Epidemiology of hypertension among Bangladeshi adults using the 2017 ACC/AHA Hypertension Clinical Practice Guidelines and Joint National Committee 7 Guidelines.

Journal of Human Hypertension
Jessica Yasmine IslamZahid Al-Quadir

Abstract

In 2017, the American College of Cardiology (ACC) and American Heart Association (AHA) released updated guidelines on the definition of hypertension, and blood pressure thresholds for initiation of antihypertensive medication. Our objective was to assess the change in prevalence of hypertension, risk factors, and identify populations recommended for treatment among Bangladeshi adults, based on the 2017 ACC/AHA guidelines. Data for this analysis were collected from a population-based nationally representative sample of 1843 Bangladeshi adults, aged ≥18 years in 2015. Hypertension was defined based on two definitions: the JNC 7 guidelines (SBP ≥ 140 or DBP ≥ 90 mmHg), and the 2017 ACC/AHA guidelines (SBP ≥ 130 mmHg, or DBP ≥ 80 mmHg), or a self-reported diagnosis of hypertension. Based on the 2017 ACC/AHA guidelines, the prevalence of hypertension was 40.7% (95% CI: 38.5-43.0). The prevalence of JNC 7 definition of hypertension was 17.9% (95% CI: 16.2-19.7), indicating a 22.8% increase in prevalence. Based on both definitions, urban residents, older adults, adults with low physical activity, obese, abdominally obese, and diabetic adults were more likely to have hypertension. Based on current JNC 7 guidelines, only half of hyperte...Continue Reading

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Citations

Jun 22, 2019·Current Diabetes Reports·Ram JagannathanK M Venkat Narayan
Oct 9, 2019·International Journal of Environmental Research and Public Health·Rishika ChakrabortyMohammad Zahirul Islam
Jun 10, 2020·Clinical Hypertension·Mohammad Ziaul Islam ChowdhuryTanvir C Turin
May 22, 2021·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Moriam KhanamAbdur Razzaque Sarker
May 16, 2021·Tropical Medicine & International Health : TM & IH·Rajat Das GuptaMd Belal Hossain
Jun 3, 2021·International Journal of Environmental Research and Public Health·Sally Sonia SimmonsThomas Schack
Aug 25, 2021·Environmental Pollution·Md Shiblur RahamanSahoko Ichihara

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