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We studied the community prevalence, patterns and predictors of hypertension in a large sub-population of South Asian adults with a view of identifying differential risk factors. Data were collected between years 2005-2006 and 5000 adults were invited for the study. The sample size was 4485, and about 39.5% were males. Mean systolic and diastolic blood pressures were 127.1 ± 19.8 mmHg and 75.4 ± 11.3 mmHg, respectively. Age-adjusted prevalence in all adults, males and females was 23.7%, 23.4% and 23.8%, respectively. Urban adults had a significantly higher prevalence of hypertension than rural adults. In the binary logistic-regression analysis, male gender (OR: 1.2), increasing age, Sri Lankan Moor ethnicity (OR: 1.6), physical inactivity (OR: 1.7), presence of diabetes (OR: 2.2) and central obesity (OR: 2.3) all were significantly associated with hypertension. In conclusion, nearly one-third of the Sri Lankan adult population is hypertensive. Hence, public health initiatives should encourage healthier lifestyles with emphasis on preventing obesity and increasing physical activity.

Original publication

DOI

10.3109/10641963.2013.863321

Type

Journal article

Journal

Clin Exp Hypertens

Publication Date

2014

Volume

36

Pages

484 - 491

Keywords

Adults, Sri Lanka, blood pressure, hypertension, prevalence, Adult, Aged, Blood Pressure, Comorbidity, Cross-Sectional Studies, Developing Countries, Diabetes Complications, Female, Health Promotion, Health Surveys, Humans, Hypertension, Logistic Models, Male, Middle Aged, Obesity, Abdominal, Prevalence, Risk Factors, Rural Population, Sri Lanka, Urban Population