Determinants of Hypertension: A Cross-Sectional Analysis of Demographic and Physiological Predictors in a Referral Hospital in Iran

Background: Hypertension is a leading risk factor for cardiovascular diseases, significantly contributing to global morbidity and mortality. Understanding the determinants of hypertension is crucial for effective prevention and management. This study investigates the relationships between demographi...

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Main Authors: Fatemeh Omidi, Soheila Sadeghi
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2024-09-01
Series:Novelty in Biomedicine
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Online Access:https://journals.sbmu.ac.ir/nbm/article/view/45624
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author Fatemeh Omidi
Soheila Sadeghi
author_facet Fatemeh Omidi
Soheila Sadeghi
author_sort Fatemeh Omidi
collection DOAJ
description Background: Hypertension is a leading risk factor for cardiovascular diseases, significantly contributing to global morbidity and mortality. Understanding the determinants of hypertension is crucial for effective prevention and management. This study investigates the relationships between demographic and physiological factors and hypertension status in a cohort of adults. Materials and Methods: A cross-sectional study was conducted with 105 adult participants, comprising 47 hypertensive and 58 non-hypertensive individuals. Data on age, body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, and fasting blood sugar (FBS) were collected. Statistical analyses included summary statistics, Pearson correlation coefficients, and logistic regression to identify significant predictors of hypertension. Results: There were significant differences between hypertensive and non-hypertensive groups regarding SBP, DBP, and BMI. Hypertensive individuals had higher mean SBP (141.4 ± 10.5 mmHg) and DBP (86.4 ± 8.0 mmHg) compared to non-hypertensive individuals (118.1 ± 11.5 mmHg and 72.2 ± 6.8 mmHg, respectively; p < 0.001 for both). BMI was also significantly higher in the hypertensive group (36.8 ± 11.8 kg/m² vs. 32.6 ± 9.8 kg/m²; p < 0.001). Age and BMI positively correlated with both SBP and DBP, while HDL showed a significant negative correlation with DBP. Logistic regression analysis identified age (OR = 1.07, 95% CI: 1.05-1.09, p = 0.02), BMI (OR = 1.06, 95% CI: 1.01-1.15, p = 0.01), and LDL (OR = 1.04, 95% CI: 1.00-1.02, p = 0.04) as significant predictors of hypertension. Conclusion: This study reinforces the significant roles of age, BMI, and LDL cholesterol in the risk of hypertension. These findings highlight the importance of targeting these modifiable risk factors through effective interventions to reduce the prevalence and impact of hypertension. Future research should explore the mechanisms linking these predictors to hypertension to develop comprehensive prevention and management strategies.
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spelling doaj-art-a7476340b2b84c599b701ecbea72c6182025-01-20T05:02:54ZengShahid Beheshti University of Medical SciencesNovelty in Biomedicine2345-39072024-09-0112410.22037/nbm.v12i4.4562435515Determinants of Hypertension: A Cross-Sectional Analysis of Demographic and Physiological Predictors in a Referral Hospital in IranFatemeh Omidi0Soheila Sadeghi11 Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2Department of Internal Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranBackground: Hypertension is a leading risk factor for cardiovascular diseases, significantly contributing to global morbidity and mortality. Understanding the determinants of hypertension is crucial for effective prevention and management. This study investigates the relationships between demographic and physiological factors and hypertension status in a cohort of adults. Materials and Methods: A cross-sectional study was conducted with 105 adult participants, comprising 47 hypertensive and 58 non-hypertensive individuals. Data on age, body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, and fasting blood sugar (FBS) were collected. Statistical analyses included summary statistics, Pearson correlation coefficients, and logistic regression to identify significant predictors of hypertension. Results: There were significant differences between hypertensive and non-hypertensive groups regarding SBP, DBP, and BMI. Hypertensive individuals had higher mean SBP (141.4 ± 10.5 mmHg) and DBP (86.4 ± 8.0 mmHg) compared to non-hypertensive individuals (118.1 ± 11.5 mmHg and 72.2 ± 6.8 mmHg, respectively; p < 0.001 for both). BMI was also significantly higher in the hypertensive group (36.8 ± 11.8 kg/m² vs. 32.6 ± 9.8 kg/m²; p < 0.001). Age and BMI positively correlated with both SBP and DBP, while HDL showed a significant negative correlation with DBP. Logistic regression analysis identified age (OR = 1.07, 95% CI: 1.05-1.09, p = 0.02), BMI (OR = 1.06, 95% CI: 1.01-1.15, p = 0.01), and LDL (OR = 1.04, 95% CI: 1.00-1.02, p = 0.04) as significant predictors of hypertension. Conclusion: This study reinforces the significant roles of age, BMI, and LDL cholesterol in the risk of hypertension. These findings highlight the importance of targeting these modifiable risk factors through effective interventions to reduce the prevalence and impact of hypertension. Future research should explore the mechanisms linking these predictors to hypertension to develop comprehensive prevention and management strategies.https://journals.sbmu.ac.ir/nbm/article/view/45624hypertensionblood pressurebody mass indexlipid profileagecardiovascular risk factorspredictors of hypertension
spellingShingle Fatemeh Omidi
Soheila Sadeghi
Determinants of Hypertension: A Cross-Sectional Analysis of Demographic and Physiological Predictors in a Referral Hospital in Iran
Novelty in Biomedicine
hypertension
blood pressure
body mass index
lipid profile
age
cardiovascular risk factors
predictors of hypertension
title Determinants of Hypertension: A Cross-Sectional Analysis of Demographic and Physiological Predictors in a Referral Hospital in Iran
title_full Determinants of Hypertension: A Cross-Sectional Analysis of Demographic and Physiological Predictors in a Referral Hospital in Iran
title_fullStr Determinants of Hypertension: A Cross-Sectional Analysis of Demographic and Physiological Predictors in a Referral Hospital in Iran
title_full_unstemmed Determinants of Hypertension: A Cross-Sectional Analysis of Demographic and Physiological Predictors in a Referral Hospital in Iran
title_short Determinants of Hypertension: A Cross-Sectional Analysis of Demographic and Physiological Predictors in a Referral Hospital in Iran
title_sort determinants of hypertension a cross sectional analysis of demographic and physiological predictors in a referral hospital in iran
topic hypertension
blood pressure
body mass index
lipid profile
age
cardiovascular risk factors
predictors of hypertension
url https://journals.sbmu.ac.ir/nbm/article/view/45624
work_keys_str_mv AT fatemehomidi determinantsofhypertensionacrosssectionalanalysisofdemographicandphysiologicalpredictorsinareferralhospitaliniran
AT soheilasadeghi determinantsofhypertensionacrosssectionalanalysisofdemographicandphysiologicalpredictorsinareferralhospitaliniran