Overall Prevalence Of Hypertension Research Articles

Association between high-altitude polycythemia and hypertension: a cross-sectional study in adults at Tibetan ultrahigh altitudes.

The study aimed to evaluate the association between high-altitude polycythemia and hypertension in adults residing on Anduo County's plateau, which is located 4700 meters above sea level. A total of 387 individuals participated in the cross-sectional survey conducted between April and May of 2021. Interviews, physical inspections, and laboratory tests were employed to gather information about all of the subjects. The association between high-altitude polycythemia and hypertension was assessed using multivariable logistic regression models. The average age of the 387 participants was 32.6 ± 6.3 years. Of theseparticipants, 260 (67%) were male. The overall prevalence of hypertension was 27.1% (57/380). When stratified by gender, the prevalence was 12.6% (16/127) in females and 34.2% (89/260) in males. The overall prevalence of high-altitude polycythemia was 19.6% (76/387). When stratified by gender, the prevalence was 26.2% (68/260) in males and 6.3% (8/127) in females. During logistic regression analysis, we found that participants with elevated hemoglobin per 10 g/L had a 26% greater risk of hypertension (adjusting for odds ratio [OR], 1.26; 95% confidence interval [CI], 1.11-1.44). Additionally, high-altitude polycythemia greatly increased the risk of hypertension in comparison to non-high-altitude polycythemia (OR, 3.01; 95% CI, 1.66-5.44, P < 0.001). The consistency of the results was further demonstrated by stratified and interaction analyses, showing that Hans individuals had a higher risk of hypertension. High-altitude polycythemia is positively associated with hypertension in adults residing at Tibetan ultrahigh altitudes. The results of the investigation may aid in the planning of future research and guide the development of targeted healthcare practices for high-altitude populations, particularly among Han Chinese residents of the Tibetan Plateau.

RESULTS OF BLOOD PRESSURE SCREENING IN PEOPLE 18 YEARS AND OLDER IN NGHE AN: A CROSS-SECTIONAL STUDY IN 5 YEARS FROM 2016-2020

Aim: Determine the rate of hypertension, the proportion of hypertensive people taking medication, the proportion of people taking antihypertensive medication to achieve the target and the proportion of people who were measured the blood pressure in the last 12 months. Subjects and methods: People at the age of 18 years and older, including both sexes, including people with blood pressure. The total number of people having screening test accounts for 12303 people. All patients were allowed to have a rest at least 5 minutes before the measurement, then they have their blood pressure measured in a sitting position, measured 3 times with one-minute observation interval. The measuring room is airy and has an ambient temperature of 300 C. The person doing the measurement is a final-year student and the nurses are thoroughly trained in how to measure and record data. Results: The overall prevalence of hypertension in the study population was 31.4%. The rate of grade I hypertension accounts for 82.1%. The rate of isolated systolic hypertension is 43.7%. The rate of people with treated hypertension is 40.8%. Percentage of people with the target blood pressure over the total number of hypertensive people is 29.7%. Percentage of hypertensive people taking medication with the target blood pressure is 72.9%. The proportion of people who were not measured the blood pressure in the last 12 months is up to 60.4%. Conclusion: nearly 1/3 of the population aged 18 years and older has hypertension. The proportion of people using medication to treat hypertension is low (40.8%). The rate of achieving target blood pressure among people with hypertension is still low.

Prevalence and Associated Risk Factors of Hypertension Among Tribal Population Aged 15-49 in India: Evidence from National Family Health Survey, 2019-2021.

Approximately 10% of non-communicable diseases (NCDs) can be attributed to hypertension. The prevalence of hypertension is steadily increasing among urban, rural, and tribal populations alike. There has been a growing incidence of hypertension within underprivileged groups; however, there is a scarcity of research focusing on the risks of hypertension within Indian tribes. The current study aimed to estimate the pooled prevalence of hypertension among tribes and the risk factors of hypertension. This study uses data from the fifth phase of the National Family Health Survey (NFHS-5) in India, covering 2,843,917 individuals in 636,699 households. A total of 69,176 individuals belonging to tribal communities aged between 15 and 49, encompassing both males and females, have been incorporated into our study. The study utilized bivariate and multivariable binary logistic regression analyses, which were conducted using the R statistical software. Among 69,176 tribal populations between 15 and 49 years, the overall prevalence of hypertension was 12.54% (8676/69176; 95% CI, 12.29%, 12.79%). The prevalence of hypertension among males was 16.4% and 12.07% among females. Age, gender, education, marital status, smoking, and alcohol consumption were found to be the significant predictors of hypertension among tribes. The rising prevalence and potential dangers of hypertension within Indian tribes highlight their epidemiological transition burdened by significant cardiometabolic health concerns, necessitating prompt and ongoing monitoring and surveillance.

Prevalence of hypertension, diabetes mellitus, and their risk factors in an informal settlement in Freetown, Sierra Leone: a cross-sectional study

BackgroundNoncommunicable diseases (NCDs), especially hypertension and diabetes mellitus are on the increase in sub-Saharan Africa (SSA). Informal settlement dwellers exhibit a high prevalence of behavioural risk factors and are highly vulnerable to hypertension and diabetes. However, no study has assessed the prevalence of hypertension, diabetes, and NCDrisk factors among informal settlement dwellers in Sierra Leone. We conducted a study in June 2019 to determine the prevalence of hypertension, diabetes, and NCD risk factors among adults living in the largest Sierra Leonean informal settlement (KrooBay).Methods and materialsWe conducted a community-based cross-sectional survey among adults aged ≥ 35 years in the KrooBay community. Trained healthcare workers collected data on socio-demographic characteristics and self-reported health behaviours using the World Health Organization STEPwise surveillance questionnaire for chronic disease risk factors. Anthropometric, blood glucose, and blood pressure measurements were performed following standard procedures. Logistics regression was used for analysis and adjusted odd ratios with 95% confidence intervals were calculated to identify risk factors associated with hypertension.ResultsOf the 418 participants, 242 (57%) were females and those below the age of 45 years accounted for over half (55.3%) of the participants. The prevalence of smoking was 18.2%, alcohol consumption was 18.8%, overweight was 28.2%, obesity was 17.9%, physical inactivity was 81.5%, and inadequate consumption of fruits and vegetables was 99%. The overall prevalence of hypertension was 45.7% (95% CI 41.0-50.5%), systolic hypertension was 34.2% (95% CI 29.6–38.8%), diastolic blood pressure was 39.9% (95% CI 35.2–44.6), and participants with diabetes were 2.2% (95% CI 0.7–3.6%). Being aged ≥ 55 years (AOR = 7.35, 95% CI 1.49–36.39) and > 60 years (AOR 8.05; 95% CI 2.22–29.12), separated (AOR = 1.34; 95% 1.02–7.00), cohabitating (AOR = 6.68; 95% CL1.03-14.35), vocational (AOR = 3.65; 95% CI 1.81–7.39 ) and having a university education (AOR = 4.62; 95% CI 3.09–6.91) were found to be independently associated with hypertension.ConclusionThe prevalence of hypertension,and NCD risk factors was high among the residents of the Kroobay informal settlement. We also noted a low prevalence of diabetes. There is an urgent need for the implementation of health education, promotion, and screening initiatives to reduce health risks so that these conditions will not overwhelm health services.

Premature coronary heart disease complicated with hypertension in hospitalized patients: Incidence, risk factors, cardiovascular-related comorbidities and prognosis, 2008–2018

BackgroundThe clinical characteristics and risk factors of all-cause mortality in young hospitalized patients with comorbid coronary heart disease and hypertension (CAD + HT) are not well-characterized. MethodA total of 2288 hospitalized CAD patients (age<45 years) with or without hypertension in the Chinese PLA General Hospital from August 5, 2008 to June 22, 2018 were conducted. The risk factors of all-cause mortality were estimated in young CAD + HT patients by COX models. ResultsThe overall prevalence of hypertension in young CAD patients was 50.83% (n = 1163). CAD + HT patients had older age, higher heart rate, BMI, uric acid, triglyceride and lower level of eGFR and HDL-C than CAD patients (P < 0.05). The proportion of cardiovascular-related comorbidities (including obesity, diabetes mellitus, hyperuricemia and chronic kidney disease [CKD]) in the CAD + HT group was significantly higher than that in CAD group (P < 0.0001). The risk of all-cause mortality was higher in CAD + HT patients, although after adjusting for all covariates, there was no significant difference between the two groups. Furthermore, CKD (HR, 3.662; 95% CI, 1.545–8.682) and heart failure (HF) (HR, 3.136; 95%CI, 1.276–7.703) were associated with an increased risk of all-cause mortality and RAASi (HR, 0.378; 95%CI, 0.174–0.819) had a beneficial impact in CAD + HT patients. ConclusionsHypertension was highly prevalent in young CAD patients. Young CAD + HT patients had more cardiovascular metabolic risk factors, more cardiovascular-related comorbidities and higher risk of all-cause mortality. CKD and HF were the risk factors, while RAASi was a protective factor, of all-cause mortality in CAD + HT patients.

Profile of Health Status in Relation to Working Pattern and Habits among Street Vendors in Bangalore City

Introduction: Street vendors are important informal self-employment group in the community and their health, nutritional and security status are affected because of weather conditions, pollution in urban area, mental stress and working hours. There is a lack of studies on health profile in street vendors in big cities. This study was conducted with as objective to know the socio demographic profile, health status in relation to their working pattern and habits among the street vendors. Material and Methods: This is a cross sectional and descriptive study. The data was collected by direct interviewing the subjects in their own language at their workplace in Bangalore city using pre tested semi open ended questionnaire. Sample size was determined based on the pilot study. The data included socio demographic, type of business, earning, working years, preexisting health status, body weight and height, habits etc. Subjects who were doing service or selling on mobile carts but not at fixed point and street vendors serving ready to eat foods were excluded. Body Mass Index was estimated as anthropometric nutritional status assessment. Data was analysed in SPSS software version. Results: The study subjects were 275 in the age group of 20 to 70 years and males accounted for 62.5 percentage. The proportion of subjects in the age of 41 years and above was 52.3%. Majority did not have formal schooling and common business was fruits and vegetables selling. Their working hours varying from 4 to 10, and doing business since 2 to 30 years with median of 20 years. The habit of smoking, tobacco chewing and alcohol was present in 30.2%, 14.5% and 14.2% the total. Overweight and obesity accounted for 78.9 % among the total where 19.8% and 25.2% were obese in males and females. The overall prevalence of Hypertension, Diabetes Mellitus and other conditions were 30.5%, 23.6% and 7.2% irrespective of their age, sex, type of business, working hours and habits. The prevalence ........

Prevalence of Diabetes, Hypertension and Obesity among Doctors and Nurses in Universal College of Medical Sciences, Bhairahawa, Nepal

INTRODUCTION Hypertension (HTN) and diabetes mellitus (DM) both are rapidly emerging as public health problems in developing countries. Hypertension is the leading cause of cardiovascular disease and is also a major cause of disability, causing an estimated 13% of all deaths in the world. Diabetes mellitus, hypertension and obesity are very strongly associated with cardiovascular diseases all over the world. MATERIAL AND METHODS A cross sectional study was done among the doctors and nurse working in UCMS teaching hospital from Sep, 2020 to Feb, 2021. A total of 138 doctors and nurses were selected using a simple random sampling technique. Descriptive statistical analysis was used for the calculation of central tendency and dispersion measures. Chi- Square test was applied for categorical predictors and P value of less than 0.05 was considered as statistically significant. RESULTS Doctors formed 47 % while nurses formed 53% of the study population. Prevalence of hypertension was found to be 18% among doctors and 7% among nurses. Prevalence of diabetes mellitus was found to be 6% among doctors and 8% among nurses. Prevalence of obesity was found to be 47% among doctors and 48% among nurses. The overall prevalence of hypertension, diabetes mellitus and obesity was the order of 25%, 14% and 95% respectively. CONCLUSION These findings provide important information on prevalence of hypertension, diabetes mellitus and obesity along with its associ- ated risk factors among doctors and nurses working in UCMS teaching hospital. Preventive health measures like low fat diet, physical activity, cessation of smoking, control of alcohol and various strategies are needed for the prevention of these cardio-vascular disease among doctors and nurses working at UCMS teaching hospital.

Manpower cost for a hypertension health campaign: A cross-sectional study

Introduction: The overall prevalence of hypertension is high, and many people are unaware of their condition. Screening campaigns can effectively identify this group of patients. The study aimed to determine the cost of manpower for a health campaign for detecting undiagnosed hypertension and the prevalence of hypertension. Methods: This cross-sectional study was conducted at two health centres. Sociodemographic characteristics, hypertension and treatment statuses were recorded. Blood pressure (BP) was measured by either doctors or nurses using automated BP machines. The cost of manpower was calculated as the average salaries of manpower during the 3-day health campaign divided by the total number of days. The final sum was the cost of detecting undiagnosed hypertension. Results: A total of 2009 participants median age = 50 (IQR = 18-91) were included in the study. The overall prevalence of hypertension was 41.4% (n=832). Among the patients with hypertension, 49.2% (n=409) were unaware of their hypertension status. Conversely, 21.1% (n=423) were known to have hypertension, among whom 97.4% (n=412) were on medications. Among those who were on medications, 49% (n=202) had good BP control. The average total cost of manpower during the 3-day health campaign was RM 5019.80 (USD 1059). The cost of detecting an individual with elevated BP was RM 12.27 (USD 2.59). Conclusion: The prevalence of hypertension and unawareness is high. However, the average cost of manpower to detect an individual with elevated BP is low. Therefore, regular public health campaigns aiming to detect undiagnosed hypertension are recommended.

APPLICATION OF ARTIFICIAL NEURAL NETWORK FOR PREDICTING HYPERTENSION STATUS AND INDICATORS IN HADEJIA METROPOLITAN

The responsibilities of hypertension or long blood pressure is rapidly increasing worldwide. Jigawa state in Nigeria seems to be one of the most affected states in the country. The frequency of hypertension in Hadejia forms an ongoing section of the overall responsibility in Jigawa state because of its population among local governments in the state. The purpose of this research is to determine the frequency and classification of a case of hypertension in Hadejia. A survey for some factors was conducted to identify which among the factors impact the prevalence of long blood pressure in Hadejia. It can be seen that the overall prevalence of hypertension in the study was found to be 45.97156% and 54.02844% were found to be non-hypertensive among the categories, those who are married have a higher prevalence of 35.07109%. The study produced the results shown in Table 2, which show the frequency of hypertensive and non-hypertensive patients among the categories and the prevalence of hypertension among those categories. Non-diabetic and those whose parents are hypertensive have the same prevalence of 34.12322% whereas those at or below 25 years of age have a less prevalence of 1.421801% of hypertension. Likewise, in Table 4, ANN with 64.3% of accuracy (sensitivity). The outcome for the testing sample performed better with an accuracy of 64.35% than that for the training sample with an accuracy of 70.4%, and the result shows that Age, Diabetics, and parental Hypertension Status are contributing to the prevalence of Hypertension or long blood pressure.

Prevalence and Associated Factors of Hypertension Among Adolescents in a Rural Community of North India.

Hypertension exerts a substantial burden on the healthcare system in India. Recent literature suggests hypertension to be a rising health problem not only in adults but also in adolescents. The early diagnosis of hypertension in adolescents and timely interventions are key in reducing the burden of hypertension-related morbidity and mortality in later life. This study aimed to estimate the prevalence and factors associated with hypertension among adolescents residing in a rural community in north India. This was a community-based cross-sectional study done in Ballabgarh, Haryana. A computer-generated random sample of 600 adolescents was drawn through a sampling frame of adolescents (10-19 years) listed in the Health Management Information System. House visits were made and a semi-structured interview schedule was used. Blood pressure was measured using a digital blood pressure (BP) apparatus (OMRON digital BP monitor, three readings) with age-appropriate cuffs, and hypertension was defined using the American Academy of Pediatrics 2017/Indian Academy of Pediatrics 2022 criteria. Age-adjusted BMI was calculated using AnthroPlus software (Geneva, Switzerland: WHO). The prevalence of hypertension was reported with a 95% confidence interval. Bivariate and multivariate logistic regression was done to determine the association of hypertension with the associated factors. In this study, 550 adolescents participated, of which 284 (51.6%) were males. The overall prevalence of hypertension was 18.9% (95% CI: 15.8-22.4%), stage 1 hypertension 17.3% (95% CI: 14.3-20.7%), and stage 2 hypertension 1.6% (95% CI: 0.8-3.1%). The participants aged 15-19 years (adjusted OR: 2.40, 95% CI: 1.51-3.80) compared to adolescents aged 10-14 years, and those who were overweight/obese (adjusted OR: 3.93, 95% CI: 2.14-7.20) compared to those with normal weight had significantly greater odds; whereas the female sex had lesser odds (adjusted OR: 0.49, 95% CI: 0.32-0.81) of having hypertension compared to male adolescents. Approximately one-fifth of the participants in this study had hypertension, highlighting the need for interventions including lifestyle modification and active case finding targeting adolescents.

Meta-analysis and time trend prediction of the prevalence of hypertension in Chinese college students.

To understand the prevalence of hypertension among Chinese college students over the past decade (2010-2020) and predict its future trend, we aim to provide a basis for preventing and controlling hypertension among college students. Databases such as Chinese National Knowledge Infrastructure, Wanfang database, PubMed, and Web of Science were searched, and publications on the prevalence of hypertension among Chinese college students from 2010 to 2020 were collected. Search for publications in both Chinese and English databases using keywords "hypertension," "prevalence," "disease status," "cross-sectional survey," "epidemiology," "China," "adolescents," and "college students." Publication screening, data extraction, and quality assessment were independently conducted by 2 researchers. Meta-analysis was performed using Stata 16, and trends in the prevalence of hypertension among college students were analyzed using R 4.2.0. A total of 37 publications were included in this analysis, which involved 233,603 Chinese college students. The Meta-analysis results showed significant heterogeneity among the studies (I2 = 98.9%, P < .05). Using a random-effects model, the overall prevalence of hypertension among college students was estimated to be 3.3% (95% CI = 2.9%-3.6%), with a higher prevalence among male students (6.2%, 95% CI = 5.4%-7.1%) than female students (1.1%, 95% CI = 0.9%-1.3%). The prevalence of hypertension is notably higher in northern regions than in southern regions. The prevalence of hypertension among college students showed an increasing trend from 2010 to 2020. Trend analysis predicted that the prevalence of hypertension among college students will reach 10% and 14.6% by 2030 and 2040, respectively. The risk of hypertension in male students was 4.63 times higher than that of female students (95% CI = 2.97-7.23). Compared normal weight students, overweight and obese students had 3.08 times (95% CI = 2.48-3.82) and 6.69 times (95% CI = 2.25-19.90) higher risk of hypertension, respectively. The prevalence of hypertension in Chinese college students was about 3.3%. The prevalence of hypertension in male college students was higher than that in females, and the prevalence in northern regions was generally higher than that in southern regions. The prevalence of hypertension among Chinese college students will reach 10.0% in the next 10 years and 14.6% in the next 20 years. Male and BMI ≥ 24 were risk factors for hypertension among college students.

Predictors of Hypertension among Indian Women of Reproductive Age Group: An Analysis from NFHS -5 Data

Introduction: Hypertension among women not only augments the risk of cardiovascular diseases but also leads to antenatal and intra-natal complications. Materials and Methods: A subset of data collected during National Family Health Survey-5, comprising of 7,24,115 women, 15–49 years of age was analysed to identify key predictors of hypertension, using Probit Regression Model (PRM) which was run separately for rural and urban women. Results: Overall prevalence of hypertension among women of reproductive age group was 11% (10.4% and 12% in rural and urban areas respectively). 5% and 13.41% of women were obese and 1.2% and 2.6% were diabetic in rural and urban areas respectively. Obese, uneducated, rich women and those on medications showed higher prevalence, while women consuming milk, eggs, chicken, fruits, and vegetables daily showed lower prevalence. On using PRM, significant predictors of hypertension were increasing age, rural residence, pregnancy, increasing weight, diabetes, illiteracy, access to medical insurance, and indulgence in alcohol and smoking. Conclusion: Findings from the study contribute to the body of evidence favouring multifactorial causation. Hypertension awareness should be promoted especially among rural residents, older women, with emphasis on intake of balanced diet with less consumption of sodium and increased intake of fruits and vegetables.

Prevalence of hypertension among travelers and stability of blood pressure control during travel: a cross-sectional descriptive study and prospective cohort study

BackgroundHypertension is a common and important risk factor for cardiovascular disease which is the leading cause of death among the general population and travelers. Data on hypertension among travelers are very limited due to the scarcity of research reports in this specific population. Therefore, this study aimed to determine the prevalence of hypertension among adult travelers and the stability of blood pressure control during international trips using a mobile automated blood pressure device.MethodsThis was a cross-sectional descriptive study conducted at the Thai travel clinic, Hospital for Tropical Diseases in Bangkok, Thailand. All adult travelers completed a questionnaire which included demographic data, medical history, medication use, trip characteristics and hypertension awareness and knowledge. Standard two time blood pressure measurements were performed at the clinic to detect possible undiagnosed hypertension. Travelers with pre-existing hypertension were also invited to monitor their blood pressure level before and during their trip for a total of 14 days by using an automated blood pressure device and reporting the readings back to the study team.ResultDuring July and October 2022, a total of 1,359 adult travelers visited the Thai Travel Clinic before their international trip. The overall prevalence of hypertension was 28.8%, including those with pre-existing hypertension (6.7%) and those with newly diagnosed hypertension (22.2%). Travelers with newly diagnosed hypertension were significantly younger than travelers with pre-existing hypertension (38.5 years vs. 55.6 years, p < 0.001). Eleven travelers agreed to monitor their blood pressure, Most (90.9%, 10/11) had stable blood pressure control during their trip. One participant had > 10 mmHg higher blood pressure during the trip, however this was not clinically significant. All participants remained well, and acute symptoms secondary to hypertension were not reported.ConclusionUp to 28.8% of adult travelers seen in pre-travel consultations had hypertension. Most of them were unaware of their blood pressure condition. Vital signs including blood pressure should be evaluated in all pre-travel visits in order to prevent undiagnosed severe hypertension that might lead to hypertensive crisis.

Physical activity and eating behaviors patterns associated with high blood pressure among Chinese children and adolescents

BackgroundPhysical activity and eating behavior are associated with hypertension in children and adolescents. Revealing the associations between physical activity patterns, eating behavior patterns and high blood pressure (HBP) could help improve the problem of hypertension from the actual children’s physical activities and eating behaviors.MethodsA total of 687 students aged 8–15 years were selected from two nine-year primary and secondary schools using stratified cluster random sampling method. The students’ body height, weight, systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured, and their physical activity time and eating behaviors were surveyed by using CLASS questionnaire and self-made eating behavior questionnaire, respectively. Exploratory factor analysis (EFA) was used to extract moderate to vigorous physical activity factor (MVPAF), sedentary activity factor (SAF), healthy eating behavior factor (HEBF), unhealthy eating behavior factor (UHEBF). MVPAF ≥ SAF was defined as moderate to vigorous physical activity pattern (MVPAP), MVPAF < SAF was defined as sedentary activity pattern (SAP). HEBF ≥ UHEBF was defined as healthy eating behavior pattern (HEBP), while the opposite was defined as unhealthy eating behavior pattern (UHEBP). Lifestyles includes physical activity patterns and eating behavior patterns.ResultsThe overall prevalence of hypertension was 5.8% (40/687), and was 5.69% (21/369) in boys and 5.97% (19/318) in girls, respectively. The MVPAF and UHEBF in boys were significantly higher than those in girls (P < 0.01), while the SAF in girls was significantly higher than that in boys (P < 0.05). The SAF was positively correlated with SBP in girls (β(SE) = 0.14 (0.50), P = 0.016), and was positively correlated with SBP (β(SE) = 0.21 (1.22), P = 0.000 and DBP (β(SE) = 0.14 (0.49), P = 0.006) in boys. The MVPAF was negatively correlated with DBP (β(SE)=-0.11 (0.40), P = 0.022) in boys. In boys, the SAP increased the risks of HBP (OR (95% CI):3.34 (1.30–8.63)) and high DBP (OR (95% CI):3.08 (1.02–9.34)) compared with MVPAP.ConclusionCompared with the boys with MVPAP, boys with SAP may increase the risks of HBP and high DBP. The SAF may be positively associated with SBP in boys and girls, while the MVPAF may be negatively associated with DBP in boys.

Self-Perception of Aging and Hypertension in a Cohort of Sexual Minority.

Objectives To determine whether self-perception of aging is an important marker of health and hypertension among older sexual minority men. Methods We evaluated associations between self-perception of aging (chronologic-subjective age discrepancy and aging satisfaction) and hypertension among 1,180 sexual minority men (51.6% with HIV/48.4% without HIV) from the Multicenter AIDS Cohort Study using a manifest Markov chain model adjusted for HIV status, age, race/ethnicity, education, smoking status, inhaled nitrite use, diabetes, dyslipidemia, kidney and liver disease. Results The overall prevalence of hypertension increased from 73.1% to 82.6% over three years of follow-up. Older age discrepancy (aOR (adjusted odds ratio): 1.13 95% CI: 0.35-3.69) and low aging satisfaction (aOR: 0.88; 95% CI: 0.31-2.52) were not associated with an increased prevalence of hypertension, regardless of HIV status. Discussion More than 80% of sexual minority men had a diagnosis of hypertension but self-perception of aging was not predictive of incident hypertension.

Education and age trajectories of chronic conditions: Are tests of the cumulative advantage and disadvantage hypothesis biased by underreporting?

ObjectiveThis study examined the impact of underreporting on tests of the cumulative advantage and disadvantage hypothesis (CAD), which predicts age-related increases in health disparities between individuals with higher and lower education. MethodsUsing the English Longitudinal Study of Ageing (ELSA), we identified underreporting by comparing self-reported hypertension and diabetes with biomedically measured hypertension (systolic blood pressure≥140 mm Hg and/or diastolic blood pressure≥90 mm Hg) and diabetes (fasting glucose level≥7 mmol/l and/or HbA1c≥6.5%). In a sample of 11,859 respondents aged 50 to 85 (54% women, 97% White), we assessed the associations between underreporting and the main analytic constructs in tests of the CAD (education, age, sex, and cohort). ResultsThe results showed that self-reported measures underestimated the prevalence of hypertension and diabetes. Underreporting showed weak to moderate associations with the main constructs in tests of the CAD, being more pronounced in individuals with lower education, in older age, in more recent cohorts, and among men. When correcting for underreporting using biomedical measures, the overall prevalence of hypertension and diabetes increased substantially, but education differences in age trajectories of both conditions remained similar. ConclusionsUnderreporting affected conclusions about the prevalence of hypertension and diabetes, but it did not affect conclusions about the CAD hypothesis for either condition.

Epidemiological survey of hypertension among middle-aged and elderly adults in Anhui Province.

To understand and analyze the prevalence and treatment of hypertension among residents aged 45 years and older in northern and southern Anhui Province to provide an opportunity to improve awareness, taking into account and standardizing hypertension management. Using a stratified cluster random sampling method, Anhui Province was divided into northern and southern Anhui regions using the Yangtze River as the boundary. The prevalence rate, awareness rate, treatment rate, control rate, related risk factors and complications of hypertension in the community population aged ≥ 45 years in Anhui Province were investigated using a questionnaire survey and a physical examination. The chi-square test was used to analyze the regional differences in hypertension prevalence, awareness, treatment and control rates. Weighted logistic regression was used to analyze the risk factors for hypertension. A total of 1331 residents aged ≥ 45 years were included. The results showed that the overall prevalence of hypertension in the Anhui Province population aged ≥ 45 years was 47.48% (50.73% in northern Anhui and 43.21% in southern Anhui), and the prevalence of hypertension in northern Anhui was higher than that in southern Anhui. The survey showed that the overall hypertension awareness rate in Anhui Province was 59.67%, the hypertension treatment rate was 44.46%, and the hypertension control rate was 30.70%. The differences between the 2 regions was statistically significant. The hypertension awareness, treatment and control rates in southern Anhui were higher than those in northern Anhui (P < .05). The risk factors for hypertension were older age, rural residence, male, obesity, low education level, high salt diet, smoking, excessive drinking, poor sleep, insufficient exercise, a family history of hypertension, a history of diabetes, and a history of hyperlipidemia. The most common complication of hypertension in middle-aged and elderly people in Anhui Province was cerebrovascular disease, followed by cardiovascular disease. Calcium channel blockers were the most commonly used antihypertensive drugs in middle-aged and elderly people in Anhui Province, followed by angiotensin converting enzyme inhibitor or angiotensin receptor blocker receptor antagonists.

Association of dietary sodium intake and hypertension among older adults in India: Insights from (Study on global AGEing and adult health) SAGE wave-2 (2015–16)

IntroductionHypertension is a major evolving issue with high prevalence in low-and middle-income countries and is a risk factor for cardiovascular conditions. In India 21.3% of females and 24% of males have high blood pressure, with one of the key reasons identified as consuming far too much salt. Less than 3.5 g of potassium and more than 2 gm of sodium intake per day can contribute to high blood pressure and an elevated risk of stroke. The main objective of this study was to estimate the prevalence of hypertension and its association with salt intake and sociodemographic variables among an older age population in India. MethodIn the present study we analysed the Study on Global AGEing and Adult Health wave-2 dataset. The prevalence of hypertension was estimated using the weighted prevalence, and risk factors were assessed using multivariable logistic regression, obtaining adjusted odds ratios and 95% confidence intervals. ResultsThe mean (SD) age of study participants was 62.67 (8.89). The overall prevalence of hypertension was around 41.1%. Participants aged 70–79 years [AOR = 1.74, 95% CI: 1.44–2.09], Females [AOR = 1.46, 95% CI: 1.24–1.72], richest [AOR = 1.42, 95% CI: 1.15–1.76], and consuming far too little salt [AOR = 1.71, 95% CI: 1.22–2.39] were significant determinants of hypertension. ConclusionOut of every 10 elderly adults in India, four are suffering from hypertension. More intervention strategies should be incorporated into the existing healthcare program considering factors like older age group, females and wealthiest individuals. Gender sensitivity must be extensively incorporated into the existing programme.

Magnitude of hypertension and its association with obesity among employees of Wallaga University, Ethiopia: a cross-sectional study

ObjectiveTo determine the magnitude of hypertension, its association with obesity and the associated factors among employees of Wallaga University, Ethiopia.Design, setting and participantsThis institution-based cross-sectional study was employed among 588...

ASSOCIATION OF ANGIOTENSIN-CONVERTING ENZYME I/D POLYMORPHISM AND HYPERTENSION AMONG YOUNG ADULTS: A PILOT STUDY FROM DELHI

Objective: Angiotensin converting enzyme (ACE) gene is a potent vasoconstrictor and directly involved in cell proliferation, differentiation, apoptosis and angiogenesis. Studies have reported that ACE gene activates the conversion of angiotensin I to angiotensin II and also inactive bradykinin. Bradykinin is a vasodilator which bring about its proteolysis which binds to the plasma membrane receptor and helps to produce the arteriolar constriction resulting in the rise of systolic and diastolic blood pressure. Blood pressure is additionally influenced by the interaction of genetic and other environmental factors, therefore this study tries to find an association between angiotensin-converting enzyme I/D polymorphism and hypertension among young adults Design and method: The present study was a cross sectional study conducted among young adults either sex from the age group of 18-30 living in Delhi, India. Standardized questionnaire was administered to collect data on demographic and physiological measurement. Overnight fasting intravenous blood of 5ml was collected on non-EDTA coated tube which were subjected to DNA extraction by salting out process (Miller, 1988). The extracted DNA was then aliquoted and amplified by allele-specific PCR followed by genotyping on 2% agarose gel (Rigat et al. 1990). The DNA was then screened for ACE I/D gene polymorphism. Statistical analysis was done using SPSS 2022 version. Results: The overall prevalence of hypertension in the given population was 25.3%. There was no significant difference in the distribution of ACE I/D genotypes wherein 17.4% of hypertensives were of the II genotype, 47% of ID genotype and 34.8% of the DD genotype. Conclusions: Although there was no significant association of ACE genotype with hypertension, which may be due to the small sample size but the significance of this study hints towards the importance of early detection and modifying lifestyle to improve overall health.of the individual as well as on the community level.