Clustering of metabolic factors among the patients with essential hypertension

Siddique, Md. Abu Bakar; Sultan, Md Ashraf Uddin; Haque, Kmhs Sirajul; Zaman, M Mostafa; Ahmed, Chaudhury Meshkat; Rahim, Md. Abdur; Salman, Mohammad

doi:10.3329/bmrcb.v34i3.1856

Cited by 9 publications

(13 citation statements)

References 20 publications

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“…15 On the other hand, incidence of metabolic syndrome is higher in hypertensive subjects in comparison to the general population; in a study among hypertensive patients, 31.7% had hyperglycaemia, 38.7% high waist circumference, 68.8% low high density lipoprotein (HDL) cholesterol and 55.3% high triglycerides. 17 Serum total cholesterol, triglyceride, and LDL-cholesterol were markedly raised (P < 0.001) whereas HDL-cholesterol was significantly lower (P < 0.001) in hypertensive as compared to control subjects in a study investigating serum lipid profile in hypertensive subjects. 18 Tobacco consumption is quite common in Bangladesh: prevalence is 51% for any form, 26.2% for smoking, and 31.7% for smokeless tobacco.…”

Section: Lifestyle-related Factorsmentioning

confidence: 99%

Hypertension in Bangladesh: a review

Islam

Majumder

2012

Indian Heart Journal

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A B S T R A C THypertension (HTN) is an increasingly important medical and public health problem. In Bangladesh, approximately 20% of adult and 40-65% of elderly people suffer from HTN. High incidence of metabolic syndrome, and lifestyle-related factors like obesity, high salt intake, and less physical activity may play important role in the pathophysiology of HTN. The association of angiotensin-converting enzyme (ACE) gene polymorphism and low birth weight with blood pressure has been studied inadequately. Studies have found relationship between mass arsenic poisoning and HTN. Hypovitaminosis D presumably plays role in the aetiopathogenesis of HTN in Bangladeshi population. South Asians appear to respond to antihypertensive therapy in a similar manner to the Whites. The latest National Institute for Health and Clinical Excellence guideline advocates a calcium-channel blocker as step 1 antihypertensive treatment to people aged ≥ 55 years and an ACE inhibitor or a low-cost angiotensin-II receptor blocker for the younger people. Calcium-channel blockers and beta-blockers have been found to be the most commonly prescribed antihypertensive drugs in Bangladesh. Non-adherence to the standard guidelines and irrational drug prescribing are likely to be important. On the other hand, non-adherence to antihypertensive treatment is quite high. At the advent of the new millennium, we are really unaware of our real situation. Large-scale, preferably, nation-wide survey and clinical research are needed to explore the different aspects of HTN in Bangladesh.

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Section: Lifestyle-related Factorsmentioning

confidence: 99%

Hypertension in Bangladesh: a review

Islam

Majumder

2012

Indian Heart Journal

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“…Classically it used 5A strategies (ask, advise, assess, assist, and arrange) in local language (Bangla). 6,9 Between October 2004 and September 2014 a total of 259 patients registered in the hypertension clinic. They were routinely asked to come for follow up at four weeks interval.…”

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confidence: 99%

Hypertension Clinic Service is a Good Opportunity for Tobacco Cessation in Bangladeshi Villagers

Zaman¹,

Ahmed²,

Choudhury³

et al. 2016

Cardiovasc. j.

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Background: Tobacco use and hypertension are common and co-existent in Bangladeshi population. This study was done to assess whether a brief counseling by non-medical counselors during checkup visits for hypertension treatment can reduce tobacco use in Bangladeshi adults living in a village.Methods: This study was done in a public health clinic located in a village of Bangladesh. Consecutive 259 hypertensive patients visiting this clinic for hypertension treatment were counseled for lifestyle modification at entry and four follow-up visits at an interval of four weeks. Tobacco users were counseled for five minutes to quit tobacco use at each visit as per a cessation booklet in Bangla. Data on tobacco use, smoking and smokeless, were recorded at all visits.Results: Median age of the respondents was 55 years (in range, 18- 85 years) and three-quarter of them were women. The prevalence of tobacco use in first visit was 40.5% which declined to 1.9% on their fifth visit. Major decline was observed due to smokeless tobacco quitting; its prevalence dropped from 33.2% to 0.4%. However smoking was relatively resistant; it declined from 10.4% to 1.5% only.Conclusion: Tobacco cessation by a simple counseling has been found to be very successful in this village level public health clinic of Bangladesh. This can be replicated in similar settings such as community clinics.Cardiovasc. j. 2016; 9(1): 19-22

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“…The higher prevalence among women may be due higher prevalence of obesity among women, and also the relatively sedentary life style of women in this part of the world, from socio cultural barriers in which women do not engage in work related physical activities. A few studies however reported equal prevalence between gender and even a male preponderance, which may be probably, due to different methodologies ( Alegria et al, 2005;Ohta et al, 2007;Badr et al, 2007;Abu et al, 2008;Fezeu et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of metabolic syndrome among hypertensive patients attending a tertiary hospital in Kano, Nigeria

Saidu¹,

Kabir²

2017

jmms

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Hypertension is the most common and important cardiovascular disease (CVD) risk factor, frequently clustering with other risk factors to increase cardiovascular disease morbidity and mortality. This study therefore, aimed to assess the prevalence of metabolic syndrome (MS) among hypertensive subjects using the criteria of the National Cholesterol Education Program's Adult Treatment Panel III(NCEP -ATP III)in a tertiary hospital, in Kano, North -Western Nigeria. This was a cross-sectional study conducted at the hypertensive clinic of Murtala Muhammad Specialist Hospital, Kano. Structured pretested interviewer administered questionnaire was used for data collection. A population of 240 hypertensive patients ( 119 males and 121 females) over the age of 18 years were screened for metabolic syndrome by determining the body mass index (BMI), waist circumference, levels of fasting plasma glucose and fasting plasma lipids. Out of the 240 patients studied, 92(38.2%) patients met the criteria for metabolic syndrome. 26(28.6%) of them were males and 66(71.4%) were females. Type II diabetes mellitus was found in 85(35.8%), impaired fasting glucose in 18(7.5%), high plasma triglycerides in 58(24.4%) and low high density lipoprotein cholesterol in 79(33%).Obesity was found in 105(43.8%). The prevalence of metabolic syndrome among hypertensives in Kano is high. Therefore, regular screening and control of hypertension and other CVD risk factors is necessary to prevent complications.

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Clustering of metabolic factors among the patients with essential hypertension

Cited by 9 publications

References 20 publications

Hypertension in Bangladesh: a review

Hypertension in Bangladesh: a review

Hypertension Clinic Service is a Good Opportunity for Tobacco Cessation in Bangladeshi Villagers

Prevalence and characteristics of metabolic syndrome among hypertensive patients attending a tertiary hospital in Kano, Nigeria

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