Prehypertension and hypertension among the medical students of public medical colleges in Dhaka, Bangladesh: A cross-sectional study
DOI:
https://doi.org/10.3329/bsmmuj.v17i2.71379Keywords:
prehypertension, hypertension, risk factors, medical students, BangladeshAbstract
Background: Prehypertension and hypertension are the leading risk factors for cardiovascular diseases and are increasingly prevalent among young adults. This study aimed to assess the prevalence of prehypertension and hypertension among medical students of public medical colleges in Dhaka city, Bangladesh.
Methods: This cross-sectional study was done among 293 medical students of four public medical colleges in Dhaka city. Data on age, sex, physical activity, smoking, alcohol consumption, height, weight, and blood pressure were obtained. Systolic blood pressure (SBP) of 120–139 mmHg or diastolic blood pressure (DBP) of 80–89 mmHg was considered prehypertensive, while SBP ≥140 mmHg or DBP ≥90 mmHg was classified as hypertensive.
Results: The average age was 21.6 years. More than one-fourth (28.0%) were prehypertensive, and 4.8% were hypertensive. Multinomial logistic regression identified male sex (adjusted odds ratio, 4.6; 95% confidence interval, 2.5–8.3) and overweight (aOR 2.0; 95% CI 1.1–3.5) as the risk factors of prehypertension. For hypertension, the risk factors were male sex (aOR 9.7; 95% CI 2.3–42.0), ever alcohol consumption (aOR 18.0; 95% CI 1.3–249.8), and overweight (aOR 6.6; 95% CI 1.3–32.6).
Conclusion: We report that one-third of the medical students have prehypertension and hypertension. Overweight and alcohol consumers should be considered for targeted intervention.
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Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, Atkinson C, Bacchus LJ, Bahalim AN, Balakrishnan K, Balmes J, Barker-Collo S, Baxter A, Bell ML, Blore JD, Blyth F, Bonner C, Borges G, Bourne R, Boussinesq M, Brauer M, Brooks P, Bruce NG, Brunekreef B, Bryan-Hancock C, Bucello C, Buchbinder R, Bull F, Burnett RT, Byers TE, Calabria B, Carapetis J, Carnahan E, Chafe Z, Charlson F, Chen H, Chen JS, Cheng AT, Child JC, Cohen A, Colson KE, Cowie BC, Darby S, Darling S, Davis A, Degenhardt L, Dentener F, Des Jarlais DC, Devries K, Dherani M, Ding EL, Dorsey ER, Driscoll T, Edmond K, Ali SE, Engell RE, Erwin PJ, Fahimi S, Falder G, Farzadfar F, Ferrari A, Finucane MM, Flaxman S, Fowkes FG, Freedman G, Freeman MK, Gakidou E, Ghosh S, Giovannucci E, Gmel G, Graham K, Grainger R, Grant B, Gunnell D, Gutierrez HR, Hall W, Hoek HW, Hogan A, Hosgood HD 3rd, Hoy D, Hu H, Hubbell BJ, Hutchings SJ, Ibeanusi SE, Jacklyn GL, Jasrasaria R, Jonas JB, Kan H, Kanis JA, Kassebaum N, Kawakami N, Khang YH, Khatibzadeh S, Khoo JP, Kok C, Laden F, Lalloo R, Lan Q, Lathlean T, Leasher JL, Leigh J, Li Y, Lin JK, Lipshultz SE, London S, Lozano R, Lu Y, Mak J, Malekzadeh R, Mallinger L, Marcenes W, March L, Marks R, Martin R, McGale P, McGrath J, Mehta S, Mensah GA, Merriman TR, Micha R, Michaud C, Mishra V, Mohd Hanafiah K, Mokdad AA, Morawska L, Mozaffarian D, Murphy T, Naghavi M, Neal B, Nelson PK, Nolla JM, Norman R, Olives C, Omer SB, Orchard J, Osborne R, Ostro B, Page A, Pandey KD, Parry CD, Passmore E, Patra J, Pearce N, Pelizzari PM, Petzold M, Phillips MR, Pope D, Pope CA 3rd, Powles J, Rao M, Razavi H, Rehfuess EA, Rehm JT, Ritz B, Rivara FP, Roberts T, Robinson C, Rodriguez-Portales JA, Romieu I, Room R, Rosenfeld LC, Roy A, Rushton L, Salomon JA, Sampson U, Sanchez-Riera L, Sanman E, Sapkota A, Seedat S, Shi P, Shield K, Shivakoti R, Singh GM, Sleet DA, Smith E, Smith KR, Stapelberg NJ, Steenland K, Stöckl H, Stovner LJ, Straif K, Straney L, Thurston GD, Tran JH, Van Dingenen R, van Donkelaar A, Veerman JL, Vijayakumar L, Weintraub R, Weissman MM, White RA, Whiteford H, Wiersma ST, Wilkinson JD, Williams HC, Williams W, Wilson N, Woolf AD, Yip P, Zielinski JM, Lopez AD, Murray CJ, Ezzati M, AlMazroa MA, Memish ZA. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec 15;380(9859):2224-2260. DOI: https://doi.org/10.1016/S0140-6736(12)61766-8.
World Health Organization. Fact sheet: Hypertension. Geneva: World Health Organization; 16 March 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension. (accessed 14 April 2023).
Lawes CM, Vander Hoorn S, Rodgers A; International Society of Hypertension. Global burden of blood-pressure-related disease, 2001. Lancet. 2008 May 3;371(9623):1513-1518. DOI: https://doi.org/10.1016/S0140-6736(08)60655-8.
Lawes CM, Vander Hoorn S, Law MR, Elliott P, MacMahon S, Rodgers A. Blood pressure and the global burden of disease 2000. Part II: estimates of attributable burden. J Hypertens. 2006 Mar;24(3):423-430. DOI: https://doi.org/10.1097/01.hjh.0000209973.67746.f0.
Directorate General of Medical Education (DGME), Bangladesh. https://dgme.portal.gov.bd/site/view/notices (accessed 11 September 2022).
Fujiyoshi A, Miura K, Kadowaki S, Azuma K, Tanaka S, Hisamatsu T, Arima H, Kadota A, Miyagawa N, Takashima N. Lifetime cigarette smoking is associated with abdominal obesity in a community-based sample of Japanese men: The Shiga Epidemiological Study of Subclinical Atherosclerosis (SESSA). Preventive medicine reports. 2016;4:225-232. DOI: https://doi.org/10.1016/j.pmedr.2016.06.013.
World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment. 2000. https://iris.who.int/handle/10665/206936 (accessed 12 April 2023).
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003 Dec;42(6):1206-1252. DOI: https://doi.org/10.1161/01.HYP.0000107251.49515.c2.
Ali N, Mahmood S, Manirujjaman M, Perveen R, Al Nahid A, Ahmed S, Khanum FA, Rahman M. Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh. BMC Public Health. 2017 Jul 25;18(1):58. DOI: https://doi.org/10.1186/s12889-017-4617-9.
Ali N, Mahmud F, Akter SA, Islam S, Sumon AH, Barman DN, Islam F. The prevalence of general obesity, abdominal obesity, and hypertension and its related risk factors among young adult students in Bangladesh. J Clin Hypertens (Greenwich). 2022 Oct;24(10):1339-1349. DOI: https://doi.org/10.1111/jch.14560.
Sultana T, Faruque M, Banik PC, Sultana S, Amin F, Zaman MM. Noncommunicable disease risk factors among the trainee doctors of a tertiary level diabetes hospital in Bangladesh. Lifestyle Medicine. 2021 Oct;2(4):e45. DOI: https://doi.org/10.1002/lim2.45.
National Institute of Preventive and Social Medicine, Director General of Health Services. National STEPS Survey for Non-communicable Diseases Risk Factors
in Bangladesh 2018. [Internet]: Australia; 2018 [cited 2024 June 20]. Available from: https://www.who.int/bangladesh/about-us/publications-1/m/item/2018-national-steps-survey-for-non-communicable-diseases-risk-factors-in-bangladesh.
Fact sheet: National Non-Communicable Disease Risk Factors Survey in Bangladesh, 2022: according to WHO STEPS approach [Internet]. Bangladesh College of Physicians & Surgeons (Bangladesh); 2023 June [cited 2024 June 20]. DOI: http://dx.doi.org/10.13140/RG.2.2.10705.30569.
Hossain A, Suhel SA, Chowdhury SR, Islam S, Akther N, Dhor NR, Hossain MZ, Hossain MA, Rahman SA. Hypertension and undiagnosed hypertension among Bangladeshi adults: Identifying prevalence and associated factors using a nationwide survey. Front Public Health. 2022 Dec 6;10:1066449. DOI: https://doi.org/10.3389/fpubh.2022.1066449.
Mishra SR, Neupane D, Shakya A, Adhikari S, Kallestrup P. Modifiable Risk Factors for Major Non-communicable Diseases Among Medical Students in Nepal. J Community Health. 2015 Oct;40(5):863-868. DOI: https://doi.org/10.1007/s10900-015-0012-6.
Goswami S, Dutt R, Sengupta S, Chauduri S, Ahmad S, Yadav AK. Prevalence of non communicable diseases’ risk factors among medical students in South Kolkata, West Bengal. National Journal of Community Medicine. 2018;9(05):334-339. https://njcmindia.com/index.php/file/article/view/715.
Faruque M, Barua L, Banik PC, Sultana S, Biswas A, Alim A, Gupta PKS, Ali L. Prevalence of non-communicable disease risk factors among nurses and para-health professionals working at primary healthcare level of Bangladesh: a cross-sectional study. BMJ Open. 2021 Mar 19;11(3):e043298. DOI: https://doi.org/10.1136/bmjopen-2020-043298.
Begum N, Shila J, Mohtarin S, Sultana S, Parvin R, Khan M. Prevalence of overweight and obesity among medical students of Enam Medical College, Savar, Dhaka. Journal of Enam Medical College. 2021;10(2):86-92. DOI: https://doi.org/10.3329/jemc.v10i2.53533.
Pasdar Y, Rezaeian S, Mohammadi E, Khosravi Shadmani F, Shahnazi N, Najafi F, Nazar MM, Darbandi M. The interaction between general or abdominal obesity and hypertension on the risk of type 2 diabetes mellitus: a cross-sectional analysis in Iranian adults from the RaNCD cohort study. BMC Public Health. 2024 Mar 11;24(1):752. DOI: https://doi.org/10.1186/s12889-024-18290-7.
World Health Organization. NCD Surveillance: Global Monitoring Framework. https://www.who.int/publications-detail-redirect/ncd-surveillance-global-monitoring-framework. (Accessed 21 May 2024).
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Copyright (c) 2024 Syeda Sharmin Afroz, Rijwan Bhuiyan, Rahana Pervin, Rajan Talukder, Khandakar Fatema, Md Maruf Haque Khan
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