HYPERTENSION AND ITS NUTRITIONAL ASSOCIATED FACTORS IN ADULTS IN TWO COASTAL COMMUNES, NGHE AN PROVINCE, 2020

Abstract

Aims: To identify the hypertension status and its nutritional associated factors in adults in two coastal communes of Nghe An province. Methods: A cross-sectional study was conducted on 1170 adults aged 40-69 years in Nghi Thinh and Nghi Thai communes, Nghi Loc district, Nghe An province. General information, blood pressure, anthropometry, salt intake behavior, alcohol consumption frequency, and disease history were collected. The hypertensive prevalence was adjusted for age-sex structure of population. Multilogistic regression analysis was applied to test several models for the association of hypertension to socio–economic conditions, body mass index and waist circumference, high salt intake behavior, and frequency of alcohol consumption. Results: The age- and sex-adjusted prevalence (95%CI) of hypertension status was 46.3 (42.6-50.0), 11.3 (9.12-14.0), 18.1 (15.1-21.5), 7.97 (6.11-10.3), 16.3 % (13.7-19.3), respectively, in normal, hight-normal, grade 1 hypertension, grade 2 hypertension, and previous diagnosed with current use of antihypertensive drugs. There were still 61.5% of hypertensive subjects without knowing the condition. The independent associated factors of hypertension were age, sex, obese status, vegetable and fruit intake/day (<5 units/day), high salt intake behavior, alcohol consumption (> 1 time/week), previously diagnosed dyslipidemia and family members with hypertension. Conclusions: The study indicates the high hypertension prevalence in the coastal communes. The most important associated factors for hypertension should be given a great attention in controlling hypertension in the population.