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Risk factors for the development of arterial hypertension
Sandra Sipetić Grujičić1, Zorica Terzić Supić, Željka Nikolić
1Institute of Epidemiology, 2Institute of Social Medicine; Medical School, University of Belgrade, 3Primary Health Centre ''Stari Grad", 4City Institute for Skin and Venereal Diseases; Belgrade, Serbia.
Insights
Low education, prolonged smoking, and obesity are key risk factors for developing arterial hypertension. Public health initiatives focusing on these areas are crucial for prevention.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Arterial hypertension is a global health concern.
- Identifying risk factors is crucial for effective prevention strategies.
Purpose of the Study:
- To investigate risk factors associated with the development of primary arterial hypertension.
- To inform public health interventions for hypertension prevention.
Main Methods:
- An anamnestic study involving 63 new arterial hypertension cases and 63 matched controls.
- Data collected via questionnaires on socio-demographics and lifestyle habits.
- Statistical analysis using descriptive and inferential (χ2) tests.
Main Results:
- Significant differences observed in education level and smoking duration between hypertensive patients and controls.
- Longer consumption of alcohol (schnapps, beer) noted in the control group.
- Excessive body weight and obesity (BMI, waist circumference) were significantly higher in the hypertensive group.
Conclusions:
- Low education, extended smoking, and obesity are identified risk factors for arterial hypertension.
- The findings underscore the need for targeted prevention programs.
- Public health strategies should address these modifiable risk factors.
Aim:
To examine risk factors for the development of primary arterial hypertension which is a significant health and public health problem throughout the world.
Methods:
This anamnestic study, conducted at the Primary Health Centre "Stari Grad" in Belgrade during 2006, included 63 new cases of arterial hypertension and 63 subjects who formed the control group. Patients and control group were individually matched to each other by sex, age (+/- 3 years) and place of residence. The survey instrument was a questionnaire based on socio-demographic characteristics of respondents (gender, age, residence, education level, occupation, marital status, socio-economic status) and habits (smoking, alcohol consumption, physical activity). Data analysis was performed by applying descriptive statistics (relative numbers) and inferential statistics (χ2 test).
Results:
There were significant differences in the level of education (p = 0,012) and current smoking status (p=0.017) between the group of patients with arterial hypertension and the control group. The subjects in the control group showed significantly longer consumption of schnapps (p=0.033) and beer (p=0.040) (more than 20 years). There was a significant difference in excessive body weight, and obesity measured by body mass index (p=0.006) and waist circumference (p=0.014) between these groups of patients.
Conclusion:
Risk factors associated with arterial hypertension were low education, long smoking period, excessive body weight and obesity. These results indicate the necessity of introducing programs which should be imperative in future prevention of arterial hypertension.
Related Concept Videos
Hypertension II: Pathophysiology
Hypertension and Regulation of Blood Pressure
Factors affecting Blood pressure
Physiological Factors:
Hypertension I: Introduction
Coronary Artery Disease I: Introduction
Hypertension III: Clinical Manifestations and Diagnostic Studies

