期刊
JOURNAL OF CLINICAL HYPERTENSION
卷 23, 期 12, 页码 2042-2052出版社
WILEY
DOI: 10.1111/jch.14386
关键词
Bangladesh; hypertension; prehypertension; risk factors; WHO PEN
资金
- Noncommunicable Diseases Control Program, Directorate General of Health Services (DGHS), Ministry of Health & Family Welfare, Government of the People's Republic of Bangladesh [2018-2019/ 2018/5214/SP-01]
This study found that one-fourth of rural adults in Bangladesh had prehypertension and hypertension, with common significant predictors being age, family history of hypertension, physical inactivity, obesity, and diabetes.
This cross-sectional study estimated the prevalence of high blood pressure (BP) and examined its predictors at baseline following protocol 1 (actions 1 and 2) of World Health Organization (WHO) Package of Essential Noncommunicable Disease (PEN) Interventions in a selected rural area of Bangladesh. A total of 11 145 adults (both sex and age >= 18 years) completed both the questionnaire and clinical measurements at the household and community clinics, respectively. We defined high BP as systolic BP >= 120 mmHg or diastolic BP >= 80 mmHg, prehypertension (pre-HTN) as systolic BP 120-139 mmHg or diastolic BP 80-89 mmHg, and hypertension (HTN) as systolic BP >= 140 mmHg or diastolic BP >= 90 mmHg and/or anti-hypertensive drug intake for the raised BP. The prevalence of high BP was 51.2% (pre-HTN, 25.3%; HTN, 25.9%). Among them, the proportion of pre-HTN was higher among men (28.7%) while HTN was higher among women (27.4%). Other than fast food intake (pre-HTN, OR: 1.110, P = .063) and women sex (HTN, OR: 1.236, P < .001), the pre-HTN and HTN had higher odds for having same predictors as follows: age >= 40 years, family history of HTN, physical inactivity, central obesity, generalized obesity, and diabetes. In conclusion, the application of WHO PEN protocol 1 detected one-fourth of the rural adult population had pre-HTN and HTN respectively, and the common significant predictors of those were the age, family history of HTN, physical inactivity, generalized obesity, and diabetes.
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