Prevalence, Awareness, Treatment and Control of Hypertension among the Elderly Residing in Rural Area of Haldwani Block, in Nainital District of Uttarakhand

Bartwal, Janki; Rawat, Chandramohan Singh; Awasthi, Sadhana

doi:10.5530/jcdr.2016.3.3

Cited by 3 publications

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“…Subjects with controlled hypertension, among those being treated, were about 47% (95% CI: 0.45–0.50), without significant differences between LICs and LMICs ( Supplementary Figure S37 ). Four studies reported a score <20% (Cameroon [ 41 ] 16%; Ghana [ 49 ] 12%; India [ 60 , 61 ] 19%), while in 3 studies >80% of treated subjects were controlled (India [ 62 , 64 ] 84% and 87%; Laos [ 85 ] 91%). Sub-Saharan Africa showed a percentage of treated subjects below the global mean (42%) ( Supplementary Figure S38 ).…”

Section: Resultsmentioning

confidence: 99%

Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis

Lamloum,

Fassio,

Osetinsky

et al. 2023

Int J Public Health

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Objective: High blood pressure is the leading risk factor for cardiovascular disease. The hypertension care cascade (HCC) is increasingly being used to evaluate the effectiveness of interventions. This systematic review aims to examine HCC in low-income settings.Methods: The search strategy included articles published between January 2010 and April 2023. We excluded studies with incomplete HCC, on fragile patients or aged <18 years, reviews. We used the MOOSE guideline. Five researchers retrieved data on the survey year, country, population, HCC and diagnostic methods for hypertension. We used JBI Critical Appraisal Tools for quality assessment.Results: Ninety-five articles were analyzed. Average hypertension prevalence was 33% (95% CI: 31%–34%), lower in LICs than in LMICs (25% vs. 34%). The overall mean awareness of hypertension was 48% (95% CI: 45%–51%), its treatment was 35% (95% IC: 32%–38%) and its control 16% (95% CI: 14%–18%). In almost all steps, percentages were lower in LICs and in Sub-Saharan Africa.Conclusion: Trends in HCC vary between countries, with poorer performance in LICs. This review highlights the need for interventions tailored to low-income settings in order to improve hypertension care.

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Section: Resultsmentioning

confidence: 99%

Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis

Lamloum,

Fassio,

Osetinsky

et al. 2023

Int J Public Health

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Prevalence and Factors Associated with Hypertension

Mishra

Paneru

2021

PAJAR, Pan Am. J. Aging Res.

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Aims: hypertension (HTN) is rapidly emerging as a public health problem among elderly in developing countries. The objective of this study was to assess the prevalence of hypertension and its associated factors among the elderly in Pokhara Metropolitan, Nepal.Methods: a cross-sectional analytical study was carried out to assess hypertension among 323 community dwelling elderly in Pokhara Metropolitan from October 2019 to March 2020. Quota sampling was used to collect the samples. Elderly those who were attending hospitals or with any serious medical conditions were excluded from the study. Face to face interview was done for data collection and anthropometric measurements, and semi structured standard STEPS questionnaires were used as data collection tools. Data were entered in Epi DATA [Version 3.1] and analyzed using SPSS [Version 20] as per data analysis plan. Bivariate logistic regression analysis were conducted and statistical significance was declared at a p-value ≤ 0.05.Results: prevalence of hypertension was reported among 34.4 percent (Male: 39.3%, Female 29%) elderly in Pokhara Metropolitan. The higher proportion of hypertensive cases were in age group 60-69 years (36%). The prevalence of hypertension was significantly associated with ethnicity (OR= 1.74, CI: 1.07-2.83), current alcohol intake (OR= 2.56, CI: 1.30-5.05) and mental stress (OR= 2.25, CI: 1.19-4.28).Conclusion: more than one third of the elderly had hypertension. Ethnicity, current alcohol intake and mental stress are found to be factors associated with hypertension. Periodic screening for early detection of hypertension and implementing health promotion interventions to encourage behavior change among elderly may promote healthy ageing.

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Study on prevalence of obesity using different scales and its association with hypertension among the elderly in a district of Gujarat

Patel

Nagar

et al. 2022

Journal of Family Medicine and Primary Care

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Introduction: In older adults, excess weight is associated with a higher prevalence of cardiovascular disease, metabolic disease, several important cancers, and numerous other medical conditions. Several indices such as body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) are used to classify general. Some studies also reported that WC and WHR is a better indicator of cardiovascular disease (CVD) risk than BMI and WHR. Aims and Objective: 1. To estimate the prevalence of obesity among the elderly using three scale viz. BMI, WHR, and WHtR 2. To compare the results of these three-scale used for assessment of obesity 3. To determine the presence of association between obesity and hypertension if any. Material and Methods: For selection of the area, in both the urban and rural areas, the sampling units were enumerated and samples were collected from them. The estimated geriatric population combined in both Urban and Rural areas amounted to 12,220 (7% of geriatric population as per Census 2001), out of which 5% was selected as sample. This came out to be 611 elderly subjects which were selected equally from both urban and rural areas. For assessment of obesity BMI, WHR, and WHtR were measured. Assessment of hypertension was as per JNC classification. Result: Prevalence of obesity as per BMI in the urban area was found to be 40%, whereas that in rural areas was found to be 47.4%. WHR and WHtR showed higher prevalence in rural areas (70%) and also in urban areas (60%). BMI and WHR were significantly associated with hypertensive status of elderly. Conclusion: Anthropometric assessments of obesity like WHR and WHTR are more sensitive indicators of obesity among the elderly. BMI is found to be significantly associated with hypertension as well in the present study. Logistic regression showed that the association of BMI with hypertension was higher than other obesity assessments.

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Prevalence, Awareness, Treatment and Control of Hypertension among the Elderly Residing in Rural Area of Haldwani Block, in Nainital District of Uttarakhand

Cited by 3 publications

References 0 publications

Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis

Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis

Prevalence and Factors Associated with Hypertension

Study on prevalence of obesity using different scales and its association with hypertension among the elderly in a district of Gujarat

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