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Distribution of blood pressure and prevalence of hypertension in Tehran adult population: Tehran Lipid and Glucose Study (TLGS), 1999–2000

Journal of Human Hypertension volume 16, pages 305–312 (2002)Cite this article

Abstract

The purpose of this study was to estimate the current prevalence and distribution of hypertension in an adult Tehranian population. Data were collected for 3343 men and 5148 women aged 20–69 years in the Tehran Lipid and Glucose Study (TLGS), which is a cross-sectional phase of a large epidemiologic study, first established in 1999. The study used the mean of two separate blood pressure (BP) measurements in each individual. Twenty-two percent (23% of women vs 20% of men, P = 0.01) had hypertension according to ‘JNC-VI’ and ‘WHO-ISH’ criteria. The average systolic BP (SBP), diastolic BP (DBP) and pulse pressure of hypertensive participants were 31, 16, and 15 mm Hg higher than the corresponding value for normotensives, respectively. Thirty-six percent of participants with JNCVI-based hypertension were using antihypertensive medication (23% of men and 43% of women). Of these, 40% (45% of men and 39% of women) had normal BP. Hypertension awareness was 50% in these participants (57% in men vs 37% in women, P < 0.001). Data for 3179 men and 4646 women aged 20–69 years with no antihypertensive treatment were used for analysis of BP measures. Of these, 15% (16% of men and 14% of women, P = 0.006) had high and 85% (84% of men and 86% of women) normal or high-normal BP levels according to JNC-VI. Prevalence of optimal BP was 49% (47% of men and 51% of women). Mean SBP was 117.8 ± 16.6 and 116.4 ± 16.4 mm Hg in men and women, respectively (P < 0.001). The equivalent values were 77.4 ± 10.7 and 77.3 ± 9.9 mm Hg for DBP (P = 0.5) and 40.4 ± 12 and 39.1 ± 11.7 mm Hg for pulse pressure (P < 0.001). A relatively high prevalence of JNC-VI/WHO-ISH defined hypertension was found in the TLGS adult population with 50% undiagnosed and 60% uncontrolled hypertension. These findings emphasise further considerations for detection and better management of hypertension in the urban population of Tehran.

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Acknowledgements

This research project has been supported by a national grant No. 121 NRCI Research Projects and with the support of National Research Council of Islamic Republic of Iran. We express appreciation to the participants of district-13, Tehran, for their enthusiastic support in this study. We thank Nafiseh Saadati and her team for their appreciable work in the social relation unit and Habib Emami for his guidance in preparing this paper. The participation of the staff of ERC, Tehran Lipid and Glucose Study unit, Health Department of Shaheed Beheshti University of Medical Sciences are gratefully acknowledged.

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  1. Endocrine Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran

    F Azizi, A Ghanbarian, M Madjid & M Rahmani

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  1. F Azizi
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  2. A Ghanbarian
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  3. M Madjid
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  4. M Rahmani
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Correspondence to F Azizi.

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Azizi, F., Ghanbarian, A., Madjid, M. et al. Distribution of blood pressure and prevalence of hypertension in Tehran adult population: Tehran Lipid and Glucose Study (TLGS), 1999–2000. J Hum Hypertens 16, 305–312 (2002). https://doi.org/10.1038/sj.jhh.1001399

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