Hypertension and Its Risk Factors in the Population Covered by Mashhad University of Medical Sciences

Document Type : Original Article

Authors

1 Internal Medicine, Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Epidemiologist, Department of Epidemiology & Biostatistics, School of Health, Social Determinants of Health Research Center, Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 Family Medicine Specialist, Department of Family Medicine, Faculty of Medicine ,Mashhad University of Medical Sciences, Mashhad, Iran

4 Ph.D. in Epidemiology, Khorasan Razavi Province Health Center, Mashhad University of Medical Sciences, Mashhad, Iran

5 Department of Family Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Introduction:  Hypertension is recognized as one of the major causes of cardiovascular disease. The present study aimed to assess the relationship between hypertension and its risk factors in the population referring to comprehensive health care centers affiliated to Mashhad University of Medical Sciences.
Materials and Methods: This case-control study was performed on the health assessment data of the population aged 30 years and above registered in the SINA system in 2017-2018. The present case-control study was conducted on 1500 cases who were selected by systematic random sampling and assigned to the case group (500 hypertensive patients) and control group (1000 subjects without a history of hypertension). Data were analyzed using SPSS software (version 22). A p-value less than 0.05 was considered statistically significant.
Results: Based on the results, the risk factors for hypertension included settlement in urban areas (OR=2.914), body mass index≥ 25 (OR = 2.522), waist circumference˃90 (OR=2.409), sedentary lifestyle (OR=2.373), consumption of solid oil (OR=1.581), triglyceride level of ˃150 (OR=566), use of table salt (OR=1.547). On the other hand, the following were identified as protective factors against hypertension: hard labor jobs (OR=0.292), optimal physical activity (OR=0.421), and regular consumption of vitamin D (OR=0.625) (p <0.05).
Conclusion: The results will not only provide a solid foundation on potency of risk factors and protective factors for hypertension but will also give an invaluable insight to the health planning programs. The reduced prevalence of hypertension can be planned for with the identification of related risk and protective factors.

Keywords

References

1.             Poulter NR, Prabhakaran D, Caulfield M. Hypertension. The Lancet. 2015;386(9995):801-12.
2.             Harrison TR. Harrison's principle of internal medicine. 20 th Edition ed. Harrison TR eUSM-HCp.
3.             Lawes CM, Vander Hoorn S, Law MR, Elliott P, MacMahon S, Rodgers A. Blood pressure and the global burden of disease 2000. Part 1: estimates of blood pressure levels. Journal of hypertension. 2006;24(3):413-22.
4.             Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002;360(9349):1903-13.
5.             Ibrahim MM, Damasceno A. Hypertension in developing countries. The Lancet. 2012;380(9841):611-9.
6.             Ahmed A, Rahman M, Hasan R, Shima SA, Faruquee M, Islam T, et al. Hypertension and associated risk factors in some selected rural areas of Bangladesh. International journal of research in medical sciences. 2014;2(3):925.
7.             Do HT, Geleijnse JM, Le MB, Kok FJ, Feskens EJ. National prevalence and associated risk factors of hypertension and prehypertension among Vietnamese adults. American journal of hypertension. 2015;28(1):89-97.
8.             Jolly SE, Koller KR, Metzger JS, Day GM, Silverman A, Hopkins SE, et al. Prevalence of hypertension and associated risk factors in Western Alaska native people: the Western Alaska tribal collaborative for health (WATCH) study. The Journal of Clinical Hypertension. 2015;17(10):812-8.
9.             Joshi MD, Ayah R, Njau EK, Wanjiru R, Kayima JK, Njeru EK, et al. Prevalence of hypertension and associated cardiovascular risk factors in an urban slum in Nairobi, Kenya: a population-based survey. BMC public health. 2014;14(1):1177.
10.          Kingue S, Ngoe CN, Menanga AP, Jingi AM, Noubiap JJN, Fesuh B, et al. Prevalence and risk factors of hypertension in urban areas of Cameroon: a nationwide population‐based cross‐sectional study. The Journal of Clinical Hypertension. 2015;17(10):819-24.
11.          Liu F, Adi D, Xie X, Li X-M, Fu Z-Y, Shan C-F, et al. Prevalence of isolated diastolic hypertension and associated risk factors among different ethnicity groups in Xinjiang, China. PLoS One. 2015;10(12):e0145325.
12.          Lloyd-Sherlock P, Beard J, Minicuci N, Ebrahim S, Chatterji S. Hypertension among older adults in low-and middle-income countries: prevalence, awareness and control. International journal of epidemiology. 2014;43(1):116-28.
13.          Pinto IC, Martins D. Prevalence and risk factors of arterial hypertension: A literature review. Journal of Cardiovascular Medicine andTherapeutics. 2017;1(2):1-7.
14.          Rodgers A, Lawes C, MacMahon S. Reducing the global burden of blood pressure-related cardiovascular disease. Journal of hypertension Supplement : official journal of the International Society of Hypertension. 2000;18(1):S3-6.
15.          Wyss F, Coca A, Lopez-Jaramillo P, Ponte-Negretti C, Wyss FS, Restrepo G, et al. Position statement of the Interamerican Society of Cardiology (IASC) on the current guidelines for the prevention, diagnosis and treatment of arterial hypertension 2017–2020. International Journal of Cardiology Hypertension. 2020;6:100041.
16.          Ahmadi A, Hasanzadeh J, Rajaefard A. To Determine the Relative Factors on Hypertension in Kohrang, Chaharmahal & Bakhtiari Province, 2007 %J Iranian Journal of Epidemiology. 2008;4(2):19-25.
17.          Li Y, Feng X, Zhang M, Zhou M, Wang N, Wang L. Clustering of cardiovascular behavioral risk factors and blood pressure among people diagnosed with hypertension: a nationally representative survey in China. Scientific reports. 2016;6(1):1-7.
18.          Khanal MK, Dhungana RR, Bhandari P, Gurung Y, Paudel K. Prevalence, associated factors, awareness, treatment, and control of hypertension: Findings from a cross sectional study conducted as a part of a community based intervention trial in Surkhet, Mid-western region of Nepal. PLoS One. 2017;12(10):e0185806.
19.          Singh S, Shankar R, Singh GP. Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International Journal of Hypertension. 2017;2017:5491838.
20.          Kazemi T, Tavakoli T, Hajihosseini M, Yari E. Prevalence of Pre-hypertension and Risk Factors in an Iranian Population: East of Iran. International Cardiovascular Research Journal. 2018;12(1).
21.          Gholizadeh S, Moghimbeigi A, Poorolajal J, Khjeian M, Bahramian F. Study of risk factors affecting both hypertension and obesity outcome by using multivariate multilevel logistic regression models %J Iranian South Medical Journal. 2016;19(3):385-97.
22.          Chethana K, Anusha T, Mane A, Prasad V, Sunkad V. Prevalence of hypertension and its risk factors among adults in urban field practice area NMC, Raichur, Karnataka, India. International Journal of Community Medicine and Public Health Int J Community Med Public Health. 2017;4(1):45-50.
23.          Ingale AS, Dixit J. Prevalence of hypertension and its associated risk factors in adults: A unique study at field practice area of urban health training centre. International Journal Of Community Medicine And Public Health. 2017;4(2):572-81.
24.          Yang L, Yan J, Tang X, Xu X, Yu W, Wu H. Prevalence, awareness, treatment, control and risk factors associated with hypertension among adults in southern China, 2013. PloS one. 2016;11(1):e0146181.
25.          Ghorbani R, Eskandarian R, Malek M, Rashidipour a. Prevalence of hypertension among the adult population of semnan province. Iranian journal of endocrinology and metabolism (ijem). 2009;10(5 (sn 41)):495-503.
26. Chamani j. Energetic domains analysis of bovine α-lactalbumin upon interaction with copper and dodecyl trimethylammonium bromide. Journal of Molecular Structure. 2010;979(1-3):227-234.
27. Dehghani Sani F, Shakibapour N, Beigoli S, Sadeghian H, Hosainzadeh M, Chamani J.  Changes in binding affinity between ofloxacin and calf thymus DNA in the presence of histone H1: spectroscopic and molecular modeling investigations. Journal of Luminescence. 2018;203:599-608.
28. Hejazi, S., Mozdourian, M. Statins and Pulmonary Hypertension in Chronic Obstructive Lung Disease. Journal of Cardio-Thoracic Medicine, 2020; 8(1): 565-570.
 
 
 
 
Journal of Cardio-Thoracic Medicine
Volume 9, Issue 1
March 2021
Pages 739-746

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