Systolic vs diastolic blood pressure: community burden and impact on blood pressure staging

Banegas, José R.; Cruz, Juan; Rodríguez‐Artalejo, Fernando; Graciani, Auxiliadora; Guallar‐Castillón, Pilar; Herruzo, Rafael

doi:10.1038/sj.jhh.1001310

Cited by 34 publications

(21 citation statements)

References 7 publications

(8 reference statements)

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“…Other studies reported higher prevalence rates of hypertension among older adult population surveys in Tanzania in 2010 (69.9%, mean age 76 years), Tunisia in 2003 (69.3%, mean age 69 years) and Senegal in 2009 (65.4%, mean age 69.5 years) 22-24. Similar to Banegas et al25 and Onwubere et al,26 a larger percentage of participants in our study had ISH compared to IDH. ISH was also more common in those above 60 years of age, compared to IDH.…”

Section: Resultssupporting

confidence: 85%

Epidemiology and patterns of hypertension in semi-urban communities, south-western Nigeria

Olamoyegun¹,

Oluyombo²,

Asaolu³

2016

CVJA

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SummaryObjectiveTo determine the prevalence and subtypes of hypertension among semi-urban residents in south-western Nigeria.MethodsAll adults aged 18 years or older in 10 semi-urban communities were recruited for the study. The blood pressure (BP) reading taken with a validated electronic BP monitor after at least 10 minutes of rest was used in the analysis. Hypertension was defined as BP ≥ 140/90 mmHg.ResultsSeven hundred and fifty subjects with a mean age of 61.7 ± 18.2 years participated in the study. The prevalence of hypertension was 55.5%. Stage 2 hypertension was the most common, present among 225 (54.1%) of the participants with hypertension, and 191 (45.9%) had stage 1 hypertension. Of those with hypertension, systolic–diastolic hypertension (SDH) was present among 198/416 (47.6%), while isolated systolic hypertension (ISH) and isolated diastolic hypertension (IDH) were present among 181/416 (43.6%) and 37/416 (8.9%), respectively. The prevalence of hypertension increased significantly with age.ConclusionThe prevalence of hypertension was high in these semi-urban communities. Hence, increased awareness and integrating hypertension care into primary healthcare and other community health services in these areas may prove beneficial in ameliorating its adverse effects.

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Section: Resultssupporting

confidence: 85%

Epidemiology and patterns of hypertension in semi-urban communities, south-western Nigeria

Olamoyegun¹,

Oluyombo²,

Asaolu³

2016

CVJA

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“…Similar to the study by Banegas et al [28], SBP constituted a greater community burden than DBP in this study. SBP was also more common in those >50 years of age when compared to DBP and greater proportion of subjects were upstaged in this study by SBP than DBP.…”

Section: Discussionsupporting

confidence: 91%

Pattern of Blood Pressure Indices among the Residents of a Rural Community in South East Nigeria

Onwubere

Ejim

Okafor

et al. 2011

International Journal of Hypertension

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Cardiovascular diseases (CVDs) are the main causes of death in industrialized countries, and are significant causes of morbidity and mortality in sub-Saharan Africa. Hypertension is the most common cardiovascular disease in Nigerians, and the risk of CVD associated with hypertension is independent of other risk factors. Despite the high level of awareness of its presence in the developed countries, the level of control is still poor. CVDs tend to be commoner in urban settlements, and it has been hypothesized that rural sub-Saharan Africa is at an early stage of epidemiological transition from communicable to non-communicable diseases (NCD) because of the gradual adoption of unhealthy lifestyles. This study aimed at describing the pattern of blood pressure indices among the hypertensive residents of a rural community in South East Nigeria. A total of 858 individuals comprising 247 males and 611 females took part in the study. 46.4% of the subjects had hypertension. Hypertension was commoner in the males (50.2% vs. 44.8%) (χ 2(1) = 1.484; P = 0.223). The males were significantly older and heavier than the females while the females had higher mean values of BMI and WC. The prevalence of hypertension is becoming alarmingly high in the rural communities of sub-Saharan Africa.

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“…4 For example, Lloyd-Jones et al, 3 when evaluating blood pressure staging in 4962 patients, Framingham Heart Study subjects found that 94% had an elevated SBP but only 33% had elevated DBP. The older age of the Framingham subjects may explain why the percentages differ from the study Banegas et al 6 where the prevalence of systolic hypertension was 34.1% and diastolic hypertension, 30.9%.…”

Section: Evolution Of Importance Of Sbpcontrasting

confidence: 66%

“…In the survey by Banegas et al, 6 60.8% of untreated subjects had parallel staging of SBP and DBP, whilst 22.5% were upstaged on the basis of their SBP, and 16.7% on the basis of DBP: thus, if SBP criteria were applied, 83.3% would be correctly staged according to JNC-VI, compared with 77.5% using DBP criteria. Furthermore, SBP control was worse than DBP control, and SBP represents a greater impact on blood pressure staging as well as a substantial community burden than does DBP.…”

Section: Is Pulse Pressure a Better Predictor Of Risk?mentioning

confidence: 96%

Systolic vs diastolic blood pressure and the burden of hypertension

2002

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Systolic vs diastolic blood pressure: community burden and impact on blood pressure staging

Cited by 34 publications

References 7 publications

Epidemiology and patterns of hypertension in semi-urban communities, south-western Nigeria

Epidemiology and patterns of hypertension in semi-urban communities, south-western Nigeria

Pattern of Blood Pressure Indices among the Residents of a Rural Community in South East Nigeria

Systolic vs diastolic blood pressure and the burden of hypertension

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