Awareness and control of hypertension in Bangladesh: follow-up of a hypertensive cohort

Alam, Dewan S.; Chowdhury, Muhammad Ashique Haider; Siddiquee, Ali Tanweer; Ahmed, Shyfuddin; Niessen, Louis

doi:10.1136/bmjopen-2014-004983

Cited by 44 publications

(48 citation statements)

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“…We agree with the author’s suggestions that awareness and simple health messages, increase provider visit, can reduce blood pressure and improve blood pressure control in hypertensive adults [2, 7]. …”

Section: Discussionsupporting

confidence: 57%

Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh

et al. 2017

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BackgroundHypertension is a global health issue and is currently increasing at rapid pace in South Asian countries including Bangladesh. Although, some studies on hypertension have been conducted in Bangladesh, there is a lack of scientific evidence in the adult student population that was missing from the previous and recent national cross-sectional studies. Moreover, the specific risk factors of hypertension in the Bangladeshi adults still need to be investigated. This study was conducted to estimate hypertension prevalence among adult students in Bangladesh and to test the hypothesis of Luke et al. (Hypertension 43:555–560, 2004) that basal metabolic rate (BMR) and blood pressure are positively associated independent of body size.MethodThe data was collected on 184 adult university students (118 female and 66 male) in Dhaka, Bangladesh. Anthropometric, BMR details and an average of at least two blood pressure measurements were obtained. Hypertension was defined by a systolic blood pressure (SBP) ≥ 140 mmHg and/or, diastolic blood pressure (DBP) ≥ 90 mmHg.ResultsOverall, 6.5% of participants had hypertension with significantly (p < 0.001) higher prevalence in male (12.1%) than in the female (3.4%) students. Age and BMI showed positive and significant correlation with hypertension among the students. When adjusted for body mass index (BMI), as well as other potentially confounding variables such as age, sex, smoking status and degree of urbanization, BMR was positively correlated with SBP and DBP (p < 0.001). Thus, higher BMR is associated with SBP and DBP; this is opposite the well documented inverse relationship between physical activity and blood pressure. If the influence of BMR on blood pressure is confirmed, the systematically elevated BMR might be an important predictor that can explain relatively high blood pressure and hypertension in humans.ConclusionThis study reports the prevalence and associated risk factors of hypertension in the Bangladeshi adult students. The study also showed a positive association between BMR and blood pressure among the participants. A large scale longitudinal study across the country is needed to find out the underlying causes of hypertension in the Bangladeshi adults. In addition, comprehensive and integrated intervention programs focusing on modifiable risk factors are recommended to make awareness and prevent hypertension.

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Section: Discussionsupporting

confidence: 57%

Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh

et al. 2017

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“…Bangladesh, a country with a low-income economy of South Asia, has been experiencing a demographic and epidemiological transition with rapid urbanization and globalization and a gradual increase in life expectancy [4, 5]. The common risk factors for CVD, including behavioral, metabolic and physiological risk factors are highly prevalent in Bangladesh [6, 7]. In 2014, 17% of the total deaths in Bangladesh were due to CVD [8].…”

Section: Introductionmentioning

confidence: 99%

Access to primary health care for acute vascular events in rural low income settings: a mixed methods study

Ahmed

Chowdhury

Khan

et al. 2017

BMC Health Serv Res

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BackgroundCardiovascular diseases (CVDs) are the leading cause of global mortality. Among the CVDs, acute vascular events (AVE) mainly ischemic heart diseases and stroke are the largest contributors. To achieve 25% reduction in preventable deaths from CVDs by 2025, health systems need to be equipped with extended service coverage in order to provide person-centered care. The overall goal of this proposed study is to assess access to health care in-terms of service availability, care seeking patterns and barriers to access care after AVE in rural Bangladesh. We will consider myocardial infarction (MI) and stroke as acute vascular events.Methods/DesignWe will conduct a mixed methods study in rural Matlab, Bangladesh. This study will comprise of a) health facility survey, b) structured questionnaire interview and c) qualitative study. We will assess service availabilities by creating an inventory of public and private health facilities. Readiness of the facilities to deliver services for AVE will be assessed through a health facility survey using ‘service availability and readiness assessment’ (SARA) tools of the World Health Organization (WHO). We will interview survivors of AVE and caregivers (present and accompanied the person during the event) of person who died from AVE for exploring patterns of care seeking during an AVE. For exploring barriers to access care for AVE, we will conduct in-depth interview with survivors of AVE and caregivers of the person who died from AVE. We will also conduct key informant interviews with the service providers at primary health care (PHC) facilities and government high level officials at central health administration of Bangladesh.DiscussionThis study will provide a comprehensive picture of access to primary health care services during acute cardiovascular events as stroke & MI in rural context of Bangladesh. It will explore available service facilities in rural area for management, utilization of services and barriers to access care during an acute emergency. This study will help to generate hypothesis, develop programs and policies for better access to care for AVE in similar rural settings considering barriers of access and improving utilization.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-1987-8) contains supplementary material, which is available to authorized users.

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“…19 A number of studies were conducted in different regions of Bangladesh in different institutions and field levels. [20][21][22] Some of the studies were done among the self declared hypertensive patients (previously declared hypertensive by unqualified doctors or qualified doctors). 20,22 They have got different results regarding the level of adherence to anti hypertensive treatments.…”

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confidence: 99%

Nonadherence to Drugs among the Hypertensive Patients in Outpatient Department of a Secondary Hospital of Bangladesh

Ullah¹,

Saha²,

Rahman³

et al. 2019

Cardiovasc. j.

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Background: One fifth Bangladeshi adults are hypertensive. Forty percent of them know that they are hypertensive. 53% to 75% hypertensive people have got uncontrolled hypertension. One of the most important causes of uncontrolled hypertension is nonadherence to drugs. We tried to find the causes of non adherence of drugs among the patients with HTN in a secondary care hospital of Bangladesh. Methods: The study was conducted from March 2018 to June 2018. Total 144 patients with HTN were included in the study. Taking drugs in less than 80% of the days of previous six months was defined as nonadherence. We used Hill Bone compliance scale to find out the causes of nonadherence to drugs. Results: Out of 144 patients 79 patients (55%) were non adherent to drugs. 36.8% patients forget to take their drugs, 34.02% patients run out of drugs, 29.86% patients miss taking drugs when they feel better, 15.27% patients skip their drugs before going to the doctor and 14.58% patients decide not to take drugs anymore without any specific reason. In most of the patients there are more than one causes of nonadherence. 85.9% patients with nonadherence had uncontrolled hypertension and 66.6 % of the nonadherent patients had target organ damage. Nonadherence is more in elderly patients and with increased duration of hypertension. Conclusion: Fifty five percent of the diagnosed hypertensive population is nonadherent to their drugs. We must take measures to diagnose HTN among our population and find the ways to make them adherent to their treatment. Cardiovasc. j. 2019; 11(2): 105-113

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Awareness and control of hypertension in Bangladesh: follow-up of a hypertensive cohort

Cited by 44 publications

References 22 publications

Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh

Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh

Access to primary health care for acute vascular events in rural low income settings: a mixed methods study

Nonadherence to Drugs among the Hypertensive Patients in Outpatient Department of a Secondary Hospital of Bangladesh

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