Abstract

Hypertension is a modifiable risk factor for cardiovascular diseases. Various studies conducted in the world showed high prevalence of hypertension, which is in increasing trend in Nepal also. The aim of this study was to assess hypertension status and risk behaviours among adult population in Kirtipur Municipality. A cross sectional descriptive study was conducted among 580 adults of age 20 - 59 from December 2015 to April 2016. Data was collected by observation method to determine hypertension prevalence and Body Mass Index. Questionnaire was used to assess exposure to the risk factors. Among all hypertension prevalence was 37.0% (215 out of 580). The prevalence was 41.6% (110 out of 264) among male and 32.2% (105 out of 316) among female (P <0.03 at 95% CI). Among 215 hypertensives, 37.2% were not aware about themselves having hypertension. Within last 12 months, 453 (78.1%) participants had checked their blood pressure. Proportion of hypertension was increasing with higher BMI and advancing age. Among all, 136 (23.7%) were current smokers, and 58.1% among them had hypertension. This study indicated that hypertension prevalence was high among adults in Kirtipur municipality. Prevalence of smoking was also high, and among them hypertension prevalence was very high. About one-third participants with hypertension were not aware that they had hypertension. Habit of doing regular physical exercise was very low.

Highlights

  • WHO estimates that non-communicable diseases were responsible for more than 68 % of deaths in 2012.1 Hypertension, obesity, physical inactivity, smoking are some major cardiovascular risk factors[2] and if hypertension left uncontrolled, it causes stroke, myocardial infarction, cardiac failure, renal failure and blindness.[1]

  • A report of 1996 stated arterial hypertension related cardiovascular diseases were responsible for nearly 20% of all deaths world-wide.[3]

  • The study was aimed to measure hypertension prevalence among adults in Kirtipur municipality, and to explore the risk behaviours of people. This was a cross sectional study conducted among adult population of age between 20 and 59 years in Kirtipur municipality

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Summary

Introduction

WHO estimates that non-communicable diseases were responsible for more than 68 % of deaths in 2012.1 Hypertension, obesity, physical inactivity, smoking are some major cardiovascular risk factors[2] and if hypertension left uncontrolled, it causes stroke, myocardial infarction, cardiac failure, renal failure and blindness.[1] A report of 1996 stated arterial hypertension related cardiovascular diseases were responsible for nearly 20% of all deaths world-wide.[3] Aging and behavioural factors, such as unhealthy diet, lack of physical activity, excess weight and stress attribute in increasing prevalence of hypertension.[4] A review report stated prevalence of hypertension in Nepal ranges from 18.8% to 41.8%.5. Hypertension is a modifiable risk factor for cardiovascular diseases. Various studies conducted in the world showed high prevalence of hypertension, which is in increasing trend in Nepal .The aim of this study was to assess hypertension status and risk behaviours among adult population in Kirtipur Municipality

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