Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in Bangladesh

Islam, Jessica Y.; Zaman, M Mostafa; Ahmed, Jasim Uddin; Choudhury, Sohel Reza; Khan, Hasanuzzaman; Zissan, Tashfin

doi:10.1136/bmjopen-2020-037546

Cited by 8 publications

(15 citation statements)

References 22 publications

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“…Previous community‐based rural studies of Bangladesh also determined age as a predictor of both pre‐HTN and HTN. 14 , 15 Other Asian countries also reported similar findings of age and high BP in terms of pre‐HTN and HTN. 36 , 43 A previous Bangladeshi study showed a significant positive relationship between high BP and age, irrespective of gender.…”

Section: Discussionmentioning

confidence: 56%

“…Previous studies in Bangladesh also reported similar findings for pre‐HTN and HTN in rural settings about obesity. 14 , 15 , 16 However, in previous research, the association of central obesity (central fat distribution) measured using waist‐to‐hip ratio showed a stronger relationship with high BP than generalized obesity. 53 Regarding diabetes, our findings coincide with another rural study in Bangladesh.…”

Section: Discussionmentioning

confidence: 91%

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Baseline prevalence of high blood pressure and its predictors in a rural adult population of Bangladesh: Outcome from the application of WHO PEN interventions

Barua

Faruque

Rakhshanda³

et al. 2021

J of Clinical Hypertension

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This cross‐sectional study estimated the prevalence of high blood pressure (BP) and examined its predictors at baseline following protocol 1 (actions 1 and 2) of World Health Organization (WHO) Package of Essential Noncommunicable Disease (PEN) Interventions in a selected rural area of Bangladesh. A total of 11 145 adults (both sex and age ≥ 18 years) completed both the questionnaire and clinical measurements at the household and community clinics, respectively. We defined high BP as systolic BP ≥ 120 mmHg or diastolic BP ≥ 80 mmHg, prehypertension (pre‐HTN) as systolic BP 120–139 mmHg or diastolic BP 80–89 mmHg, and hypertension (HTN) as systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg and/or anti‐hypertensive drug intake for the raised BP. The prevalence of high BP was 51.2% (pre‐HTN, 25.3%; HTN, 25.9%). Among them, the proportion of pre‐HTN was higher among men (28.7%) while HTN was higher among women (27.4%). Other than fast food intake (pre‐HTN, OR: 1.110, P = .063) and women sex (HTN, OR: 1.236, P < .001), the pre‐HTN and HTN had higher odds for having same predictors as follows: age ≥ 40 years, family history of HTN, physical inactivity, central obesity, generalized obesity, and diabetes. In conclusion, the application of WHO PEN protocol 1 detected one‐fourth of the rural adult population had pre‐HTN and HTN respectively, and the common significant predictors of those were the age, family history of HTN, physical inactivity, generalized obesity, and diabetes.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 91%

Baseline prevalence of high blood pressure and its predictors in a rural adult population of Bangladesh: Outcome from the application of WHO PEN interventions

Barua

Faruque

Rakhshanda³

et al. 2021

J of Clinical Hypertension

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“…Similar results were seen in India [37], Korea [38], and the United States [39]. However, recently, opposite results were seen in Bangladesh, showing a higher prevalence of hypertension among women [40]. Several sex-related determinants of hypertension (i.e., age, dietetic habits, education, BMI, glucose) have been identified as important moderators able to explain those differences.…”

Section: Discussionmentioning

confidence: 59%

Predictors of Metabolic Syndrome in Adults and Older Adults from Amazonas, Brazil

Gouveia

Marques

Peralta

et al. 2021

IJERPH

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Metabolic syndrome has been considered a factor of vulnerability and a major public health problem because it increases the risk of cardiovascular disease and type 2 diabetes. The present study from Amazonas, Brazil aimed to estimate the prevalence of the individual and general components of metabolic syndrome in adults and older adults and identify the independent predictors of metabolic syndrome. The sample of the present cross-sectional study comprised 942 participants (590 women), with a mean age of 59.8 ± 19.7 (range: 17.5 to 91.8). Blood pressure in men (62.5%), abdominal obesity in women (67.3%), and lower high-density lipoprotein cholesterol (HDL-C) in both (52.2% in men and 65.0% in women) were the most prevalent individual risk factors for metabolic syndrome. Women had a higher prevalence of abdominal obesity (p < 0.001), low HDL-C (p < 0.001), and metabolic syndrome (p < 0.001) than men; however, opposite results were seen in men for blood pressure (p < 0.001). The overall prevalence of metabolic syndrome was 47.5%. Advanced age, being female, having a higher body mass index, and a having lower educational level independently increased the odds of metabolic syndrome. Due to the association of metabolic syndrome with deterioration of health status and increased vulnerability, this study sustains the need for early public health interventions in the Amazonas region.

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“…Similar study conducted in Jiangsu also reported that women was negative associated with HRQoL among patients [18]. Compared with men, women were more likely to neglect their hypertension symptoms [38]. This limited treatment hypertension condition would make women more vulnerable to complications, which hinted that an inverse association between women and HRQoL was reasonable [39].…”

Section: Discussionmentioning

confidence: 69%

The influencing factors of health-related quality of life among rural hypertensive individuals: a cross-sectional study

Sang

Kang

Liao

et al. 2021

Health Qual Life Outcomes

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Background Previous reports regarding health-related quality of life (HRQoL) of hypertensive individuals commonly concentrated on urban population. This study focused on rural population and aimed to explore the influencing factors of HRQoL. Methods Date were derived from Henan Rural Cohort study. The HRQoL of participants were assessed via European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) instrument. Tobit regression model and generalized linear model were employed to explore the influencing factors of HRQoL. Another binary logistic regression was utilized to examine the robustness of our results. Results Among 23,485 rural population, 8128 participants were identified with hypertension. The mean (SD) utility index and VAS score of non-hypertension group were 0.96 (0.09) and 79.66 (14.20), respectively, while in hypertension group were 0.94 (0.14) and 75.88 (15.50), respectively. Pain/discomfort was the most common self-reported problem (23.05%) for patients. Aging and suffering with other diseases were negatively associated with HRQoL among rural patients, while high socioeconomic status and healthy lifestyles corresponded with high HRQoL. Conclusions Hypertension did push considerable pressures on patients’ HRQoL. Maintaining healthy lifestyles and improving the socioeconomic status of patients were advisable ways to reduce this burden. Trial registration The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). http://www.chictr.org.cn/showproj.aspx?proj=11375

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Sex differences in prevalence and determinants of hypertension among adults: a cross-sectional survey of one rural village in Bangladesh

Cited by 8 publications

References 22 publications

Baseline prevalence of high blood pressure and its predictors in a rural adult population of Bangladesh: Outcome from the application of WHO PEN interventions

Baseline prevalence of high blood pressure and its predictors in a rural adult population of Bangladesh: Outcome from the application of WHO PEN interventions

Predictors of Metabolic Syndrome in Adults and Older Adults from Amazonas, Brazil

The influencing factors of health-related quality of life among rural hypertensive individuals: a cross-sectional study

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