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dc.contributor.authorLinhart, C
dc.contributor.authorTukana, I
dc.contributor.authorLin, S
dc.contributor.authorTaylor, R
dc.contributor.authorMorrell, S
dc.contributor.authorVatucawaqa, P
dc.contributor.authorMagliano, D
dc.contributor.authorZimmet, P
dc.date.accessioned2021-02-05T01:34:56Z
dc.date.available2021-02-05T01:34:56Z
dc.date.issued2016-03-01
dc.identifier.citationLinhart, C., Tukana, I., Lin, S., Taylor, R., Morrell, S., Vatucawaqa, P., Magliano, D. & Zimmet, P. (2016). Continued increases in hypertension over three decades in Fiji, and the influence of obesity. JOURNAL OF HYPERTENSION, 34 (3), pp.402-409. https://doi.org/10.1097/HJH.0000000000000807.
dc.identifier.issn0263-6352
dc.identifier.urihttp://hdl.handle.net/11343/260452
dc.description.abstractOBJECTIVES: To analyse trends during 1980-2011 in hypertension prevalence and SBP/DBP by sex in Fiji Melanesian (i-Taukei) and Indian adults aged 25-64 years; and to assess effects of BMI. METHODS: Unit record data from five population-based surveys were included (n = 14, 191). Surveys were adjusted to the nearest previous census to improve national representativeness. Hypertension was defined as SBP at least 140  mmHg and/or DBP at least 90  mmHg and/or on medication for hypertension. Regression (Poisson and linear) was used to assess period trends. RESULTS: Over 1980-2011 hypertension prevalence (%) and mean blood pressure (BP) (SBP/DBP mmHg) increased significantly (P < 0.001) in both sexes and ethnicities. Increases in hypertension were: from 16.2 to 41.3% in i-Taukei men (mean BP from 122/73 to 135/81); from 20.5 to 37.8% in Indian men (mean BP from 122/74 to 133/81); from 25.9 to 36.9% in i-Taukei women (mean BP from 126/76 to 132/81); and from 17.6 to 33.1% in Indian women (mean BP 117/71 to 130/81). The age-adjusted trend in hypertension and mean BP (over 32 years) declined after adjusting for BMI, with effects of obesity greater in women than men, and in Indians than i-Taukei. BMI explained 45% of the age-adjusted increase in DBP over the period in Indians (both sexes), and 16% (men) and 38% (women) in i-Taukei. CONCLUSION: Significant increases have occurred in hypertension prevalence and SBP/DBP in both sexes and ethnicities of Fiji during 1980-2011 with no indication of decline, contributing to significant premature mortality from cardiovascular disease.
dc.languageEnglish
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0
dc.titleContinued increases in hypertension over three decades in Fiji, and the influence of obesity
dc.typeJournal Article
dc.identifier.doi10.1097/HJH.0000000000000807
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleJournal of Hypertension
melbourne.source.volume34
melbourne.source.issue3
melbourne.source.pages402-409
dc.rights.licenseCC BY-NC-ND
melbourne.elementsid1105226
melbourne.contributor.authorMagliano, Dianna
dc.identifier.eissn1473-5598
melbourne.accessrightsOpen Access


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