Journal de l'hypertension : accès libre

Background: One of the chronic diseases all over the world due to its significant contribution for the existence of the other health problems is hypertension. It is known that hypertensive patients also exposed to diabetes. The objective of current investigation was to identify socio- demographic and clinical predictors for the variation of hypertension and type2 diabetes for adults under treatments.

Methods: In current investigation, a random sample of 748 hypertensive and type2 diabetic patients was selected randomly. A retrospective longitudinal study design was conducted on the selected patients who were receiving treatments for both hypertension and type2 diabetes.

Results: The current investigation revealed that age and weight of patients were positively and significantly associated with existence of hypertension and type2 diabetes whereas; visiting times were negatively associated the variables of interests. Rural patients, patients who are smoking, drinking alcohols and patients with family disease history were joint predictors for existence of the variables of interests. The interactions of visiting times with sex, visiting times with residence area and age with sex of patients were also statistically significant factors for the existence of response variables. Hypertensive patients living in rural areas and those who are drinking and smoking were highly affected by the existence of type2 diabetes.

Conclusion: Awareness should be created to those hypertensive and type2 diabetic patients to attend properly their medication as prescribed by the health staff. Patients should also be advised to checkup their hypertension (systolic/ diastolic) and diabetes of type2 regularly.

Systemic hypertension (HTN) is a syndrome and it can induce other diseases and biochemical abnormalities, including stroke, coronary artery disease, heart failure (HF), obesity, kidney failure, glucose intolerance, dyslipidemia and even death. Epidemiological researches have established that HTN is a powerful contributor to major cardiovascular diseases. Hypertension is the single most important preventable cause of premature death in the Western world estimating at 20% of adult population. The quest to find effective treatment, both in terms of blood pressure control andprevention, such as heart attacks and strokes are still on-going. Although clinicians favor the diagnosis and treatment of hypertension in terms of diastolic blood pressure elevation and categorical cut of points, epidemiological data show important influence of systolic blood pressure and associated risk factors that contribute to atherosclerosis predicting clinical HF. Early detection of subclinical myocardial disease among hypertensive population is a holy grail of all cardiologists, but difficult when using the conventional echocardiography (CE). By comparison to CE, speckle tracking echocardiography (STE) is more specific obtaining longitudinal and circumferential strain, which are able to identify sub clinical myocardial abnormalities with a higher degree of accuracy. This review described the epidemiology of hypertension relating it to cardiovascular events including preclinical detection of cardiac dysfunction in HTN explaining how this could be detected by STE and other imaging modalities. These changes provide new targets for preclinical diagnosis monitoring responses to preventive strategies.

Hypertension prevention practices like physical exercise, healthy diet, avoid smoking and reducing alcohol intake play an important role in controlling hypertension. This study was assessed practice toward prevention of hypertension among non-hypertensive adults in Shashemene Town, West Arsi Zone, Ethiopia from August 2019 to September 2019.

Methods: A Community based cross-sectional study design was employed on adult age resident of Shashemene town and a multi stage sampling technique was used to select 634 participants. Data was collected using structured questioner and Data collection was conducted by trained college students. The data was edited and entered into Epi-info version 7 and analyzed using SPSS version 21 software. Descriptive and analytical statistics including Bivariate and multivariate analyses was conducted inorder to check the prediction of associations between dependent and independent variables. Ethical considerations were adhered to in protecting the rights of participants.

Result: The Overall practice toward prevention of hypertension was 56.52% out of 634 adults. Based on this study doing Physical exercise at least three times per week were 12.2 times (AOR=16.838, 95% CI: 4.769, 31.230); Participants who do not smoke cigarette were 3.1 times (AOR=3.116, 95 CI: 1.206, 8.054); Participants who do not use high amount of salt in their diet were 3.2 times (AOR=3.249, 95% CI 1.837, 5.746) more likely had practice toward prevention of hypertension as compared with others. It also indicated that there is a strong association between practice to prevent hypertension and age, educational status and Source of health information of the study participants Those age group greater than 36 years old were 2.6 times (AOR=2.617, 95% CI: 1.565, 4.375); Respondents with diploma, degree and more education level were 7.7 times (AOR=15.266, 95% CI: 2.643,22.389); Participants who read written material as source of health information were 3.4 times (AOR=3.364, 95% CI:1.718,6.585) more likely had practice toward prevention of hypertension

Conclusion: Generally More than half (56.52%) of the study participants had good practice to prevent hypertension in respects to answering the given practice question out of 634 respondents. Factors like education level, family history of hypertension and source of health information can positively affect the practice of hypertension prevention.