PARADIGMATIC AGE SHIFT OF HYPERTENSION DISEASE: A STUDY AMONG YOUNG ADULTS

Authors

  • Dhurvendra Pandey Department of Community Medicine, Government Medical College, Ratlam, Madhya Pradesh, India.
  • Sunil kant Guleri Department of Community Medicine, Birsa Munda Government Medical College, Shahdol, Madhya Pradesh, India.
  • Umesh Sinha Department of Community Medicine, Government Medical College, Ratlam, Madhya Pradesh, India.
  • Smriti Pandey Department of Pathology, Government Medical College, Ratlam, Madhya Pradesh, India.
  • Shivam Tiwari Department of Otorhinolaryngology, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i4.47564

Keywords:

Hypertension, risk factors, screening, obesity, young adults

Abstract

Objectives: The objectives of study are to assess the magnitude of hypertension and identify various factors associated with hypertension among participants.

Methods: A cross-sectional study done on attendees and patients coming to medicine OPD in a tertiary care hospital in Madhya Pradesh. The earlier diagnosed hypertensive cases were excluded from the study and 500 participants were studied. Clinical measurements and predesigned semi-structured questionnaire were used for data collection. Chi-square test was applied to find association of risk factors with hypertension.

Results: About 21.6% of the participants were diagnosed for hypertension. The increasing age, obesity, smoking, alcoholism, and daily salt intake above two teaspoonfuls had significant association with occurrence of hypertension (p≤0.05).

Conclusion: The magnitude of hypertension is increasing among adult population and has strong association with increasing age and other risk factors. Hence, the early diagnosis with the help of screening tools is needed. Opportunistic screening of all adults coming in contact of health system will help the pool of diagnosed cases of hypertension and help to reduce burden of complications caused by hypertension.

Downloads

Download data is not yet available.

Author Biographies

Dhurvendra Pandey, Department of Community Medicine, Government Medical College, Ratlam, Madhya Pradesh, India.

Associate professor, Department of Community Medicine, Government Medical College Ratlam, Madhya Pradesh

Sunil kant Guleri, Department of Community Medicine, Birsa Munda Government Medical College, Shahdol, Madhya Pradesh, India.

Associate professor, Department of Community Medicine, Birsa Munda Government Medical College Shahdol, Madhya Pradesh

Umesh Sinha, Department of Community Medicine, Government Medical College, Ratlam, Madhya Pradesh, India.

Associate Professor, Department of Community Medicine, Government Medical College, Ratlam (M.P.)

Smriti Pandey, Department of Pathology, Government Medical College, Ratlam, Madhya Pradesh, India.

Assistant Professor, Department of Pathology, Government Medical College, Ratlam (Madhya Pradesh)

Shivam Tiwari, Department of Otorhinolaryngology, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India.

Junior Resident, Department of Otorhinolaryngology, Chirayu Medical College& Hospital, Bhopal, Madhya Pradesh

References

Park K. Park’s Textbook of Preventive and Social Medicine. 24th ed. Madhya Pradesh: Banarsidas Bhanot; 2017.

Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 Practice Guidelines for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. Blood Press 2018;27:314-40. https://doi.org/10.1080/08 037051.2018.1527177

Williams B, Mancia G, Spiering W, Rosei EA, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension [published correction appears in Eur Heart J. 2019;40:475. https://doi. org/10.1093/eurheartj/ehy339

National Family Health Survey (NFHS-4) 2015-16. Deonar, Mumbai 400 088; 2017. Available from: https://www.rchiips.org/nfhs/nfhs- 4reports/india.pdf [Last accessed on 2017 Sep 29].

National Family Health Survey (NFHS-5) 2019-21; 2022. Available from: https://www.rchiips.org/nfhs/nfhs-5reports/nfhs-5_india_report.pdf

Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, di Angelantonio E, et al. Hypertension in India: A systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens 2014;32:1170-7. https://doi.org/10.1097/HJH.0000000000000146

National Programme for Prevention And Control Of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS) Operational Guidelines (REVISED: 2013-17) Directorate General of Health Services Ministry of Health & Family welfare Government Of India; 2013.

Mackay J, Mensah GA, World Health Organization, Centers for Disease Control and Prevention (U.S.). The Atlas of Heart Disease and Stroke. Geneva: World Health Organization; 2004.

Page MR. The JNC 8 hypertension guidelines: An in-depth guide. Am J Manag Care 2014;20:E8.

Manojan K, Benny P, Bindu A. Prevalence of Obesity and Overweight among Medical Students based on New Asia-Pacific BMI Guideline. KMJ [Internet]. 2019;12(1):13-5. Available from: https://www. keralamedicaljournal.com/index.php/KMJ/article/view/550 [Last accessed 2023 Mar 27].

World Health Organization. Global Action Plan for the Prevention and Control of Noncommunicable Diseases, 2013-2020. Geneva: World Health Organization; 2013.

Kaur P, Rao TV, Sankarasubbaiyan S, Narayanan AM, Ezhil R, Rao SR, et al. Prevalence and distribution of cardiovascular risk factors in an urban industrial population in South India: A cross-sectional study. J Assoc Physicians India 2007;55:771-6.

Midha T, Idris MZ, Saran RK, Srivastav AK, Singh SK. Prevalence and determinants of hypertension in the urban and rural population of a north Indian district. East Afr J Public Health 2009;6:268-73.

Vimala A, Ranji SA, Jyosna MT, Chandran V, Mathews SR, Pappachan JM. The prevalence, risk factors and awareness of hypertension in an urban population of Kerala (South India). Saudi J Kidney Dis Transpl 2009;20:685-9.

Gupta V, Yadav K, Anand K. Patterns of tobacco use across rural, urban, and urban-slum populations in a North Indian community. Indian J Community Med 2010;35:245-51. https://doi.org/10.4103/0970-0218.66877

Ebrahim S, Kinra S, Bowen L, Andersen E, Ben-Shlomo Y, Lyngdoh T, et al. The effect of rural-to-urban migration on obesity and diabetes in India: A cross-sectional study. PLoS Med 2010;7:e1000268. https://doi. org/10.1371/journal.pmed.1000268

Yang MH, Kang SY, Lee JA, Kim YS, Sung EJ, Lee KY, et al. The effect of lifestyle changes on blood pressure control among hypertensive patients. Korean J Fam Med 2017;38:173-80. https://doi.org/10.4082/ kjfm.2017.38.4.173

Singh RB, Bajaj S, Niaz MA, Rastogi SS, Moshiri M. Prevalence of Type 2 diabetes mellitus and risk of hypertension and coronary artery disease in rural and urban population with low rates of obesity. Int J Cardiol 1998;66:65-72. https://doi.org/10.1016/S0167-5273(98)00141-7

Rao S, Gaigaware P, Mankar AP. Adverse anthropometric profile and blood pressure among Young (<40 yrs) urban adult males from Pune, India. Indian J Nutr Diet 2016;53:194-205. https://doi. org/10.21048/ijnd.2016.53.2.4300

Yip W, Wong TY, Jonas JB, Zheng Y, Lamoureux EL, Nangia V, et al. Prevalence, awareness, and control of hypertension among Asian Indians living in urban Singapore and rural India. J Hypertens 2013;31:1539-46. https://doi.org/10.1097/HJH.0b013e328361d52b

Bhadoria AS, Kasar PK, Toppo NA, Bhadoria P, Pradhan S, Kabirpanthi V. Prevalence of hypertension and associated cardiovascular risk factors in Central India. J Family Community Med 2014;21:29-38. https://doi.org/10.4103/2230-8229.128775

Published

07-04-2023

How to Cite

Pandey, D., S. kant Guleri, U. Sinha, S. Pandey, and S. Tiwari. “PARADIGMATIC AGE SHIFT OF HYPERTENSION DISEASE: A STUDY AMONG YOUNG ADULTS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 16, no. 4, Apr. 2023, pp. 44-49, doi:10.22159/ajpcr.2023.v16i4.47564.

Issue

Section

Original Article(s)