Osong Public Health and Research Perspectives

Original Articles

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 Res Perspect. 2019;10(6):327-336. Published online December 31, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.6.02; Correction in: Osong Public Health Res Perspect 2022;13(1):80

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Objectives

This study aims to determine the prevalence, and associated factors of undiagnosed hypertension [Systolic Diastolic Hypertension (SDH), Isolated Systolic Hypertension (ISH) and Isolated Diastolic Hypertension (IDH)] in the Nepalese adult population.

Methods

Nepal Demographic and Health Survey 2016 data from adults (≥ 18 years) was used in this study. The final weighted sample size was 13,393. Blood pressure (BP) was measured 3 times and the average of the second and third measurement was reported. SDH (systolic BP (SBP) ≥ 140 mmHg and diastolic BP (DBP) ≥ 90 mmHg), ISH (SBP ≥ 140 mmHg and DBP < 90 mmHg), and IDH (SBP < 140 mmHg and DBP ≥ 90 mmHg) were measured. Multilevel logistic regression analyses were conducted to find the association between the independent variables and the covariates.

Results

The prevalence of SDH, IDH and ISH were 8.1%, 7.5%, and 3.3% respectively. The odds of having SDH and ISH increased with old age. However, the odds of having IDH decreased with increasing age. Females has lower odds of having SDH and IDH compared with male participants. Individuals that had been married, resided in Province 4 (p < 0.05) or 5 (p < 0.01) were statistically significantly associated with having IDH. Being overweight or obese was statistically significantly associated with all 3 HTN subtypes (p < 0.001).

Conclusion

The necessary steps should be taken so that public health promotion programs in Nepal may prevent and control undiagnosed hypertension.

Citations

Citations to this article as recorded by

Correction to “Prevalence and Associated Factors of Hypertension Subtypes Among the Adult Population in Nepal: Evidence from Demographic and Health Survey Data” [Osong Public Health Res Perspect 2019;10(6):327–36]
Rajat Das Gupta, Animesh Talukder, Shams Shabab Haider, Mohammad Rifat Haider
Osong Public Health and Research Perspectives.2022; 13(1): 80. CrossRef
Is Isolated Diastolic Hypertension an Important Phenotype?
Cesar A. Romero, Aldo H. Tabares, Marcelo Orias
Current Cardiology Reports.2021;[Epub] CrossRef
Relationship between cigarette smoking and blood pressure in adults in Nepal: A population-based cross-sectional study
Renqiao Lan, Max K. Bulsara, Prakash Dev Pant, Hilary Jane Wallace, Palash Chandra Banik
PLOS Global Public Health.2021; 1(11): e0000045. CrossRef

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; DOI: https://doi.org/10.24171/j.phrp.2019.10.1.04

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Abstract PDF

Objectives

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.

Methods

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.

Results

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.

Conclusion

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

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

Study on Cardiopulmonary Function, Maximal Oxygen Uptake, and Obesity Index according to Smoking Status in Middle-Aged and Older Office Workers: Deok-Ju Kim; Osong Public Health Res Perspect. 2018;9(3):95-100. Published online June 30, 2018; DOI: https://doi.org/10.24171/j.phrp.2018.9.3.02

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1 Crossref

Abstract PDF

Objectives

To investigate the effect of smoking upon cardiopulmonary function, maximal oxygen uptake, and obesity index, in middle-aged and older workers to propose guidelines on healthcare for these age groups.

Methods

This study analyzed medical data from 2,753 white-collar workers aged 50 years or older from workplaces located in Seoul, South Korea. Blood pressure (BP), resting heart rate, maximal oxygen uptake (VO₂max), and body mass index (BMI) of each subject were measured. The collected data were analyzed using SPSS 21.0.

Results

In the smoking group BP and resting heart rate were significantly higher than in the non-smoking and smoking-cessation groups (p < 0.05). In addition, VO₂max was lower in the smoking group compared to the other 2 groups. BP closely correlated with resting heart rate, abdominal fat ratio, and BMI. BMI was the highest in the group that stopped smoking and, BMI and abdominal fat ratio negatively correlated with VO₂max.

Conclusion

Smoking increases the risk of cardiopulmonary disease but obesity may be caused by stopping smoking. Therefore, healthcare guidelines on smoking cessation should also include nutritional advice.

Citations

Citations to this article as recorded by

Smoking Status on Bone Health and Osteoporosis Prevalence
Vu H. Nguyen
Osong Public Health and Research Perspectives.2018; 9(4): 213. CrossRef

Comparison of Hypertension Prediction Analysis Using Waist Measurement and Body Mass Index by Age Group: So Hyun Park, Seong-Gil Kim; Osong Public Health Res Perspect. 2018;9(2):45-49. Published online April 30, 2018; DOI: https://doi.org/10.24171/j.phrp.2018.9.2.02

5,058 View
96 Download
5 Crossref

Abstract PDF

Objectives

The purpose of this study was to evaluate hypertension with simple anthropometry data related to obesity in Korean adults and identify whether age specific waist circumference (WC) may be a useful screening tool for determining hypertension.

Methods

Subjects (n = 571) were classified into 3 groups by age; young (18–39 years), middle aged (40–64 years), and old aged (≥ 65 years). Correlations between demographic and anthropometric parameters and hypertension were performed using Spearman correlation analysis. Logistic regression analysis and ROC (receiver operating characteristics) curves were also analyzed for correlations with hypertension.

Results

Spearman correlation analyses, age, gender, WC, and body mass index were positively correlated with hypertension. When logistic regression analysis was performed, increased age and increased WC was associated with a higher incidence of hypertension, although gender and body mass index were not significantly related to hypertension. In ROC analysis of WC for hypertension demonstrated that patients in the old age group showed higher WC cutoff value than patients in the young and middle aged groups.

Conclusion

The findings of this study demonstrate that WC may be a useful predictor of hypertension incidence among demographic and anthropometric factors in Korean adults. In addition, WC in the young population was more sensitive to the incidence of hypertension than in the elderly population.

Citations

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A hybrid machine learning approach for hypertension risk prediction
Min Fang, Yingru Chen, Rui Xue, Huihui Wang, Nilesh Chakraborty, Ting Su, Yuyan Dai
Neural Computing and Applications.2023; 35(20): 14487. CrossRef
Relationship between Cardiometabolic Factors and the Response of Blood Pressure to a One-Year Primary Care Lifestyle Intervention in Metabolic Syndrome Patients
Elisa Marin-Couture, Marie-Josée Filion, Ryma Boukari, Khursheed Jeejeebhoy, Rupinder Dhaliwal, Paula Brauer, Dawna Royall, David M. Mutch, Doug Klein, Angelo Tremblay, Caroline Rhéaume
Metabolites.2022; 12(9): 861. CrossRef
The Role of Lifestyle Factors in Controlling Blood Pressure among Hypertensive Patients in Two Health Facilities in Urban Ghana: A Cross-Sectional Study
Emefa Modey Amoah, Darlene Esinam Okai, Adom Manu, Amos Laar, Joseph Akamah, Kwasi Torpey
International Journal of Hypertension.2020; 2020: 1. CrossRef
Obesity and hypertension: the role of criteria
D P Tsygankova, K E Krivoshapova, S A Maksimov, E V Indukaeva, E B Shapovalova, G V Artamonova, O L Barbarash
Systemic Hypertension.2019; 16(1): 32. CrossRef
Watch Your Waistline
Hae-Wol Cho, Chaeshin Chu
Osong Public Health and Research Perspectives.2018; 9(2): 43. CrossRef

Effect of Obesity on Blood Pressure and Arterial Stiffness in Middle-Aged Korean Women: Won-Mok Son, Do-Yeon Kim, You-Sin Kim, Min-Seong Ha; Osong Public Health Res Perspect. 2017;8(6):369-372. Published online December 31, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.6.02

3,982 View
42 Download
9 Crossref

Abstract PDF

Objectives

Our study aims to provide basic scientific data on the importance of obesity management in middle-aged Korean women by analyzing its effects on blood pressure and arterial stiffness. In addition, we examined the correlations of these two parameters.

Methods

The study participants were 40 middle-aged female volunteers, who were classified into obesity group (n = 20) and normal weight group (n = 20). Statistical analysis was performed using independent t-test and the Pearson correlation coefficient was used to correlate blood pressure and arterial stiffness.

Results

This study evaluated the systolic blood pressure, diastolic blood pressure, and pulse wave velocity (PWV). These results were higher in the obesity group than the normal weight group. Furthermore, blood pressure and arterial stiffness (PWV, augmentation pressure) were static correlated.

Conclusion

Obesity is closely related to blood pressure and arterial stiffness. Therefore, indices for blood pressure and arterial stiffness may play a vital role in predicting and preventing obesity and its sequelae.

Citations

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Nirmala Rathnayake, Gayani Alwis, Janaka Lenora, Sarath Lekamwasam
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Comparison of Vascular Function, Cardiometabolic Parameters, Hemorheological Function, and Cardiorespiratory Fitness Between Middle-Aged Korean Women With and Without Obesity—A Pilot Study
Hun-Young Park, Won-Sang Jung, Sung-Woo Kim, Kyounghwa Jung, Kiwon Lim
Frontiers in Physiology.2022;[Epub] CrossRef
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Gökhan Yılmaz, Oğuzhan Bol
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G Kaleeswari, CVasantha Kalyani, JS Jayarani, KusumK Rohilla
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Jeongok G. Logan, Hyojung Kang, Soyoun Kim, Daniel Duprez, Younghoon Kwon, David R. Jacobs, Nketi Forbang, Jennifer Mason Lobo, Min-Woong Sohn
Vascular Medicine.2020; 25(4): 309. CrossRef
The Feasibility and Applications of Non-invasive Cardiac Monitoring in Obese Patients Undergoing Day-case Surgery: Results of a Prospective Observational Study
P. Sansone, L.G. Giaccari, U. Colella, F. Coppolino, M.C. Pace, M.B. Passavanti, V. Pota, C. Aurilio
The Open Anesthesia Journal.2020; 14(1): 80. CrossRef
The Impact of Obesity on Nighttime Blood Pressure Dipping
Beata Moczulska, Maciej Zechowicz, Sylwia Leśniewska, Karolina Osowiecka, Leszek Gromadziński
Medicina.2020; 56(12): 700. CrossRef
Greater Adherence to Life’s Simple 7 Is Associated With Less Arterial Stiffness: the Atherosclerosis Risk in Communities (ARIC) Study
Abayomi O Oyenuga, Aaron R Folsom, Susan Cheng, Hirofumi Tanaka, Michelle L Meyer
American Journal of Hypertension.2019; 32(8): 769. CrossRef

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