Hypertension and Its Risk Factors in the Population Covered by Mashhad University of Medical Sciences

Nasrin Milani, Ehsan Mosa Farkhani, Mohamad Sajjadi-Manesh, A. Taghipour, R. Ahmadi, K. Saeedi
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Abstract

Introduction:  Hypertension is recognized as one of the major causes of cardiovascular disease. The present study aimed to assess the relationship between hypertension and its risk factors in the population referring to comprehensive health care centers affiliated to Mashhad University of Medical Sciences. Materials and Methods: This case-control study was performed on the health assessment data of the population aged 30 years and above registered in the SINA system in 2017-2018. The present case-control study was conducted on 1500 cases who were selected by systematic random sampling and assigned to the case group (500 hypertensive patients) and control group (1000 subjects without a history of hypertension). Data were analyzed using SPSS software (version 22). A p-value less than 0.05 was considered statistically significant. Results: Based on the results, the risk factors for hypertension included settlement in urban areas (OR=2.914), body mass index≥ 25 (OR = 2.522), waist circumference˃90 (OR=2.409), sedentary lifestyle (OR=2.373), consumption of solid oil (OR=1.581), triglyceride level of ˃150 (OR=566), use of table salt (OR=1.547). On the other hand, the following were identified as protective factors against hypertension: hard labor jobs (OR=0.292), optimal physical activity (OR=0.421), and regular consumption of vitamin D (OR=0.625) (p <0.05). Conclusion: The results will not only provide a solid foundation on potency of risk factors and protective factors for hypertension but will also give an invaluable insight to the health planning programs. The reduced prevalence of hypertension can be planned for with the identification of related risk and protective factors.
马什哈德医学大学所涵盖人群中的高血压及其危险因素
高血压是公认的心血管疾病的主要病因之一。本研究旨在评估在马什哈德医学大学附属综合保健中心就诊的人群中高血压及其危险因素之间的关系。材料与方法:对2017-2018年在新浪系统登记的30岁及以上人群的健康评估数据进行病例对照研究。本研究采用系统随机抽样的方法,选取1500例病例,分为病例组(500例高血压患者)和对照组(1000例无高血压病史者)。数据分析采用SPSS软件(第22版)。p值小于0.05被认为具有统计学意义。结果:城市居住(OR=2.914)、体重指数≥25 (OR= 2.522)、腰围(OR=2.409)、久坐生活方式(OR=2.373)、食用固体油(OR=1.581)、甘油三酯水平(OR=566)、食用食盐(OR=1.547)是高血压的危险因素。另一方面,以下因素被确定为高血压的保护因素:体力劳动(OR=0.292)、最佳体育活动(OR=0.421)和经常摄入维生素D (OR=0.625) (p <0.05)。结论:研究结果不仅为高血压的危险因素和保护因素的效力提供了坚实的基础,而且为健康规划方案提供了宝贵的见解。通过确定相关的危险因素和保护因素,可以对高血压患病率的降低进行规划。
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