Author/Authors :
Hosseini ,Mostafa Department of Epidemiology and Biostatistics - School of Public Health - Tehran University of Medical Sciences - Tehran, Iran , Yaseri , Mehdi Department of Epidemiology and Biostatistics - School of Public Health - Tehran University of Medical Sciences - Tehran, Iran , Asady , Hadi Social Determinants of Health Research Center - Saveh University of Medical Sciences - Saveh, Iran , Musa , Eleojo Ahmed Department of Medical Physics and Biomedical Engineering - Tehran University of Medical Sciences - International Campus - Tehran, Iran , Koohpayehzadeh , Jalil Department of Community Medicine - Iran University of Medical Sciences - Tehran, Iran , Rafei , Ali Center for Disease Control - Ministry of Health and Medical Education - Tehran, Iran , Etemad , Koorosh Center for Disease Control - Ministry of Health and Medical Education - Tehran, Iran , Gouya , Mohammad Mehdi Center for Disease Control - Ministry of Health and Medical Education - Tehran, Iran , Asgari , Fereshteh Center for Disease Control - Ministry of Health and Medical Education - Tehran, Iran , Yousefifard , Mahmoud Physiology Research Center - Faculty of Medicine - Iran University of Medical Sciences - Tehran, Iran
Abstract :
In 2017, American College of Cardiology (ACC) and the American Heart Association (AHA) presented a new guideline for assessing blood pressure in adults. This study aimed to assess the prevalence of hypertension in Iranian adults based on ACC/AHA 2017 guideline.
Methods: Data from 9801 Iranian adults (59.2% women) aged between 20–69 years were obtained from the sixth round of National Surveillance of Risk Factors of Non-Communicable Diseases (SuRFNCD) performed in 2011. Blood pressure was classified as normal, elevated blood pressure, and stage 1 and 2 hypertension using a weighted analysis and 2017 ACC/AHA guidelines. Data were presented as prevalence and 95% confidence interval (95% CI). All analyses were performed in Stata/SE 14.0.
Results: Overall prevalence of hypertension in Iranian men was 52.0%. Also, 32.9% (95% CI: 29.9-36.0) and 19.1% (95% CI: 16.9-21.6) of men had stage 1 and 2 hypertension, respectively. In addition, 44.3% of women had hypertension, of whom 26.3% (95% CI: 24.5 - 28.2) had stage 1 and 18.0% (95% CI: 16.1-20.1) stage 2 hypertension. Furthermore, 16.5% (95% CI: 14.4-18.9) and 9.6% (95% CI: 7.86-11.7) of men and women had elevated blood pressure, respectively.
Conclusion: The findings of this study indicated that adopting the 2017 ACC/AHA guidelines showed a higher prevalence of adult hypertension (48.2%) in Iran. In this study, the prevalence of hypertension in men was higher than in women, which was steadily increased by age in older adults in both sexes.
Keywords :
High blood pressure , Prevalence & Iran , ACC/AHA guidelines , Adult hypertension
