Gender-specific prevalence and associated factors of hypertension among elderly Bangladeshi people: findings from a nationally representative cross-sectional survey

Hanif, Abu Abdullah Mohammad; Shamim, Abu Ahmed; Hossain, Muttaquina; Hasan, M. Tasdik; Khan, Shamshir; Hossaine, Moyazzam; Ullah, Mohammad Aman; Sarker, Suprovath Kumar; Rahman, Shamsur; Mitra, Dipak Kumar; Mridha, Malay K

doi:10.1136/bmjopen-2020-038326

Cited by 15 publications

(21 citation statements)

References 39 publications

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“…20 The study revealed the prevalence of hypertension higher among males compared to female which matched out with the findings from a study conducted in Uttarakhand, India 21 that may be due higher treatment rates among women and males involvement in risky behavior. But contradicted with results from the studies conducted in India 1,13,19,22 and study conducted in low-and middle-income countries. 23 This study showed higher prevalence of hypertension among literate respondents than illiterate.…”

Section: Discussionmentioning

confidence: 59%

Prevalence and Factors Associated with Hypertension

Mishra

Paneru

2021

PAJAR, Pan Am. J. Aging Res.

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Aims: hypertension (HTN) is rapidly emerging as a public health problem among elderly in developing countries. The objective of this study was to assess the prevalence of hypertension and its associated factors among the elderly in Pokhara Metropolitan, Nepal.Methods: a cross-sectional analytical study was carried out to assess hypertension among 323 community dwelling elderly in Pokhara Metropolitan from October 2019 to March 2020. Quota sampling was used to collect the samples. Elderly those who were attending hospitals or with any serious medical conditions were excluded from the study. Face to face interview was done for data collection and anthropometric measurements, and semi structured standard STEPS questionnaires were used as data collection tools. Data were entered in Epi DATA [Version 3.1] and analyzed using SPSS [Version 20] as per data analysis plan. Bivariate logistic regression analysis were conducted and statistical significance was declared at a p-value ≤ 0.05.Results: prevalence of hypertension was reported among 34.4 percent (Male: 39.3%, Female 29%) elderly in Pokhara Metropolitan. The higher proportion of hypertensive cases were in age group 60-69 years (36%). The prevalence of hypertension was significantly associated with ethnicity (OR= 1.74, CI: 1.07-2.83), current alcohol intake (OR= 2.56, CI: 1.30-5.05) and mental stress (OR= 2.25, CI: 1.19-4.28).Conclusion: more than one third of the elderly had hypertension. Ethnicity, current alcohol intake and mental stress are found to be factors associated with hypertension. Periodic screening for early detection of hypertension and implementing health promotion interventions to encourage behavior change among elderly may promote healthy ageing.

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Section: Discussionmentioning

confidence: 59%

Prevalence and Factors Associated with Hypertension

Mishra

Paneru

2021

PAJAR, Pan Am. J. Aging Res.

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“…This finding is similar to a cross-sectional rural study in Bangladesh that found that about 18.8% of Bangladeshi males were hypertensive [ 31 ]. Contrarily, the prevalence of hypertension among females reported is relatively lower than the 56.2% reported by Hanif [ 13 ]. Also, the overall prevalence of obesity (BMI) was 23.2%; 27.1% females and 18.8% males.…”

Section: Discussionmentioning

confidence: 80%

“…About 12 million (18%) of Bangladeshi adults aged 25 and above are hypertensive [ 3 ]. More females (56.2%) than males (43.8%) are hypertensive [ 13 ] and poorly manage high blood pressure (BP) [ 14 ]. Shifts in nutrition increase overnutrition in Bangladesh [ 15 ] as the excessive intake of dietary macro- and micronutrients, overnutrition, alters body fat composition [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Anthropometric Indices and Intermediary Determinants of Hypertension in Bangladesh

Simmons

Hagan

Schack

2021

IJERPH

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Hypertension is a major public health burden in Bangladesh. However, studies considering the underlying multifaceted risk factors of this health condition are sparse. The present study concurrently examines anthropometric parameters and intermediary factors influencing hypertension risk in Bangladesh. Using the 2018 World Health Organisation (WHO) STEPwise approach to non-communicable disease risk factor surveillance (STEPS) study conducted in Bangladesh and involving 8019 nationally representative adult respondents, bivariate and multivariate logistic regression analyses were performed to determine the association between anthropometrics, other intermediary factors and hypertension. The regression results were presented using the odds ratio (OR) and adjusted odds ratio (AOR) at 95% confidence intervals (CIs). The risk of hypertension was higher among females and males who were 40 years and older. However, among females, those who were age 60 years and older were more than twice and thrice more likely to be hypertensive compared to those in the younger age groups (18–39, 40–59). Females who were obese (body mass index [BMI], waist to hip ratio [WHR], waist to height ratio [WHtR]) or had high waist circumference [WC] were twice as likely to be hypertensive. Males and females who were physically active, consuming more fruits and vegetables daily and educated had lower odds of developing hypertension. Key findings suggest that the association between anthropometric indices (body mass index [BMI], waist to hip ratio [WHR], waist to height ratio [WHtR]), waist circumference [WC]), other intermediary determinants (e.g., education, physical activity) and hypertension exist across gender and with increasing age among adults in Bangladesh. Developing appropriate public health interventions (e.g., regular assessment of anthropometric parameters) for early identification of the risk and pattern of hypertension through appropriate screening and diagnosis is required to meet the specific health needs of the adult Bangladesh population.

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“…Further details on sample size calculation, cluster selection and participant enrolment were published elsewhere. 25 Figure 1 demonstrates the process of selecting the study participants for this analysis. Data collection and quality control A structured questionnaire, developed in English, and translated to Bengali, was used.…”

Section: Sample Size and Sampling Techniquesmentioning

confidence: 99%

“…More details on data collection and anthropometric measurements have been described elsewhere. 25 Outcome variable IPA was estimated following the 2010 WHO guidelines on PA. According to the guideline, persons aged 18-64 years, and ≥65 years, are required to perform at least 150 min of moderate intensity, or 75 min of vigorous intensity or an equivalent combination of PA in a week.…”

Section: Sample Size and Sampling Techniquesmentioning

confidence: 99%

Prevalence and associated factors of insufficient physical activity among elderly people in Bangladesh: a nationally representative cross-sectional study

Hanif

Hasan

Khan

et al. 2021

BMJ Open Sport Exerc Med

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ObjectivesInsufficient physical activity (IPA) is a crucial risk factor for non-communicable diseases (NCDs). The elderly population has a higher likelihood of suffering from NCDs. We aimed to estimate the prevalence of and factors associated with IPA among the elderly people in Bangladesh.MethodsWe analysed data from the Bangladesh Food Security and Nutrition Surveillance round 2018–2019, collected from 82 rural, non-slum urban and slum clusters selected using multistage cluster sampling. IPA was defined as <150 min of moderate intensity or <75 min of vigorous intensity or equivalent in a typical week. The weighted prevalence of IPA was estimated by gender and across different variables. Crude and adjusted prevalence ratios were calculated using Poisson regression with robust variance.ResultsThe weighted prevalence of IPA among elderly people was 38.4%, with a slightly higher prevalence in women (39.7% vs 37.3%). Factors associated with higher prevalence of IPA in both sexes were—higher age, living in non-slum urban areas, unemployed or homemaker, not currently married, sedentary behaviour and self-reported hypertension. Further, >10 years of education, inadequate fruits and vegetable consumption, self-reported asthma and higher waist circumference among men; and higher household income and self-reported diabetes among women were associated with a higher prevalence of IPA.ConclusionsIPA is highly prevalent among Bangladeshi elderly men and women. Sedentary behaviour, inadequate fruits and vegetable consumption and higher waist circumference were the modifiable factors of IPA. Evidence from this study can guide the development of appropriate interventions to promote healthy ageing in Bangladesh.

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Gender-specific prevalence and associated factors of hypertension among elderly Bangladeshi people: findings from a nationally representative cross-sectional survey

Cited by 15 publications

References 39 publications

Prevalence and Factors Associated with Hypertension

Prevalence and Factors Associated with Hypertension

The Influence of Anthropometric Indices and Intermediary Determinants of Hypertension in Bangladesh

Prevalence and associated factors of insufficient physical activity among elderly people in Bangladesh: a nationally representative cross-sectional study

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