Awareness, Prevalence, Treatment, and Control of Hypertension in Western Nepal.
Am J Hypertens
; 30(9): 907-913, 2017 Sep 01.
Article
em En
| MEDLINE
| ID: mdl-28531244
ABSTRACT
BACKGROUND:
Hypertension is a significant contributor to cardiovascular and renal diseases. In low-income settings like Nepal, there are few epidemiological studies assessing hypertension burden. Thus, the purpose was to determine prevalence, awareness, treatment, and control of hypertension in Nepal.METHODS:
A cross-sectional survey was conducted in semi-urban area of western Nepal among randomly selected participants, aged between 25 and 65 years. Systolic blood pressure (BP) ≥140 mm Hg and/or diastolic BP of ≥90 mm Hg and/or taking current antihypertensive medicine defined as hypertension.RESULTS:
Study included 2,815 participants, 1,844 were women. The age- and sex-adjusted prevalence of hypertension was 28%. Of the study participants, 17% were daily smokers, 12% harmful alcohol drinkers, 90% consuming low levels of fruit and/or vegetable, and 7% reported low physical activity. Among hypertensive participants, 46% were aware of their preexisting hypertension, 31% were on hypertensive medication, and 15% met BP control targets. Increasing age (odds ratio [OR] 1.07, 95% confidence interval [CI] 1.06; 1.08), higher body mass index (OR 1.09, 95% CI 1.06; 1.12), men (OR 1.63, 95% CI 1.25; 2.14), harmful alcohol intake (Or 2.46; 95% CI 1.73; 3.51), family history of hypertension (OR 1.42; 95% CI 1.14; 1.76), and diabetes (OR 2.08, 95% CI 1.30; 3.33) were independently associated with hypertension.CONCLUSIONS:
The prevalence of hypertension was found high in western Nepal. A number of risk factors were identified as possible drivers of this burden. Thus, there is an urgent need to address modifiable risk factors in semi-urban settings of western Nepal.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Conscientização
/
Pressão Sanguínea
/
Conhecimentos, Atitudes e Prática em Saúde
/
Hipertensão
/
Anti-Hipertensivos
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Am J Hypertens
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Dinamarca