Epidemiology of hypertension among Bangladeshi adults using the 2017 ACC/AHA Hypertension Clinical Practice Guidelines and Joint National Committee 7 Guidelines

Islam, Jessica Y.; Zaman, M Mostafa; Haq, Syed Atiqul; Ahmed, Shamim; Al-Quadir, Zahid

doi:10.1038/s41371-018-0087-5

Cited by 54 publications

(48 citation statements)

References 51 publications

(51 reference statements)

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“…In Bangladesh, the prevalence of hypertension among a nationally representative sample of 1843 adults studied in 2015 aged 18 years and over was 17.9% using the JNC7 guidelines. This increased to 40.7% when the 2017 ACC/AHA definition was applied (Islam et al, 2018). Similarly, in the United States and China respectively, applying the new guidelines led to a 26.8% and 45.1% increase in the prevalence of hypertension as demonstrated by Khera et al in their observational study of nationally representative data (Khera et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of hypertension among office workers in a multi-national company in the Niger-Delta with the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines

Ofori

Obosi²

2019

Preventive Medicine Reports

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The 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guidelines propose a new classification of blood pressure (BP). The objective was to compare the prevalence of hypertension among staff of a multinational oil/gas company in Niger-Delta, Nigeria using the 2017 ACC/AHA guidelines and the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC7) guidelines. Cross-sectional analysis of 235 individuals who presented for their annual medical review between March 2017 and February 2018 was done. Demographic, medical and family history data were obtained with a questionnaire. Blood pressure was measured using the recommended procedure. Fasting blood samples were analysed for blood glucose and lipids. Ten-year cardiovascular risk was estimated with the 2008 modified Framingham risk score (FRS). The prevalence of hypertension using the JNC7 and the 2017 ACC/AHA guidelines was 25.9% and 53.9% respectively. With the former, family history of hypertension and increased BMI were independently significantly associated with hypertension. With the latter, male gender, family history of hypertension, BMI and physical inactivity were significant predictors of hypertension. 184 (78.3%) were categorised as low CVD risk, 38 (16.2%) intermediate risk and 13 (5.5%) high risk for CVD. The 2017 ACC/AHA guidelines doubled the prevalence of hypertension from 25.9% to 53.9%. Adoption of this guideline will necessitate careful consideration of the consequences of labeling individuals as hypertensive as well as an increment of the health care budget provided by companies for its staff to meet the increased burden of hypertension.

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Section: Discussionmentioning

confidence: 99%

Prevalence of hypertension among office workers in a multi-national company in the Niger-Delta with the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines

Ofori

Obosi²

2019

Preventive Medicine Reports

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“…An SBP of ≥140 mm Hg or a DBP ≥90 mm Hg in a study participant taking antihypertensive medication was considered as uncontrolled hypertension. An individual with SBP ≥140 mm Hg or DBP ≥90 mm Hg with no history of taking antihypertensive medication was considered as newly identified or unaware of hypertension 28 29. The participants with high measured BP were referred to the hospital for further evaluation and care.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study

Khanam

Ahmed²,

Rahman³

et al. 2019

BMJ Open

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ObjectivesLow-income and middle-income countries are undergoing epidemiological transition, however, progression is varied. Bangladesh is simultaneously experiencing continuing burden of communicable diseases and emerging burden of non-communicable diseases (NCDs). For effective use of limited resources, an increased understanding of the shifting burden and better characterisation of risk factors of NCDs, including hypertension is needed. This study provides data on prevalence and factors associated with hypertension among males and females 35 years and older in rural Bangladesh.MethodsThis is a population-based cross-sectional study conducted in Zakiganj and Kanaighat subdistricts of Sylhet district of Bangladesh. Blood pressure was measured and data on risk factors were collected using STEPS instrument from 864 males and 946 females aged 35 years and older between August 2017 and January 2018. Individuals with systolic blood pressure of ≥140 mm Hg or diastolic blood pressure of ≥90 mm Hg or taking antihypertensive drugs were considered hypertensive. Bivariate and multivariate analyses were performed to identify factors associated with hypertension.ResultsThe prevalence of hypertension was 18.8% (95% CI 16.3 to 21.5) and 18.7% (95% CI 16.3 to 21.3) in adult males and females, respectively. Among those who were hypertensive, the prevalence of controlled, uncontrolled and unaware/newly identified hypertension was 23.5%, 25.9% and 50.6%, respectively among males and 38.4%, 22.6% and 39.0%, respectively among females. Another 22.7% males and 17.8% females had prehypertension. Increasing age and higher waist circumference (≥90 cm for males and ≥80 cm for females) were positively associated with hypertension both in males (OR 4.0, 95% CI 2.5 to 6.4) and females (OR 2.8, 95% CI 2.0 to 4.1).ConclusionsIn view of the high burden of hypertension and prehypertension, a context-specific scalable public health programme including behaviour change communications, particularly to increase physical activity and consumption of healthy diet, as well as identification and management of hypertension needs to be developed and implemented.

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“…Data for this analysis were collected as part of a national assessment of the burden of musculoskeletal disorders in Bangladesh conducted by investigators from the Bangabandhu Sheikh Mujib Medical University with technical assistance from WHO Country Office for Bangladesh, as previously described 16. The study was a population-based cross-sectional study carried out from November to December 2015 and followed WHO STEPwise approach to Surveillance of NCD risk factors (STEPS) 17.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and determinants of hyperglycaemia among adults in Bangladesh: results from a population-based national survey

et al. 2019

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ObjectivesWith the increasing burden of non-communicable diseases in low-income and middle-income countries, biological risk factors, such as hyperglycaemia, are a major public health concern in Bangladesh. Hyperglycaemia is an excess of glucose in the bloodstream and is often associated with type 2 diabetes mellitus. Nationally representative data of hyperglycaemia prevalence starting from age ≥18 years are currently unavailable for Bangladeshi adults. The objective of this study was to assess the prevalence and determinants of hyperglycaemia among adults in Bangladesh aged ≥18 years.Study designCross-sectional, population-based study.Setting and participantsData for this analysis were collected in November to December 2015, from a population-based nationally representative sample of 1843 adults, aged ≥18 years, from both urban and rural areas of Bangladesh. Demographic information, capillary blood glucose, blood pressure, height, weight, waist circumference and treatment history were recorded.Primary outcome measuresHyperglycaemia was defined as a random capillary blood glucose level of ≥11.1 mmol/L (ie, in the diabetic range) or currently taking medication to control type 2 diabetes, based on self-report.ResultsOverall, the prevalence of hyperglycaemia was 5.5% (95% CI 4.5% to 6.6%) and was significantly higher among urban (9.8%, 95% CI 7.7% to 12.2%) than rural residents (2.8%, 95% CI 1.9% to 3.9%). The age-standardised prevalence of hyperglycaemia was 5.6% (95% CI 4.6% to 6.8%). Among both urban and rural residents, the associated determinants of hyperglycaemia included hypertension and abdominal obesity. About 5% of the total population self-reported have been previously diagnosed with type 2 diabetes; among these adults, over 25% were not taking medications to control their diabetes.ConclusionsOur study found that about 1 in 20 Bangladeshi adults aged ≥18 years have hyperglycaemia. To control and prevent the development of type 2 diabetes, data from this study can be used to inform public health programming and provide descriptive information on surveillance of progress towards controlling diabetes in Bangladesh.

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Epidemiology of hypertension among Bangladeshi adults using the 2017 ACC/AHA Hypertension Clinical Practice Guidelines and Joint National Committee 7 Guidelines

Cited by 54 publications

References 51 publications

Prevalence of hypertension among office workers in a multi-national company in the Niger-Delta with the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines

Prevalence of hypertension among office workers in a multi-national company in the Niger-Delta with the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines

Prevalence and factors associated with hypertension among adults in rural Sylhet district of Bangladesh: a cross-sectional study

Prevalence and determinants of hyperglycaemia among adults in Bangladesh: results from a population-based national survey

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