Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: A cross-sectional analysis of the demographic and health survey 2016
This article was published in The BMJ Open [© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-030206 The Journal's websit...
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2022
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| Online-ссылка: | http://hdl.handle.net/10361/16503 http://dx.doi.org/10.1136/bmjopen-2019-030206 |
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10361-165032022-04-03T21:01:31Z Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: A cross-sectional analysis of the demographic and health survey 2016 Gupta, Rajat Das Bin Zaman, Sojib Wagle, Kusum Crispen, Reese Hashan, Mohammad Rashidul Al Kibria, Gulam Muhammed Brac James P. Grant School of Public Health 2017 ACC/AHA JNC7 Determinants Hypertension Nepal This article was published in The BMJ Open [© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-030206 The Journal's website is at: https://bmjopen.bmj.com/content/9/8/e030206 Objectives: This study investigated the determinants of hypertension in Nepal according to both the Joint National Committee 7 (JNC7) and the American College of Cardiology/American Heart Association (2017 ACC/AHA) guidelines. Design: Cross-sectional study. Setting: This study used data collected from the 2016 Nepal Demographic and Health Survey data. Participants: 13 393 weighted adults aged ≥18 years enrolled by a stratified cluster sampling strategy were included in our analysis. Primary and secondary outcome measures: The primary outcome was hypertension, which was defined according to JNC7 (systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg) and 2017 ACC/AHA guidelines (SBP ≥130 mm Hg and/or DBP ≥80 mm Hg). Antihypertensive medication users were also classified as hypertensive. After descriptive analysis, multilevel logistic regression was applied to obtain ORs. Results: About 21% (n=2827) and 44% (n=5918) of the individuals aged ≥18 years were classified as hypertensive according to the JNC7 and 2017 ACC/AHA guidelines, respectively. Following factors were found to be significantly associated with hypertension according to the 2017 ACC/AHA guideline: ≥70 years (adjusted OR (AOR) 5.2; 95% CI 4.3 to 6.2), 50-69 years (AOR 3.9; 95% CI 3.4 to 4.4) and 30-49 years (AOR 2.7; 95% CI 2.4 to 3.0) age groups, male gender (AOR 1.7; 95% CI 1.6 to 1.9), being overweight/obese (AOR 3.0; 95% CI 2.7 to 3.3), residence in provinces 4 (AOR 1.5; 95% CI 1.2 to 2.0) and 5 (AOR 1.5; 95% CI 1.2 to 1.9). No significant association was identified with household wealth status and ecological regions of residence using the 2017 ACC/AHA guideline. Conclusions: Per both guidelines, multiple factors were associated with hypertension. Public health programme aiming to prevent and control hypertension in Nepal should prioritise these factors and focus on individuals with a higher likelihood of hypertension irrespective of educational level, household wealth status and ecological regions of residence. Published 2022-04-03T06:47:16Z 2022-04-03T06:47:16Z 2019 2019-08-10 Journal Article Das Gupta, R., Bin Zaman, S., Wagle, K., Crispen, R., Hashan, M. R., & Al Kibria, G. M. (2019). Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: a cross-sectional analysis of the demographic and health survey 2016. BMJ open, 9(8), e030206. https://doi.org/10.1136/bmjopen-2019-030206 http://hdl.handle.net/10361/16503 http://dx.doi.org/10.1136/bmjopen-2019-030206 en_US https://bmjopen.bmj.com/content/9/8/e030206 BMJ Open application/pdf BMJ Journals |
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Brac University |
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Institutional Repository |
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en_US |
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2017 ACC/AHA JNC7 Determinants Hypertension Nepal |
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2017 ACC/AHA JNC7 Determinants Hypertension Nepal Gupta, Rajat Das Bin Zaman, Sojib Wagle, Kusum Crispen, Reese Hashan, Mohammad Rashidul Al Kibria, Gulam Muhammed Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: A cross-sectional analysis of the demographic and health survey 2016 |
| description |
This article was published in The BMJ Open [© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-030206 The Journal's website is at: https://bmjopen.bmj.com/content/9/8/e030206 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Gupta, Rajat Das Bin Zaman, Sojib Wagle, Kusum Crispen, Reese Hashan, Mohammad Rashidul Al Kibria, Gulam Muhammed |
| format |
Journal Article |
| author |
Gupta, Rajat Das Bin Zaman, Sojib Wagle, Kusum Crispen, Reese Hashan, Mohammad Rashidul Al Kibria, Gulam Muhammed |
| author_sort |
Gupta, Rajat Das |
| title |
Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: A cross-sectional analysis of the demographic and health survey 2016 |
| title_short |
Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: A cross-sectional analysis of the demographic and health survey 2016 |
| title_full |
Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: A cross-sectional analysis of the demographic and health survey 2016 |
| title_fullStr |
Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: A cross-sectional analysis of the demographic and health survey 2016 |
| title_full_unstemmed |
Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: A cross-sectional analysis of the demographic and health survey 2016 |
| title_sort |
factors associated with hypertension among adults in nepal as per the joint national committee 7 and 2017 american college of cardiology/american heart association hypertension guidelines: a cross-sectional analysis of the demographic and health survey 2016 |
| publisher |
BMJ Journals |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16503 http://dx.doi.org/10.1136/bmjopen-2019-030206 |
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