Prevalence of isolated diastolic hypertension and associated risk factors among adults in Kanpur, India

Midha, Tanu; Lalchandani, Arati; Nath, Bhola; Kumari, Ranjeeta; Pandey, Umeshwar

doi:10.1016/j.ihj.2012.06.007

Cited by 23 publications

(37 citation statements)

References 18 publications

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“…The group aged 35-44 years was the most affected age group in this study. Studies in other communities reported that IDH is more common in younger adults (7,8,19,24,27). The significant association of IDH with obesity agrees with the findings of other studies (19,28).…”

Section: Discussionsupporting

confidence: 90%

“…Studies in other communities reported that IDH is more common in younger adults (7,8,19,24,27). The significant association of IDH with obesity agrees with the findings of other studies (19,28). The association of smoking with IDH in this study is not in agreement with other studies which revealed no significant association of smoking with IDH (19,29).…”

Section: Discussionsupporting

confidence: 62%

“…Previous surveys in KSA reported a 5.3% prevalence of IDH more than two decades ago (4). Studies in different countries reported a prevalence of IDH ranging from 2-8%, mostly associated with males, younger adults, and obese individuals (19)(20)(21)(22)(23)(24). In this study, we will assess the current prevalence of IDH, characteristics, treatment modalities, patient' practices, risk factors and significant predictors which were not previously addressed to the best of our knowledge.…”

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confidence: 99%

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Isolated Diastolic Hypertension among Adults in Saudi Arabia: Prevalence, Risk Factors, Predictors and Treatment. Results of a National Survey

Saeed

Al-Hamdan

2016

Balkan Med J

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Background:In the past, diastolic hypertension was the main criterion for treatment, but currently, systolic pressure is the main criterion because it was thought that Isolated Diastolic Hypertension (IDH) is not associated with complications. Studies later revealed that IDH carries significant risks. Quantifying the magnitude and risk factors of IDH in the community is essential for all intervention strategies. Aims: This study aims to determine the prevalence, risk factors, predictors, treatment modalities and lifestyle practices of IDH adult patients in the Kingdom of Saudi Arabia (KSA). Study Design: Cross-sectional study. Methods: A community-based cross-sectional study using STEPwise approach among adults using a multistage, stratified, cluster random sample was carried out. Data were collected using questionnaires which included socio-demographics, blood pressure, biochemical, anthropometric measurements and lifestyle practices. Statistical analysis included calculating means and standard deviations, proportions, univariate and multiple logistic regression analysis. Results: Of a total 4562 subjects, 180 (3.95%) suffered from IDH, which was significantly related to age, gender, employment, smoking, diabetes mellitus, obesity and hypercholesterolemia. More than 93% were using some form of treatment, with 77.2% on prescribed drugs, 63% using diet, and 23% using exercise. Significant predictors of IDH were retirement and hypercholesterolemia. Conclusion: IDH is associated with some sociodemographic characteristics and co-morbidity. Given the risk of cardiovascular disease associated with IDH, the findings of this study emphasize the need for diagnosing the disease in middle-aged persons focusing on the modifiable risk factors of IDH.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 62%

mentioning

confidence: 99%

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Isolated Diastolic Hypertension among Adults in Saudi Arabia: Prevalence, Risk Factors, Predictors and Treatment. Results of a National Survey

Saeed

Al-Hamdan

2016

Balkan Med J

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“…[10] The criteria used by Franklin SS et al, in 2001 and Midha T et al, in 2012 was used to define isolated hypertension (systolic blood pressure ≥140 mmHg and diastolic blood pressure <90 mmHg or systolic blood pressure <140 mmHg and diastolic blood pressure ≥90 mmHg). [11,12] A structured questionnaire was used to take a brief medical history whereas sphygmomanometer with stethoscope was used to measure the blood pressure of the patients. History of cardiac events, neurological disorders, cluster headache, diabetes, gastrointestinal disease, visual problems, epistaxis and morbid obesity constituted the exclusion criteria.…”

Section: Methodsmentioning

confidence: 99%

An Assessment of Difference in Manifestations of Mixed and Isolated Hypertension In Terms Of Their Signs and Symptoms in Hypertensive Patients

Adnan¹,

Jabeen²,

Summaiya³

et al. 2018

PMCOA

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Background: It is not an uncommon practice to report the prevalence and effects of mixed hypertension and isolated hypertension on that of a patient's well-being separately. Though such outcomes have been reported to be dissimilar by a number of studies, literature do not shed any light on whether the two types of hypertension i.e. Mixed and isolated differ from each other in their manifestations.

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“…[ 7] Isolated systolic hypertension (systolic blood pressure ≥140 mmHg and diastolic blood pressure <90 mmHg) and isolated diastolic hypertension (systolic blood pressure <140 mmHg and diastolic blood pressure ≥90 mmHg) were defined as per the criteria used by Franklin SS et al, in 2001 and Midha T et al, in 2012. [8,9] After taking a brief medical history with the help of a structured questionnaire, the blood pressure of the patients was measured by using sphygmomanometer with stethoscope to assess hypertension level. Patients with history of cardiac events, neurological disorders, cluster headache, diabetes, gastrointestinal disease, visual problems, epistaxis and morbid obesity were excluded from the study.…”

Section: Methodsmentioning

confidence: 99%

A Comparative Observational Study of Blood Pressure Levels among Different Groups of Hypertensive Patients On The Basis Of Gender and Age

Maheshwary¹

2017

PMCOA

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Background: Although literature suggests that the risk of cardiovascular mortality associated with mixed hypertension and isolated systolic hypertension is significantly higher than normotension, it is not the case with isolated diastolic hypertension. This difference in the effects of mixed hypertension, isolated systolic hypertension and isolated diastolic hypertension on the well-being of the patients stimulates interest in the potential factors affecting the levels of systolic and diastolic blood pressures in such patients.

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Prevalence of isolated diastolic hypertension and associated risk factors among adults in Kanpur, India

Abstract: a b s t r a c tBackground: Isolated diastolic hypertension (IDH) is a largely unrecognized subtype of

Cited by 23 publications

References 18 publications

Isolated Diastolic Hypertension among Adults in Saudi Arabia: Prevalence, Risk Factors, Predictors and Treatment. Results of a National Survey

Isolated Diastolic Hypertension among Adults in Saudi Arabia: Prevalence, Risk Factors, Predictors and Treatment. Results of a National Survey

An Assessment of Difference in Manifestations of Mixed and Isolated Hypertension In Terms Of Their Signs and Symptoms in Hypertensive Patients

A Comparative Observational Study of Blood Pressure Levels among Different Groups of Hypertensive Patients On The Basis Of Gender and Age

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