Communitybased screening for prehypertension among milit.docVIP

Communitybased screening for prehypertension among milit 　 作者：Moataz M. AbdelFattah1, Fayssal M. Farahat1, AbdulSalam A. AlShehri2 【摘要】 Objective: The purpose of this study to determine the prevalence of both prehypertension and hypertension and risk factors associated with newly diagnosed Saudi military active duty service personnel.Methods: Communitybased screening of 1283 Saudi military active duty service personnel was conducted during the period September  December 2007 at six randomly selected out of a total of 15 military units of Taif region, Western of Saudi Arabia. Screening tools included selfadministrated questionnaire, general physical examination, anthropometric measurements and assessment of blood pressure.Results: All participants were Saudi males. Their age ranged from 1956 years old with mean ± SD of 37.2 ± 7.02. By applying the Joint National Committee on prevention, detection, evaluation, and treatment of high hypertension (JNC7) criteria, 214 (17.3%) were considered prehypertensive. Multivariate logistic regression analysis showed that obesity as measured by body mass index (OR=2.71 CI: 1.395.28), positive family history (OR=1.46 CI:1.032.06), ever smoking (OR=1.45 CI:1.052.02), and increased waist circumference (OR=1.04 CI:1.021.06) were the significant predictors of workplace newly diagnosed hypertension among military active duty personnel. Conclusion: Prehypertension is a common hidden problem and it predicts the development of frank hypertension. Findings of the current study support the recommendation of lifestyle modification for prehypertension patients. However, further prospective studied are required to determine the role of pharmacotherapy in prehypertension. 【关键词】 screening, prehypertension, military INTRODUCTION Hypertension, a major public health problem world wide, is associated with high morbidity and mortality rates［1］. The majority of cases is asymptomatic and, therefore, goes unrecognized