Prehypertension Among Middle-Aged and Elderly People in Taiwan: A Five-Year Follow-Up

Liu, Li Kuo; Peng, Li Ning; Chen, Liang Kung; Hwang, Shinn Jang; Chiou, Shu Ti

doi:10.5551/jat.2832

Cited by 14 publications

(10 citation statements)

References 27 publications

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“…On the contrary, the prehypertension estimate in our sample was lower when compared with the results reported from Taiwan (35.8%), U.S.A. (36.3%) and China (38.4% and 44.1%) [6,7,13,17-23]. However, the present findings contradict the Jamaica Study’s gender specific pattern whereby men (35.0%) rather than women (25.0%) exhibited higher percentages of pre-hypertension [6].…”

Section: Discussioncontrasting

confidence: 97%

The prevalence of pre-hypertension and its association to established cardiovascular risk factors in south of Iran

Rahmanian

Shojaie

2012

BMC Res Notes

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BackgroundPre-hypertension is associated with an increased risk of the development of hypertension and subsequent cardiovascular disease and raises mortality risk. The aim of this study was to determine the prevalence of pre-hypertension and to explore the associations between pre-hypertension and established cardiovascular risk factors in a population-based sample of Iranian adults.MethodsIn this cross-sectional study a representative sample of 892 participants aged ≥30 years was selected using a multistage cluster sampling method. After completion of a detailed demographic and medical questionnaire (gender, age, history of diabetes mellitus and hypertension, taking antihypertensive or hypoglycemic agents and history of smoking), all participants were subjected to physical examination, blood lipid profile, blood glucose, anthropometric and smoking assessments, during the years 2009 and 2010. Variables were considered significant at a p-value ≤ 0.05. Statistical analysis was performed using SPSS version 11.5 software.ResultsPre-hypertension was observed among 300 (33.7%) subjects, 36.4% for men and 31.4% for women (p > 0.05). The pre-hypertensive group had higher levels of blood glucose and triglycerides, higher body mass index and lower percentage of smoking than did the normotensive group. Multivariate logistic regression analysis showed that obesity and overweight were the strongest predictors of pre-hypertension [odds ratio, 2.74: 95% CI (Confidence Interval), 1.62 to 4.62 p < 0.001; odds ratio, 2.56, 95% CI, 1.74 to 3.77, p < 0.001 respectively].ConclusionsOverweight and obesity are major determinants of the high prevalence rate of pre-hypertension detected in Iranian population. Therefore, primary prevention strategies should concentrate on reducing overweight and obesity if the increased prevalence of pre-hypertension is to be diminished in Iranian adults.

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Section: Discussioncontrasting

confidence: 97%

The prevalence of pre-hypertension and its association to established cardiovascular risk factors in south of Iran

Rahmanian

Shojaie

2012

BMC Res Notes

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“…Prehypertension affected about one third (35.7%) of suburban adults in Beijing, and the prevalence was higher in men than in women in all age categories, which is generally consistent with other published studies (30% in Jamaica, 16 31% in the United States, 17 31.6% in Korea, 18 32% in Japan, 19 35.8% in Taiwan, 20 and 40% in the Ashanti region of Ghana). 21 The results of these studies reveal that the prevalence of prehypertension is high in both developed and developing countries, and that prevalence in developing countries is rapidly approaching that in developed countries.…”

Section: Discussionsupporting

confidence: 91%

Prehypertension and Clustering of Cardiovascular Risk Factors Among Adults in Suburban Beijing, China

Zhang

et al. 2011

Journal of Epidemiology

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Background: Prehypertension is common in China and is associated with an increased risk of cardiovascular disease. The present study estimated the current prevalence of prehypertension and its association with clustering of other modifiable cardiovascular risk factors (CRFs) among adults in suburban Beijing. Methods: A cross-sectional survey of a representative sample of 19 003 suburban adults aged 18 to 76 years was carried out in 2007. Questionnaire data and information on blood pressure, anthropometric characteristics, and laboratory measurements were collected. Results: The age-standardized prevalence of prehypertension was 35.7% (38.2% in men and 31.8% in women) among adults in suburban Beijing. The prevalence of overweight/obesity, diabetes, dyslipidemia, and physical inactivity was higher in participants with prehypertension (26.7%, 4.8%, 34.3%, and 60.4%, respectively) as compared with normotensive participants (15.9%, 2.7%, 20.5%, and 29.1%, respectively), and in participants with hypertension as compared with those with prehypertension. Overall, 85.3%, 49.8%, and 17.8% of prehypertensive men had 1 or more, 2 or more, and 3 or more CRFs (overweight/obesity, diabetes, dyslipidemia, current smoking, and physical inactivity). These proportions were higher than those in normotensive men (81.5%, 45.1%, and 13.4%) and lower than those in men with hypertension (91.7%, 56.4%, 19.2%). Similar results were found when women with prehypertension were compared with women who were normotensive or hypertensive. Conclusions: A high prevalence of prehypertension and clustering of other modifiable CRFs are common among prehypertensive adults in suburban Beijing. More-effective population-based lifestyle modifications are required to prevent progression to hypertension and reduce the increasing burden of cardiovascular disease in China.

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“…18 A recent study conducted in 5 Indian cities showed that the prevalence of prehypertension in Indian adults was only 28.7% (27.2% in women, and 30.0% in men). 19 Other published studies in developed countries of Asia reported that the prevalence of prehypertension was 31.6% in Korea, 20 32% in Japan, 21 and 35.8% in Taiwan, 22 which are all lower values than the prehypertension percentage in the present study. Even compared with results from Europe and America, the prevalence of prehypertension in urban Chinese adults in northeast China is still higher.…”

Section: Discussioncontrasting

confidence: 51%

Epidemiology of Prehypertension and Associated Risk Factors in Urban Adults From 33 Communities in China

Meng

Dong

et al. 2012

Circ J

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Prehypertension Among Middle-Aged and Elderly People in Taiwan: A Five-Year Follow-Up

Cited by 14 publications

References 27 publications

The prevalence of pre-hypertension and its association to established cardiovascular risk factors in south of Iran

The prevalence of pre-hypertension and its association to established cardiovascular risk factors in south of Iran

Prehypertension and Clustering of Cardiovascular Risk Factors Among Adults in Suburban Beijing, China

Epidemiology of Prehypertension and Associated Risk Factors in Urban Adults From 33 Communities in China

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