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Epidemiology of community pre-hypertensive patients and related risk factors in Chengdu city

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Abstract

Objective: This study aims to explore the epidemiologic characteristics of pre-hypertension, its related risk factors of cardiovascular diseases and its relativity with metabolic disorders among community residents of Chengdu city.

Methods: Cluster random sampling was performed in three districts and counties of Chengdu. A total of 3524 residents (resident for ≥1 year, ≥18 years of age) were enrolled in the investigation. All the participants were interviewed in the questionnaire survey. Physical examination, blood pressure measurements, and blood sampling were also performed.

Results: The overall prevalence of pre-hypertension was 34.07%. The prevalence of prehypertension was higher in males than in females (41.16% vs. 23.89%, P<0.05). The prevalence of prehypertension among patients with systolic/diastolic blood pressures of 120–129 mmHg/80–84 mmHg and 130–139 mmHg/85–89 mmHg were 34.90% and 17.16%, respectively. The prevalence of prehypertension increased with age, reaching a peak at 30–39 years (39.93%), and then declined. Multiple risk factors for cardiovascular disease were more common in patients with hypertension and prehypertension than in the population with normal blood pressure. Pre-hypertension was associated with increased fasting blood glucose and increased relative risks of hypertriglyceridemia, hyperuricemia, overweight, obesity, and abdominal obesity, compared with patients who had normal blood pressure.

Conclusion: The prevalence of pre-hypertension in residents of Chengdu was high. Multiple metabolic disorders were already present in the population, and multiple cardiovascular disease risk factors were more common than in the population with normal blood pressure. Early screening for cardiovascular risk factors should be performed in patients with pre-hypertension. In addition, comprehensive measures, such as lifestyle improvement and medications, should be implemented.

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Most cited references 17

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The prevalence of prehypertension and hypertension among US adults according to the new joint national committee guidelines: new challenges of the old problem.

The recently released Seventh Report of the Joint National Committee (JNC) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure provides a new classification of blood pressure levels. Little is known about the current situation of elevated blood pressure in the United States, according to the new guidelines. Cross-sectional analysis of national representative data collected from 4805 adults 18 years and older surveyed in the 1999-2000 National Health and Nutrition Examination Survey. We examined the prevalence of prehypertension and hypertension according to the new JNC guidelines, people's awareness and management of hypertension, and the differences across sociodemographic and body weight groups. Elevated blood pressure is a serious problem in the United States. Approximately 60% of American adults have prehypertension or hypertension, and some population groups, such as African Americans, older people, low-socioeconomic-status groups, and overweight groups, are disproportionately affected. The prevalence of hypertension has increased by approximately 10 percentage points during the past decade. The awareness and appropriate management of hypertension among hypertensive patients remain low: 31% were not aware of their disease, only two thirds (66%) were told by health professionals to adopt lifestyle modifications or take drugs to control hypertension, and only 31% controlled their hypertension. With 60% of the population affected, the United States is facing a serious challenge in the prevention and management of prehypertension and hypertension. People's awareness and control of hypertension remain poor. This study highlights the seriousness of the problem and the importance of promoting lifestyle modifications.
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Prevalence of prehypertension and associated risk factors in a rural Taiwanese adult population

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Prevalence of prehypertension and hypertension in a Korean population: Korean National Health and Nutrition Survey 2001

Author and article information

Affiliations
1Key Laboratory of Hypertension and Related Diseases, First People’s Hospital of Chengdu, Chengdu, China, 610041
2Shiyang Community Health Center, Chengdu, China, 610000
3Dong Sheng Community Health Center, Chengdu, China, 610041
4Qinglong Community Health Center, Chengdu, China, 610000
Author notes
CORRESPONDING AUTHOR: Xinyun Chen, Key Laboratory of Hypertension and Related Diseases, First People’s Hospital of Chengdu, Chengdu, China, 610041, E-mail: cissy1002@123456126.com
Journal
FMCH
Family Medicine and Community Health
FMCH
Family Medicine and Community Health & American Chinese Medical Education Association (USA)
xxx-xxx
2305-6983
September 2013
September 2014
: 1
: 3
: 27-32
Copyright © 2013 Family Medicine and Community Health

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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Self URI (journal page): http://fmch-journal.org/
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