Prevalence of and factors associated with hypertension according to JNC 7 and ACC/AHA 2017 guidelines in Bangladesh

Rahman, Md. Ashfikur; Halder, Henry Ratul; Yadav, Uday Narayan; Mistry, Sabuj Kanti

doi:10.1038/s41598-021-94947-2

Cited by 19 publications

(35 citation statements)

References 39 publications

(38 reference statements)

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“…39 A recent study found that the prevalence of prehypertension among Bangladeshi individuals aged 25 years and above is 31.9%. 20 Therefore, although most previous studies reported that older age groups have higher odds of having prehypertension and hypertension than their younger counterparts, 19,26,33,36,37 the current study proves the prevalence of hypertension and prehypertension among young adults are not as low as generally predicted. Our study shows that the prevalence of hypertension and prehypertension among young adults aged 31-34 years is almost similar to that among older adults.…”

Section: Discussioncontrasting

confidence: 50%

“…The independent variables included in the study were selected based on previous literature reporting the risk of developing hypertension in populations of LMICs. 18,19,29,30,[33][34][35][36][37] The household-level factors included: administrative division (Barisal, Chittagong, Dhaka, Khulna, Mymensingh, Rajshahi, Rangpur, Sylhet), place of residence (urban, rural), and wealth status (poor, middle, rich). Socioeconomic and individual-level factors were: sex of participants (male, female), age of participants in years (18-20, 21-24, 25-30, 31-34), education level (no education, primary, secondary, higher), and occupational status (not working, working).…”

Section: Independent Variablesmentioning

confidence: 99%

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Prevalence of and factors associated with prehypertension and hypertension among Bangladeshi young adults: An analysis of the Bangladesh Demographic and Health Survey 2017–18

Rahman

Parvez

Halder

et al. 2021

Clinical Epidemiology and Global Health

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Background: Hypertension is the major cause of cardiovascular diseases and premature mortality worldwide. Emerging evidence shows that young adults are increasingly at risk of hypertension alongside the older population. Most of the previous studies reported the prevalence and risk factors of hypertension among the older population aged above 35 years. Objective: We aimed to estimate the prevalence of prehypertension and hypertension with their correlates among young Bangladeshi adults aged between 18 and 34 years. Methods: This study used data of 5394 young adults aged between 18 and 34 years from the most recent round (2017-18) of the Bangladesh Demographic and Health Survey. Prehypertension and hypertension were defined according to the Joint National Committee 7 cut-off points. Results: The prevalence of prehypertension and hypertension was 33.4% and 9.7%, respectively. No difference was observed in the prevalence of hypertension among younger adults from rural and urban areas (9.7% vs. 9.6%). Hypertension was slightly more prevalent among males (10.6%) compared to females (9.2%). Relatively older age (25-30 years and 31-34 years), being male, and having a higher body mass index (i.e., overweight/ obese) were identified as the risk factors associated with prehypertension and hypertension after adjusting for all confounders in multivariate logistic regression models. Conclusions: One out of ten young Bangladeshi adults was hypertensive, while one out of three was prehypertensive. The findings of the present study warrant the need for early prevention, detection, and treatment of hypertension among young adults in Bangladesh.

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Section: Discussioncontrasting

confidence: 50%

Section: Independent Variablesmentioning

confidence: 99%

Prevalence of and factors associated with prehypertension and hypertension among Bangladeshi young adults: An analysis of the Bangladesh Demographic and Health Survey 2017–18

Rahman

Parvez

Halder

et al. 2021

Clinical Epidemiology and Global Health

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“…High BMI and hypertension are important factors of diabetes reported in most of the previous studies 8 11 32 37 39 52 53. Our study findings also pointed out that with higher BMI have a greater likelihood of having diabetes compared with normal-weight adults in both 2011 and 2018 54–57…”

Section: Discussionsupporting

confidence: 69%

“… 8 11 32 37 39 52 53 Our study findings also pointed out that with higher BMI have a greater likelihood of having diabetes compared with normal-weight adults in both 2011 and 2018. 54–57 …”

Section: Discussionmentioning

confidence: 99%

Diabetes among adults in Bangladesh: changes in prevalence and risk factors between two cross-sectional surveys

et al. 2022

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Objective/research questionTo investigate the change in the prevalence and risk factors of diabetes among adults in Bangladesh between 2011 and 2018.DesignThe study used two waves of nationally representative cross-sectional data extracted from the Bangladesh Demographic and Health Surveys in 2011 and 2017–2018.SettingBangladesh.Participants14 376 adults aged ≥35 years.Primary outcomeDiabetes mellitus (type 2 diabetes).ResultsFrom 2011 to 2018, the diabetes prevalence among adults aged ≥35 years increased from 10.95% (880) to 13.75% (922) (p<0.001), with the largest-relative increase (90%) among obese individuals. Multivariable logistic regression analysis identified age and body mass index (BMI) were the key risk factors for diabetes. Adults who were overweight or obese were 1.54 times (adjusted OR (AOR): 1.54, 95% CI: 1.20 to 1.97) more likely to develop diabetes than normal-weight individuals in 2011, and 1.22 times (AOR: 1.22, 95% CI: 1.00 to 1.50) and 1.44 times (AOR: 1.44, 95% CI: 1.13 to 1.84) more prone to develop diabetes in 2018. Other significant risk factors for diabetes were marital status, education, geographical region, wealth index and hypertension status in both survey years.ConclusionA high prevalence of diabetes was observed and it has been steadily increasing over time. To enhance diabetes detection and prevention among adults in Bangladesh, population-level interventions focusing on health education, including a healthy diet and lifestyle, are required.

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“…The ACC/AHA 2017 definition increases this by 23 percentage points to half the population (51.5%), similar to increases of 26 and 21 percentage points reported for Bangladesh and China, respectively [7,9], indicating that adopting the newer definition is likely to increase HTN prevalence by one in four adults in most Asian developing countries, or double overall prevalence. Of those reclassified as hypertensive, 17% had history or symptoms consistent with CVD/PVD or diabetes.…”

Section: Discussionsupporting

confidence: 62%

Prevalence and Associations of Hypertension in Sri Lankan Adults: Estimates from the SLHAS 2018–19 Survey Using JNC7 and ACC/AHA 2017 Guidelines

Rannan-Eliya

Wijemunige

Perera

et al. 2022

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Background: Sri Lanka lacks robust estimates of hypertension (HTN) prevalence owing to few national studies, hindering optimization of control strategies. Evidence on how the revised 2017 American College of Cardiology/American Heart Association (ACC/AHA) HTN definition affects prevalence in low-and middle-income countries (LMICs) is also limited. Objectives:To make robust estimates of HTN prevalence in the Sri Lankan adult population, and to assess impact of the ACC/AHA 2017 definitions. Methods: Data were sourced from the 2018-2019 first wave of the Sri Lanka Health and Ageing Study (SLHAS), a nationally representative longitudinal study of the noninstitutionalized adult population. After excluding those with missing data and aged <18 years, 6,342 participants (95.1%) were included in the analysis. HTN was defined using either the traditional threshold of systolic BP (SBP) ≥140 mmHg or a diastolic BP (DBP) ≥90 mmHg, or the ACC/AHA 2017 threshold of SBP ≥130 mmHg or DBP ≥80 mmHg, or if taking antihypertensive medication.Results: Estimated prevalence of HTN in all Sri Lankan adults was 28.2% using the traditional definition, and it doubled to 51.3% when applying the ACC/AHA 2017 definition. Of those classified as hypertensive according to the older and ACC/AHA 2017 definitions, 53.4% and 31.2%, respectively, were previously diagnosed. Of the 23.2% of adults reclassified as hypertensive by the ACC/AHA 2017 definition, 16.6% had a history of CVD or diabetes. Increased prevalence was associated with urban residence, socioeconomic status, obesity, and Muslim ethnicity. Prevalence increased with age, but the increase was steeper in women from their 30s. Conclusions:Nearly one in three adult Sri Lankans are hypertensive, requiring antihypertensive treatment. Applying the ACC/AHA 2017 definitions almost doubles numbers, but many of those reclassified would require treatment under recent WHO guidelines. Study findings also suggest that design effects in HTN surveys may be higher than usually assumed. 2 Rannan-Eliya et al.

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Prevalence of and factors associated with hypertension according to JNC 7 and ACC/AHA 2017 guidelines in Bangladesh

Cited by 19 publications

References 39 publications

Prevalence of and factors associated with prehypertension and hypertension among Bangladeshi young adults: An analysis of the Bangladesh Demographic and Health Survey 2017–18

Prevalence of and factors associated with prehypertension and hypertension among Bangladeshi young adults: An analysis of the Bangladesh Demographic and Health Survey 2017–18

Diabetes among adults in Bangladesh: changes in prevalence and risk factors between two cross-sectional surveys

Prevalence and Associations of Hypertension in Sri Lankan Adults: Estimates from the SLHAS 2018–19 Survey Using JNC7 and ACC/AHA 2017 Guidelines

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