Skip Navigation
Skip to contents

PHRP : Osong Public Health and Research Perspectives


Author index

Page Path
HOME > Articles and issues > Author index
Muhammad Mizanur Rashid Shuvra 1 Article
Undiagnosed Isolated Systolic and Diastolic Hypertension Subtypes and Their Correlates in Bangladesh: A Nationwide Survey
Shyfuddin Ahmed, Sonia Pervin, Tuhin Biswas, Muhammad Ashique Haider Chowdhury, Mohammad Abul Hasnat, Muhammad Mizanur Rashid Shuvra
Osong Public Health Res Perspect. 2019;10(1):12-19.   Published online February 28, 2019
  • 6,067 View
  • 56 Download
  • 9 Crossref
AbstractAbstract PDF

This study was performed to identify the distribution of undiagnosed isolated hypertension subtypes and their correlates amongst adults aged 35 years and older in Bangladesh using data from the Bangladesh Demography and Health Survey 2011.


Out of a total of 17,964 selected households, 7,880 were included in the final analysis for this study. Systolic and diastolic blood pressure (BP) were measured 3× at 10-minute intervals. Hypertension subtypes were defined for individuals not under antihypertensive treatment as systolic-diastolic hypertension (SDH): systolic BP (SBP) ≥ 140 mm Hg and diastolic BP (DBP) ≥ 90 mm Hg; isolated diastolic hypertension (IDH): SBP < 140 mm Hg and DBP ≥ 90 mm Hg, and isolated systolic hypertension (ISH): SBP ≥140 mm Hg and DBP < 90 mm Hg.


The predominant hypertension subtypes were SDH and IDH [5.2%; 95% confidence interval (CI): 4.7–5.1] followed by ISH (3.8%; 95% CI: 3.4–4.2). Multiple logistic regression showed that age and gender were significant predictors of ISH. SDH was associated with females [odds ratio (OR): 1.8; 95% CI: 1.3–2.6], the older age group (OR-7.4; 95% CI: 4.3–12.7), and overweight or obese individuals (OR: 1.6; 95% CI: 1.1–2.4). Non-manual work (OR: 1.5; 95% CI: 1.0–2.0]) and being overweight or obese (OR: 1.9; 95% CI: 1.4–2.8) were factors associated with IDH.


ISH, IDH and SDH represent salient subtypes of hypertension in Bangladesh. To identify preventive intervention for averting adverse cardiovascular events, further research is needed.


Citations to this article as recorded by  
  • Obesity Accompanied by an Odd Lipid Profile is a Major Risk Factor for Hypertension Among Women
    Sahar Abdulaziz Al Sedairy
    International Journal of Pharmacology.2024; 20(1): 34.     CrossRef
  • Prevalence and risk factors of hypertension among bank employees in Dhaka city of Bangladesh
    Kamruzzaman Razibi, Rokshana Rabeya, Rashadul Islam, M. A. Rifat, Abdus Salam Mondol
    Cogent Public Health.2023;[Epub]     CrossRef
  • Adiposity and insulin resistance mediate the inverse association between legume intake and blood pressure: a cross-sectional analysis in secondary cardiovascular prevention
    Alinne Paula de Almeida, Leidjaira Lopes Juvanhol, Ângela Cristine Bersch-Ferreira, Camila Ragne Torreglosa, Aline Marcadenti, Bernardete Weber, Josefina Bressan, Helen Hermana Miranda Hermsdorff
    British Journal of Nutrition.2022; 128(12): 2353.     CrossRef
  • Prevalence of isolated diastolic hypertension and the risk of cardiovascular mortality among adults aged 40 years and older in northeast China: a prospective cohort study
    Ling Yue, Hongyun Chen, Qun Sun, Lei Shi, Jixu Sun, Guangxiao Li, Liying Xing, Shuang Liu
    BMJ Open.2022; 12(9): e061762.     CrossRef
  • Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey
    Ahmed Hossain, Shakib Ahmed Suhel, Saifur Rahman Chowdhury, Shofiqul Islam, Nayma Akther, Nipa Rani Dhor, Mohammad Zakir Hossain, Mohammad Anwar Hossain, Syed Azizur Rahman
    Frontiers in Public Health.2022;[Epub]     CrossRef
  • Prevalence of Hypertension and Associated Risk Factors Among Women in a Rural Community in Bangladesh: A Cross-Sectional Study
    Anika Boitchia, Shabnam Naher, Sabbir Pervez, Moyazzem Hossainc
    Millennium Journal of Humanities and Social Scienc.2021; : 1.     CrossRef
  • Distribution of hypertension subtypes in a hill tribe of Mizoram, Northeast India
    Prasanta K. Borah, J. Mahanta, H.C. Kalita, Chandra Kanta Bhattacharjee
    Indian Heart Journal.2020;[Epub]     CrossRef
  • The different associations between platelet distribution width and hypertension subtypes in males and females
    Tingwei Li, Jiahui Jin, Zhaowei Meng, Wenjuan Zhang, Yongle Li, Xuefang Yu, Xin Du, Ming Liu, Qing Zhang, Ying Gao, Kun Song, Xing Wang, Yaguang Fan, Yan Wang
    Bioscience Reports.2020;[Epub]     CrossRef
  • Prevalence and Associated Factors of Hypertension Subtypes Among the Adult Population in Nepal: Evidence from Demographic and Health Survey Data
    Rajat Das Gupta, Animesh Talukdar, Shams Shabab Haider, Mohammad Rifat Haider
    Osong Public Health and Research Perspectives.2019; 10(6): 327.     CrossRef

PHRP : Osong Public Health and Research Perspectives