Rahman Md Ashfikur, Halder Henry Ratul, Yadav Uday Narayan, Mistry Sabuj Kanti
Development Studies Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh.
Statistics Discipline, Science, Engineering and Technology School, Khulna University, Khulna, 9208, Bangladesh.
Sci Rep. 2021 Jul 29;11(1):15420. doi: 10.1038/s41598-021-94947-2.
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.
大多数研究遵循美国国家联合委员会第7版（JNC 7）或世界卫生组织-国际高血压学会（WHO-ISH）指南来确定孟加拉国成年人中高血压的患病率。美国心脏病学会/美国心脏协会（ACC/AHA）于2017年修订了高血压的定义，这具有重大的公共卫生意义。在孟加拉国，与JNC7指南相比，新指南导致了高血压患病率和危险因素的变化。本研究使用了孟加拉国人口与健康调查（BDHS）最新一轮（2017 - 2018年）的数据。根据2017年ACC/AHA指南，如果参与者的血压（BP）≥130/80 mmHg，则被归类为高血压患者，但在JNC 7指南中这一标准为≥140/90 mmHg。共有11959名参与者参与了分析。受访者的年龄中位数（IQR）为34.0（18.0 - 95.0）岁。根据JNC 7指南，高血压患病率为24.0%，而根据2017年ACC/AHA指南，这一患病率为50.5%。根据这两个指南，超重和肥胖、年龄较大、富裕家庭的成员、朗布尔和拉杰沙希地区的居民患高血压的几率显著更高。新指南表明，按照新指南测量时，孟加拉国一半的成年人口患有高血压，这促使政策制定者和公共卫生从业者立即采取行动，应对已确定的可改变的危险因素。
