Abstract
Introduction: In recent years, one of the global health burden is increased blood pressure, hypertension. It is a condition of sustained increase in blood pressure. Prehypertension is a condition of slight increase in normal blood pressure. So, it is a warning sign that develop hypertension in future. If it is diagnosed on time, hypertension can be prevented by modifying lifestyle.
Aim and Objectives: To determine the prevalence of prehypertension and hypertension in adult patients in Kathmandu Medical College, Duwakot, Bhaktapur, Nepal.
Materials and Methods: This is a cross sectional study done in 350 patients at Kathmandu Medical College and Teaching Hospital, Duwakot, Bhaktapur from march 2017 to July 2017. Blood pressure was measured two times by standard mercury sphygmomanometer and mean was calculated for accuracy. Weight was measured by standard weight scale in kilogram (kg) and height was measured by non-stretchable measuring tape in meter. BMI was calculated by using formula weight in kg divided by height in m2.
Results: Prevalence of prehypertension and stage1 hypertension were found maximum 32.66% and 12(3.43%) respectively even in young (18-27 years) age with normal BMI. Stage 2 hypertension was maximum 4(1.14%) with increased age. Stage 2 hypertension was not seen in 18-27 years age group. P=<0.005 was considered highly significant. There was statistically highly significant association of hypertension with increase age and BMI (P=<0.000).
Conclusion: Prehypertension was common in young age with normal BMI but stage 1 and stage 2 hypertension increased with increase age and BMI.
Keywords: BMI (Body Mass Index), Hypertension, Prehypertension.
References
- Stephen SL, Theo V, Abraham DFal. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec 15; 380(9859): 2224–2260.
- Guyton AC. Role of the Kidneys in Long-Term Control of Arterial Pressure and in Hypertension. Guyton AC, Hall JE, editors. Guyton and Hall Textbook of Medical Physiology.12th Philadelphia: WB Saunders Inc:2000.p.225.
- JNC 8 Guidelines for the Management of Hypertension in Adults.Am Fam Physician.2014 Oct 1;90(7):503-504.
- James PA, Oparil S, Carter BL, Cushman WC, DennisonHC, Handler J. et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8) JAMA 2014;311 (17):1809] 2014;311(5):507–20.
- Kayee B, June T, Bernie R. Hypertension: The silent killer: Updated JNC-8. Guid-eline Recommendations. June 1, 2015.
- Vaidya A, Pokharel PK, Karki P, Nagesh S. Exploring the iceberg of hypertension: a community based study in an eastern Nepal town. Kathmandu Univ Med J (KUMJ).2007 Jul-Sep;5(3):349-59.
- Vaidya A, Pathak RJ, Pandey MR. Prevalence of hypertension in Nepalese community triples in 25 years: a repeat cross-sectional study in rural Kathmandu. Indian Heart J. 2012 Mar; 64(2): 128–131.
- Dua S, Bhuker M, Sharma P, Dhall M, and Kapoor S. Body Mass Index Relates to Blood Pressure Among Adults. N Am J Med Sci. 2014 Feb; 6(2): 89–95.
- Sainju NK. The prevalenceof hypertension and pre hypertension. Webmedcentral ISSN 2046-1690.16 Jul 2015 02:52:26 PM GMT.
- Sharma D, Bkc M, Rajbhandari S, Raut R, Baidya SG, Kafle PM, Baral B, Rajbh-andari R, Bhatt YD, Malla R, Maskey A, Limbu Y, Regmi SR, Koirala B. Study of Prevalence, Awareness, and control of Hypertension in a Suburban Area of Kathmandu, Nepal. Indian Heart J.2006 Jan-Feb;58(1):34-7.
- Nissinen A, Tuomilehto J, Korhonen HJ, Piha T, Salonen JT, PuskaP.Ten-year results of hypertension care in the community. Follow-up of the North Karelia hypertension control program. Am J Epidemiol.1988 Mar;127(3):488-99.
- Yang Q, Liu T, Kuklina EV, Flanders WD, Hong Y, Gillespie C, Chang MH, Gwinn M, Dowling N, Khoury MJ, Hu FB. Sodium and potassium intake and mortality among US adults: prospective data from the Third National Health and Nutrition Examination Survey. Arch Intern Med.2011 Jul 11; 171(13):1183-91.
- Dhungana RR, Pandey AR, Bista B, Joshi S, Devkota Prevalence and Associated Factors of Hypertension: A Community-Based Cross-Sectional Study in Municipalities of Kathmandu, Nepal. International Journal of Hypertension Volume 2016 (2016), Article ID 1656938, 10 pages. http://dx.doi.org/10.1155/2016/1656938
- Awoke, A, Awoke, T, Alemu S,Megabiaw B. Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: A community based cross-sectional study. BMC Cardiovascular Disorders. Volume 12, 28 November 2012, Article number 113.
- Nwankwo A, Sung S, Burt V, Qiuping G. Hypertension Among Adults in the United States: National Health and Nutrition Examination Survey, 2011–2012. NCHS Data Brief No. 133, October 2013.
- Patricia MK, Megan W, Kristi R, Paul M, Paul K W. Global burden of hypertension: analysis of worldwide data DOI: http://dx.doi.org/10.1016/S0140-6736(05)17741-1.
Corresponding Author
Dr Chandra Kala Rai
Kathmandu Medical College and Teaching Hospital, Bhaktapur, Nepal
Contact No. 977-9841380032, Fax No.977-01-6616568
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