Hypertension prevalence, awareness, and control in <scp>A</scp>rab countries: A systematic review

Tailakh, Ayman; Evangelista, Lorraine S.; Mentes, Janet C.; Pike, Nancy A.; Phillips, Linda R.; Morisky, Donald E.

doi:10.1111/nhs.12060

Cited by 111 publications

(114 citation statements)

References 18 publications

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“…The findings demonstrated that those had higher education levels (such as doctorate and master holders) had less vulnerability to develop HTN. Similar finding was reported by the previous literature (14,16) which found that education significantly reduces the prevalence of HTN illness. A possible explanation of these findings is that higher level of education is frequently related with better awareness concerning healthy lifestyle and HTN associated risk factors.…”

Section: Risk Factors Of Htnsupporting

confidence: 92%

Hypertension among Faculty Members of Health Sciences College at South Saudi Arabia: Prevalence and Risk Factors

2017

IJSR

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Background: Essential Hypertension is a challenge for public health professionals all over the world. The aims of the present study were to determine the prevalence of hypertension among faculty members of private College and to investigate risks factors. Methods: A cross-sectional study was conducted in a private College-Saudi Arabia. The sample size was 115 members. The participants were asked to complete a self-reported questionnaire. Results: Both systolic and diastolic hypertension were significantly associated with gender and educational level (p<.05). Systolic hypertension was significantly associated with age groups while diastolic hypertension was significantly associated with marital status (p<.05). More than two-third (69.6 %) subjects were overweight or obese. Hypertension was detected in 39.2 % of participants, and obesity in 30.4 %. Conclusions: Factors associated with hypertension were male gender, educational level, and older age group. This study highlighted the needs for more studies to detect hypertension and explore other risk factors.

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Section: Risk Factors Of Htnsupporting

confidence: 92%

Hypertension among Faculty Members of Health Sciences College at South Saudi Arabia: Prevalence and Risk Factors

2017

IJSR

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“…[2][3][4][5][6][7] However, data regarding the prevalence of hypertension in South Asians are controversial, unlike the results concerning to the high prevalence of coronary heart disease (CHD) in this population. 8 It has been demonstrated that slowing breathing to 6 breaths per minute can reduce blood pressure (BP) in hypertensive patients, patients with chronic heart failure, and patients with chronic obstructive pulmonary disease, but not in normotensive control subjects.…”

Section: -7mentioning

confidence: 99%

“…Little is known about predisposition of hypertension among Arabs; however, a few studies reported that hypertension is prevalent in Arabic population. 6,7 Previously, it was shown, that Arabs had enhanced pressor response to orthostasis, despite similar baseline BP among Caucasians, Africans and Indians. 16 Possibly, the low cardiovagal activity found in the current study in normotensive Arabs may be relevant to their predisposition to hypertension.…”

Section: Ethnic/racial Differences In Hemodynamic and Hrv Indicesmentioning

confidence: 99%

Slow breathing has unequal effects on prehypertensives from different ethnic/racial groups

Shekh

2017

Ann Med Physiol.

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In this study, we investigated whether slow breathing reduces blood pressure (BP) in individuals at risk of developing hypertension and if slow breathing has the same effect on Caucasian, African, Arabian and Indian subjects. Also we assessed ethnic/racial differences in low frequency (LF) power and high frequency (HF) power of heart rate variability (HRV). A total of 40 Caucasian men from Ukraine, 39 West African men mostly from Nigeria, 38 Arabic men from Palestine and Israel and 41 South Asian men from India studying at V. N. Karazin Kharkiv National University were recruited in this study. The subjects were further classified into normotensive and prehypertensive groups. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), LF power, HF power of HRV were recorded at spontaneous breathing and at paced breathing of 10 and 6 breaths per minute. It was found that slowing respiratory rate to 6 breaths per minute reduces SBP in prehypertensive Caucasians, Arabs, Indians, but not in Africans. At 6 breaths per minute, natural logarithm of HF (LnHF) power indicating cardiovagal activity was less in normotensive Arabs than in Caucasians, Africans and Indians possibly suggesting an increased risk of developing hypertension; while prehypertensive Africans demonstrated LnHF power higher than Arabs and Indians. When covariates like age and body mass index (BMI) were considered, prehypertensive Africans demonstrated LnHF power higher than in Caucasians also. It is suggested that in prehypertensive Africans the control of autonomic nervous activity is reset to a higher level of parasympathetic outflow.

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“…5 Hypertension will play a major role in the ongoing cardiovascular disease epidemic, and early recognition and treatment of hypertension are essential to the prevention of cardiovascular disease and its sequelae. 6,7 Although a number of studies have reported the prevalence of hypertension in low-and middle-income countries, 2,8,9 few have explicitly studied hypertension within urban informal settlements or slums, which are communities with limited access to the formal healthcare system. [10][11][12][13][14][15][16][17][18][19] In 2003, the United Nations Human Settlements Program (UN-Habitat) operationally defined slums as urban areas characterized by their poor sanitation infrastructure, limited access to safe water, poor structural housing quality, and overcrowding.…”

Section: Introductionmentioning

confidence: 99%

Hypertension in a Brazilian Urban Slum Population

et al. 2015

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Low-and middle-income countries account for the majority of hypertension disease burden. However, little is known about the distribution of this illness within subpopulations of these countries, particularly among those who live in urban informal settlements. A cross-sectional hypertension survey was conducted in 2003 among 5649 adult residents of a slum settlement in the city of Salvador, Brazil. Hypertension was defined as either an elevated arterial systolic (≥140 mmHg) or diastolic (≥90 mmHg) blood pressure. Sex-specific multivariable models of systolic blood pressure were constructed to identify factors associated with elevated blood pressure. The prevalence of hypertension in the population 18 years and older was 21 % (1162/5649). Men had 1.2 times the risk of hypertension compared with women (95 % confidence intervals (CI), 1.05, 1.36). Increasing age and lack of any schooling, particularly for women, were also significantly associated with elevated blood pressure (pG0.05). There was also a direct association between men who were black and an elevated blood pressure. Among those who were hypertensive, 65.5 % were aware of their condition, and only 36.3 % of those aware were actively using anti-hypertensive medications. Men were less likely to be aware of their diagnosis or to use medications (pG0.01 for both) than women. The prevalence of hypertension in this slum community was lower than reported frequencies in the non-slum population of Brazil and Salvador, yet both disease awareness and treatment frequency were low. Further research on hypertension and other chronic non-communicable diseases in slum populations is urgently needed to guide prevention and treatment efforts in this growing population.

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Hypertension prevalence, awareness, and control in Arab countries: A systematic review

Cited by 111 publications

References 18 publications

Hypertension among Faculty Members of Health Sciences College at South Saudi Arabia: Prevalence and Risk Factors

Hypertension among Faculty Members of Health Sciences College at South Saudi Arabia: Prevalence and Risk Factors

Slow breathing has unequal effects on prehypertensives from different ethnic/racial groups

Hypertension in a Brazilian Urban Slum Population

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