DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200403

Prevalence and professional implication of updated versus previous hypertension classification

Charles Nsanzabera, Daniel Nyamongo Sagwe, Marcel Ndengo

Abstract


Background: Hypertension remains the global challenge and the leading causes of worse cardiovascular event with 7.5 million toll deaths. The 2010 WHO estimate was 1.3 billion representing 31.1% of all adults with an astounding increase in low and middle-income countries including Sab-Saharan Africa.

Methods: This cross-sectional study was undertaken in two beverage industrial workplaces with a sample of 440 employees and their spouses during the period of 2016 to 2018. WHO stepwise questionnaire was used to collect data and biomedical samples were taken for predicting the 10-year cardiovascular risk by Cox regression model and multivariate logistic regression was run to determine the key factors associated with both Hypertension (HTN) classifiers. The data were coded and analyzed by SPSS 16.0 version.

Results: Overall HTN prevalence was 32.27%, male with 37.8% and female with 25.2% by previous HTN classifier. Whereas the updated classifier showed an overall prevalence of 61.81%, male with 67.1% and female with 55%. The findings showed a huge difference of 29.54% with p<0.001 between the two prevalence of previous and updated blood pressure classification. Employees had a relatively high HTN prevalence of 35.92% to 65.18%, compared to the spouses with 26.47% to 56.47%, p<0.001 by previous and updated classification, respectively.

Conclusions: The relatively rise prevalence of the HTN revealed by this study suggests new and combining health promotion tactics, cultural theories to fight this rampant silent killer.


Keywords


Hypertension, Previous and updated classification of blood pressure, Cardiovascular diseases risk, Health promotion

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References


Dorans K, Mills K, Liu Y, Jiang H. Trends in Prevalence and Control of Hypertension According to the 2017 American College of Cardiology/American Heart Association (ACC/AHA) Guideline. Journal of the American Heart Association; 2018.

Katherine M, Bundy J, Kelly T, Reed J, Kearney P, Reynolds K, et al. Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population-Based Studies From 90 Countries. Circulation. 2016;134:441–50.

Lim T, Flaxman G, Adair-Rohani H, Shibuya D. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2224–60.

Kaplan N, Lieberman E, Neal W. Kaplan's clinical hypertension. Philadeliphia: Lippincott, Williams & Wilkins; 2002.

Stewart S. The epidemiologic and nutrition transition: prevalence and correlates of hypertension in rural East Africa; 2010.

Booth J. A short history of blood pressure measurement. Proc Royal Soc Med. 1977;70:793–9.

Kotchen T. Historical Trends and Milestones in Hypertension Research: A Model of the Process of Translational Research. Ahajournals,hypertension. 2011; 58:522-38.

Kearney P, Whelton M, Reynolds P, Whelton P. Global burden of hypertension: analysis of worldwide data. Lance. 2005;365(9455):217-23.

Brent M, Sverre E, Kjeldsenb G. The globalburden of hypertension exceeds1.4 billion people: should a systolic blood pressure target below 130 become the universal standard? J Hypertension. 2019;37:1148–53.

Whelton P, Carey R, Aronow W, Casey D, Collins K, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on CPG. Circulation. 2018;71:e13–115.

Guwatudde D, Nankya-Mutyoba J, Kalyesubula R, Laurence C, Adebamowo C, Ajayi I, et al. The burden of hypertension in sub-Saharan Africa: a four-country cross sectional study. BMC Public Health. 2015;15:1211.

Wamba A, Takah N, Johnman C. The impact of interventions for the primary prevention of hypertension in Sub-Saharan Africa: A systematic review and meta-analysis. PLoS ONE. 2019;14(7):e0219623.

Monakali S, Ter Goon D, Seekoe E, Owolabi E. Prevalence, awareness, control and determinants of hypertension among primary health care professional nurses in Eastern Cape, South Africa. African J Primary Health Care Family Med. 2018;10(1):a1758.

Kaze A, Schutte A, Erqou S, Kengne A, Echouffo-Tcheugui J, et al. Prevalence of hypertension in older people in Africa: a systematic review and meta-analysis. J Hypertens. 2017;35(7):1345-52.

Thomas B, Aletta ES, Maciej T, Ariti C, Burrell L, Castillo R, et al. May Measurement Month 2017: an analysis of blood pressure screening results worldwide. Lancet Global Health. 2018;6:e736–43.

Khera R, Lu Y, Lu J, Saxena A, Nasir K, Jiang L, et al. Impact of 2017 ACC/AHA guidelines on prevalence of hypertension and eligibility for antihypertensive treatment in United States and China: nationally representative cross-sectional study. BMJ. 2018;362: k2357.

Ipek E, Oktay A, Krim S. Hypertensive crisis: an update on clinical approach and management. Curr Opin Cardiol. 2017;32(4):397-406.

Hema S, Soudarssanane B, Jayalakshmy R, Thiruselvakumar D. Non-pharmacological Interventions in Hypertension: A Community-based Cross-over Randomized Controlled Trial. Indian J Community Med. 2011;36(3):191–6.

Thomas WB. Hypertension and Aging. Ageing Res Rev. 2016;26:96–111.

Priyanga R, Dilini N, Cooray R, Jayawardena P. The influence of family history of Hypertension on disease prevalence and associated metabolic risk factors among Sri Lankan adults. BMC Public Health. 2015;15:576.

Kazim H, Rais A, Ansari L. Alcohol-induced hypertension: Mechanism and prevention. World J Cardiol. 2014;6(5):245–52.

Tanya MS. Chronic Psychosocial Stress and Hypertension. Curr Hypertens Rep. 2010;12(1):10–6.

Kaiye G, Xin S, Wenbin W. The life-course impact of smoking on hypertension, myocardial infarction and respiratory diseases. Sci Rep. 2017;7:4330.

Luc D, Mukamal K. Alcohol Consumption and Risk of Hypertension: Does the Type of Beverage or Drinking Pattern Matter? Rev Esp Cardiol. 2009;62(6):603-5.

Sowers M, James R. Diabetes Mellitus and Hypertension. Hypertension. 1992;19(5).

Azam L, Rahim T, Mahnoush R. Factors Predicting Self-Care Behaviors among Low Health Literacy Hypertensive Patients Based on Health Belief Model in Bushehr District, South of Iran. Int J Hypertension. 2018;2018:Article ID 9752736.

Jafaralilou H, Iraj Z, Mohammad H, Habibeh M, Alireza D. The impact of theory-based educational intervention on improving helmet use behavior among workers of cement factory, Iran. J Egypt Public Health Assoc. 2019;94:1.

Mozhdeh H, Alireza R, Zare-Farashband F, Amir M, Alavi-Naeini D. Transtheoretical Model of Health Behavioral Change: A Systematic Review. Iran J Nurs Midwifery Res. 2019;24(2):83–90.

Eng J, Moy F, Bulgiba A. Impact of a Workplace Health Promotion Program on Employees’ Blood Pressure in a Public University. PLoS One. 2016;1(2):e0148307.

Chu-Hong L, Song-Tao T, Yi-Xiong L, Mian-Qiu Z, Wei-Quan L, Sen-Hua D, et al. Community-based interventions in hypertensive patients: a comparison of three health education strategies. BMC Public Health. 2015;15:33.

Bryan W, Giuseppe M, Wilko S, Enrico A, Michel B, Denis L, et al. 2018 ESC/ESH Guidelines for themanagement of arterial hypertension. European Heart J. 2018: 1–98.