Prevalence, awareness, risk factors and control of hypertension in Nepal from 2000 to 2020: A systematic review and meta-analysis

Shrestha, Dhan Bahadur; Budhathoki, Pravash; Sedhai, Yub Raj; Baniya, Abinash; Lamichhane, Sandesh; Shahi, Manoj; Karki, Bibodh Jung; Baniya, Ramkaji; Patel, Nimesh

doi:10.1016/j.puhip.2021.100119

Cited by 7 publications

(7 citation statements)

References 49 publications

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“…Nepal is a LMIC in South Asia with an estimated population of 29 million people. It had an overall pooled prevalence of hypertension of 28.5% in 2021 [5]. However, around half of patients in Nepal diagnosed with hypertension have uncontrolled BP [5,6], significantly contributing to mortality rates and the burden of the disease [7].…”

Section: Introductionmentioning

confidence: 99%

“…It had an overall pooled prevalence of hypertension of 28.5% in 2021 [5]. However, around half of patients in Nepal diagnosed with hypertension have uncontrolled BP [5,6], significantly contributing to mortality rates and the burden of the disease [7]. Major contributors to uncontrolled BP are poor adherence to antihypertensive medication [8], unhealthy diet (high salt, low fruit and vegetable intake) [9] and physical inactivity [10].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness and Acceptability of a Mobile Phone Text Messaging Intervention to Improve Blood Pressure Control (TEXT4BP) among Patients with Hypertension in Nepal: A Feasibility Randomised Controlled Trial

Bhandari

Narasimhan

Jayasuriya

et al. 2022

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Background: Uncontrolled blood pressure (BP) is the leading cause of preventable deaths in low-and middle-income countries. mHealth interventions, such as mobile phone text messaging, are a promising tool to improve BP control, but research on feasibility and effectiveness in resource-limited settings remains limited.Objective: This feasibility study assessed the effectiveness and acceptability of a mobile phone text messaging intervention (TEXT4BP) to improve BP control and treatment adherence among patients with hypertension in Nepal. Methods:The TEXT4BP study was a two-arm, parallel-group, unblinded, randomised controlled pilot trial that included 200 participants (1:1) (mean age: 50.5 years, 44.5% women) with hypertension at a tertiary referral hospital in Kathmandu, Nepal. Patients in the intervention arm (n = 100) received text messages three times per week for three months. The control arm (n = 100) received standard care. The COM-B model informed contextual co-designed text messages. Primary outcomes were change in BP and medication adherence at three months. Secondary outcomes included BP control, medication adherence self-efficacy and knowledge of hypertension. A nested qualitative study assessed the acceptability of the intervention.Results: At three months, the intervention group had greater reductions in systolic and diastolic BP vs usual care [-7.09/-5.86 (p ≤ 0.003) vs -0.77/-1.35 (p ≥ 0.28) mmHg] [adjusted difference: systolic β = -6.50 (95% CI, -12.6; -0.33) and diastolic BP β = -4.60 (95% CI, -8.16; -1.04)], coupled with a greater proportion achieving target BP (70% vs 48%, p = 0.006). The intervention arm showed an improvement in compliance to antihypertensive therapy (p < 0.001), medication adherence (p < 0.001), medication adherence self-efficacy (p = 0.023) and knowledge on hypertension and its treatment (p = 0.013). Participants expressed a high rate of acceptability and desire to continue the TEXT4BP intervention. Conclusion:The TEXT4BP study provides promising evidence that text messaging intervention is feasible, acceptable, and effective to improve BP control in low-resource settings.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness and Acceptability of a Mobile Phone Text Messaging Intervention to Improve Blood Pressure Control (TEXT4BP) among Patients with Hypertension in Nepal: A Feasibility Randomised Controlled Trial

Bhandari

Narasimhan

Jayasuriya

et al. 2022

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“…8 The results of the study showed that awareness, adherence to treatment, and the ability to control blood pressure were still low. 9 Only 39.64% of hypertensive patients have well-controlled blood pressure. 3 Adherence to a low-salt diet was also found to be only 22%.…”

Section: Introductionmentioning

confidence: 99%

Self-care Experience in Hypertensive Patients

Afik

Fikriana²

2021

Bali Med J.

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Introduction: Self-care is an important component to control blood pressure in people with hypertension. Low self-care ability will have an impact on increasing the risk of complications. The purpose of this study was to explore the experiences of hypertensive patients in self-care.Methods: The study used a qualitative method with a phenomenological approach. Nine hypertensive patients were taken by purposive sampling technique. The data collection was using semi-structured interviews. Thematically analyzed data based on transcribed interview data.Results: The results of the study obtained six themes related to self-care, namely perceptions of the causes of recurrence, emotional responses, social support, accessibility of health-care services, self-care behavior and barriers of self-care.Conclusions: Self-care in hypertensive patients is influenced by the availability of social support from both family and health workers as well as the affordability of health-care services. The implication of this study is the need to improve a good support system, especially from nurses to be able to minimize the barriers felt by patients so as to improve self-care abilities

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“…[9] Similarly, another systematic review and meta-analysis showed 27.4% of the people in Nepal have a prehypertensive range of elevated blood pressure. [10] Prehypertension has been associated with many factors such as age, sex, waist circumference, socioeconomic status, obesity, lesser physical activity etc. [11][12][13] According to the Teheran Lipid and Glucose Study (TLGS), the incidence of pre-HTN was higher in older age groups and in those who has higher body mass index (BMI), higher blood pressure, higher total cholesterol, and higher fasting blood glucose.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of prehypertension and its associated risk factors among students of a nursing campus in Nepal

Pun

Thapa

2021

J. Physiol. Soc. Nep.

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Introduction: Prehypertension is an early indicator of hypertension and subsequently the increased risk factor for cardiovascular diseases in later years of life. Prevalence of prehypertension and hypertension was found to be higher among adults in Nepal. However it is not much explored among the young population focusing on gender, hence requiring more studies to control it efficiently. Thus, this study aims to determine the prevalence of prehypertension and its associated risk factors among nursing students. Materials and methods: A cross-sectional study was conducted among the nursing students of Nepalgunj Nursing Campus, Banke, Nepal. Blood pressure measurement and anthropometric measurement was done for data collection. Descriptive analysis, Pearson correlation and chi square test was done using SPSS v20. Results: Total 189 female nursing students participated whose mean age was 22.06±3.42 years. Only 21 participants (11.1%) had prehypertension. Out of total, 36 (19%) were overweight and 11 (5.8%) were obese; 56 (29.6%) had a high waist hip ratio and 75 (39.7%) of the participants had family history of hypertension. There was no significant association of prehypertension with body mass index, waist hip ratio and family history of hypertension. However, the systolic blood pressure was moderately and positively correlated with waist circumference (r=0.215, p=0.003), hip circumference (r=0.222, p=0.002) and body mass index (r=0.237, p=0.001) but not with waist-hip ratio. Similarly, the diastolic blood pressure was also moderately and positively correlated with waist circumference (r=0.309, p<0.001), hip circumference (r=0.269, p<0.001), body mass index (r=0.269, p<0.001) and waist hip ratio (r=0.178, p=0.014). Conclusions: Although the prevalence of prehypertension among nursing students is low and there are no significantly associated risk factors, blood pressure is still correlated with the anthropometric measurements.

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Prevalence, awareness, risk factors and control of hypertension in Nepal from 2000 to 2020: A systematic review and meta-analysis

Cited by 7 publications

References 49 publications

Effectiveness and Acceptability of a Mobile Phone Text Messaging Intervention to Improve Blood Pressure Control (TEXT4BP) among Patients with Hypertension in Nepal: A Feasibility Randomised Controlled Trial

Effectiveness and Acceptability of a Mobile Phone Text Messaging Intervention to Improve Blood Pressure Control (TEXT4BP) among Patients with Hypertension in Nepal: A Feasibility Randomised Controlled Trial

Self-care Experience in Hypertensive Patients

Prevalence of prehypertension and its associated risk factors among students of a nursing campus in Nepal

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