Nutritional Epidemiology Research Unit (EREN), Galilee Doctoral School of Sciences, Technology and Health, Centre of Research in Epidemiology and Biostatistics (CRESS), Inserm U1153, Inra U1125, Cnam, Paris 13 University Sorbonne Paris Cite, Bobibny, France.
Faculty of Pharmacy, Lebanese International University, Beirut, Lebanon.
J Clin Hypertens (Greenwich). 2018 May;20(5):867-879. doi: 10.1111/jch.13268. Epub 2018 Mar 31.
There is limited epidemiologic data on hypertension (HTN) in Lebanon. This study aimed to determine the prevalence and associated risk factors of HTN in the adult Lebanese population and evaluate the association between dietary and psychological factors on systolic blood pressure (SBP). Cross-sectional analyses were conducted using a multistage cluster sample across Lebanon. A total of 2014 participants were included. The prevalence and control rates of HTN were 31.2% and 28.7%, respectively. In women, educational level and physical activity were negatively associated with HTN (P < .05 for both) and adherence to the Lebanese Mediterranean diet was associated with a lower SBP. Other factors were associated with HTN in men. There was no relationship with SBP and psychological distress. Of the modifiable risk factors, body mass index persisted as the only contributory factor in both sexes (P < .01). Accordingly, prevention of HTN at the population level should focus mainly on overweight prevention.
黎巴嫩的高血压（HTN）流行病学数据有限。本研究旨在确定黎巴嫩成年人群中 HTN 的患病率及其相关危险因素，并评估饮食和心理因素与收缩压（SBP）之间的关系。本研究使用黎巴嫩多阶段聚类样本进行横断面分析。共纳入 2014 名参与者。HTN 的患病率和控制率分别为 31.2%和 28.7%。在女性中，教育水平和体力活动与 HTN 呈负相关（两者均 P<.05），而遵循黎巴嫩地中海饮食与较低的 SBP 相关。其他因素与男性的 HTN 相关。心理困扰与 SBP 无关。在可改变的危险因素中，体重指数仍然是两性中唯一的致病因素（P<.01）。因此，应主要关注超重预防，以在人群层面预防 HTN。
