PS-P04-5: A COMPARISON OF PREVALENCE OF HYPERTENSION AND BLOOD PRESSURE MEASUREMENTS BETWEEN SHORT-STATURE AND TALLER IN HEAVIER ADULTS OF BANGLADESH

Abstract

Objective: To compare the odds of hypertension and means of Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), Mean Arterial Pressure (MAP), and Pulse Pressure (PP) in different quartiles of stature among the heavier adults of Bangladesh with a priory hypothesis- the overnutrition in adulthood with poor nutrition in early life is associated with a higher risk of hypertension. Design and method: To attain the objectives, we analyzed the Non-communicable Disease Risk Factor Survey 2018 data. This population-based national cross-sectional study was conducted in equally distributed 496 urban and rural PSUs in all divisions of Bangladesh. Total 8185 adults (18–69 years) completed STEP-1 and STEP-2 of the survey. After exclusion of the extreme values participants who had complete information on height, weight, and blood pressure measurements (n = 7969), were included in the analysis. Short-stature and heavier adults were defined as participants belonging to the sex-specific first quartile of height and fourth quartile of weight, respectively. Hypertension was defined as an SBP ≧ 140 mmHg or/and a DBP ≧ 90 mmHg, or current use of antihypertensive medication. MAP and PP were calculated with standard formulae. Differences between means were compared by ANOVA. Multivariate logistic regression model was used. Result: Prevalence of hypertension was higher in the short-stature heavier adults (men 41.7%, women 49.0%) than the taller and heavier adults (men 35.1%, women 37.6%). Odds of hypertension in short-stature women were 59% higher compared to taller (OR:1.59, 95% CI:1.02–2.49, p < 0.05). Among heavier adults, mean of the blood pressure measurements founded to be lower in the taller participants compared with short stature. In short-stature men (n = 72) mean SBP (129.24 mmHg), DBP (85.21 mmHg), and MAP (99.89 mmHg) were higher than mean SBP (127.69 mmHg), DBP (82.91 mmHg), and MAP (97.83 mmHg) of the taller men (n = 441). In short-stature women (n = 96) mean SBP (129.09 mmHg), DBP (86.52 mmHg), MAP (100.71 mmHg), and PP (42.58 mmHg) were more than mean SBP (124.22 mmHg), DBP (84.69 mmHg), MAP (97.87 mmHg), and PP (39.53 mmHg) of the taller women (n = 407). Differences in the means were not statistically significant. Conclusion: Stature is an indicator of poor nutrition in early life in countries prevailing undernutrition. The association found from this nationally representative data supports the theory of a critical ontogenetic dependence of adult blood pressure, especially in women.