Repository of Research and Investigative Information

Repository of Research and Investigative Information

Dezful University of Medical Sciences

Impact of 2017 ACC/AHA guideline on prevalence, awareness, treatment, control, and determinants of hypertension: a population-based cross-sectional study in southwest of Iran

(2021) Impact of 2017 ACC/AHA guideline on prevalence, awareness, treatment, control, and determinants of hypertension: a population-based cross-sectional study in southwest of Iran. Population Health Metrics. p. 11. ISSN 1478-7954

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Official URL: <Go to ISI>://WOS:000654188700001

Abstract

Background In 2017, the American College of Cardiology/American Heart Association (ACC/AHA) provided a new guideline for hypertension prevention and management. We aimed to update the prevalence, awareness, control, and determinants of hypertension based on this guideline in Khuzestan province, southwest of Iran, and to estimate the number of people who are eligible for non-pharmacologic and pharmacologic intervention. Methods This population-based cross-sectional study was conducted in Khuzestan, a large province in the southwest of Iran. Comprehensive information about the potential relating factors of hypertension was collected, blood pressure was measured, and anthropometric measurements were obtained. Moreover, the dietary pattern was evaluated in 2830 individuals, using a qualitative food frequency questionnaire. Results Among 30,506 participants, 30,424 individuals aged 20-65 years were eligible for the study. In comparison with the previous guideline released by the Joint National Committee (JNC8), the prevalence of hypertension in Khuzestan dramatically increased from 15.81 to 42.85 after implementation of the ACC/AHA guideline, which was more dominant in the male population and the 45-54 age group. The sex and age adjustment of the hypertension prevalence was estimated to be 39.40. The percentage of hypertension awareness, treatment, and control were 45.85, 35.42, and 59.63, which dropped to 22.72, 26.37, and 28.94 after implementation of new guideline, respectively. Conclusions In the ACC/AHA guideline, a higher number of individuals with the pre-hypertension condition were shifted into the hypertension category and the level of awareness, treatment, and control were dramatically decreased, which highlight a great need to expand the public health infrastructure for further managing the substantial increased burden on healthcare system. However, further studies with population over 65 years are required to estimate the eligibility for antihypertensive treatment in this province after implementation of new guideline.

Item Type: Article
Keywords: Hypertension Iran 2017 ACC AHA hypertension guideline JNC8 hypertension guideline Risk factors Prevalence Awareness Treatment Control high blood-pressure american-college global burden risk association disease adults Public, Environmental & Occupational Health
Page Range: p. 11
Journal or Publication Title: Population Health Metrics
Journal Index: ISI
Volume: 19
Number: 1
Identification Number: https://doi.org/10.1186/s12963-021-00260-5
ISSN: 1478-7954
Depositing User: مهندس مهدی شریفی
URI: http://eprints.dums.ac.ir/id/eprint/793

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