Prevalence of Hypertension and Its Associated Risk Factors among Adults in Pakistan.

Authors

  • Ghazala Rasool
  • Sayed Khan
  • Aftab Hussain Abro
  • Hasan Shafi
  • Naseer Ahmed
  • Noor us Sabah

DOI:

https://doi.org/10.63682/jns.v14i33S.10156

Keywords:

Hypertension, Risk factors, high BP, cardiovascular health, Obesity and hypertension, physical inactivity

Abstract

Introduction: Hypertension is a non-communicable disease and a significant risk factor for cardiovascular morbidity and mortality worldwide. The incidence of hypertension in Pakistan is increasing, although community-level statistics about its factors are scarce. This study sought to evaluate the prevalence of hypertension and its related risk factors among individuals in several Pakistani communities.

Materials and Methods: A community-based cross-sectional study was performed from January to June 2024. A total of 88 participants aged 18 years and older were recruited by multistage sampling. Information regarding socio-demographic variables, lifestyle practices, medical history, and family history was gathered utilizing a pre-tested structured questionnaire. Blood pressure and anthropometric data were acquired using defined protocols. Hypertension is characterized by a systolic blood pressure of ≥140 mmHg, a diastolic blood pressure of ≥90 mmHg, or the current administration of antihypertensive medication. Data were evaluated utilizing SPSS v25, and logistic regression was employed to ascertain independent risk factors.

Results: The total prevalence of hypertension was 34.1% (30 out of 88). It was more prevalent among participants aged 45 years and older, those with a BMI of 25 kg/m² or above, and persons with low levels of physical activity. Smoking and a positive family history were substantially correlated with hypertension in bivariate analysis, although gender exhibited no significant correlation. In multivariable analysis, age ≥45 years (AOR = 3.12), BMI ≥25 kg/m² (AOR = 2.85), and low physical activity (AOR = 2.67) were identified as independent predictors of hypertension, with the total regression model demonstrating statistical significance and accounting for 34% of the variance in hypertension status.


Conclusion: Hypertension is prevalent among Pakistani adults, with modifiable risk factors including obesity and inactivity. Community-based screening and lifestyle interventions are essential to reduce its burden, and larger studies are needed to inform targeted prevention strategies..

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References

1. Nisar S, Saleem S, Saleem S, Rehman A, Baseer A, Rasool M. The link between hypertension and stroke: Investigating dietary influences. IRABCS. 2024. 30;2(1):108-13. Available from: https://irjpl.org/irabcs/article/view/47

2. WHO Hypertension. 2025 https://www.who.int/news-room/fact-sheets/detail/hypertension

3. Mughal M, Saad M, Singh G, et al. (July 21, 2025) Prevalence of Undiagnosed Hypertension in Young Adults: A Community-Based Study. Cureus 17(7): e88426. DOI 10.7759/cureus.88426

4. Khan A, Maqbool A, Khan A A, et al. (September 14, 2024) Factors Contributing to Lack of Adherence to Antihypertensive Medications Among Patients at Nishtar Hospital in Multan, Pakistan. Cureus 16(9): e69396. DOI 10.7759/cureus.69396

5. Jansen SNG, Kamphorst BA, Mulder BC, van Kamp I, Boekhold S, van den Hazel P, Verweij MF. Ethics of early detection of disease risk factors: A scoping review. BMC Med Ethics. 2024 Mar 5;25(1):25. doi: 10.1186/s12910-024-01012-4. PMID: 38443930; PMCID: PMC10913641.

6. Adini B, Singer SR, Ringel R, Dickmann P. Earlier detection of public health risks - Health policy lessons for better compliance with the International Health Regulations (IHR 2005): Insights from low-, mid- and high-income countries. Health Policy. 2019 Oct;123(10):941-946. doi: 10.1016/j.healthpol.2019.06.007. Epub 2019 Jun 24. PMID: 31288952; PMCID: PMC7114645.

7. Hussain H, Ali I. Prevalence of Hypertension and Its Associated Risk Factors Among Adults in a Low-Income Community in Pakistan. Journal of Pak International Medical College. 2024;1(1):8-13.

8. Basit A, Tanveer S, Fawwad A, Naeem N, NDSP Members. Prevalence and contributing risk factors for hypertension in urban and rural areas of Pakistan; a study from second National Diabetes Survey of Pakistan (NDSP) 2016–2017. Clinical and Experimental Hypertension. 2020 Apr 2;42(3):218-24.

9. Tariq M, Muhammad Aleem Ud Din, Mustafa ZU, Shafait Ali Rana, Kazmi R, Qamar A, et al. Assessment of the Risk Factors of Hypertension Among Adults in Pakistan. Pak Armed Forces Med J. 2023 Jul.;73(SUPPL-1):S119-123. Available from: https://www.pafmj.org/PAFMJ/article/view/3910

10. MacDonald CJ, Madika AL, Lajous M, Laouali N, Artaud F, Bonnet F, Fagherazzi G, Boutron-Ruault MC. Associations Between Physical Activity and Incident Hypertension Across Strata of Body Mass Index: A Prospective Investigation in a Large Cohort of French Women. J Am Heart Assoc. 2020 Dec;9(23):e015121. doi: 10.1161/JAHA.119.015121. Epub 2020 Nov 14. PMID: 33190573; PMCID: PMC7763781.

11. Mubarik S, Malik SS, Mubarak R, Gilani M, Masood N. Hypertension associated risk factors in Pakistan: A multifactorial case-control study. J Pak Med Assoc. 2019 Aug;69(8):1070-1073. PMID: 31431754.

12. Rehman A, Ch AS, Shah H, Rehman AA, Khan MN, Habiba UE, Batool Z, Ahmed B. Prevalence Of Physical Inactivity And Cardiovascular Risk Factors Among Urban Adults. Insights-Journal of Life and Social Sciences. 2025 Aug 6;3(7):92-8.

13. Bhacho AH, Shoukat S, Mustafa A, Batool S, Jan A. Prevalence And Associated Risk Factors Of Hypertension In The Community Of Jamshoro. Pakistan Journal of Medical & Cardiological Review. 2025 Aug 8;4(3):782-808.

14. Riaz M, Shah G, Asif M, Shah A, Adhikari K, Abu-Shaheen A. Factors associated with hypertension in Pakistan: A systematic review and meta-analysis. PLoS One. 2021 Jan 29;16(1):e0246085. doi: 10.1371/journal.pone.0246085. PMID: 33513161; PMCID: PMC7845984.

15. Iqbal M, Akram M, Rashid A, Zainab R, Laila U, Khalil MT, Wiwanitkit V, Ibadi AK. Prevalence of hypertension and associated co-morbidities in Pakistan. Mathews Journal of Nursing and Health Care. 2023 Jan 28;5(1):1-7.

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Published

2025-12-12

How to Cite

1.
Rasool G, Khan S, Abro AH, Shafi H, Ahmed N, Sabah N us. Prevalence of Hypertension and Its Associated Risk Factors among Adults in Pakistan. J Neonatal Surg [Internet]. 2025 Dec. 12 [cited 2026 May 9];14(33S):863-8. Available from: https://jneonatalsurg.com/index.php/jns/article/view/10156