PMID- 34326418
OWN - NLM
STAT- MEDLINE
DCOM- 20211108
LR  - 20240403
IS  - 2045-2322 (Electronic)
IS  - 2045-2322 (Linking)
VI  - 11
IP  - 1
DP  - 2021 Jul 29
TI  - Prevalence of and factors associated with hypertension according to JNC 7 and 
      ACC/AHA 2017 guidelines in Bangladesh.
PG  - 15420
LID - 10.1038/s41598-021-94947-2 [doi]
LID - 15420
AB  - Most studies either followed Joint National Committee 7 (JNC 7) or World Health 
      Organization-International Society of Hypertension (WHO-ISH) guidelines to 
      ascertain the prevalence of hypertension among Bangladeshi adults. The American 
      College of Cardiology/American Heart Association (ACC/AHA) revised the definition 
      of hypertension in 2017, which has significant public health importance. In 
      Bangladesh, the new guideline has resulted changes in prevalence and risk factors 
      for hypertension compared to the JNC7 guideline. This study used data from the 
      most recent round (2017-2018) of the Bangladesh Demographic and Health Survey 
      (BDHS). According to the 2017 ACC/AHA guideline, the participants were 
      categorized as hypertensive if they had blood pressure (BP) >/= 130/80 mmHg, but it 
      was >/= 140/90 mmHg in JNC 7 guideline. A total of 11,959 participants were 
      involved in the analysis. The median (IQR) age of the respondents was 34.0 
      (18.0-95.0) years. The prevalence of hypertension was 24.0% according to the JNC 
      7 guideline, which was 50.5% according to the 2017 ACC/AHA guideline. 
      Participants who were overweight and obese, aged, member of affluent households, 
      Rangpur and Rajshahi division inhabitants had significantly higher odds of being 
      hypertensive according to both guidelines. The new guideline suggests that half 
      of the adult population in Bangladesh is hypertensive when measured according to 
      the new guideline, urging the policymakers and public health practitioners to 
      take immediate action to address the already established modifiable risk factors.
CI  - (c) 2021. The Author(s).
FAU - Rahman, Md Ashfikur
AU  - Rahman MA
AUID- ORCID: 0000-0002-5517-8557
AD  - Development Studies Discipline, Social Science School, Khulna University, Khulna, 
      9208, Bangladesh. ashfikur@ku.ac.bd.
FAU - Halder, Henry Ratul
AU  - Halder HR
AUID- ORCID: 0000-0002-1362-3077
AD  - Statistics Discipline, Science, Engineering and Technology School, Khulna 
      University, Khulna, 9208, Bangladesh.
AD  - Rady Faculty of Health Sciences, Department of Community Health Sciences, 
      University of Manitoba, Winnipeg, Manitoba, Canada.
FAU - Yadav, Uday Narayan
AU  - Yadav UN
AUID- ORCID: 0000-0002-6626-1604
AD  - Forum for Health Research and Development, Dharan, Nepal.
AD  - Centre for Primary Health Care and Equity, University of New South Wales, Sydney, 
      Australia.
FAU - Mistry, Sabuj Kanti
AU  - Mistry SK
AUID- ORCID: 0000-0001-6100-6076
AD  - Centre for Primary Health Care and Equity, University of New South Wales, Sydney, 
      Australia.
AD  - BRAC James P Grant School of Public Health, BRAC University, 68 Shahid Tajuddin 
      Ahmed Sharani, Mohakhali, Dhaka, 1212, Bangladesh.
LA  - eng
PT  - Journal Article
DEP - 20210729
PL  - England
TA  - Sci Rep
JT  - Scientific reports
JID - 101563288
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - American Heart Association
MH  - Bangladesh/epidemiology
MH  - Blood Pressure
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Hypertension/*epidemiology
MH  - Male
MH  - Middle Aged
MH  - *Practice Guidelines as Topic
MH  - Prevalence
MH  - Risk Factors
MH  - Rural Population
MH  - United States
MH  - Urban Population
MH  - Young Adult
PMC - PMC8322062
COIS- The authors declare no competing interests.
EDAT- 2021/07/31 06:00
MHDA- 2021/11/09 06:00
PMCR- 2021/07/29
CRDT- 2021/07/30 06:22
PHST- 2021/01/13 00:00 [received]
PHST- 2021/07/19 00:00 [accepted]
PHST- 2021/07/30 06:22 [entrez]
PHST- 2021/07/31 06:00 [pubmed]
PHST- 2021/11/09 06:00 [medline]
PHST- 2021/07/29 00:00 [pmc-release]
AID - 10.1038/s41598-021-94947-2 [pii]
AID - 94947 [pii]
AID - 10.1038/s41598-021-94947-2 [doi]
PST - epublish
SO  - Sci Rep. 2021 Jul 29;11(1):15420. doi: 10.1038/s41598-021-94947-2.