Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh
Abstract Background Hypertension is a global health issue and is currently increasing at rapid pace in South Asian countries including Bangladesh. Although, some studies on hypertension have been conducted in Bangladesh, there is a lack of scientific evidence in the adult student population that was...
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| Format: | Article |
| Language: | English |
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BMC
2017-07-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-017-4617-9 |
| _version_ | 1811293066688987136 |
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| author | Nurshad Ali Shakil Mahmood M. Manirujjaman Rasheda Perveen Abdullah Al Nahid Shamim Ahmed Farida Adib Khanum Mustafizur Rahman |
| author_facet | Nurshad Ali Shakil Mahmood M. Manirujjaman Rasheda Perveen Abdullah Al Nahid Shamim Ahmed Farida Adib Khanum Mustafizur Rahman |
| author_sort | Nurshad Ali |
| collection | DOAJ |
| description | Abstract Background Hypertension is a global health issue and is currently increasing at rapid pace in South Asian countries including Bangladesh. Although, some studies on hypertension have been conducted in Bangladesh, there is a lack of scientific evidence in the adult student population that was missing from the previous and recent national cross-sectional studies. Moreover, the specific risk factors of hypertension in the Bangladeshi adults still need to be investigated. This study was conducted to estimate hypertension prevalence among adult students in Bangladesh and to test the hypothesis of Luke et al. (Hypertension 43:555–560, 2004) that basal metabolic rate (BMR) and blood pressure are positively associated independent of body size. Method The data was collected on 184 adult university students (118 female and 66 male) in Dhaka, Bangladesh. Anthropometric, BMR details and an average of at least two blood pressure measurements were obtained. Hypertension was defined by a systolic blood pressure (SBP) ≥ 140 mmHg and/or, diastolic blood pressure (DBP) ≥ 90 mmHg. Results Overall, 6.5% of participants had hypertension with significantly (p < 0.001) higher prevalence in male (12.1%) than in the female (3.4%) students. Age and BMI showed positive and significant correlation with hypertension among the students. When adjusted for body mass index (BMI), as well as other potentially confounding variables such as age, sex, smoking status and degree of urbanization, BMR was positively correlated with SBP and DBP (p < 0.001). Thus, higher BMR is associated with SBP and DBP; this is opposite the well documented inverse relationship between physical activity and blood pressure. If the influence of BMR on blood pressure is confirmed, the systematically elevated BMR might be an important predictor that can explain relatively high blood pressure and hypertension in humans. Conclusion This study reports the prevalence and associated risk factors of hypertension in the Bangladeshi adult students. The study also showed a positive association between BMR and blood pressure among the participants. A large scale longitudinal study across the country is needed to find out the underlying causes of hypertension in the Bangladeshi adults. In addition, comprehensive and integrated intervention programs focusing on modifiable risk factors are recommended to make awareness and prevent hypertension. |
| first_indexed | 2024-04-13T04:55:53Z |
| format | Article |
| id | doaj.art-2458445e1423461c9e6ff95c5d71fc9e |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-13T04:55:53Z |
| publishDate | 2017-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-2458445e1423461c9e6ff95c5d71fc9e2022-12-22T03:01:29ZengBMCBMC Public Health1471-24582017-07-011811910.1186/s12889-017-4617-9Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in BangladeshNurshad Ali0Shakil Mahmood1M. Manirujjaman2Rasheda Perveen3Abdullah Al Nahid4Shamim Ahmed5Farida Adib Khanum6Mustafizur Rahman7Department of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyDepartment of Biochemistry and Molecular Biology, Gonoshasthaya Samaj Vittik Medical College, Gono UniversityDepartment of Biochemistry and Molecular Biology, Gonoshasthaya Samaj Vittik Medical College, Gono UniversityDepartment of Biochemistry and Molecular Biology, Gonoshasthaya Samaj Vittik Medical College, Gono UniversityDepartment of Physiology, Gonoshasthaya Samaj Vittik Medical College, Gono UniversityDepartment of Biochemistry and Molecular Biology, Shahjalal University of Science and TechnologyDepartment of Biochemistry and Molecular Biology, Gonoshasthaya Samaj Vittik Medical College, Gono UniversityDepartment of Biochemistry and Molecular Biology, Gonoshasthaya Samaj Vittik Medical College, Gono UniversityAbstract Background Hypertension is a global health issue and is currently increasing at rapid pace in South Asian countries including Bangladesh. Although, some studies on hypertension have been conducted in Bangladesh, there is a lack of scientific evidence in the adult student population that was missing from the previous and recent national cross-sectional studies. Moreover, the specific risk factors of hypertension in the Bangladeshi adults still need to be investigated. This study was conducted to estimate hypertension prevalence among adult students in Bangladesh and to test the hypothesis of Luke et al. (Hypertension 43:555–560, 2004) that basal metabolic rate (BMR) and blood pressure are positively associated independent of body size. Method The data was collected on 184 adult university students (118 female and 66 male) in Dhaka, Bangladesh. Anthropometric, BMR details and an average of at least two blood pressure measurements were obtained. Hypertension was defined by a systolic blood pressure (SBP) ≥ 140 mmHg and/or, diastolic blood pressure (DBP) ≥ 90 mmHg. Results Overall, 6.5% of participants had hypertension with significantly (p < 0.001) higher prevalence in male (12.1%) than in the female (3.4%) students. Age and BMI showed positive and significant correlation with hypertension among the students. When adjusted for body mass index (BMI), as well as other potentially confounding variables such as age, sex, smoking status and degree of urbanization, BMR was positively correlated with SBP and DBP (p < 0.001). Thus, higher BMR is associated with SBP and DBP; this is opposite the well documented inverse relationship between physical activity and blood pressure. If the influence of BMR on blood pressure is confirmed, the systematically elevated BMR might be an important predictor that can explain relatively high blood pressure and hypertension in humans. Conclusion This study reports the prevalence and associated risk factors of hypertension in the Bangladeshi adult students. The study also showed a positive association between BMR and blood pressure among the participants. A large scale longitudinal study across the country is needed to find out the underlying causes of hypertension in the Bangladeshi adults. In addition, comprehensive and integrated intervention programs focusing on modifiable risk factors are recommended to make awareness and prevent hypertension.http://link.springer.com/article/10.1186/s12889-017-4617-9HypertensionBasal metabolic rateBody mass indexBangladesh |
| spellingShingle | Nurshad Ali Shakil Mahmood M. Manirujjaman Rasheda Perveen Abdullah Al Nahid Shamim Ahmed Farida Adib Khanum Mustafizur Rahman Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh BMC Public Health Hypertension Basal metabolic rate Body mass index Bangladesh |
| title | Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh |
| title_full | Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh |
| title_fullStr | Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh |
| title_full_unstemmed | Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh |
| title_short | Hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in Bangladesh |
| title_sort | hypertension prevalence and influence of basal metabolic rate on blood pressure among adult students in bangladesh |
| topic | Hypertension Basal metabolic rate Body mass index Bangladesh |
| url | http://link.springer.com/article/10.1186/s12889-017-4617-9 |
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