Evidence map›Paper›PMID 30605462›Full record

ArticlePloS one2019

Factors associated with the severity of hypertension among Malaysian adults.

Balkish Mahadir Naidu, Muhammad Fadhli Mohd Yusoff, Sarimah Abdullah, Kamarul Imran Musa, Najib Majdi Yaacob, Maria Safura Mohamad, Norhafizah Sahril, Tahir Aris

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Balkish Mahadir NaiduSchool of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.ORCID 0000-0003-4572-4988
Muhammad Fadhli Mohd YusoffInstitute for Public Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia.
Sarimah AbdullahSchool of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.ORCID 0000-0002-7966-5966
Kamarul Imran MusaSchool of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.
Najib Majdi YaacobSchool of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.ORCID 0000-0002-6860-1430
Maria Safura MohamadInstitute for Public Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia.
Norhafizah SahrilSchool of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.
Tahir ArisInstitute for Public Health, Ministry of Health Malaysia, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High blood pressure is a worldwide problem and major global health burden. Whether alone or combined with other metabolic diseases, high blood pressure increases the risk of cardiovascular disease. This study is a secondary data analysis from the National Health and Morbidity Survey 2015, a population-based study that was conducted nationwide in Malaysia using a multi-stage stratified cluster sampling design. A total of 15,738 adults ≥18-years-old were recruited into the study, which reports the prevalence of hypertension stages among adults in Malaysia using the JNC7 criteria and determinants of its severity. The overall prevalence of raised blood pressure was 66.8%, with 45.8% having prehypertension, 15.1% having Stage 1 hypertension, and 5.9% having Stage 2 hypertension. In the multivariate analysis, a higher likelihood of having prehypertension was observed among respondents with advancing age, males (OR = 2.74, 95% CI: 2.41-3.12), Malay ethnicity (OR = 1.21, 95% CI: 1.02-1.44), lower socioeconomic status, and excessive weight. The factors associated with clinical hypertension (Stages 1 and 2) were older age, rural residency (Stage 1 OR = 1.22, Stage 2 OR = 1.28), Malay ethnicity (Stage 2 OR = 1.64), diabetes (Stage 2 OR = 1.47), hypercholesterolemia (Stage 1 OR = 1.34, Stage 2 OR = 1.82), being overweight (Stage 1 OR = 2.86, Stage 2 OR = 3.44), obesity (Stage 1 OR = 9.01, Stage 2 OR = 13.72), and lower socioeconomic status. Almost 70% of Malaysian adults are at a risk of elevated blood pressure. The highest prevalence was in the prehypertension group, which clearly predicts a future incurable burden of the disease. Public health awareness, campaigns through mass and social media, and intervention in the work place should be a priority to control this epidemic.

Indexed as

Severity of Illness IndexAdolescentAdultBlood PressureFemaleHumansHypertensionLogistic ModelsMalaysiaMaleMiddle AgedMultivariate AnalysisPrevalenceRisk FactorsYoung Adult

Identifiers

PMID30605462
PMCPMC6317782

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.