Association between height and hypertension in the adult Nepalese population: Findings from a nationally representative survey
Abstract Background and aims The burden of hypertension is increasing in Nepal. Different studies have evaluated the relationship between height and blood pressure in different regions, with mixed results. The relationship between height and hypertension has not yet been explored in the Nepalese con...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2019-12-01
|
Series: | Health Science Reports |
Subjects: | |
Online Access: | https://doi.org/10.1002/hsr2.141 |
id |
doaj-73b594694fe94ebca91b1326e447c1b5 |
---|---|
record_format |
Article |
spelling |
doaj-73b594694fe94ebca91b1326e447c1b52021-05-02T21:37:10ZengWileyHealth Science Reports2398-88352019-12-01212n/an/a10.1002/hsr2.141Association between height and hypertension in the adult Nepalese population: Findings from a nationally representative surveyRajat Das Gupta0Shams Shabab Haider1Mohammad Rashidul Hashan2Muhammad Aziz Rahman3Malabika Sarker4Centre of Excellence for Non‐Communicable Diseases and Nutrition, BRAC James P Grant School of Public Health BRAC University Dhaka BangladeshCentre of Excellence for Science of Implementation and Scale‐Up, BRAC James P Grant School of Public Health BRAC University Dhaka BangladeshInfectious Diseases Division International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) Dhaka BangladeshSchool of Nursing and Healthcare Professions Federation University Victoria AustraliaCentre of Excellence for Non‐Communicable Diseases and Nutrition, BRAC James P Grant School of Public Health BRAC University Dhaka BangladeshAbstract Background and aims The burden of hypertension is increasing in Nepal. Different studies have evaluated the relationship between height and blood pressure in different regions, with mixed results. The relationship between height and hypertension has not yet been explored in the Nepalese context. Given this knowledge gap, this study aims to determine the relationship between height and hypertension among Nepalese adults (aged ≥18 years). Methods This study utilized the dataset from the Nepal Demographic and Health Survey (NDHS) 2016. Hypertension was defined as systolic blood pressure ≥ 140 mmHg and/or a diastolic blood pressure ≥ 90 mmHg. Height, measured in centimeters (cm), was analyzed as a continuous variable. Based on previous evidence, the following covariates were considered: age, sex, presence of overweight or obesity, educational status, household wealth status, and place, province, and ecological zone of residence. Multilevel multivariable logistic regression was done to evaluate the association between height and hypertension. Both crude odds ratio (COR) and adjusted odds ratio (AOR) are reported, along with a 95% confidence interval (CI). Sample weight of NDHS was adjusted during analysis. Results Among 13 393 weighted individuals over the age of 18 years, the prevalence of hypertension in Nepal was found to be 21.1% (95% CI, 19.9%‐22.4%). In the final multivariable model, after adjusting for relevant covariates, it was found that height was inversely associated with hypertension. For a Nepalese adult, the odds of hypertension decreased by 10% with each 10‐cm increase in height (AOR 0.9; 95% CI 0.8‐0.9; P = 0.003). Conclusion Awareness should be raised among people with low stature for prevention of hypertension. Longitudinal studies are recommended to include genetic and social/environmental determinants of stature in the analyses.https://doi.org/10.1002/hsr2.141hypertensionnoncommunicable diseasesNepal |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rajat Das Gupta Shams Shabab Haider Mohammad Rashidul Hashan Muhammad Aziz Rahman Malabika Sarker |
spellingShingle |
Rajat Das Gupta Shams Shabab Haider Mohammad Rashidul Hashan Muhammad Aziz Rahman Malabika Sarker Association between height and hypertension in the adult Nepalese population: Findings from a nationally representative survey Health Science Reports hypertension noncommunicable diseases Nepal |
author_facet |
Rajat Das Gupta Shams Shabab Haider Mohammad Rashidul Hashan Muhammad Aziz Rahman Malabika Sarker |
author_sort |
Rajat Das Gupta |
title |
Association between height and hypertension in the adult Nepalese population: Findings from a nationally representative survey |
title_short |
Association between height and hypertension in the adult Nepalese population: Findings from a nationally representative survey |
title_full |
Association between height and hypertension in the adult Nepalese population: Findings from a nationally representative survey |
title_fullStr |
Association between height and hypertension in the adult Nepalese population: Findings from a nationally representative survey |
title_full_unstemmed |
Association between height and hypertension in the adult Nepalese population: Findings from a nationally representative survey |
title_sort |
association between height and hypertension in the adult nepalese population: findings from a nationally representative survey |
publisher |
Wiley |
series |
Health Science Reports |
issn |
2398-8835 |
publishDate |
2019-12-01 |
description |
Abstract Background and aims The burden of hypertension is increasing in Nepal. Different studies have evaluated the relationship between height and blood pressure in different regions, with mixed results. The relationship between height and hypertension has not yet been explored in the Nepalese context. Given this knowledge gap, this study aims to determine the relationship between height and hypertension among Nepalese adults (aged ≥18 years). Methods This study utilized the dataset from the Nepal Demographic and Health Survey (NDHS) 2016. Hypertension was defined as systolic blood pressure ≥ 140 mmHg and/or a diastolic blood pressure ≥ 90 mmHg. Height, measured in centimeters (cm), was analyzed as a continuous variable. Based on previous evidence, the following covariates were considered: age, sex, presence of overweight or obesity, educational status, household wealth status, and place, province, and ecological zone of residence. Multilevel multivariable logistic regression was done to evaluate the association between height and hypertension. Both crude odds ratio (COR) and adjusted odds ratio (AOR) are reported, along with a 95% confidence interval (CI). Sample weight of NDHS was adjusted during analysis. Results Among 13 393 weighted individuals over the age of 18 years, the prevalence of hypertension in Nepal was found to be 21.1% (95% CI, 19.9%‐22.4%). In the final multivariable model, after adjusting for relevant covariates, it was found that height was inversely associated with hypertension. For a Nepalese adult, the odds of hypertension decreased by 10% with each 10‐cm increase in height (AOR 0.9; 95% CI 0.8‐0.9; P = 0.003). Conclusion Awareness should be raised among people with low stature for prevention of hypertension. Longitudinal studies are recommended to include genetic and social/environmental determinants of stature in the analyses. |
topic |
hypertension noncommunicable diseases Nepal |
url |
https://doi.org/10.1002/hsr2.141 |
work_keys_str_mv |
AT rajatdasgupta associationbetweenheightandhypertensionintheadultnepalesepopulationfindingsfromanationallyrepresentativesurvey AT shamsshababhaider associationbetweenheightandhypertensionintheadultnepalesepopulationfindingsfromanationallyrepresentativesurvey AT mohammadrashidulhashan associationbetweenheightandhypertensionintheadultnepalesepopulationfindingsfromanationallyrepresentativesurvey AT muhammadazizrahman associationbetweenheightandhypertensionintheadultnepalesepopulationfindingsfromanationallyrepresentativesurvey AT malabikasarker associationbetweenheightandhypertensionintheadultnepalesepopulationfindingsfromanationallyrepresentativesurvey |
_version_ |
1721487208497545216 |