Association between hypertension and stroke among young Thai adults in Bangkok, Thailand.
A hospital based case-control study was conducted to assess the association between hypertension and stroke among young Thai adults at a private hospital in Bangkok, Thailand. The study population was comprised of 98 inpatients with a first diagnosis of stroke and 98 inpatients without stroke admitted from 2006 to 2008, aged 18-45 years. Cases were matched with controls by sex and five year age group intervals. Risk factors for stroke, including hypertension were collected using a questionnaire. Significant finding on physical examination and blood testing were obtained from the patients' charts. Multivariate analysis revealed significant risk factors for stroke were: diagnosis of hypertension (adjusted OR 8.94; 95% CI 1.47-54.34), family history of stroke (adjusted OR 16.15; 95% CI 1.71-151.82), history of no or irregular exercise (adjusted OR 8.06; 95% CI 1.12-57.60) and having a low high density lipoprotein level (adjusted OR 5.93; 95% CI 1.11-31.52). Hypertension was the greatest risk factor for stroke among young Thai adults. Modification of lifestyle to reduce risk for stroke should focus on exercise, regular health check-ups and adequate treatment of hypertension.
Bangkok Medical Center, Bangkok, Thailand.
Ratanaporn
R
Bandasak
Kulaya
K
Narksawat
Chanpong
C
Tangkanakul
Yotin
Y
Chinvarun
Sukhontha
S
Siri
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D016022:Case-Control Studies; D015897:Comorbidity; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D007297:Inpatients / Q000706:statistics & numerical data; D008075:Lipoproteins, HDL / Q000097:blood; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D057185:Sedentary Behavior; D012737:Sex Factors; D012907:Smoking; D020521:Stroke / Q000453:epidemiology*; D013785:Thailand / Q000453:epidemiology; D055815:Young Adult
D008075:Lipoproteins, HDL