Prevalence and associated risk factor of hypertension among individuals of age 18-59 years in South-eastern Nepal: A cross-sectional study

  • Prajjwal Pyakurel B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Deepak Kumar Yadav B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Jeevan Thapa B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Nishant Thakur B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Pramita Sharma B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Niraj Koirala B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Suraj Kumar Yadav B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Akanksha Chaurasia B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Sumit Sharma B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • June Thapa B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Santosh Thapa B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Amit Shah B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Pratigya Panta B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Rajina Shrestha B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Arpana Dangi B.P.Koirala Institute of Health Sciences, Dharan, Nepal
  • Bijay Acharya Division of General Internal Medicine, Johns Hopkins Hospital and John Hopkins University, School of Medicine
  • Ujjwal Pyakurel Kantipur Dental College and Research Centre, Kathmandu, Nepal
  • Nilambar Jha B.P.Koirala Institute of Health Sciences, Dharan, Nepal
Keywords: Hypertension, Risk factors, Rural Nepal

Abstract

Background: Hypertension is one of the major risk factors for the rising burden of cardiovascular diseases (CVDs) in developing region. It has also been recognized as one of the major public health problems in the developing countries since the early seventies and the rate is increasing not only in urban areas but in rural areas with low socio-economic condition. 

Methods: A cross sectional study was conducted in Jogidaha Village Development Comittee(VDC) and Triyuga Municipality of Udaypur district of South-Eastern Nepal. A total of 430 participants of age 18-59 years were selected. Semi-structured questionnaire (WHO NCD STEPS instrument) was used to collect information on demographic variables and associated risk factors with use of show cards. Clinical and anthropometric measurement were done. Primary outcome was prevalence of hypertension. Bivariate and multivariate analysis were performed to show strength of association among various risk factors with hypertension. 

Results: The prevalence of hypertension was found to be 25.1%. Prevalence of overweight and obesity was found to be 49.8%. Hypertension was significantly associated with age (AOR=1.09, CI=1.05-1.10) and gender (male >female; AOR= 2.12,CI =1.22-3.68). Similarly, increased waist-hip ratio(7.12; CI 2.87-17.67),alcohol consumption(OR=2.82,CI=1.77-4.52), and use of tobacco products (OR =1.8,CI=1.02-3.20) showed significant association with hypertension.

Conclusion: There is high prevalence of hypertension in rural districts of South-Eastern Nepal. A community-based preventive approach with early detection and treatment and life-style modification is needed to reduce the burden of disease and make sustainable changes. 

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Abstract
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PDF
478
Published
2019-04-30
How to Cite
Pyakurel, P., Yadav, D., Thapa, J., Thakur, N., Sharma, P., Koirala, N., Yadav, S., Chaurasia, A., Sharma, S., Thapa, J., Thapa, S., Shah, A., Panta, P., Shrestha, R., Dangi, A., Acharya, B., Pyakurel, U., & Jha, N. (2019). Prevalence and associated risk factor of hypertension among individuals of age 18-59 years in South-eastern Nepal: A cross-sectional study. Nepalese Heart Journal, 16(1), 19-26. https://doi.org/10.3126/njh.v16i1.23894
Section
Original Articles