Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal

Background. This study was carried out to establish the prevalence of cardiovascular risks such as hypertension, obesity, and diabetes in Eastern Nepal. This study also establishes the prevalence of metabolic syndrome (MS) and its relationships to these cardiovascular risk factors and lifestyle. Met...

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Main Authors: Sanjib Kumar Sharma, Anup Ghimire, Jeyasundar Radhakrishnan, Lekhjung Thapa, Nikesh Raj Shrestha, Navaraj Paudel, Keshar Gurung, Maskey R, Anjali Budathoki, Nirmal Baral, David Brodie
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.4061/2011/821971
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author Sanjib Kumar Sharma
Anup Ghimire
Jeyasundar Radhakrishnan
Lekhjung Thapa
Nikesh Raj Shrestha
Navaraj Paudel
Keshar Gurung
Maskey R
Anjali Budathoki
Nirmal Baral
David Brodie
author_facet Sanjib Kumar Sharma
Anup Ghimire
Jeyasundar Radhakrishnan
Lekhjung Thapa
Nikesh Raj Shrestha
Navaraj Paudel
Keshar Gurung
Maskey R
Anjali Budathoki
Nirmal Baral
David Brodie
author_sort Sanjib Kumar Sharma
collection DOAJ
description Background. This study was carried out to establish the prevalence of cardiovascular risks such as hypertension, obesity, and diabetes in Eastern Nepal. This study also establishes the prevalence of metabolic syndrome (MS) and its relationships to these cardiovascular risk factors and lifestyle. Methods. 14,425 subjects aged 20–100 (mean 41.4 ± 15.1) were screened with a physical examination and blood tests. Both the International Diabetic Federation (IDF) and National Cholesterol Education Programme’s (NCEP) definitions for MS were used and compared. Results. 34% of the participants had hypertension, and 6.3% were diabetic. 28% were overweight, and 32% were obese. 22.5% of the participants had metabolic syndrome based on IDF criteria and 20.7% according to the NCEP definition. Prevalence was higher in the less educated, people working at home, and females. There was no significant correlation between the participants’ lifestyle factors and the prevalence of MS. Conclusion. The high incidence of dyslipidemia and abdominal obesity could be the major contributors to MS in Nepal. Education also appears to be related to the prevalence of MS. This study confirms the need to initiate appropriate treatment options for a condition which is highly prevalent in Eastern Nepal.
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spelling doaj-art-7c7d5f87cf91472fbb335e3db026b7172025-02-03T01:12:33ZengWileyInternational Journal of Hypertension2090-03922011-01-01201110.4061/2011/821971821971Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in NepalSanjib Kumar Sharma0Anup Ghimire1Jeyasundar Radhakrishnan2Lekhjung Thapa3Nikesh Raj Shrestha4Navaraj Paudel5Keshar Gurung6Maskey R7Anjali Budathoki8Nirmal Baral9David Brodie10Department of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, NepalDepartment of Public Health and Community Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, NepalFaculty of Society & Health, Bucks New University, Buckinghamshire HP11 2JZ, UKDepartment of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, NepalDepartment of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, NepalDepartment of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, NepalDepartment of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, NepalDepartment of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, NepalDepartment of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, NepalDepartment of Biochemistry, B. P. Koirala Institute of Health Sciences, Dharan 76500, NepalFaculty of Society & Health, Bucks New University, Buckinghamshire HP11 2JZ, UKBackground. This study was carried out to establish the prevalence of cardiovascular risks such as hypertension, obesity, and diabetes in Eastern Nepal. This study also establishes the prevalence of metabolic syndrome (MS) and its relationships to these cardiovascular risk factors and lifestyle. Methods. 14,425 subjects aged 20–100 (mean 41.4 ± 15.1) were screened with a physical examination and blood tests. Both the International Diabetic Federation (IDF) and National Cholesterol Education Programme’s (NCEP) definitions for MS were used and compared. Results. 34% of the participants had hypertension, and 6.3% were diabetic. 28% were overweight, and 32% were obese. 22.5% of the participants had metabolic syndrome based on IDF criteria and 20.7% according to the NCEP definition. Prevalence was higher in the less educated, people working at home, and females. There was no significant correlation between the participants’ lifestyle factors and the prevalence of MS. Conclusion. The high incidence of dyslipidemia and abdominal obesity could be the major contributors to MS in Nepal. Education also appears to be related to the prevalence of MS. This study confirms the need to initiate appropriate treatment options for a condition which is highly prevalent in Eastern Nepal.http://dx.doi.org/10.4061/2011/821971
spellingShingle Sanjib Kumar Sharma
Anup Ghimire
Jeyasundar Radhakrishnan
Lekhjung Thapa
Nikesh Raj Shrestha
Navaraj Paudel
Keshar Gurung
Maskey R
Anjali Budathoki
Nirmal Baral
David Brodie
Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal
International Journal of Hypertension
title Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal
title_full Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal
title_fullStr Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal
title_full_unstemmed Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal
title_short Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal
title_sort prevalence of hypertension obesity diabetes and metabolic syndrome in nepal
url http://dx.doi.org/10.4061/2011/821971
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