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International Journal of Hypertension
Volume 2011 (2011), Article ID 821971, 9 pages
Research Article

Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal

1Department of Internal Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, Nepal
2Department of Public Health and Community Medicine, B. P. Koirala Institute of Health Sciences, Dharan 76500, Nepal
3Faculty of Society & Health, Bucks New University, Buckinghamshire HP11 2JZ, UK
4Department of Biochemistry, B. P. Koirala Institute of Health Sciences, Dharan 76500, Nepal

Received 24 January 2011; Accepted 24 February 2011

Academic Editor: Kazuko Masuo

Copyright © 2011 Sanjib Kumar Sharma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. This study was carried out to establish the prevalence of cardiovascular risks such as hypertension, obesity, and diabetes in Eastern Nepal. This study also establishes the prevalence of metabolic syndrome (MS) and its relationships to these cardiovascular risk factors and lifestyle. Methods. 14,425 subjects aged 20–100 (mean 41.4 ± 15.1) were screened with a physical examination and blood tests. Both the International Diabetic Federation (IDF) and National Cholesterol Education Programme’s (NCEP) definitions for MS were used and compared. Results. 34% of the participants had hypertension, and 6.3% were diabetic. 28% were overweight, and 32% were obese. 22.5% of the participants had metabolic syndrome based on IDF criteria and 20.7% according to the NCEP definition. Prevalence was higher in the less educated, people working at home, and females. There was no significant correlation between the participants’ lifestyle factors and the prevalence of MS. Conclusion. The high incidence of dyslipidemia and abdominal obesity could be the major contributors to MS in Nepal. Education also appears to be related to the prevalence of MS. This study confirms the need to initiate appropriate treatment options for a condition which is highly prevalent in Eastern Nepal.