ArticleBMJ open2019
Factors associated with hypertension among adults in Nepal as per the Joint National Committee 7 and 2017 American College of Cardiology/American Heart Association hypertension guidelines: a cross-sectional analysis of the demographic and health survey 2016.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence and factors associated with hypertension among peoples living with HIV in East Africa, a systematic review and meta-analysis.BMC infectious diseases · 2023Pooled it
- Prevalence of hypertension and its determinants in Ethiopia: A systematic review and meta-analysis.PloS one · 2020Pooled it
- Mental health and hypertension: assessing the prevalence of anxiety and depression and their associated factors in a tertiary care population.Frontiers in public health · 2025Article
- Hypertension awareness, treatment, and control in nepal: results from may measurement month 2020 blood pressure screening.Discover public health · 2025Article
- Prevalence and determinants of hypertension in South-Asian Urban Communities: findings from Demographic and Health Surveys (DHS) data of South Asian countries.Journal of human hypertension · 2024Article
- Joint regression modeling of blood pressure and associated factors among adults in Uganda: Implications for clinical practice.PLOS global public health · 2024Article
- Magnitude of hypertension and its association with obesity among employees of Wallaga University, Ethiopia: a cross-sectional study.BMJ open · 2023Article
- Arterial hypertension and its covariates among nomadic Raute hunter-gatherers of Western Nepal: a mixed-method study.BMJ open · 2023Article
- Hypertension and its association with body mass index among the Indian population. Findings from a nationwide survey (NFHS-4), 2015-16.Journal of family medicine and primary care · 2022Article
- Socioeconomic risk factors of hypertension and blood pressure among persons aged 15-49 in Nepal: a cross-sectional study.BMJ open · 2022Article
- Anxiety and Depression among Hypertensive Adults in Tertiary Care Hospitals of Nepal.Psychiatry journal · 2022Article
- Need for HTA supported risk factor screening for hypertension and diabetes in Nepal: A systematic scoping review.Frontiers in cardiovascular medicine · 2022Article
- Prevalence of and factors associated with hypertension according to JNC 7 and ACC/AHA 2017 guidelines in Bangladesh.Scientific reports · 2021Article
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6 authors.
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Abstract
objectivesThis study investigated the determinants of hypertension in Nepal according to both the Joint National Committee 7 (JNC7) and the American College of Cardiology/American Heart Association (2017 ACC/AHA) guidelines.
designCross-sectional study.
settingThis study used data collected from the 2016 Nepal Demographic and Health Survey data.
participants13 393 weighted adults aged ≥18 years enrolled by a stratified cluster sampling strategy were included in our analysis. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was hypertension, which was defined according to JNC7 (systolic blood pressure (SBP) ≥140 mm Hg and/or diastolic blood pressure (DBP) ≥90 mm Hg) and 2017 ACC/AHA guidelines (SBP ≥130 mm Hg and/or DBP ≥80 mm Hg). Antihypertensive medication users were also classified as hypertensive. After descriptive analysis, multilevel logistic regression was applied to obtain ORs.
resultsAbout 21% (n=2827) and 44% (n=5918) of the individuals aged ≥18 years were classified as hypertensive according to the JNC7 and 2017 ACC/AHA guidelines, respectively. Following factors were found to be significantly associated with hypertension according to the 2017 ACC/AHA guideline: ≥70 years (adjusted OR (AOR) 5.2; 95% CI 4.3 to 6.2), 50-69 years (AOR 3.9; 95% CI 3.4 to 4.4) and 30-49 years (AOR 2.7; 95% CI 2.4 to 3.0) age groups, male gender (AOR 1.7; 95% CI 1.6 to 1.9), being overweight/obese (AOR 3.0; 95% CI 2.7 to 3.3), residence in provinces 4 (AOR 1.5; 95% CI 1.2 to 2.0) and 5 (AOR 1.5; 95% CI 1.2 to 1.9). No significant association was identified with household wealth status and ecological regions of residence using the 2017 ACC/AHA guideline.
conclusionsPer both guidelines, multiple factors were associated with hypertension. Public health programme aiming to prevent and control hypertension in Nepal should prioritise these factors and focus on individuals with a higher likelihood of hypertension irrespective of educational level, household wealth status and ecological regions of residence.
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