Prevalence Of Hypertension Disease Research Articles

A STUDY ON THE PREVALENCE OF PREHYPERTENSION AMONG ADOLESCENTS IN TIRUNELVELI TOWN TAMILNADU

Objective: The prevalence of hypertensive disease among adolescents is increasing trend. This rise in hypertension (HTN) among adolescents is multifactorial. Prehypertension advances to HTN in due course in adult life, becoming one of the major risk factors for cardiovascular diseases later. We aim to determine the prevalence of prehypertension among adolescents in Tirunelveli town. Methods: One thousand high school children aged 14–18 years from Tirunelveli city were chosen. The blood pressures (BPs) (systolic and diastolic) were recorded using the standard technique. Physical biometrics was documented. Results: BP >90th percentile is considered to be abnormal in adolescents. Prevalence of prehypertension is 0.7% (f-0%, m-0.7%), HTN is 4.7% (f-2.5%, m-2.2%), and cumulative abnormal BP is 5.4%. Among the 54 adolescents, only one had body mass index of overweight category surprisingly. Conclusion: Previous studies indicate approximately 3–4% of adolescents develop consistently elevated BP across many countries. The common causes attributed are physical inactivity, consumption of junk food, besides hormonal changes in adolescents. The results of our study indicate 5.4% of students having more than the 90th percentile nearly corresponds to results of many studies. Early detection of prehypertension in adolescents is cost-effective measure that would further avoid impoverishment to the middle-income group as well as improve the quality and expectancy of life. Effective specific school health programs are needed at the time, especially in developing countries like India.

Maternal and Neonatal Outcomes in Hypertensive Disorders during Pregnancy

Context: Pregnancy is a physiological phenomenon, and each pregnancy is unique and valuable in its own way. Hypertensive diseases during pregnancy begin throughout pregnancy and disappear entirely after birth. Hypertensive disorders in pregnancy (HDP), including pregnancy-induced hypertension (HTN), chronic HTN (CHTN), (superimposed) preeclampsia, and eclampsia, are responsible for increased perinatal morbidity and mortality. Aim: The aim of this study was to investigate the prevalence and perinatal effects in women with hypertensive disease during pregnancy. Setting and Design: Hospital based cross section study was conducted on pregnant women. Methods and Materials: A hospital-based cross-sectional study was carried out from September 2019 to August 2021 on women whose pregnancies were complicated by HTN disorders. Mothers of the baby suffering from systemic diseases were excluded from the study. Statistical analysis used: Descriptive and inferential statistical analysis was conducted. Results: In the present study results the prevalence of gestational HTN at 8.49%, preeclampsia at 18.10%, severe preeclampsia at 8.75%, and CHTN was 2.28%. It was shown that the prevalence of hypertensive disease is 38%. A significant difference was found between the maternal age group of mothers suffering from HTN disorders during pregnancy with mean gestational age in weeks F = 124.6477, P = 0.0001 at a 5% level. Furthermore, a significant statistical difference was observed with different maternal age groups having different mean Apgar scores at 1 min with F = 81.0233, P = 0.0001. Conclusion: Prenatal HTN is one of the leading causes of maternal and neonatal death. Despite having all of the resources and several government programs in both urban and rural areas, many women suffer from HDP in both locations (rural and urban). Hence, management, as well as awareness among pregnant women regarding hypertensive diseases in pregnancy, is required.

Prevalence of hypertensive diseases and treated hypertensive patients in Japan: A nationwide administrative claims database study

We investigated the prevalence of hypertensive patients and treated hypertensive patients using a Japanese nationwide administrative claims database. We analyzed national database data from 2014, including all claims data, provided by the Ministry of Health, Labour and Welfare of Japan. Hypertensive diseases were identified using Japanese standardized disease codes. Among hypertensive patients, treated hypertensive patients were defined by the prescription of any antihypertensive medication, identified using national health insurance price listing codes. We calculated and compared the number and age-adjusted prevalence of hypertensive patients and treated hypertensive patients by prefecture and the proportion of these patients by the size of medical facilities. In 2014, approximately 27 million Japanese people were identified as hypertensive, among which 89.6% were treated. The age-adjusted prevalence of hypertensive patients (per 100,000 persons) among women and men was 21,414 and 21,084, respectively. The age-adjusted prevalence of treated hypertensive patients (per 100,000 persons) among women and men was 19,118 and 18,974, respectively. While the prevalence of hypertensive and treated hypertensive patients varied geographically, the prevalence remained similar between the sexes. Approximately 59% of hypertensive patients visited clinics (0 to 19 beds) in Japan. In Japan, 27 million people were diagnosed with hypertensive diseases, and approximately 90% of these patients were treated with any antihypertensive medication in 2014. The distribution of hypertensive patients varied geographically throughout Japan.

Prevalence of Hypertensive Diseases and Associated Risk Factors above 30 Years Adult People Admitted in Morogoro Regional Refferal Hospital 2021, Tanzania

Prevalence of Hypertensive Diseases and Associated Risk Factors above 30 Years Adult People Admitted in Morogoro Regional Refferal Hospital 2021, Tanzania

Chronic Diseases among Agricultural Workers in a Rural Area of Puerto Rico

ABSTRACT Occupational and environmental exposures in the agricultural industry have been associated with several illnesses and poor health outcomes. Information regarding the characteristics and health status of the labor force working in the agricultural sector in Puerto Rico is limited. The overall objective of this study was to increase the available information on agricultural workers health and needs by ascertaining the potential differences in characteristics and health status of farmworkers when compared to the general population in rural Puerto Rico This cross-sectional study used the collection and analysis of medical records of agricultural workers and non-agricultural workers in Hospital General Castañer, located in Lares, Puerto Rico. The research period was five years, from 2012 to 2016. This research described agricultural workers’ demographic and socioeconomic profile and evaluated relationships between one or more demographic variables and farmer’s health. Agricultural workers presented alower prevalence of hypertensive disease (69.4%) and ahigher prevalence of cerebrovascular disease (3.4%) when compared to non-agricultural workers. In other words, agricultural workers were 21% less likely to have hypertensive disease as compared to non-agricultural workers. Results for agricultural workers showed that 4.0% of the workers were diagnosed with arthritis, and 48.8% had suffered at least one type of dorsopathy. The results from this research provide useful information for developing an appropriate framework to address Puerto Rican agricultural worker’s health while promoting the agricultural industry development on the island. Finally, this study provided insight into the prevalence and demographic characteristics of agriculture workers in acentral region of Puerto Rico. Further efforts are needed to better define the agricultural workers and farming communities in Puerto Rico that may be exposed to related hazards.

Health needs assessment for elderly in primary health care in Zagreb

Abstract Background The purpose of any health system is to guarantee access to care for the entire population served. Zagreb population is 'very old', with 17.3% older than 65. The aim is to assess health care needs for elderly in primary health care (PHC). Methods Data on morbidity and visits are recorded in PHC facilities Variation in the mortality rate in 1971-2014 period is analyzing, using descriptive method. Results The highest index of PHC utilization (88.1%) is recorded for the +65 age, with 14.3 visits per capita (vs 7.7 for general population). Acute respiratory infections ranked first in all age groups; the rate per 100 was considerably lower in the ≥65 group than in the 0-19 group (27.82/100 vs 111.20/100). Hypertensive diseases ranked second most common (23.09 per 100) in the age group ≥65, followed by intervertebral disk diseases and other dorsopathies (15.10/100), and neuroses and affective disorders (6.63/100). The prevalence of hypertensive diseases and of intervertebral disk diseases and other dorsopathies was significantly higher in the ≥65 group (χ2=27.3 and χ2=13.43, respectively; p < 0.05 both). Among mortality causes circulatory diseases and neoplasms showes a constant rise during the period 1971-2014 (circulatory diseases 26.4%; neoplasms 83.9%). The highest rise is recorded in group of endocrine and metabolic disease owing diabetes mellitus(159%). Conclusions Many of older people although independent, have multiple chronic conditions and meet criteria for fraility. The number of PHC visits is high, twice in comparison with general population. Health needs are very related to coping with appropriate organization and management of public health services, esspecially of senior- friendly primary care concept. Key messages The aging of the general population influences the type of morbidity and health care needs. The concept of senior-friendly primary care has to be promoted.

Study of risk factors causing coronary heart disease among army personnel of the rank non-commissioned officers and below in the age group of 20-50 years and its association with prehypertension

Background: Coronary heart disease (CHD) is an acute public health problem both in developed and in developing countries, like India. Assessing the prevalence of CHD in the community is equivalent to assessing the tip of the iceberg. Hypertension is a major risk factor for CHD and hypertension disease prevalence tip of the iceberg in the community is much more obscure. Objective: The objective of the study was to carry out a cross-sectional study among serving Army personnel, comprising healthy non-commissioned officers and other rank personnel to successfully assess the risk factors for CHD and their association with prehypertension. Materials and Methods: Screening of risk factors for CHD among 200 randomly selected participants was carried out. Blood pressure, height, weight, serum total cholesterol, serum triglycerides, serum high-density lipoprotein (HDL), random blood sugar levels, and smoking status were the major risk factors screened. Results: Nearly 63% of Army personnel were found to be having blood pressure commensurate to the range of prehypertension. About 15% were detected to be overweight, 22% had hypercholesterolemia, 5.4% had impaired glucose tolerance (IGT), and 19.2% were current smokers. Higher age, body mass index, high serum triglycerides, low serum HDL, and IGT were found to be independently associated with increased prevalence of prehypertension in multiple logistic regression analysis. Conclusion: Our findings recommend the constant monitoring of CHD risk factors and the formulation of effective preventive strategies for adequate control of alarming incidence.

PELAKSANAAN TUGAS KELUARGA DI BIDANG KESEHATAN: MENGAMBIL KEPUTUSAN MENGENAI TINDAKAN KESEHATAN YANG TEPAT TERHADAP KEJADIAN HIPERTENSI PADA LANSIA DI KELURAHAN TIMBANGAN KECAMATAN INDRALAYA UTARA KABUPATEN OGAN ILIR

Hipertensi adalah salah satu penyebab kematian nomor satu secara global yang memerlukan penanggulangan yang baik. Hasil Survei Kesehatan Rumah Tangga (SKRT) tahun 2007 menunjukkan bahwa prevalensi penyakit hipertensi pada lansia di Indonesia cukup tinggi, yaitu 83 per 1.000 anggota rumah tangga. Data dari Dinas Kesehatan Kabupaten Ogan Ilir tahun 2010 menunjukkan bahwa hipertensi merupakan penyakit terbanyak ketiga yang menyerang lansia. Penelitian ini bertujuan untuk mengetahui hubungan pelaksanaan tugas keluarga di bidang kesehatan: mengambil keputusan mengenai tindakan kesehatan yang tepat terhadap kejadian hipertensi pada lansia. Penelitian ini merupakan penelitian analitik kuantitatif dengan pendekatan cross sectional. Penelitian ini dilakukan terhadap keluarga dengan anggota keluarga lansia yang berusia lebih dari 60 tahun yang tersebar di Kelurahan Timbangan yang berjumlah 94 responden, dengan menggunakan alat bantu kuesioner. Untuk menguji hubungan digunakan analisis menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa ada hubungan antara pelaksanaan tugas keluarga di bidang kesehatan: mengambil keputusan mengenai tindakan kesehatan yang tepat terhadap kejadian hipertensi (p=0,000). Dari hasil penelitian ini disarankan kepada keluarga agar dapat meningkatkan derajat kesehatan dan mengatasi masalah kesehatan anggota keluarganya, khususnya lansia, dengan mengambil keputusan mengenai tindakan kesehatan yang tepat terkait penyakit hipertensi pada lansia.

Awareness and Information Sources of Hypertensive Diseases Among Aged Civil Servants in Southwest, Nigeria

This article describes a study which investigates the awareness and information sources of hypertensive diseases among aged civil servants in Southwest, Nigeria. The study adopted a descriptive survey research design and the study focused on aged civil servants in south western Nigeria. A multistage sampling technique was used to select respondents for the study. The instruments used to obtain information from respondents was a questionnaire, divided into seven sections with respect to the objectives of the study. The psychometric properties of the instrument were also determined. The information obtained was subjected to analysis using the descriptive statistics. The findings of the study revealed that aged civil servants in the three selected states in south-western Nigeria have a high personal concern for hypertensive disease. Interventional strategies to curtail hypertensive diseases among aged civil servants are low. In addition, governments failed to provide necessary amenities and also do not pay salaries promptly for staff. To this end, aged civil servants seek medical care and services by themselves and in most cases, they do not give attention to such health needs. This can lead to a high tendency for the prevalence of hypertensive diseases. The study recommends that apart from paying salaries promptly, governments should provide interventional strategies such as providing better information through media, conducting workshops and seminars, providing health related teachings, among others for civil servants in south western Nigeria. This could increase the awareness of hypertensive disease and also of the various sources of care available for them.

The Growing Importance of Socioeconomic Aspects in Cardiovascular Disease

Objective: Disparities in mortality between socioeconomic groups have widened during the last decades in Europe, and socioeconomic inequalities in health have been marked as one of the most important issues to be tackled by public health policy. Previous studies have shown an inverse relationship between socioeconomic status (SES) defined by education, income, occupation, social status and neighbourhood environment, and the occurrence of cardiovascular risk factors and disease (CVD). In Italy, poor evidence exists about the relative burden of every single component of SES leading to a higher prevalence of CVD. The aim of this study was to investigate the relationship between SES and CVD in a cohort of patients admitted to our institution over a period of 9 months. Methods: We retrospectively studied 656 patients admitted to our institution over a period of 9 months, performing a correlation between individual SES and the prevalence of CVD. Admissions included day-hospital and ordinary regimens. Occupation was defined by different categories: employed, unemployed, student, housewife, retired/unable, whereas educational level was classified as no qualification, primary school certificate, secondary school certificate, school-leaving certificate, degree or other academic qualifications. A high educational level was defined as school-leaving certificate, degree or other academic certificate, while primary school certificate or no qualification corresponded to a low educational level. Concerning the causes of disease related to admission, we considered all registered diagnoses according to the WHO classification of disease (ICD-9). Results: Educational level and heart disease appeared to be inversely related, showing that people with hypertensive disease and coronary artery disease (CAD) belonged mainly to the low educational group (r = −0.13, p = 0.001). Gender did not alter such findings significantly: the higher the educational level, the lower the prevalence of hypertensive disease and CAD in women (r = −0.17, p = 0.001) and men (r = −0.18, p = 0.001). Occupational status seemed to mainly influence the prevalence of CAD (r = −0.24; p < 0.001). In addition, an association between educational level and the choice of admission regimen has been observed (r = −0.27; p < 0.001). In the examined population, a more frequent rate of the day-hospital regimen was recorded among high-level qualification subjects compared with ordinary admissions (7.1% vs 6.6%, p < 0.001). Conclusions: In this retrospective analysis from an Italian registry, we observed a decrease in the prevalence of CVD with increasing educational status. However, the mechanism underlying this relationship remains uncertain and needs to be addressed in further studies.

Body weight, blood pressure, and electrolyte excretion of young adults from six ethnic groups in Hawaii

There is positive correlation between high dietary intake of sodium and prevalence of hypertensive disease. Dietary potassium shows a negative correlation with this prevalence. Racial background of subjects may affect such relationships. This is a study of the relationships between ethnicity and blood pressure in young adults of six ethnic groups in Hawaii. Body weight, electrolyte excretion, which may reflect intake, and blood pressure of the subjects are reported here. Caucasians and Hawaiians and part-Hawaiian young adults tended to be taller and heavier than the Chinese, Filipinos, Japanese, and Koreans. Both systolic and diastolic pressures were significantly higher in males than in females (all races combined). No significant differences between sexes or races were found in urinary excretion of sodium and potassium or in urinary sodium:potassium ratios. Body weight and Quetelet’s Index but not sodium:potassium ratio correlated significantly with diastolic pressure.