ASSESSMENT OF RISK FACTORS OF HYPERTENSION AMONG ADULTS RESIDING IN URBAN SLUM OF DELHI.
DOI:
https://doi.org/10.22159/ajpcr.2018.v11i1.23755Keywords:
Hypertension, Dyslipidemia, Body mass indexAbstract
 Objective: The objective of this study is to assess the risk factors of hypertension among adults residing in urban slums of West Delhi.
Methods: A cross-sectional study was carried out among adult population of 18–59 years residing in urban slums of West Delhi. Blood pressure was measured twice using digital machine (OMRON). Height, waist circumference, and hip circumference were measured, weight was taken, and body mass index (BMI) was calculated. The Joint National Committee VII criteria were used to define hypertension, and the National Cholesterol Education Program and Adult Treatment Panel-III guidelines were used to define different categories of dyslipidemia. The World Health Organization (2014) criteria were used to classify the BMI.
Results: The overall prevalence of hypertension among adults (n=423) was 25.3%. Among hypertensive adults, the prevalence of obesity was 22.7%, while among non-hypertensives, it was 10.9%. Similarly, overweight prevalence was higher (27.3%) in hypertensive adults compared to non-hypertensive adults (20.6%). The overall prevalence of hypercholesterolemia, hypertriglyceridemia, high-density lipoprotein-cholesterol <40/<50 mg/dl, and low-density lipoprotein-cholesterol (LDL-C) ≥130 was 19.7%, 33.7%, 75.7%, and 21.8%, respectively. The prevalence of hypercholesterolemia, hypertriglyceridemia, and serum LDL-C ≥130 mg/dl was 38%, 50%, and 32% among hypertensive adults, while among non-hypertensive adults, it was 15%, 29%, and 19%, respectively.
Conclusion: Hypertensive adults had higher BMI, serum cholesterol, triglycerides, and LDL-C compared to non-hypertensives.
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References
India State-Level Disease Burden Initiative Collaborators. Nations within a Nation: Variations in Epidemiological Transition Across the States of India, 1990-2016 in the Global Burden of Disease Study. Available from: http://www.dx.doi.org/10.1016/S0140-6736(17)32804-0. [Last published On 2017 Nov 14].
Dalal JJ, Padmanabhan TN, Jain P, Patil S, Vasnawala H, Gulati A, et al. LIPITENSION: Interplay between dyslipidemia and hypertension. Indian J Endocrinol Metab 2012;16:240-5.
Gupta R, Rao RS, Misra A, Sharma SK. Recent trends in epidemiology of dyslipidemias in India. Indian Heart J 2017;69:382-92.
NNMB Technical Report 27. Diet and Nutritional Status of Urban Population in India and Prevalence of Obesity, Hypertension, Diabetes and Hyperlipidemia in Urban Men and Women; 2017.
National Family Health Survey 4, 2015-2016. Ministry of Health and Family Welfare. Government of India. India Fact sheet. Available from: http://www.rchiips.org/NFHS/pdf/NFHS4/India.pdf. [Last accessed on 2017 Jun 11].
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. USA: National Institutes of Health; 2004.
National Cholesterol Education Program, ATP III Guidelines At-A-Glance Quick Desk Reference. USA: National Institutes of Health National Heart, Lung, and Blood Institute; 2001.
WHO. Global Database on Body Mass Index. Available from: http://www.apps.who.int/bmi/index.jsp?introPage=intro_3.html. [Last accessed on 2017 Oct 01].
Kanniyappan D, Kalidhas P, Aruna RM. Age, gender related prevalence of cardiovascular risk factors in overweight and obese south Indian adults. Int J Biol Med Res 2011;2:513-52.
Dua S, Bhuker M, Sharma P, Dhall M, Kapoor S. Body mass index relates to blood pressure among adults. N Am J Med Sci 2014;6:89-95.
Patil CR, Sahoo DP, Dhoble M, Kherde A, Inamdar A. Prevalence of hypertension and its associated risk factors in young adults attending a tertiary care institute of Nagpur: A cross sectional study. Int J Community Med Public Health 2017;4:3630-5.
Prabhakaran D, Roy A, Praveen PA, Ramakrishnan L, Gupta R, Amarchand R, et al. 20-Year Trend of Cardiovascular Disease Risk Factors: Urban and Rural National Capital Region of Delhi, India. Global Heart; 2017. (In Press).
Nayak BS, Bhaktha G. Inconsistent lipid profiles exhibited among the diabetic Asian Indians of India and Trinidad – A comparative study. Int J Pharm PharmSci 2016;8:60-3.
Shah B, Mathur P. Surveillance of cardiovascular disease risk factors in India: The need and scope. Indian J Med Res 2010;132:634-42.
Joshi SR, Anjana RM, Deepa M, Pradeepa R, Bhansali A, Dhandania VK, et al. Prevalence of dyslipidemia in urban and rural India: The ICMR-INDIAB study. PLoS One 2014;9:e96808.
Otsuka T, Takada H, Nishiyama Y, Kodani E, Saiki Y, Kato K, et al. Dyslipidemia and the risk of developing hypertension in a working-age male population. J Am Heart Assoc 2016;5:e003053.
Okaka EI, Eiya BO. Prevalence and pattern of dyslipidemia in a rural community in Southern Nigeria. Afr J Med Health Sci 2013;12:82-6.
Osuji CU, Omejua EG, Onwubuya E, Ahaneku G. Serum lipid Profile of newly diagnosed hypertensive patients in Nnewi, South-East Nigeria. Int J Hypertens 2012;2012:710486.
Soubra L, Nureddin H, Omar AG, Saleh M. Factors associated with hypertension prevalence and control among Lebanese Type 2 diabetic patients. Int J Pharm PharmSci 2016;8:153-9.
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