Key result
Among high-altitude residents in Nepal, the overall prevalence of hypertension was 23.0%, and male sex was significantly associated with a higher risk of hypertension compared to females (OR 1.67).
Why the study?
Studies have shown an increase in cardiovascular risk factors in high-altitude residents globally, motivating an evaluation of the prevalence and determinants of hypertension in Jomsom, Nepal.
What is the prevalence and determinants of hypertension among the high-altitude population of Jomsom district of Nepal?
Cross-Sectional (n=617)
No
What is the prevalence and determinants of hypertension among the high-altitude population of Jomsom district of Nepal?
Odds Ratio: 1.67 (95% CI 1.14–2.44)
Absolute Event Rate: 27.8% vs 18.7%
p-value: p=0.007
The prevalence of hypertension among high-altitude residents in Jomsom, Nepal, is 23.0%, which is lower than the general Nepalese population.
Observed prevalence supports targeted screening in similar cohorts; leaves open generalizability to Nepal's broader population.
Background: Several studies have shown increase in prevalence of cardiovascular risk factors in the individuals residing in high altitude in various parts of the world. Aims and Objective: This study was conducted with an aim to estimate the prevalence and determinants of hypertension among the high-altitude population of Jomsom district of Nepal. Materials and Methods: We carried out a prospective camp based survey in Jomsom area on 4th and 5th June of 2017 where we measured the blood pressure, recorded anthropometric measurements like weight, height, BMI, Waist, Hip, Waist/hip ratio and maintained the thorough recorded after verbal consent of the participants. Results: A total of 617 local residents of Jomsom were screened. The mean age was 44.4±17. 6 years with predominant female subjects (53.5% female vs. 46.5% male). Hypertension was present in 142(23.0%) which was significantly lower than in the general population of Nepal as compared to other large scale studies. In addition, alcohol consumption in 29.3%, cigarette smoking in 15.9% and tobacco consumption in 8.3% was present. Higher BMI and waist/hip ratio was significantly associated with male sex and hypertension Conclusion: The overall prevalence of hypertension is lower among the individuals residing in higher altitude compared to the general population although the other determinants are comparable.
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Prajapati et al. (2020) conducted a cross-sectional in Systemic Hypertension (n=617). Male sex vs. Female sex was evaluated on Systemic hypertension (OR 1.67, 95% CI 1.14-2.44, p=0.007). Among high-altitude residents in Nepal, the overall prevalence of hypertension was 23.0%, and male sex was significantly associated with a higher risk of hypertension compared to females (OR 1.67).
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