Association between Stress and Hypertension among Adults More Than 30 Years: A Case-Control Study
Keywords:
Stress, Hypertension, Perceived Stress ScaleAbstract
Background: Stress has long been listed as a potential and impor- tant cause of hypertension. Acute stress can induce transient ele- vation of blood pressure. But it is unclear whether stress results in sustained elevation of blood pressure and hypertension.
Aims & Objectives: To study the association between hyperten- sion and stress among hypertensive subjects aged above 30 years using perceived stress scale.
Material & Methods: Newly diagnosed hypertensive patients aged 30 and above with age and gender matched controls were selected. Sociodemographic variables, history of addiction and physical activity were recorded using predesigned proforma. BMI was calculated for assessing obesity. Stress was assessed using Perceived Stress Scale. Blood pressure was recorded as per JNC- VII criteria.
Results: High stress was significantly associated with hyperten- sion. Overweight and obesity, and lack of adequate physical activ- ity were found to be significantly associated with hypertension. These factors were analysed in logistic regression model. Stress was found to be an independent risk factor for hypertension.
Conclusion: High stress is significantly associated with hyperten- sion and is an independent risk factor for hypertension.
References
Revised draft: Global action plan for the prevention and control of noncommunicable diseases: 2013-2020. World Health Organization. Geneva. 2008 [Version updated 2013 February 11;accessed on 21/02/2018]; Available from: http://www.who.int/nmh/events/2013/revised_draft_nc d_ action_plan.pdf.
Gaziano TA. Cardiovascular disease in the developing world and its cost-effective management. Circulation 2005;112:3547-53.
Andrew S. Psychophysiological Stress Reactivity and Hy- pertension. Hypertension 2008;52:220-21.
Unger T, Parati G. Acute stress and long lasting blood pres- sure elevation: A possible cause of established hyperten- sion? J Hypertension 2005;23:21-263.
Global strategy on diet, physical activity and health. Rec- ommended levels of physical activity for adults aged 18-64 years. World Health Organisation. [Accessed on 21/02/2018]; Available from:http://www.who.int/dietphy sicalactivity/factsheet_adults/en/
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior 1983;24 (4):385–396.
The International Classification of adult underweight, overweight and obesity according to BMI. Global database on body mass index. WHO [accessed on 8/3/18]. Available from url: http://apps.who.int/bmi/
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National High Blood Pressure Education Program. National Institutes of Health National Heart, Lung, and Blood Institute. NIH Publication No. 04-5230 2004.
Salleh MR. Life Event, Stress and Illness. Malaysian Journal of Medical Sciences 2008;15 (4):9-18.
Goyal R, Hem Lata, Walia L, Narula MK. Effect of pranayama on rate pressure product in mild hypertensives. Int J Appl Basic Med Res 2014;4 (2):67–71.
Sagare SM, Rajderkar SS, Girigosavi BS. Certain modifiable risk factors in essential hypertension: A case control study. National Journal of Community Medicine 2 (1):9-13
Jadhav SB, Jatti GM, Jadhav AS, Rajderkar SS, NAik JD, Nandimath VA. Stressing ‘Mental stress’ in hypertension: A
.Rural Background Study. Journal of Clinical and Diagnos- tic Research. 2014 8 (6): JC04-JC07.
Singh G, Kaur D, Kaur H. Presumptive Stressful Life Events Scale (PSLES) for use in India. Indian Journal of Psychiatry. 1984;26 (2):107-14.
Suter PM, Maire R, Holtz D, Vetter W. Relationship be- tween self-perceived stress and blood pressure. Journal of Human Hypertension 1997;11:171–6.
Garda-Vera MP, Sanz J, Espinosa R, Fortun M, Magan I. Differences in emotional personality traits and stress be- tween sustained hypertension and normotension. Hyper- tension Research 2010;33:203–208.
Lin S, Liu B, Wu C, ZhouH, Midori N, Courtice et al. Inter- action between Occupational Stress and GR Gene Poly- morphisms on Essential Hypertension among Railway Workers. J Occup Health 2013;55:349–358
Kulkarni S, O'Farrell I, Erasi M, Kochar MS. Stress and hy- pertension. WMJ.1998;97 (11):34-8
Jood K, Redfors P, Rosengren A, Blomstrand C Jern C . Self- perceived psychological stress and ischemic stroke: a case- control study, BMC Medicine 2009;7:53 doi:10.1186/1741- 7015-7-53
Jim J, Bhatt D. Emerging risk factors for atherosclerosis.
Indian Heart Journal. 2007;59:28-37.
Redmond N, Richman J, Gamboa CM, Albert MA, Sims M, Durant RW et al. Perceived Stress Is Associated With Inci- dent Coronary Heart Disease and All-Cause Mortality in Low- but Not High-Income Participants in the Reasons for Geographic And Racial Differences in Stroke Study. Am Heart Assoc. 2013;2:e000447 doi: 10.1161/JAHA.113.00044
Sparrenberger F, Cichelero FT, Ascoli AM, Fonseca FP, Weiss G, Berwange O et al. Does psychosocial stress cause hypertension? A systematic review of observational stud- ies. Journal of Human Hypertension 2009;23:12–19
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