Sainju N K, Shah R K, Joshi S K
Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2018;16(61):4-7.
Background Hypertension is a major non-communicable disease and obesity is a risk factor for non-communicable diseases around the globe. The prevalence of hypertension and obesity is gradually increasing in Nepal. Most cases in the rural population of Nepal remain undiagnosed due to lack of routine screening and awareness. Objective To screen the cases of hypertension and obesity in a rural population of Nepal and also to depict the association between them. Method A cross sectional study was used to collect data on age, sex, height, weight and blood pressure through a screening health camp. Only the respondents who were not already taking antihypertensive drugs were included in this study. The measurement of blood pressure and body mass index was done using standard instruments. Joint National Committee VII classification was used to classify hypertension and World Health Organization classification was used for Body Mass Index. Analysis was done in IBM SPSS version 20. Result Out of the total respondents, 69.8% were female and 30.2% were male, and mean age was 48.73 (±16.25) years. Among them, 375 (30.17%) respondents were found to be hypertensive and 137 (11.02%) were pre-hypertensive. Similarly, 27% male participants and 72 % female participants were obese. Almost three-fifths of the obese participants were hypertensive. Conclusion Pre-hypertension and hypertension were seen in 11.02% and 30.17% of the study population respectively. As routine screening of hypertension and obesity is not done in our country, most of them remain undiagnosed.
高血压是一种主要的非传染性疾病，而肥胖是全球非传染性疾病的一个风险因素。尼泊尔高血压和肥胖的患病率正在逐渐上升。由于缺乏常规筛查和认识，尼泊尔农村人口中的大多数病例仍未得到诊断。目的：筛查尼泊尔农村人口中的高血压和肥胖病例，并描述它们之间的关联。方法：通过一个筛查健康营采用横断面研究来收集年龄、性别、身高、体重和血压数据。本研究仅纳入尚未服用抗高血压药物的受访者。使用标准仪器测量血压和体重指数。采用美国国家联合委员会第七版分类法对高血压进行分类，采用世界卫生组织分类法对体重指数进行分类。在IBM SPSS 20版本中进行分析。结果：在所有受访者中，69.8%为女性，30.2%为男性，平均年龄为48.73（±16.25）岁。其中，375名（30.17%）受访者被发现患有高血压，137名（11.02%）为高血压前期。同样，27%的男性参与者和72%的女性参与者肥胖。几乎五分之三的肥胖参与者患有高血压。结论：分别有11.02%和30.17%的研究人群患有高血压前期和高血压。由于我国未对高血压和肥胖进行常规筛查，大多数病例仍未得到诊断。
