PREVALENCE OF HYPERTENSION AND ITS ASSOCIATION WITH VITAL STATICS OF ADULTS AMONG URBAN, SEMIURBAN, RURAL AREAS OF UTTARAKHAND
DOI:
https://doi.org/10.22159/ajpcr.2018.v11i10.27449Keywords:
Body mass index, Hypertension, WHO step questionnaireAbstract
Objective: India is in the affirmed phase of evolution and transition, demographic, economic, epidemiological, and nutrition transition. Moreover, all these transitions are leading non-communicable diseases such as obesity, hypertension, and insulin resistance. The study was aimed to estimate the prevalence of hypertension and its association with vital statics of adults among urban, semiurban, rural areas of Sub-Himalayan Region.
Methods: A cross sectional community based study was done, using WHO step questionnaire. A survey was conducted in urban, semi urban, Rural areas of Uttrakhand, to make a sample size of 300 adults (18-45yr), 100 from each zone. Blood pressure and body mass index (BMI) of the participants was calculated. p<0.05 was considered statistically significant.
Results: In the sample population based on systolic BP, 61.3% were non-hypertensives, 29.7% were pre-hypertensives, and 9% were hypertensives. Based on diastolic BP, 43.3% were non-hypertensives, 32.7% were pre-hypertensives, and 24% were hypertensives. Participants with hypertension and pre-hypertension have higher BMI and waist circumference.
Conclusion: A high prevalence rate of pre-hypertension and hypertension was depicted in urban, semiurban, and rural areas of the sub-Himalayan region. 4.8% of the female participants had systolic high blood pressure compared to the 11.9% of the male participants. On the other hand, 21.8% of the female participants had diastolic high blood pressure compared to the over 25% of the male participants. Dehradun has the highest rates of high blood pressure while Rudraprayag has the lowest. BMI was significantly correlated with systolic BP in Dehradun adults (p<0.05). Diastolic BP was significantly positively correlated with age and BMI in Dehradun adults (p<0.05). Age was positively significantly correlated with pulse rate in Dehradun and Uttarkashi adults (p<0.05). In Rudraprayag adults, weight was significantly positively correlated with both systolic and diastolic BP (p<0.05). No other correlations were seen in anthropometry and vital statistics of Rudraprayag or Uttarkashi adults (p>0.05).
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References
WHO. The World Health Report 2002: Reducing Risks, Promoting Healthy Life. Geneva: WHO; 2002.
Yadav K, Krishnan A. Changing patterns of diet, physical activity and obesity among urban, rural and slum populations in North India. Obesity Rev 2008;9:400-8.
Murray C, Lopez AD. The Global Burden of Disease The executive summary of the global burden of disease study, Harvard University Press. Published by: The Harvard School Of Public Health On Behalf Of The World Health Organization And The World Bank. 1996.
Government of India. Planning Commission. Ninth Five Year Plan. Vol. 2. New Delhi: Government of India; 2002.
Tiwari PC, Joshi B. Environmental changes and status of water resources in Kumaon Himalaya. In: Libor J, Haigh MJ, Prasad H, editors. Sustainable Management of Headwater Resources: Research from Africa and Asia. Tokyo, Japan: United Nations University; 2005. p. 109-23.
Thapliyal V, Singh K. Nutrition transitionâ€: A paradigm shift in Uttrakhand. J Nutr Food Sci 2014;4:298.
Lee R. The Demographic transition: three centuries of fundamental changes. J Econ Perspect 2003;17:167-90.
Amuna P, Zotor FB. Epidemiological and nutrition transition in developing countries: Impact on human health and development. Proc Nutr Soc 2008;67:82-90.
Patel MS, Srinivasan M, Laychock SG. Nutrient-induced maternal hyperinsulinemia and metabolic programming in the progeny. Nestle Nutr Workshop Ser Pediatr Program 2005;55:137-47.
National Institute of Medical Statistics, Indian Council of Medical Research (ICMR). IDSP Non-Communicable Disease Risk Factors Survey, Phase-I States of India, 2007-08. New Delhi, India National Institute of Medical Statistics and Division of Non-Communicable Diseases, Indian Council of Medical Research; 2009.
Integrated Disease Surveillance Project. Noncommunicable disease risk factors survey Phase-1. Ministry of Health & Family Welfare, Government of India 2007-08. New Delhi: MoHFW; 2009.
Choo V. WHO reassesses appropriate body-mass index for Asian populations. Lancet 2002;360:235.
World Health Organization Western Pacific Region, International Association for the Study of Obesity, International Obesity Task Force. The Asia – Pacific perspective: Redefining obesity and its treatment. Sydney, Australia: Health Communications Australia Pty Limited; 2000. Available from: http://www.who.int/nutrition/publications/ obesity/09577082_1_1/en/. [Last accessed on 2006 Aug 23].
Dudeja V, Misra A, Pandey RM, Devina G, Kumar G, Vikram NK, et al. BMI does not accurately predict overweight in Asian Indians in Northern India. Br J Nutr 2001;86:105-12.
Gus M, Fuchs SC, Moreira LB, Moraes RS, Wiehe M, Silva AF, et al. Association between different measurements of obesity and the incidence of hypertension. Am J Hypertens 2004;17:50-3.
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the eighth joint national committee (JNC 8). JAMA 2014;311:507-20.
Vasan RS, Beiser A, Seshadri S, Larson MG, Kannel WB, D’Agostino RB, et al. Residual lifetime risk for developing hypertension in middle-aged women and men: The Framingham heart study. JAMA 2002;287:1003-10.
Shahbazpour N. Prevalence of overweight and obesity and their relation to hypertension in adult male university students in Kerman, Iran. Int J Endocrinol Metab 2003;2:55-60.
Hsieh SD, Yoshinaga H, Muto T, Sakurai Y, Kosaka K. Health risks among japanese men with moderate body mass index. Int J Obes Relat Metab Disord 2000;24:358-62.
Seidell JC, Cigolini M, Deslypere JP, Charzewska J, Ellsinger BM, Cruz A. Body fat distribution in relation to serum lipids and blood pressure in 38-year-old European men: the European fat distribution study. Atherosclerosis 1991;86:251-60.
Pandey A, Patni N, Sarangi S, Singh M, Sharma K, Vellimana AK, et al. Association of exclusive smokeless tobacco consumption with hypertension in an adult male rural population of india. Tob Induc Dis 2009;5:15.
Shanthirani CS, Pradeepa R, Deepa R, Premalatha G, Saroja R, Mohan V, et al. Prevalence and risk factors of hypertension in a selected south Indian population – the Chennai urban population study. J Assoc Physicians India 2003;51:20-7.
Thomas J, Kakani S. Impact of patient counseling on knowledge, attitude, and practice of hypertensive patients in a tertiary care hospital. Int J Pharm Pharm Sci 2001;9:122-5.
Chandra S, Jyothi M. To study the role of exercise and dietary manipulation in obese rats treated with orlistat. Int J Pharm Pharm Sci 2015;7:335-9.
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