Advertisement
Quick Menu

Upcoming Journals

Cardiology and Angiology: An International Journal

Cardiology and Angiology: An International Journal, ISSN: 2347-520X,Vol.: 6, Issue.: 2

 

Original-research-article

 

Prevalence and Correlates of Pre-hypertension and Hypertension Results-II: A Screening Plan in a Selected Military Community in Central Saudi Arabia

 

 

Ashraf E. Saad1, Ahmed AL Shehri2, Raouf M. Afifi3,4* and Mohamed A. Tashkandi5,6

1Department of Preventive Medicine, Armed Forces Hospital at Wadi Al-Dawasir, Kingdom of Saudi Arabia.

2Department of Family Medicine, Armed Forces Hospital at Wadi Al-Dawasir, Kingdom of Saudi Arabia.

3Community Health Research Institute, International Management-Health Services, Indianapolis, Indiana, USA.

4Board of Community Medicine Program, Armed Forces Hospitals, Taif, Kingdom of Saudi Arabia.

5Department of Preventive Medicine, Directorate of Health Affairs, Makkah, MOH, Kingdom of Saudi Arabia.

6Saudi Board of Preventive Medicine Program, Taif, Kingdom of Saudi Arabia.

 

Abstracts

 

Background: Follow-up of patients destined to develop primary hypertension (HTN) demonstrates that blood pressure (BP) readings gradually increase over time.

Aim: Determine and analyze the prevalence and correlates of both pre-HTN and HTN among recruits serving in Wadi Al-Dawasir (WD) military district, central Saudi Arabia.

Methodology: Part of a “community diagnosis” plan led by the preventive medicine and family departments of the Armed Forces Hospital- WD (AFHWD), recruits were screened. A predesigned questionnaire and clinical interview were used to achieve study aim.

Results: The median age of participates was 34y (IQR 11.75); median systolic blood pressure (SBP) 120 mmHg (IQR 20), and diastolic BP (DBP) 80 mmHg (IQR 15). In screening, 531 recruits, all male, were surveyed. Forty-nine percent (253/516) were found with SBP 120-139 mmHg, compatible with “prehypertension;” 208/ (82.2%) of them were unaware they have prehypertension. Also, 12.2% (63/516) were found with SBP≥140 mmHg, meeting HTN diagnosis, 42 (66.7%) of whom were newly diagnosed. The participants’ body mass index (BMI) averaged 27.6±5.4 kg/m2, and 66.4% participants were overweight-obese. Abnormally high BMI levels were significant risk for high BP [Fisher’s exact 64.6, p<0.0001]. “Now-smokers accounted 17.0% (n= 81); smoking impacted their hypertension (42.9%) and pre-hypertensive (25.4%) states [χ2(df 2)=6.5, p=0.039].Age significantly impacted BP level [χ2(df 2)=14.3 p=0.001]; same as education [Fisher’s exact 17.8, p=0.03]. Importantly, the recruits’ SBP level differed between random plasma glucose (RPG) groups [U=4745, p=0.002]. Among chronic-disease comorbidities, having diabetes mellitus (DM) was significantly associated with hypertension (OR 2.93, 95% CI 134.6-637.6). Dyslipidemia also impacted high BP reporting [Fisher’s exact =10.6, p=0.004]. The presence of family history of coronary heart disease (CHD) was significantly related to HTN among participants [χ2(df 2)= 14.9, p=0.001].

Conclusions: Prehypertension, virtually the undiagnosed, is alarmingly prevalent in this study’s population; hypertension, too, is less likely present. Most hypothesized risks were significant high BP correlates. With current insight, the main focus should be directed first to high BP and comorbid risks control; and continued screening to evaluate the effectiveness of intervention approaches on the recruits’ lifestyle modifications and the impact of treatment policy on minimizing the risk of subsequent cardiovascular, stroke, and other systemic complications.

 

Keywords :

Pre-hypertension; hypertension; Wadi Al Dawasir; Saudi Arabia.

 

Full Article - PDF    Page 1-21    Article Metrics

 

DOI : 10.9734/CA/2017/32180

Review History    Comments

Search this site

Advanced Search

Announcement & News

ISI Thomson Reuters selected British Journal of Pharmaceutical Research for Emerging Sources Citation Index

We are delighted to inform that ISI Thomson Reuters selected British Journal of Pharmaceutical Resea...

SCOPUS selected Annual Research & Review in Biology (ARRB)

We are delighted to inform that famous indexing organization SCOPUS (from Elsevier) selected  A...

Index Copernicus Evaluation Result Released

We are delighted to inform that Index Copernicus (a leading indexing organization from Pol...

Journal Repository (JR): Permanent Digital Archiving of SDI journals

SDI is happy to announce that all our journals are now permanently archived in Journal Repository (J...

Index Copernicus Value of British Journal of Medicine and Medical Research

  We are delighted to inform that Index Copernicus (a leading indexing organization ...

SDI journal got 35th ranking in Publons

We are delighted to announce (as of 04/01/2016) that British Journal of Medicine and Medical Re...

Growth of SDI and world publication market

As of 2014, total 25,064 journals are competing in World market of journal publication. In 2011, tot...

Publication and site statistics (up to Sept, 2015)

  Number of submission: 22181 (Total up to Sept, 2015) Number of published paper: 10949&n...

Index Medicus selected 15 SDI journals

We are delighted to inform that Index Medicus (IMSEAR) has selected following 15 SDI journals for in...

SCIENCEDOMAIN international received 5844 submissions in 2013

SCIENCEDOMAIN international is pleased to announce that it has received 5844 submissions in 2013, ac...



SCIENCEDOMAIN Awards

  • No Awards listed.

Browser Compatibility : Mozila firefox, Google Crome and IE 7 & above. Creative Commons License Terms & Condition   |   Privacy Policy   |   Join Us   |   Help   |   Contact Us
© Copyright 2010-2017, SCIENCEDOMAIN international. All rights reserved.