Prevalence of hypertension and its associated risk factors in a sub-urban area of central Nepal
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20163057Keywords:
Hypertension prevalence, Sub urban area of Nepal, Non-communicable disease, Risk factorsAbstract
Background: Burgeoning burden of non-communicable diseases (especially hypertension) along with communicable diseases has made the situation more worrying in an economically constraint countries like Nepal. Studies are therefore necessary to assess the actual burden of disease; however nominal studies have focused this situation especially in semi urban areas of Nepal. This study was therefore conducted with the main aim of assessing the prevalence of hypertension in suburban area of central Nepal and to find the associated risk factors.
Methods: A cross sectional study was conducted in a sub urban area of Changunarayan municipality of Nepal utilizing consecutive convenience sampling method. A total of 240 consenting participants aged ≥18 were enrolled in the study. Data was collected using questionnaire and measurements of blood pressure, waist/hip circumference, height and weight were taken. Chi square test was used to assess the strength of relationship between the categorical variables with p value taken significant at ≤0.05. Only values with significant association were used to obtain the Odds Ratios (OR) via binary logistic regression.
Results: The prevalence of hypertension and pre-hypertension was found to be 20.4% and 35.4% respectively. Further, study illustrates the significant association (p≤0.05) of age, gender, family type, presence of co-morbidities, smoking, alcohol intake habits, habit of adding salt, BMI and waist/hip ratio with hypertension.
Conclusions: Results of high prevalence of hypertension and its association with several factors indicates the necessity for timely detection, treatment and control of hypertension using various strategies.References
Murray CJ, Lopez AD. Alternative visions of the future: projecting mortality and disability, 1990-20000. In: Murray CJ, Lopez AD, editors. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Boston, MA: Harvard University Press. 1996:325-95.
WHO: Global status report on non-communicable diseases 2014. Geneva: World Health Organization.
Kearney PM, Whelton M, Reynold K, Munter P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365:217-23
Dhital SB, Karki A. Dealing with the burden of hypertension in Nepal: current status, challenges and health system in Nepal: current status, challenges and health system issues. Reg Health Forum. 2013;17:17-9.
Kearney PM, Whelton M, Reynold K, Whelton PK. Worldwide prevalence of hypertension: a systematic review. J. Hypertension. 2004;22:11-9.
Aryal KK, Mehata S, Neupane S, Vaidhya A, Dhimal A, Dhakal P, et al. The Burden and Determinants of Non Communicable Diseases Risk Factors in Nepal: Findings from a Nationwide STEPS Survey. PLoS ONE. 2015;10(8):1-18.
Vaidhya A, Aryal UR, Krette A. Cardiovascluar health knowledge, attitude and practice/behavior in an urbanizing community of Nepal: a population-based cross-sectional study from Jhaukhel-Duwakot Health Demographic Surveillance Site. BMJ Open. 2013;3:1-12.
Sharma SK, Dhakal S, Thapa L, Ghimire A, Tamrakar R, Chaudhary S, et al. Community based screening for chronic kidney disease, hypertension and diabetes in Dharan. Nepal Med Assoc. 2013;52(189):205-12.
Manandhar K, Koju R, Sinha NP, Humagain S. Prevalence and Associated Risk Factors of Hypertension Among People Aged 50 years and more in Banepa Municipality Nepal. Kathmandu Univ Med J. 2012;39(3):35-8.
Joshi MD, Ayah R, Njau EK, Wanjiru R, Kayima JK, Njeru et al. Prevalence of hypertension and associated cardiovascular risk factors in an urban slum in Nairobi, Kenya: A population-based survey. BMC Public Health. 2014;14(1177):1-10.
Sharma SK, Ghimire A, Radhakrishnan J, Thapa L, Shrestha NR, Paudel N, et al. Prevalence of hypertension, obesity, diabetes and metabolic syndrome in Nepal. Int. J Hypertension. 2011:1-9.
Vaidhya A, Pathak RP, Pandey MR. Prevalence of hypertension in Nepalese community tripled in 25 years: a repeat cross-sectional study in rural Kathmandu. Indian Heart J. 2012:128-31.
Mishra SR, Neupane D, Bhandari PM, Khanal V, Kallestrup P. Burgeoning burden of non-communicable diseases in Nepal: a scoping review. Globalization and health. 2015:1-10.
Bhandari GP, Angdembe MR, Dhimal M, Neupane S, Bhusal C. State of non-communicable diseases in Nepal. BMC Public Health. 2014;14(23):1-9.
Jafar TH, Levey AS, Jafary FH, White F, Gul A, Rahbar MH, et al. Ethnic subgroup differences in hypertension in Pakistan. J. Hypertension. 2003;21(5):905-12.
Mendis S, Enanayake EMTKB. Prevalence of coronary heart disease and cardiovascular risk factors in middle aged males in a defined population in central Sri Lanka. Int. J Cardiology. 1994;46:135-42.
Singh RB, Bajaj S, Niaz MA, Rastogi SS, Moshiri M. Prevalence of type 2 diabetes mellitus and risk of hypertension and coronary artery disease in rural and urban population with low rates of obesity. Int. J Cardiology. 1998;66:65-72.
WHO. Arterial Hypertension. Report of a WHO Expert Committee. . WHO Technical Report Series 628, Geneva: World Health Organization, 1978.
Nepal Government, Ministry of Federal affairs and local development Booklet. Changunarayan Municipality book let, 2014/15.
Smith L. New AHA Recommendations for Blood Pressure Measurement. Am Fam Physician. 2005;72(7): 1391-98.
Chobanian AV, Bakris GL, Black HR. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206-52.
WHO. Appropriate body‐mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157‐63.
IDF. The IDF consensus worldwide definition of the metabolic syndrome. International Diabetes Federation (IDF). 2006.
WHO. Waist circumference and waist-hip ratio: report of a WHO expert consultation. Geneva, Switzerland. 2008.
Chataut J, Adhikari RK, Sinha NP. Prevalence and Risk Factors for Hypertension in Adults Living in Central Development Region of Nepal. Kathmandu Univ Med J. 2011;9: 3-8.
Khan RJ, Stewart CP, Christian P, Schulze KJ, Wu L, LeClerq SC, et al. A cross-sectional study of the prevalence and risk factors for hypertension in rural nepali women. BMC Public Health. 2013;13(55):1-10
Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment and control of hypertension in the United States 1988-2000. JAMA. 2003;290(2):199-206.
Shanthirani CS, Pradeepa R, Deepar R, Premlatha G, Saroja R, Mohan V. Prevalence and risk factors of hypertension in a selected South Indian Population-The Chennai Urban Population Study. J. Assoc Physicians India. 2003;51:20-7.
Yadav S, Boddula R, Genittla G, Bhatia V, Bansal B, Kongara S, et al. Prevalence and risk factors of pre-hypertension and hypertension in an affluent north Indian Population. Indian J. Med Res 2008;128:712-20.
Kanan L, Satyamoorthy TS. An epidemiological study of hypertension in a rural household community. Sri Ramchandra J. Med. 2009;2(2);9-13.
Wamala JF, Karyabakabo Z, Ndungutse D, Guwatudde D. Prevalence factors associated with hypertension in Rukungiri District, Uganda-A community based study. African Health Sci. 2009;9(3):153-60.
Koju R, Manandhar K, Gurung R, Pant P, Bedi TRS. Prevalence of hypertension in semi-urban area of Nepal. NHJ. 2010;7(1):35-9.
Shrestha B, Dhungel S. Evaluation of control of blood pressure in chronic kidney disease patients with hypertension attending echo-lab of Nepal Medical College Teaching Hospital. Nepal Med Coll J . 2012;14(2):118-12.
Wu Y, Huxley R, Li L, Anna V, Xie G, Yao C, et al. Prevalence, awareness, treatment and control of hypertension in China. Data from the China National Nutrition and Health Surveys. Circulation; 2002;118:2679-86.
Martiniuk AL, Lee CM, Lawes CM, Ueshima H, Suh I, Lam TH, et al. Hypertension: its prevalence and population-attributable fraction for mortality from cardiovascular disease in the Asia-Pacific region. J Hypertension. 2007;25(1):73-9.
Gupta, R. Trends in hypertension epidemiology in India. J Human Hypertension. 2004;18:73-8.
Bener A, AI-Suwaidi J, AI-Jaber K, AI-Marri S, Dagash MH, Elbagi IA. The prevalence of hypertension and its associated risk factors in a newly developed country. Saudi Med J. 2004;25(7):918-22.
Kumar P, Desai VK, Kosambia JK. Prevalence of hypertension amongst the employees of a mega industry of South Gujarat. Indian J Community Med 2002;18(1):19-25.
Benowitz Neal-L. Tobacco and hypertension. The New England J Med. 1998;319.
Opie LH, Seedat YK. Hypertension in Sub-Saharan African populations. Circulation. 2005;112:3562-68.