Dec 2020 DOI 10.14302/issn.2329-9487.jhc-20-3611
Lu YuananCorresponding author
School of Economics and management, Jiangxi University of Traditional Chinese Medicine, Nanchang 330006, PR China
Objective To understand the present status of high blood pressure in Jiangxi adults including the prevalence rate, overall awareness, and hypertension treatment. Methods a total of 7,200 adult participants (over 18 years old) lived in Jiangxi were recruited using a stratified sampling method. Blood pressure was measured for all the participants and a questionnaire survey was conducted. A 24-hour urine sample was also collected to understand urine sodium and potassium levels. Results Our findings revealed that the measured systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 125.9 mmHg (95% CI, 124.85-126.95) and 79.2 mm Hg (95% CI, 78.15-80.25). The prevalence of hypertension among the enrolled adults was 27.43% (95% CI, 26.38%–28.48%). Among the affected participants, less than 30% of them (95% CI) were aware of their hypertension condition, and only 28.56% (95% CI) were under anti-hypertension medications. The mean salt intake converted from urinary sodium was 10.92±4.07 g and the mean±SD of 24-h urinary sodium and potassium excretion were 185.51±65.44 mmol and 25.98±9.16 mmol, respectively. The high-salt condiments was determined to be the main source of sodium in the region. Conclusion Findings from this study form the baseline information to understand the hypertension condition in the region and indicate a possible solution for hypertension prevention through avoiding high-salt condiments.
Aug 2016 DOI 10.14302/issn.2474-7785.jarh-16-1104
M. DiMura MS PhilipCorresponding author
Lifestyle modification has been shown to improve cardiovascular health. This cross-sectional study investigated the association of number of healthy lifestyle behaviors with hypertension across racial/ethnic categories using the National Health and Nutrition Examination Survey 2007-2010. The study population consisted of 4,363 individuals aged 40 years or older. Low risk lifestyle behaviors were assessed to obtain a health behavior score ranging from 0 to 5. Hypertension was defined based on average blood pressure measurements or current use of antihypertensive medication. The overall hypertension prevalence was 41%, with the highest prevalence in blacks (54%) and lowest in Mexican Americans (35%). Based on multivariable-adjusted logistic regression the odds of hypertension were significantly lower for whites with 3 (OR=0.56, 95% CI: 0.40, 0.77) and 4-5 (OR=0.53, 95% CI: 0.35, 0.80) healthy lifestyle behaviors, and for blacks who had 4-5 (OR=0.35, 95% CI: 0.18, 0.72) vs. 0-1 healthy lifestyle behaviors. There was no statistically significant association between number of healthy lifestyle behaviors and odds of hypertension in Mexican Americans. These results suggest that healthy lifestyle behaviors are associated with lower prevalence of hypertension in whites and blacks, but additional research is needed to identify protective factors for Mexican Americans.