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Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   JULY 2016 , Volume 19 , Number 7; Page(s) 456 To 464.
 
Paper: 

AWARENESS, TREATMENT AND CONTROL OF PRE-HYPERTENSION AND HYPERTENSION AMONG ADULTS IN IRAN

 
DOI: 

0161907/AIM.003

 
Author(s):  ESTEGHAMATI ALIREZA*, ETEMAD KOOROSH, KOOHPAYEHZADEH JALIL, ABBASI MEHRSHAD, MEYSAMIE ALIPASHA, KHAJEH ELIAS, ASGARI FERESHTEH, NOSHAD SINA, RAFEI ALI, MOUSAVIZADEH MOSTAFA, NEISHABOURY MOHAMADREZA, AFARIDEH MOHSEN, NAKHJAVANI MANOUCHEHR
 
* ENDOCRINOLOGY AND METABOLISM RESEARCH CENTER (EMRC), VALI-ASR HOSPITAL, TEHRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

BACKGROUND: Hypertension is a major risk factor for non-communicable diseases. Yet, Nation-wide prevalence and trend reports in developing countries are sparsely available.
METHODS: Data from three cycles of Survey of Risk Factors of Non-communicable Diseases (SuRFNCD) 2005 & 2011 were aggregated. In 2011, 8218 adults aged 25-70 years were enrolled. For trend analysis 68850, 4184, and 7416 adults aged 25-64 years were included from 2005, 2007, and 2011 surveys, respectively. Hypertension was defined as systolic blood pressure (SBP) ? 140 mmHg, diastolic blood pressure (DBP) ? 90 mmHg, or receiving anti-hypertensive medication. Pre-hypertension was defined as SBP between 120-139 or DBP between 80-89 mmHg. The status of awareness, non-pharmacologic treatment (management), pharmacologic treatment, and control (SBP < 140 mmHg, and DBP < 90 mmHg) among hypertensive individuals were also determined.
RESULTS: 25.6% (95%CI: 23.5-27.5) of the adults aged 25-70 years had hypertension and 39.8% (95%CI: 37.8-41.9) had pre-hypertension. The prevalence of hypertension was greater among older adults (P<0.001), women (P=0.013), and urban-dwellers (P=0.027). In 2005-2011, the proportion of adults with hypertension (25.7% to 24.1%) and pre-hypertension (45.5% to 40.4%) significantly decreased. In 2011, rates for awareness, management, treatment, and control among hypertensives were 43.2% (95%CI: 40.0-46.4), 40.3% (95%CI: 37.0-43.6), 34.8% (95%CI: 31.5-38.2), and 38.6% (95%CI: 33.1-44.2), respectively. Over time, status of awareness, management, treatment and control was significantly improved and was more salient among men (P<0.05 for all analyses).
CONCLUSIONS: The prevalence of hypertension and pre-hypertension is gradually declining. Despite improvements in awareness, management, treatment and control, these decline rates are still low and initiative strategies need to be implemented to further improve the current status.

 
Keyword(s): HYPERTENSION, HYPERTENSION AWARENESS, HYPERTENSION CONTROL, HYPERTENSION TREATMENT, NATION-WIDE SURVEY, PRE-HYPERTENSION
 
 
References: 
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Citations: 
 
+ Click to Cite.
APA: Copy

ESTEGHAMATI, A., & ETEMAD, K., & KOOHPAYEHZADEH, J., & ABBASI, M., & MEYSAMIE, A., & KHAJEH, E., & ASGARI, F., & NOSHAD, S., & RAFEI, A., & MOUSAVIZADEH, M., & NEISHABOURY, M., & AFARIDEH, M., & NAKHJAVANI, M. (2016). AWARENESS, TREATMENT AND CONTROL OF PRE-HYPERTENSION AND HYPERTENSION AMONG ADULTS IN IRAN. ARCHIVES OF IRANIAN MEDICINE, 19(7), 456-464. https://www.sid.ir/en/journal/ViewPaper.aspx?id=510908



Vancouver: Copy

ESTEGHAMATI ALIREZA, ETEMAD KOOROSH, KOOHPAYEHZADEH JALIL, ABBASI MEHRSHAD, MEYSAMIE ALIPASHA, KHAJEH ELIAS, ASGARI FERESHTEH, NOSHAD SINA, RAFEI ALI, MOUSAVIZADEH MOSTAFA, NEISHABOURY MOHAMADREZA, AFARIDEH MOHSEN, NAKHJAVANI MANOUCHEHR. AWARENESS, TREATMENT AND CONTROL OF PRE-HYPERTENSION AND HYPERTENSION AMONG ADULTS IN IRAN. ARCHIVES OF IRANIAN MEDICINE. 2016 [cited 2021July24];19(7):456-464. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=510908



IEEE: Copy

ESTEGHAMATI, A., ETEMAD, K., KOOHPAYEHZADEH, J., ABBASI, M., MEYSAMIE, A., KHAJEH, E., ASGARI, F., NOSHAD, S., RAFEI, A., MOUSAVIZADEH, M., NEISHABOURY, M., AFARIDEH, M., NAKHJAVANI, M., 2016. AWARENESS, TREATMENT AND CONTROL OF PRE-HYPERTENSION AND HYPERTENSION AMONG ADULTS IN IRAN. ARCHIVES OF IRANIAN MEDICINE, [online] 19(7), pp.456-464. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=510908.



 
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