Abstract
Introduction: Hypertension is one of WHO 's global targets for the prevention of non-communicable diseases .Prehypertension, a new category of blood pressure among adults defined by the Joint Committee on High Blood Pressures, double the risk of cardiovascular diseases and other complications. The objectives of this study were to determine the prevalence of prehypertension and hypertension among adults in Penang, and further identified the associated factors.
Methods: A cross-sectional study was conducted in rural communities, Southwest District of Penang. The participants had physical examinations, screened for blood pressure level and completed the study questionnaires which contained the Malay versions of International Physical Activity 7 (IPAQ-7), Perceived Stress Scale (PSS) and short-subjective dietary assessment respectively to assess the level of physical activity, stress levels and dietary intake. Multinomial logistic regression models of hypertensive, prehypertensive and normotensive (reference) groups were performed to identify factors associated with hypertension and prehypertension. Results: A total of 168 adults participated in this study with the prevalence of hypertension and prehypertension was 26.79% (95% Confidence Interval (CI): 20.3, 34.2) and 44.6% (95% CI: 37.0, 52.5) respectively. All three groups of participants had minimally active total physical activity with those hypertensives had the lowest median (inter quartile range) value of 693.0 (2160.0) MET-minutes per week. Most of them reported moderate stress (57.3%) from the PSS measure. Abdominal obesity found to be significantly associated with both hypertension (Relative Risk Ratio (RRR)=4.11, 95% CI=1.41-12.00) and prehypertension (RRR=3.62, 95% CI=1.58-8.34). While, age (RRR=1.09, 95% CI=1.05-1.14), those with family history of hypertension(RRR=3.46, 95% CI=1.23-9.69) and having diabetes (RRR=5.81, 95% CI=1.56-21.67) were the additional factors associated with hypertension. Conclusions: The findings demonstrated that both hypertension and prehypertension are prevalent. Best screening strategies targeted the undiagnosed individuals are crucial to implement lifestyle interventions at the earliest opportunity.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-90.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-90,
title = {Prevalence of hypertension and prehypertension in adults and its associated factors: a community-based study},
author = {Fairuz Fadzilah Rahim and Siti Fatimah Kadeer Maideen and Surajudeen Abiola Abdulrahman and Abdul Rashid},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-90.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/APCPH2022-P-90_Prehypertension-and-hypertension-e7db584d0e33411f487c18da05326eb4.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: Hypertension is one of WHO 's global targets for the prevention of non-communicable diseases .Prehypertension, a new category of blood pressure among adults defined by the Joint Committee on High Blood Pressures, double the risk of cardiovascular diseases and other complications. The objectives of this study were to determine the prevalence of prehypertension and hypertension among adults in Penang, and further identified the associated factors.
Methods: A cross-sectional study was conducted in rural communities, Southwest District of Penang. The participants had physical examinations, screened for blood pressure level and completed the study questionnaires which contained the Malay versions of International Physical Activity 7 (IPAQ-7), Perceived Stress Scale (PSS) and short-subjective dietary assessment respectively to assess the level of physical activity, stress levels and dietary intake. Multinomial logistic regression models of hypertensive, prehypertensive and normotensive (reference) groups were performed to identify factors associated with hypertension and prehypertension. Results: A total of 168 adults participated in this study with the prevalence of hypertension and prehypertension was 26.79% (95% Confidence Interval (CI): 20.3, 34.2) and 44.6% (95% CI: 37.0, 52.5) respectively. All three groups of participants had minimally active total physical activity with those hypertensives had the lowest median (inter quartile range) value of 693.0 (2160.0) MET-minutes per week. Most of them reported moderate stress (57.3%) from the PSS measure. Abdominal obesity found to be significantly associated with both hypertension (Relative Risk Ratio (RRR)=4.11, 95% CI=1.41-12.00) and prehypertension (RRR=3.62, 95% CI=1.58-8.34). While, age (RRR=1.09, 95% CI=1.05-1.14), those with family history of hypertension(RRR=3.46, 95% CI=1.23-9.69) and having diabetes (RRR=5.81, 95% CI=1.56-21.67) were the additional factors associated with hypertension. Conclusions: The findings demonstrated that both hypertension and prehypertension are prevalent. Best screening strategies targeted the undiagnosed individuals are crucial to implement lifestyle interventions at the earliest opportunity.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: RCSI \& UCD Malaysia Campus; Health Education England, East of England},
keywords = {abdominal obesity, elevated blood pressure, hypertensive, prehypertensive},
pubstate = {published},
tppubtype = {proceedings}
}