Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study
This article was published in Current Developments in Nutrition [© Oxford University Press 2020.] and the definite version is available at: https://doi.org/10.1093/cdn/nzaa040_030 The Journal's website is at: https://academic.oup.com/cdn/article/4/Supplement_2/30/5844431
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Oxford Academic
2022
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| גישה מקוונת: | http://hdl.handle.net/10361/16613 https://doi.org/10.1093/cdn/nzaa040_030 |
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10361-166132022-05-16T21:01:45Z Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study Hanif, Abu Abdullah Mohammad Shamim, Abu Ahmed Hossain, Md. Mokbul Hasan, Mehedi Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S M Mustafizur Mitra, Dipak Kumar Haque, Md. Emdadul Mridha, Malay Brac James P. Grant School of Public Health Physical activity Hypertension Systolic blood pressure Diastolic blood pressure Elderly Women National Nutrition Surveillance This article was published in Current Developments in Nutrition [© Oxford University Press 2020.] and the definite version is available at: https://doi.org/10.1093/cdn/nzaa040_030 The Journal's website is at: https://academic.oup.com/cdn/article/4/Supplement_2/30/5844431 Objectives: Bangladesh has a dearth of information on the prevalence and factors associated with hypertension among elderlies. We assessed the prevalence, sex differences in prevalence, and factors associated with hypertension in the most recent national nutrition surveillance round (2018–19). Methods We analyzed data of 4817 elderlies (≥60 years) from 82 clusters (57 rural, 15 urban and 10 slum) selected by multistage cluster sampling. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and/or having a history of hypertension. We analyzed data using Stata 15.0. Results The weighted prevalence of hypertension was 42%, and 56% for elderly males, and females, respectively; and was higher among females for many socio-demographic, behavioural and anthropetric variables including age 70 + years (58% vs. 46%); high waist circumference (69% vs. 65%); diabetes (69% vs. 65%); living in rural (55% vs. 41%), urban (63% vs. 45%) and slum (50% vs. 30%) area; Muslim (56% vs. 42%); insufficient physical activity (60% vs 52%); and inadequate fruits/vegetables intake (56% vs. 43%). Among females, the factors associated with hypertension were age 70 + years (AOR: 1.40, 95% CI: 1.15–1.71), waist circumference ≥80 cm (AOR: 2.20, 95% CI: 1.82–2.67), diabetes (AOR: 1.82, 95% CI: 1.35–2.45), and inadequate physical activity (AOR: 1.38, 95% CI: 1.15–1.67). Among males, these factors were age 70 + years (AOR: 1.32, 95% CI: 1.09–1.60), waist circumference ≥90 cm (AOR: 2.76, 95% CI: 2.22–3.43), diabetes (AOR: 1.36, 95% CI: 1.02–1.82), slum-dwelling (AOR: 0.71, 95% CI: 0.52–0.96), > 10 years of education (AOR: 1.83; 95% CI: 1.38, 2.44), inadequate physical activity (AOR: 1.50, 95% CI: 1.25–1.81), and current smoking (AOR: 0.74; 95% CI: 0.61, 0.89). In both males and females, fruits and vegetables intake was not assicaited with hypertension. Conclusions In Bangladesh, the elderly female population is disproportionately affected by hypertension. They were found having a consistent pattern of higher prevalence of hypertension for many socio-demographic, behavioral, and anthropometric variables. The ministry of health of Bangladesh should consider this disproportionately high prevalence of hypertension among elderly females while designing and implementing health programs. Published 2022-05-16T06:55:24Z 2022-05-16T06:55:24Z 2020 2020-06 Journal Article Hanif, A. A. M., Shamim, A. A., Hossain, M. M., Hasan, M., Hossaine, M., Ullah, M. A., … Mridha, M. (2020). Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study. Current Developments in Nutrition, 4(Supplement_2), 30. doi:https://doi.org/10.1093/cdn/nzaa040_030 http://hdl.handle.net/10361/16613 https://doi.org/10.1093/cdn/nzaa040_030 en_US https://academic.oup.com/cdn/article/4/Supplement_2/30/5844431 Current Developments in Nutrition application/pdf Oxford Academic |
| institution |
Brac University |
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Institutional Repository |
| language |
en_US |
| topic |
Physical activity Hypertension Systolic blood pressure Diastolic blood pressure Elderly Women National Nutrition Surveillance |
| spellingShingle |
Physical activity Hypertension Systolic blood pressure Diastolic blood pressure Elderly Women National Nutrition Surveillance Hanif, Abu Abdullah Mohammad Shamim, Abu Ahmed Hossain, Md. Mokbul Hasan, Mehedi Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S M Mustafizur Mitra, Dipak Kumar Haque, Md. Emdadul Mridha, Malay Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| description |
This article was published in Current Developments in Nutrition [© Oxford University Press 2020.] and the definite version is available at: https://doi.org/10.1093/cdn/nzaa040_030 The Journal's website is at: https://academic.oup.com/cdn/article/4/Supplement_2/30/5844431 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Hanif, Abu Abdullah Mohammad Shamim, Abu Ahmed Hossain, Md. Mokbul Hasan, Mehedi Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S M Mustafizur Mitra, Dipak Kumar Haque, Md. Emdadul Mridha, Malay |
| format |
Journal Article |
| author |
Hanif, Abu Abdullah Mohammad Shamim, Abu Ahmed Hossain, Md. Mokbul Hasan, Mehedi Hossaine, Moyazzam Ullah, Mohammad Aman Sarker, Samir Kanti Rahman, S M Mustafizur Mitra, Dipak Kumar Haque, Md. Emdadul Mridha, Malay |
| author_sort |
Hanif, Abu Abdullah Mohammad |
| title |
Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_short |
Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_full |
Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_fullStr |
Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_full_unstemmed |
Elderly women are disproportionately vulnerable to hypertension in Bangladesh: Evidence from the National Nutrition Surveillance Study |
| title_sort |
elderly women are disproportionately vulnerable to hypertension in bangladesh: evidence from the national nutrition surveillance study |
| publisher |
Oxford Academic |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16613 https://doi.org/10.1093/cdn/nzaa040_030 |
| work_keys_str_mv |
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