steps/STEPS_Instrument_v2.1.pdf
Esteghamati A, Abbasi M, Alikhani S, Gouya MM, Delavari A, Shishehbor MH, et al. Prevalence, awareness, treatment, and risk factors associated with hypertension in the Iranian population: The national survey of risk factors for noncommunicable diseases of Iran. American Journal of Hypertension. 2008;21(6):620–26. DOI: https://doi.org/10.1038/ajh.2008.154
Asresahegn H, Tadesse F, Beyene E. Prevalence and associated factors of hypertension among adults in Ethiopia: a community based cross-sectional study. BMC Research Notes. 2017;10:629. DOI: https://doi.org/10.1186/ s13104-017-2966-1
Chataut J, Adhikari RK, Sinha NP. Prevalence and risk factors for hypertension in adults living in central development region of Ne¬pal. Kathmandu University Medical Journal. 2011;9(33):13-18. Available from: http://kumj.com.np/issue/33/13-18.pdf
Ministry of Health and Population. Department of Health Services, Government of Nepal. Non communicable diseases risk factors: STEPS survey Nepal, 2013.
Weber MA, Neutel JM, Cheung DG. Hyperten¬sion in the aged: a pathophysiologic basis for treatment. The American Journal of Cardiology. 1989;63(16):25H–32H. PMID: 2650521. DOI:
https://doi.org/10.1016/0002-9149(89)90112-4
Abebe SM, Berhane Y, Worku A, Getachew A. Prevalence and associated factors of hy¬pertension: a cross sectional community based study in Northwest Ethiopia. PLoS ONE. 2015;10(4):e0125210. PMID: 25909382.
DOI: http://dx.doi.org/10.1371%2Fjournal.pone.0125210
Dhungana RR, Devkota S, Khanal MK, Gurung Y, Giri RK, Parajuli RK, et al. Prevalence of cardiovascular health risk behaviours in a remote rural community of Sindhuli district, Nepal. BMC Cardiovasc Disorder. 2014;14:92. PMID: 25066117. DOI: https://doi.org/10.1186/1471-2261-14-92
Dhungana RR, Pandey AR, Bista B, Joshi S, Devkota S. Prevalence and associated factors of hypertension: A community-Based cross-sectional study in municipalities of Kathmandu, Nepal. International Journal of Hypertension. 2016:2016:1656938. PMID: 27293880. DOI: https://doi.org/10.1155/2016/1656938
Onal AE, Erbil S, Ozel S, Aciksari K, Tumer¬dem Y. The prevalence of and risk factors for hypertension in adults living in Istanbul. Blood Pressure. 2004;13(1):31–6. DOI: http://dx.doi.org/10.1080/08037050410025762
Larsson B, Svardsudd K, Welin L, Wilhelmsen L, Bjorntorp P, Tibblin G. Abdominal adipose tissue distribution, obesity, and risk of cardiovascular disease and death: 13 year follow up of participants in the study of men born in 1913. British Medical Journal (Clinical research ed.). 1984;288(6428):1401-4. PMID: 6426576. DOI: https://doi.org/10.1136/bmj.288.6428.1401
Rocchini AP, Key J, Bondie D, Chico R, Moore¬head C, Katch V, et al. The effect of weight loss on the sensitivity of blood pressure to sodium in obese adolescents. The New Eng¬land Journal of Medicine. 1989;321(9):580–5. PMID: 2668763. DOI: https://doi.org/10.1056/ NEJM198908313210905
Bowman TS, Gaziano JM, Buring JE, Sesso HD. A prospective study of cigarette smoking and risk of incident hypertension in women. Journal of the American College of Cardiology. 2007;50(21):2085–92. PMID: 18021879. DOI: https://doi.org/10.1016/j.jacc.2007.08.017
Primatesta P, Falaschetti E, Gupta S, Marmot MG, Poulter NR. Association Between Smoking and Blood Pressure. Evidence From the Health Survey for England. Hyperten¬sion. 2001;37(2):187–93. DOI: https://doi.org/10.1161/01.HYP.37.2.187
Manandhar K, Koju R, Sinha NP, Humagain S. Prevalence and associated risk factors of hypertension among people aged 50 years and more in Banepa municipality Nepal. Kathmandu University Medical Journal. 2012;10(39):35-8. PMID: 23434959. DOI: https://doi.org/10.3126/kumj.v10i3.8015
Dhakal S, Singh R, Yadav UN, Gurung LB. Prevalence and factors associated with hypertension among elderly population in Dhapasi VDC of Kathmandu district. Journal of Hypertension: Open Access. 2017;6(3):242. DOI: https://doi.org/10.4172/2167-1095.1000242
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