شيوع فشار خون و رابطه آن با سن، جنس و نمايه توده بدن در افراد بالاي 15 سال جمعيت تحت پوشش عرصه آموزش پزشكي جامعه نگر كرمانشاه (1382)

The prevalence of Hypertension and its Association with Age, Sex and BMI in a Population Being Educated Using Community-Based Medicine in Kermanshah: 2003

Introduction: Hypertension due to its high prevalence and its relation to cardiac disease is considered a major problem in industrialized countries its prevalence varies in different countries and in various regions within a country. The purpose of the present study is to determine the size of the problem and its distribution in a study population being educated using community-based medicine in Kermanshah in 2005. Material and Methods: For the study, 8495 persons (1957 families) were randomly selected as the subjects they were medically examined by a team including two general practitioners and a health worker, and were evaluated for blood pressure, height and weight, history of high blood pressure and taking of anti-hypertension drugs the 5147 subjects were aged over 15-years. Each subject\ʹs blood pressure were recorded once in sitting position using a sphygmomanometer. The collected data were analyzed using descriptive statistics (frequency percentage, mean, standard deviation) and inferential statistics (T-test and Chi Square ). Results: The 5147 participants (56.9% females and 43.1% males) had an average age of 34.4±15.1 years. A prevalence of stage 1 & 2 hypertension 14.3% (14.1% in males and 13.7% in females) and prehypertension prevalence of 15.8% was reported. The prevalence of high blood pressure was 60.7% among 65-year-olds. The average systolic pressure and diastolic pressure were reported to be 117.5±18.3 and 74.5±13.6 respectively. The average systolic and diastolic pressure in males were significantly different from that of females (P=0.0001).There was a significant relation between age increase and prevalence of high blood pressure. Also, an increase in BMI showed a significant increase in blood pressure. Conclusion: A high prevalence of elevated blood pressure was documented in this population of Kermanshah obesity and old age were observed to be the interventional risk factors accompanying high blood pressure.