VISION OF IMPACT OF HYPERTENSION IN THE SOCIETY LOOKING FOR TO REDUCE COMPLICATION AND IMPROVE OUTCOME

Objectives:- There are three objectives for this study. Firstly, is to determine the prevalence of moderate risk factors of hypertension. Secondly, is to avoid and delay the development of complications within the next five to ten years. Thirdly, is to educate people at risk and modify their life style to live a better and a healthier life. Study design:- A Randomised (Cross-sectional) study. Settings:The study was conducted in KSA, in the city of Jeddah, at Al-Balad- Historic Jeddah festival during the month of Ramadan. Subjects:- A total of 3231 people (2200 were interviewed and the other 1031 only filled the questionnaire) were investigated. Females were more than males investigated in the study with a percentage of 54.5% for females and 45.5% for males. Saudis were 83% whereas 16.7% were non-Saudis. A (12%) of total respondents had diagnosed with hypertension, in which (85.1%) were Saudis (14.9%), females were (50.4%) and (30.8%) were male with hypertension. Results:- A (12%) of total respondents had diagnosed with hypertension, in which (85.1%) were Saudis (14.9%), females were (50.4%) and (30.8%) were male with hypertension. Of the 3231 participants, there were (30.9%) overweight, (21.0.9%) were obese and (4.9%) were morbidly obese. Regarding the family history of hypertension (20.9%) had no family history and only (31.9%) with a positive family history. Smoking habits were (68.1%) and non-smokers (52.2%). On the other hand, people who practiced exercise were (47.8%) and not exercising were only (17.2%). (10%) of the participants were diagnosed with diabetes mallets, in which (29.3%) of them were overweight, (20%) were obese and (4.7%) morbidly obese. Conclusion:- smokers were more likely to diagnosed with hypertension. (OR=1.41,95%CI=1.12-1.77; P=.003). higher chance to diagnose with hypertension if there was positive family history (OR=1.69,95%CI=1.30-2.19; P=.000). Who don’t drink energy drinks had higher risk (OR=1.04,95%CI=1.02-1.07; P=.003). Diagnosis with hypertension highly correlated with the increment of BMI (P=.000), and also with older population (p=.00). no correlation between exercise frequency and diagnosis of hypertension (p=.085). It was found that there was no significant difference between female and male who were diagnosed with hypertension. The interesting significance we found in this study, many of our participant with hypertension had no positive family history but they were either smokers or morbidly obese or even both risk factors. We must emphasize that management of the modifiable risk factors of hypertension reduces the risk of cardiovascular insult, renal damage, stroke and ischemic heart disease.