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Serum lipid profile and its association with hypertension in Bangladesh
Kamrun Nahar Choudhury1, A K M Mainuddin2, Mohammad Wahiduzzaman3
1Department of Epidemiology, National Centre for Control of Rheumatic Fever and Heart Disease, Bangladesh, Dhaka, Bangladesh.
Insights
Hypertension in Bangladesh is closely linked to dyslipidemia, characterized by higher total cholesterol, triglycerides, and LDL, and lower HDL. Regular monitoring of blood pressure and lipid profiles is crucial for cardiovascular disease prevention.
Area of Science:
- Cardiology
- Public Health
- Clinical Biochemistry
Background:
- Hypertension and dyslipidemia are leading risk factors for cardiovascular disease (CVD) in Bangladesh.
- These conditions contribute significantly to morbidity and mortality within the Bangladeshi population.
- Understanding the relationship between lipid profiles and hypertension is vital for public health initiatives.
Purpose of the Study:
- To investigate the association between serum lipid profiles and hypertension in Bangladeshi patients.
- To compare lipid profiles of hypertensive individuals with normotensive controls.
- To identify specific lipid abnormalities associated with hypertension in this population.
Main Methods:
- A cross-sectional study involving 234 participants (159 hypertensive, 75 normotensive) in Dhaka, Bangladesh.
- Data collection included sociodemographic factors, anthropometric measurements, blood pressure, and lipid profiles (TC, TG, LDL, HDL).
- Statistical analysis, including logistic regression, was used to determine associations.
Main Results:
- Hypertensive patients exhibited significantly higher systolic and diastolic blood pressure compared to normotensive controls.
- Serum levels of total cholesterol (TC), triglycerides (TG), and low-density lipoprotein (LDL) were significantly higher in hypertensive subjects.
- High-density lipoprotein (HDL) levels were significantly lower in hypertensive individuals compared to normotensives.
Conclusions:
- Hypertensive patients in Bangladesh demonstrate a strong association with dyslipidemia.
- Regular measurement of blood pressure and lipid profiles is recommended for hypertensive individuals.
- Early detection and management of dyslipidemia in hypertensive patients can aid in preventing CVD, stroke, and other comorbidities.
Background:
Hypertension and dyslipidemia are major risk factors for cardiovascular disease, accounting for the highest morbidity and mortality among the Bangladeshi population. The objective of this study was to determine the association between serum lipid profiles in hypertensive patients with normotensive control subjects in Bangladesh.
Methods:
A cross-sectional study was carried out among 234 participants including 159 hypertensive patients and 75 normotensive controls from January to December 2012 in the National Centre for Control of Rheumatic Fever and Heart Disease in Dhaka, Bangladesh. Data were collected on sociodemographic factors, anthropometric measurements, blood pressure, and lipid profile including total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL), and high density lipoprotein (HDL).
Results:
The mean (± standard deviation) systolic blood pressure and diastolic blood pressure of the participants were 137.94±9.58 and 94.42±8.81, respectively, which were higher in the hypertensive patients (P<0.001). The serum levels of TC, TG, and LDL were higher while HDL levels were lower in hypertensive subjects compared to normotensives, which was statistically significant (P<0.001). Age, waist circumference, and body mass index showed significant association with hypertensive patients (P<0.001) but not with normotensives. The logistic regression analysis showed that hypertensive patients had 1.1 times higher TC and TG, 1.2 times higher LDL, and 1.1 times lower HDL than normotensives, which was statistically significant (P<0.05).
Conclusion:
Hypertensive patients in Bangladesh have a close association with dyslipidemia and need measurement of blood pressure and lipid profile at regular intervals to prevent cardiovascular disease, stroke, and other comorbidities.
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