Prevalence and risk factors of hypertension: A nationwide cross-sectional study in Lebanon

J Clin Hypertens (Greenwich). 2018 May;20(5):867-879. doi: 10.1111/jch.13268. Epub 2018 Mar 31.

Abstract

There is limited epidemiologic data on hypertension (HTN) in Lebanon. This study aimed to determine the prevalence and associated risk factors of HTN in the adult Lebanese population and evaluate the association between dietary and psychological factors on systolic blood pressure (SBP). Cross-sectional analyses were conducted using a multistage cluster sample across Lebanon. A total of 2014 participants were included. The prevalence and control rates of HTN were 31.2% and 28.7%, respectively. In women, educational level and physical activity were negatively associated with HTN (P < .05 for both) and adherence to the Lebanese Mediterranean diet was associated with a lower SBP. Other factors were associated with HTN in men. There was no relationship with SBP and psychological distress. Of the modifiable risk factors, body mass index persisted as the only contributory factor in both sexes (P < .01). Accordingly, prevention of HTN at the population level should focus mainly on overweight prevention.

Keywords: Mediterranean diet; blood pressure; body mass index; epidemiology; hypertension; lifestyle behavior.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Blood Pressure / physiology
  • Body Mass Index
  • Cross-Sectional Studies
  • Diet, Mediterranean / adverse effects
  • Diet, Mediterranean / statistics & numerical data
  • Exercise / physiology*
  • Female
  • Humans
  • Hypertension / epidemiology*
  • Hypertension / physiopathology
  • Lebanon / epidemiology
  • Male
  • Middle Aged
  • Overweight / epidemiology
  • Overweight / prevention & control*
  • Prevalence
  • Risk Factors
  • Stress, Psychological / psychology*
  • Systole / physiology*