National trends of pre-hypertension and hypertension among Iranian adolescents across urban and rural areas (2007–2011)
Abstract Background The current nationwide study, for the first time, aimed to assess and compare the trend of pre-hypertension and hypertension among urban and rural adolescents in Iran. Methods This study has been conducted in the framework of the National Surveys of Risk Factors for Non-Communica...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-03-01
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| Series: | Biology of Sex Differences |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13293-019-0230-1 |
| _version_ | 1828386139807940608 |
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| author | Parisa Amiri Golnaz Vahedi-Notash Parisa Naseri Davood Khalili Seyed Saeed Hashemi Nazari Yadollah Mehrabi Ali Reza Mahdavi Hazaveh Fereidoun Azizi Farzad Hadaegh |
| author_facet | Parisa Amiri Golnaz Vahedi-Notash Parisa Naseri Davood Khalili Seyed Saeed Hashemi Nazari Yadollah Mehrabi Ali Reza Mahdavi Hazaveh Fereidoun Azizi Farzad Hadaegh |
| author_sort | Parisa Amiri |
| collection | DOAJ |
| description | Abstract Background The current nationwide study, for the first time, aimed to assess and compare the trend of pre-hypertension and hypertension among urban and rural adolescents in Iran. Methods This study has been conducted in the framework of the National Surveys of Risk Factors for Non-Communicable Diseases. To estimate pre-hypertension and hypertension prevalence among 9715 adolescents, aged 15–19 years, data collected in four repeated cross-sectional surveys (2007–2011) has been used. The prevalence trends of pre-hypertension and hypertension were examined across urban and rural areas of Iran. To calculate the adjusted prevalence ratios (PRs) of pre-hypertension and hypertension over cycles across area of residence and genders, a complex sample survey and multinomial logistic analysis were performed. Results Using the definition of pre-hypertension and hypertension presented by the seventh Joint National Committee (JNC-VII) for adolescents, after adjusting for confounders, the prevalence of pre-hypertension changed in both urban (boys:28.96% to 29.24% and girls:18.33% to 20.06%) and rural (boys 31.58% to 32.05% and girls 22.25% to 24.13%) areas over the study duration. Non-significant rising prevalence of hypertension was also observed in boys and girls of both regions (urban 12.76% to 15.04% and 8.02% to 9.06%; rural 9.95% to 11.79% and 10.35% to 11.60%, for boys and girls respectively). The adjusted prevalence ratios (PRs) of pre-hypertension (2.16; 95% CI 1.68–2.79 and 1.92, 95% CI 1.57–2.34, in urban and rural, respectively) and hypertension (2.40; 95% CI 1.65–3.51 and 1.82, 95% CI 1.36–2.45, in urban and rural, respectively) were higher in boys than girls. Comparing the adjusted PRs of pre-hypertension and hypertension in urban versus rural areas, in both genders, showed higher PRs of pre-hypertension in rural girls (1.33, 95% CI 1.01–1.75). Conclusion The current results showed high constant trends of pre-hypertension and hypertension in Iranian boys and girls, residing in both urban and rural areas. |
| first_indexed | 2024-12-10T05:32:03Z |
| format | Article |
| id | doaj.art-b213bf0b3c484d488f6d758695bef618 |
| institution | Directory Open Access Journal |
| issn | 2042-6410 |
| language | English |
| last_indexed | 2024-12-10T05:32:03Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Biology of Sex Differences |
| spelling | doaj.art-b213bf0b3c484d488f6d758695bef6182022-12-22T02:00:30ZengBMCBiology of Sex Differences2042-64102019-03-0110111110.1186/s13293-019-0230-1National trends of pre-hypertension and hypertension among Iranian adolescents across urban and rural areas (2007–2011)Parisa Amiri0Golnaz Vahedi-Notash1Parisa Naseri2Davood Khalili3Seyed Saeed Hashemi Nazari4Yadollah Mehrabi5Ali Reza Mahdavi Hazaveh6Fereidoun Azizi7Farzad Hadaegh8Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesResearch Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesResearch Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesPrevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesSafety Promotion and Injury Prevention Research Center, Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical SciencesDepartment of Epidemiology, School of Public Health, Shahid Beheshti University of Medical SciencesCenter for Non-communicable Diseases Control, Ministry of Health and Medical EducationEndocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesPrevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesAbstract Background The current nationwide study, for the first time, aimed to assess and compare the trend of pre-hypertension and hypertension among urban and rural adolescents in Iran. Methods This study has been conducted in the framework of the National Surveys of Risk Factors for Non-Communicable Diseases. To estimate pre-hypertension and hypertension prevalence among 9715 adolescents, aged 15–19 years, data collected in four repeated cross-sectional surveys (2007–2011) has been used. The prevalence trends of pre-hypertension and hypertension were examined across urban and rural areas of Iran. To calculate the adjusted prevalence ratios (PRs) of pre-hypertension and hypertension over cycles across area of residence and genders, a complex sample survey and multinomial logistic analysis were performed. Results Using the definition of pre-hypertension and hypertension presented by the seventh Joint National Committee (JNC-VII) for adolescents, after adjusting for confounders, the prevalence of pre-hypertension changed in both urban (boys:28.96% to 29.24% and girls:18.33% to 20.06%) and rural (boys 31.58% to 32.05% and girls 22.25% to 24.13%) areas over the study duration. Non-significant rising prevalence of hypertension was also observed in boys and girls of both regions (urban 12.76% to 15.04% and 8.02% to 9.06%; rural 9.95% to 11.79% and 10.35% to 11.60%, for boys and girls respectively). The adjusted prevalence ratios (PRs) of pre-hypertension (2.16; 95% CI 1.68–2.79 and 1.92, 95% CI 1.57–2.34, in urban and rural, respectively) and hypertension (2.40; 95% CI 1.65–3.51 and 1.82, 95% CI 1.36–2.45, in urban and rural, respectively) were higher in boys than girls. Comparing the adjusted PRs of pre-hypertension and hypertension in urban versus rural areas, in both genders, showed higher PRs of pre-hypertension in rural girls (1.33, 95% CI 1.01–1.75). Conclusion The current results showed high constant trends of pre-hypertension and hypertension in Iranian boys and girls, residing in both urban and rural areas.http://link.springer.com/article/10.1186/s13293-019-0230-1HypertensionPre-hypertensionAdolescentsUrbanRural |
| spellingShingle | Parisa Amiri Golnaz Vahedi-Notash Parisa Naseri Davood Khalili Seyed Saeed Hashemi Nazari Yadollah Mehrabi Ali Reza Mahdavi Hazaveh Fereidoun Azizi Farzad Hadaegh National trends of pre-hypertension and hypertension among Iranian adolescents across urban and rural areas (2007–2011) Biology of Sex Differences Hypertension Pre-hypertension Adolescents Urban Rural |
| title | National trends of pre-hypertension and hypertension among Iranian adolescents across urban and rural areas (2007–2011) |
| title_full | National trends of pre-hypertension and hypertension among Iranian adolescents across urban and rural areas (2007–2011) |
| title_fullStr | National trends of pre-hypertension and hypertension among Iranian adolescents across urban and rural areas (2007–2011) |
| title_full_unstemmed | National trends of pre-hypertension and hypertension among Iranian adolescents across urban and rural areas (2007–2011) |
| title_short | National trends of pre-hypertension and hypertension among Iranian adolescents across urban and rural areas (2007–2011) |
| title_sort | national trends of pre hypertension and hypertension among iranian adolescents across urban and rural areas 2007 2011 |
| topic | Hypertension Pre-hypertension Adolescents Urban Rural |
| url | http://link.springer.com/article/10.1186/s13293-019-0230-1 |
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