Maternal or paternal history: Which one plays more important role in developing hypertension?

BACKGROUND: Hypertension (HTN) is one of the most common non-communicable diseases (NCDs), which in 2017 accounted for 1.65% of all deaths, and 0.66% of disability-adjusted life years (DALYs). About 25% of the adult population are hypertensive in Iran. Prevalence of HTN is significantly higher in th...

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Main Authors: Sahel Javanbakht, Maryam Eghbali, Paria Bolourinejad, Alireza Sherafat, Alireza Khosravi, Mohammad Hashemi, Nizal Sarrafzadegan
Format: Article
Language:English
Published: Vesnu Publications 2021-09-01
Series:ARYA Atherosclerosis
Subjects:
Online Access:https://arya.mui.ac.ir/article_10798_1ada92ea2b45a9353f7b580a00ce80ff.pdf
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author Sahel Javanbakht
Maryam Eghbali
Paria Bolourinejad
Alireza Sherafat
Alireza Khosravi
Mohammad Hashemi
Nizal Sarrafzadegan
author_facet Sahel Javanbakht
Maryam Eghbali
Paria Bolourinejad
Alireza Sherafat
Alireza Khosravi
Mohammad Hashemi
Nizal Sarrafzadegan
author_sort Sahel Javanbakht
collection DOAJ
description BACKGROUND: Hypertension (HTN) is one of the most common non-communicable diseases (NCDs), which in 2017 accounted for 1.65% of all deaths, and 0.66% of disability-adjusted life years (DALYs). About 25% of the adult population are hypertensive in Iran. Prevalence of HTN is significantly higher in those with a family history of HTN. This study compares the impact of paternal and maternal history of HTN on the risk of HTN development.METHODS: This cross-sectional study was conducted among 2107 adults of 18-84 years old residing in Isfahan, Iran, from August 2015 to March 2016. Blood pressure (BP) measurement standards were taken from World Health Organization (WHO) guidelines. We measured BP in the right arm for three times at 1-minute intervals and considered the mean of second and third measurements. Other data were collected by questionnaire.RESULTS: Prevalence of HTN was higher in participants whose mother or both parents were hypertensive (P < 0.001). Diastolic BP (DBP) was affected by every side of parental history (P < 0.001), while systolic BP(SBP) was affected when both parents were hypertensive (P < 0.001). As a result, maternal family history increased the odds of HTN by 1.9 times [95% confidence interval (CI): 1.35-2.65] and both maternal and paternal history increased it by 3.1 times (95% CI: 2.01-4.78) compared to those with no family history. However, paternal history was not significantly related to the odds of HTN.CONCLUSION: Our study results demonstrate that maternal history of HTN doubles the odds of HTN. Besides, if both parents are hypertensive, it will be tripled.
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spelling doaj.art-8107aa5370b2471a8254c1b68b8e87d12023-03-11T12:59:30ZengVesnu PublicationsARYA Atherosclerosis1735-39552251-66382021-09-01171226310.22122/arya.v17i0.226310798Maternal or paternal history: Which one plays more important role in developing hypertension?Sahel Javanbakht0Maryam Eghbali1Paria Bolourinejad2Alireza Sherafat3Alireza Khosravi4Mohammad Hashemi5Nizal Sarrafzadegan6General Practitioner, Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, IranGeneral Practitioner, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranMedical Student, School of Medicine, University of Central Lancashire, Preston, Lancashire, United KingdomProfessor, Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranProfessor, Interventional Cardiology Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.Professor, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranBACKGROUND: Hypertension (HTN) is one of the most common non-communicable diseases (NCDs), which in 2017 accounted for 1.65% of all deaths, and 0.66% of disability-adjusted life years (DALYs). About 25% of the adult population are hypertensive in Iran. Prevalence of HTN is significantly higher in those with a family history of HTN. This study compares the impact of paternal and maternal history of HTN on the risk of HTN development.METHODS: This cross-sectional study was conducted among 2107 adults of 18-84 years old residing in Isfahan, Iran, from August 2015 to March 2016. Blood pressure (BP) measurement standards were taken from World Health Organization (WHO) guidelines. We measured BP in the right arm for three times at 1-minute intervals and considered the mean of second and third measurements. Other data were collected by questionnaire.RESULTS: Prevalence of HTN was higher in participants whose mother or both parents were hypertensive (P < 0.001). Diastolic BP (DBP) was affected by every side of parental history (P < 0.001), while systolic BP(SBP) was affected when both parents were hypertensive (P < 0.001). As a result, maternal family history increased the odds of HTN by 1.9 times [95% confidence interval (CI): 1.35-2.65] and both maternal and paternal history increased it by 3.1 times (95% CI: 2.01-4.78) compared to those with no family history. However, paternal history was not significantly related to the odds of HTN.CONCLUSION: Our study results demonstrate that maternal history of HTN doubles the odds of HTN. Besides, if both parents are hypertensive, it will be tripled.https://arya.mui.ac.ir/article_10798_1ada92ea2b45a9353f7b580a00ce80ff.pdfhypertensionblood pressuremedical family history
spellingShingle Sahel Javanbakht
Maryam Eghbali
Paria Bolourinejad
Alireza Sherafat
Alireza Khosravi
Mohammad Hashemi
Nizal Sarrafzadegan
Maternal or paternal history: Which one plays more important role in developing hypertension?
ARYA Atherosclerosis
hypertension
blood pressure
medical family history
title Maternal or paternal history: Which one plays more important role in developing hypertension?
title_full Maternal or paternal history: Which one plays more important role in developing hypertension?
title_fullStr Maternal or paternal history: Which one plays more important role in developing hypertension?
title_full_unstemmed Maternal or paternal history: Which one plays more important role in developing hypertension?
title_short Maternal or paternal history: Which one plays more important role in developing hypertension?
title_sort maternal or paternal history which one plays more important role in developing hypertension
topic hypertension
blood pressure
medical family history
url https://arya.mui.ac.ir/article_10798_1ada92ea2b45a9353f7b580a00ce80ff.pdf
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AT pariabolourinejad maternalorpaternalhistorywhichoneplaysmoreimportantroleindevelopinghypertension
AT alirezasherafat maternalorpaternalhistorywhichoneplaysmoreimportantroleindevelopinghypertension
AT alirezakhosravi maternalorpaternalhistorywhichoneplaysmoreimportantroleindevelopinghypertension
AT mohammadhashemi maternalorpaternalhistorywhichoneplaysmoreimportantroleindevelopinghypertension
AT nizalsarrafzadegan maternalorpaternalhistorywhichoneplaysmoreimportantroleindevelopinghypertension