Evidence map›Paper›PMID 34326418›Full record

ArticleScientific reports2021

Prevalence of and factors associated with hypertension according to JNC 7 and ACC/AHA 2017 guidelines in Bangladesh.

Md Ashfikur Rahman, Henry Ratul Halder, Uday Narayan Yadav, Sabuj Kanti Mistry

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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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

20 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

4 authors.

Md Ashfikur RahmanDevelopment Studies Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh. ashfikur@ku.ac.bd.ORCID 0000-0002-5517-8557
Henry Ratul HalderStatistics Discipline, Science, Engineering and Technology School, Khulna University, Khulna, 9208, Bangladesh.ORCID 0000-0002-1362-3077
Uday Narayan YadavForum for Health Research and Development, Dharan, Nepal.ORCID 0000-0002-6626-1604
Sabuj Kanti MistryCentre for Primary Health Care and Equity, University of New South Wales, Sydney, Australia.ORCID 0000-0001-6100-6076

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Practice Guidelines as TopicAdolescentAdultAgedAged, 80 and overAmerican Heart AssociationBangladeshBlood PressureCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedPrevalenceRisk Factors

Identifiers

PMID34326418
PMCPMC8322062

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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.