DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20174935

The prevalence of hypertension among young adults in a rural population of North India

Khwaja Saifullah Zafar, Vidya Sagar Ram, Manoj Kumar, Manish Gupta, Sushil Kumar, Vivek Kumar Verma, Prafulla Kumar Singh

Abstract


Background: Most of the studies on hypertension provided the data on older age group. Most of the times, younger population remains unaddressed as they are assumed to be at a lower risk of developing the disease. So, the study on prevalence of hypertension among younger age group and their socio-demographic variables provides the guide for requirements of any intervention. Objective of present study is to estimate the prevalence of Hypertension among young adults in a rural population of central India.

Methods: We collected data on socio-demographic characteristics and hypertension status from 1061 subjects aged 18–40 years. Relevant clinical parameters were collected (blood pressure recordings and anthropometric measurements).

Results: Hypertension was detected in 188 of the 1061 subjects (17.7%). Prevalence among men was higher (18.8% compared to 15.2% among women). A total of 40.2% of the subjects was found to have pre-hypertension. Higher prevalence of hypertension was seen among those with a history of smoking.

Conclusions: Most of the young adults with raised blood pressure were previously undiagnosed. A large number of subjects had prehypertension. Their early identification facilitates early, active management of blood pressure and formulation of preventive strategies thereby decreasing morbidity and mortality due to cardiovascular diseases and hypertension.

 


Keywords


Hypertension, Prevalence, Rural, Young adults

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References


Alwan A. Global status report on noncommunicable diseases 2010. Geneva: World Health Organization;2011.

Unal B, Critchley JA, Capewell S. Explaining the decline in coronary heart disease mortality in England and Wales between 1981 and 2000. Circulation. 2004;109(9):1101-7.

Ford ES, Ajani UA, Croft JB, Critchley JA, Labarthe DR, Kottke TE, et al. Explaining the decrease in U.S. deaths from coronary disease, 1980–2000. N Engl J Med. 2007;356(23):2388-98.

Kayima J, Wanyenze RK, Katamba A, Leontsini E, Nuwaha F. Hypertension awareness, treatment and control in Africa: a systematic review. BMC Cardiovasc Disord. 2013;13(54):1471-2261.

Reddy KS. Hypertension control in developing countries: generic issues. J Hum Hypertension 1996;10:33-8.

Gupta R. Meta-analysis of prevalence of hypertension in India. Indian Heart J. 1997;49:43-8.

Gurpreet K, Tee GH, Karuthan C. Evaluation of the accuracy of the Omron HEM-907 blood pressure device. Med J Malaysia. 2008; 63(3):239-43.

Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, et al. Recommendations for blood pressure measurement in humans and experimental animals part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension. 2005;45(1):142-61.

Bao W, Threefoot SA, Srinivasan SR, Berenson GS. Essential hypertension predicted by tracking of elevated blood pressure from childhood to adulthoos: The Bogalusa Heart Study. Am J Hypertension. 1995 July; 8(7):657-665.

Rosenthal J. The epidemiology of blood pressure in young Mexican adults. J Hypertens. 1989 May;7(5):355-60.

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

Reddy KS. Hypertension control in developing countries: generic issues. J Hum Hypertension. 1996;10:33-38.

Dimkpa U, Oji JO. Relationship of body mass index with haemodynamic variables and abnormalities in young adults. J Hum Hypertens. 2010 Apr;24(4):230-6.

Department of Disease Control and Prevention, Ministry of Health. Report on chronic diseases in China. Beijing, China: Chinese Centre for Disease Control and Prevention. 2006.

Ennis IL, Gende OA, Cingolani HE. Prevalence of hypertension in 3154 young students. Medicina (B Aires). 1998;58:483-91.

Wu X, Duan X, Gu D, Hao J, Tao S, Fan D. Prevalence of hypertension and its trends in Chinese populations. Int J Cardiol. 1995 Nov 10;52(1):39-44.