Pre-Hypertension and Hypertension in A Private Tertiary Care Centre in Kancheepuram District Of Tamil Nadu, India and Their Association with Risk Factors of Cardiovascular Diseases

Authors

  • Rekha Govindan Aarupadai Veedu Institute of Technology, Vinayaka Missions University, Kancheepuram, Tamil Nadu
  • V Rahul Kumar Aarupadai Veedu Institute of Technology, Vinayaka Missions University, Kancheepuram, Tamil Nadu
  • Rana Ranvijay Singh Aarupadai Veedu Institute of Technology, Vinayaka Missions University, Kancheepuram, Tamil Nadu
  • Dolly Aarupadai Veedu Institute of Technology, Vinayaka Missions University, Kancheepuram, Tamil Nadu
  • Imran Shaikh Gouse Basha Aarupadai Veedu Institute of Technology, Vinayaka Missions University, Kancheepuram, Tamil Nadu
  • Vikas Kumar Aarupadai Veedu Institute of Technology, Vinayaka Missions University, Kancheepuram, Tamil Nadu

Keywords:

Pre-hypertension, Cardiovascular risk factors

Abstract

Background: The proportion of hypertension in India as reported by various literatures has been on an increasing trend for the last three decades. The present study was carried out to determine the proportion of hypertension, its associated risk factors as well as to increase the awareness on importance of life style modifications among people visiting a rural hospital.

Methodology: Adults of age 18 years above, residing in and around Paiyanoor and visiting Vinayaka Mission Chennai hospital, Paiyanoor, Kancheepuram District, Tamilnadu for a period of two month was invited to be enrolled for the study. Hypertension was diagnosed as per the seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure. Biochemical estimation of serum triglycerides, cholesterol, HDL, LDL and VLDL was carried out. Statistical differences were obtained by one-way analysis of variance (ANOVA) for continuous variables and chi-square test for categorical variables. P values < 0.05 were considered to be statistically significant.

Results: The study subjects were grouped into normotensive, pre-hypertensive and hypertensive. 67.64% of the study subjects are hypertensive (p< 0.01) with a mean blood pressure of 145.13±12.52 / 93.61±9.68mmHg, SBP & DBP respectively. Significant differences of LDL and cholesterol levels are noted among the pre-hypertensive and hypertensive subjects when compared with the normotensive subjects.

Conclusion: A higher proportion of pre-hypertension and hypertension and significant differences in terms of age, occupational activity, cholesterol and LDL was observed among the study subjects. The present study supports the increasing trend in the rural communities of India which are under epidemiological transition.

References

Radhika G, Sathya RM, Sudha V, Ganesan A and Mohan V. Dietary salt intake and Hypertension in an urban south Indian population – (CURES -53). JAPI 2007; 55: 405-411.

Madhukumar S, Gaikwad V and Sudeepa D. An Epidemiological study of Hypertension and its risk factors in rural population of Bangalore rural district. Al Ameen J Med Sci. 2012; 5(3): 264-270.

Nissinen A, Bothig S, Grenroth H and Lopez AD. Hypertension in developing countries. World Health Statistics Q. 1988; 41:141-154.

Murray CJL and Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet. 1997; 349:1269-1276.

Rodgers A, Lawes C and MacMahon S. Reducing the global burden of blood pressure related cardiovascu-lar disease. J Hypertens. 2000; 18(Suppl 1):S3-S6.

Gupta, R. Trends in hypertension epidemiology in India. J Hum Hypertens. 2004; 18: 73-78.

Chobanian AV, BakR, Cushman WC, Green LA, Izzo JL Jr et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206.

WHO Expert Committee. Hypertension control. WHO Technical Report Series. 1996; 862:2-10

Deedwania P and Gupta R. Hypertension in South Asians. In: Izzo & Black. Editors. Primer on Hyper-tension. American Heart Association. 2002.

Malhotra P, Kumari S, Kumar R and Sharma BK. Proportion and determinants of hypertension in an unindustrialised rural population of North India. J Human Hypertens. 1999; 13:467-472.

Gupta R, Gupta VP, Sarna M, Bhatnagar S, Thanvi J, Sharma V, et al. Proportion of coronary heart disease and risk factors in an urban Indian population: Jaipur Heart Watch-2. Indian Heart J. 2002; 54:59-66.

Gilberts EC, Arnold MJ and Grobbee DE. Hyperten-sionand determinants of blood pressure with special reference to socio-economic status in a rural south In-dian community. J Epidemiol Comm Health. 1994; 48:258-261.

Shanthirani CS, Pradeepa R, Deepa R, Premalatha G, Saroja R and Mohan V. Proportion and risk factors of hypertension in a selected South Indian population - the Chennai Urban Population Study. J Assoc Physi-cians India. 2003; 51: 20-7.

Prabhakaran D, Shah P, Chaturvedi V, Ramakrishnan L, Manhapra A and Reddy KS. Cardiovascular risk factor proportion among men in a large industry of northern India. Natl Med J India. 2005; 18: 59-65.

Subburam R, Sankarapandian M, Gopinath DR, Sel-varanjan SK and Kabilan L. Proportion of Hyperten-sion and Correlates among Adults of 45 – 60 Years in a Rural Area of Tamil nadu. Indian J Public Health. 2009; 53:37-40.

Kannan and Satyamoorthy. An Epidemiological study of Hypertension in a rural household communi-ty. Sri Ramachandra Journal of Medicine. 2009; 2(2): 9-13.

Gupta R, Prakash H, Gupta VP and Gupta KD. Pro-portion and determinants of coronary heart disease in a rural population of India. J Clin Epidemiol. 1997; 50:203-9.

Hazarika NC, Narain K, Biswas D, Kalita HC and Mahanta J. Hypertension in the native rural popula-tion of Assam. Natl Med J India. 2004; 17:300-4.

Bharati DR, Pal R, Rekha R, Yamuna TV, Kar S and Radjou AN. Ageing in Puducherry, South India: An overview of morbidity profile, J Pharm Bioallied Sci. 2011; 3(4): 537-42.

Kokiwar PR and Gupta SS. Proportion of hyperten-sion in a rural community of central India. Int J Biol Med Res. 2011; 2(4): 950 – 3.

Mohan V, Deepa M, Farooq S, Datta M and Deepa R. Proportion, Awareness and Control of Hypertension in Chennai – The Chennai urban Rural epidemiology Study (CuReS – 52). J Assoc Physician India. 2007; 55:326-32.

Joshi SV, Patel JC, Dhar HC. Proportion of Hyperten-sion in Mumbai-Indian. Journal of Medical Sciences. 2000; 54: 380-83.

Chockalingam S, Jayalakshmi R and Chockalingam A. WHL News Letter -69/2000-Scientific News-Proportion of hypertension in a rural town in Ta-milnadu.

Esam MS and Husain AS. Proportion of Pre-hypertension and hypertension in rural Bareilly. Na-tional journal of Medical Research. 2012; 2(3): 291-294.

Tin LL, Beevers DG and Lip GYH. Systolic vs diastol-ic blood pressure and the burden of hypertension. Journal of Human Hypertension. 2002; 16: 147-150.

Staessen JA, Gasowski J, Wang JG, Thijs L, Hond ED, Boissel J et al., Risks of untreated and treated isolated systolic hypertension in the elderly; meta analysis of outcome trials. The Lancet. 2000; 355: 865-872.

Rodriguez-Porcel M, Krier JD, Lerman A, Sheedy PFII, Romero JC, Napoli C and Lerman LO. A combi-nation of hypercholesterolemia and hypertension augments renal function abnormalities. Circulation. 2001; 37:774–780.

Downloads

Published

2013-09-30

How to Cite

1.
Govindan R, Kumar VR, Singh RR, Dolly, Shaikh Gouse Basha I, Kumar V. Pre-Hypertension and Hypertension in A Private Tertiary Care Centre in Kancheepuram District Of Tamil Nadu, India and Their Association with Risk Factors of Cardiovascular Diseases. Natl J Community Med [Internet]. 2013 Sep. 30 [cited 2024 Mar. 28];4(03):465-70. Available from: https://njcmindia.com/index.php/file/article/view/1556

Issue

Section

Original Research Articles