HYPERTENSION AND ITS NUTRITIONAL ASSOCIATED FACTORS IN ADULTS IN TWO COASTAL COMMUNES, NGHE AN PROVINCE, 2020

Hoàng Thu Nga1, Trần Thị Quỳnh Anh1, Huỳnh Nam Phương1, Đặng Thu Trang2, Nguyễn Thị Tố Uyên1, Trần Quang Bình1
1 Viện Dinh dưỡng
2 Trường Đại học Y Hà Nội

Nội dung chính của bài viết

Tóm tắt

Aims: To identify the hypertension status and its nutritional associated factors in adults in two coastal communes of Nghe An province.


Methods: A cross-sectional study was conducted on 1170 adults aged 40-69 years in Nghi Thinh and Nghi Thai communes, Nghi Loc district, Nghe An province. General information, blood pressure, anthropometry, salt intake behavior, alcohol consumption frequency, and disease history were collected. The hypertensive prevalence was adjusted for age-sex structure of population. Multilogistic regression analysis was applied to test several models for the association of hypertension to socio–economic conditions, body mass index and waist circumference, high salt intake behavior, and frequency of alcohol consumption.


Results: The age- and sex-adjusted prevalence (95%CI) of hypertension status was 46.3 (42.6-50.0), 11.3 (9.12-14.0), 18.1 (15.1-21.5), 7.97 (6.11-10.3), 16.3 % (13.7-19.3), respectively, in normal, hight-normal, grade 1 hypertension, grade 2 hypertension, and previous diagnosed with current use of antihypertensive drugs. There were still 61.5% of hypertensive subjects without knowing the condition. The independent associated factors of hypertension were age, sex, obese status, vegetable and fruit intake/day (<5 units/day), high salt intake behavior, alcohol consumption (> 1 time/week), previously diagnosed dyslipidemia and family members with hypertension.


Conclusions: The study indicates the high hypertension prevalence in the coastal communes. The most important associated factors for hypertension should be given a great attention in controlling hypertension in the population.

Chi tiết bài viết

Tài liệu tham khảo

1 . Worl Health Organization (2013). A global brief on hypertension: silent killer, global public health crisis: World Health Day 2013. , accessed: 11/18/2021.
2 . Vietnam-National-Heart-Institute. Survey on Hypertension in Vietnamese Adult Population. Vietnam National Heart Institute: Hanoi, 1992.
3 . Vietnam-National-Heart-Institute. Epidemiologycal Survey of Hypertension and its Risk Factors Including Diatetes Mellitus in Northern Vietnam. Vietnam National Heart Institute: Hanoi, 2001.
4 . Van Minh H, Soonthornthada K, Ng N, et al. Blood pressure in adult rural INDEPTH population in Asia. Glob Health Action. 2009; 2
5 . Son PT, Quang NN, Viet NL, et al. Prevalence, awareness, treatment and control of hypertension in Vietnam-results from a national survey. J Hum Hypertens. 2012;26(4):268–280.
6 . World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment. Geneva: World Health Organization Western Pacific Regional Office; 2000.
7 . World Health Organization (2008). Waist circumference and waist-hip ratio. Report WHO expert consultation. Geneva.
8 . Ministry of Health (2019). Guidelines for diagnosis, treatment and management of a number of non-communicable diseases at commune health stations. (Issued together with Decision No. 5904/QD-BYT dated December 20, 2019). , accessed: 11/16/2021.
9 . Unger T, Borghi C, Charchar F, et al. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension. 2020;75(6):1334–1357.
10 . Diet, nutrition and the prevention of chronic diseases: report of a Joint WHO/FAO Expert Consultation. WHO Technical Report Series, No. 916. Geneva: World Health Organization; 2003.
11. Hien HA, Tam NM, Tam V, Derese A, Devroey D. Prevalence, Awareness, Treatment, and Control of Hypertension and Its Risk Factors in (Central) Vietnam. Int J Hypertens. 2018;2018:6326984.
12. Doan Van Khoi, Cap Minh Duc, Nguyen Quang Chinh, Duong Thi Huong. The prevalence of hypertension in people aged 40 and older at Minh Duc commune, Tu Ky district, Hai Duong province in 2021. Journal of Preventive Medicine. 2022;32(1):42–49.
13. Vietnam Ministry of Health (2015). National survey of risk factors for non-communicable diseases 2015. Ministry of Health- Department of Preventive Medicine, , accessed: 5/20/2022.
14. Ngo Tri Tuan, Hoang Van Minh, Nguyen Manh Cuong et al. Hypertension in people 40-79 years old in Yen Do commune, Phu Luong district, Thai Nguyen province and some related factors. Journal of Practical Medicine. 2012;4:81–83.
15. Truong Thi Thuy Duong. Effectiveness of a nutrition education communication model to improve some risk factors for hypertension in the community. Doctor of Medicine Thesis, Hanoi Medical University, 2016.
16. Nguyen Ngoc Huy, Nguyen Van Tap, Tran Phuc Hau and Nguyen Thanh Binh. The status of hypertension and some related factors in Cham ethnic minority 18 years of age or older in the South Central Region in 2017. Journal of Preventive Medicine. 2021;31(6):96–104.
17. Hoang Duc Thuan Anh, Nguyen Thanh Nga, Nguyen Dinh Tuyen et al. Research on hypertension of the elderly in Huong Thuy district, Thua Thien Hue. Journal of Practical Medicine. 2013; 876(7):135–138.
18. Chowdhury MA, Uddin MJ, Haque MR, Ibrahimou B. Hypertension among adults in Bangladesh: evidence from a national cross-sectional survey. BMC Cardiovasc Disord. 2016;16:22.
19. Sandberg K and Ji H. Sex differences in primary hypertension. Biol Sex Differ. 2012:3(1):7.
20. Choi HM, Kim HC, and Kang DR (2017). Sex differences in hypertension prevalence and control: Analysis of the 2010-2014 Korea National Health and Nutrition Examination Survey. PLOS ONE. 2017;12(5), e0178334.
21. Tozawa M, Oshiro S, Iseki C, et al. Family History of Hypertension and Blood Pressure in a Screened Cohort. Hypertension Research. 2001;24(2): 93–98.
22. Reducing salt intake in populations: report of a WHO forum and technical meeting, 5-7 October 2006, Paris, France. , accessed: 11/18/2021.
23. Nickenig G, Harrison DG. The AT(1)-type angiotensin receptor in oxidative stress and atherogenesis: Part II: AT(1) receptor regulation. Circulation. 2002;105:530–536.
24. Halperin RO, Sesso HD, Ma J, Buring JE, Stampfer MJ, Gaziano JM. Dyslipidemia and the risk of incident hypertension in men. Hypertension. 2006;47(1):45–50.