DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20171788

Prevalence of hypertension and its determinants in an urbanized village of East Delhi

Raghavendra A. H., Monika Singh, Pragti Chabra, Arun Kumar Sharma

Abstract


Background: Hypertension is the major public health problem both in developing and developed nations. There is disparity in prevalence of hypertension in rural and urban areas. Data is available on the prevalence of hypertension in both urban and rural areas but studies on migratory population are limited.

Methods: A community based cross sectional study conducted in urbanized village of east Delhi.  WHO STEPS questionnaire was used collect the data. Total of 451 persons were interviewed by stratified random sampling method.  Data analysis was done using SPSS version 16.

Results: Prevalence of hypertension was 16.4%, high age group, high income, body mass index more than 23 and duration of stay in urban area were significantly associated with prevalence of hypertension.

Conclusions: Older age group, higher BMI and longer duration of stay in urban area have significant associations with the higher prevalence of hypertension. 


Keywords


Prevalence, Hypertension, Urbanization, Body mass index, Age

Full Text:

PDF

References


Global Health Risks Summary Tables. Health Statistics and Informatics Department. World Health Organization: Geneva, 2009.

Chadha SL, Radhakrishnan S, Ramachandran K, Kaul U, Gopinath N. Prevalence, awareness and treatment status of hypertension in urban population of Delhi. Indian J Med Res. 1990;92:233-40.

Stamler J. Blood pressure and high blood pressure: aspects of risk. Hypertension. 1991;18(3 suppl):I95-107

Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJ; Comparative Risk Assessment Collaborating Group. Selected major risk factors and global and regional burden of disease. Lancet. 2002;360:1347-60.

Gupta R. Trends in hypertension epidemiology in India. J Hum Hypertens. 2004;18:73-8.

Wild H, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes, estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047-53.

Ramachandran A, Snehalatha C, Latha E, Vijay V, Vishanathan M. Impacts of urbanization on life style and on the prevalence of diabetes in native Asian Indian population. Diabet Res Clin Pract. 1999;44:207-13.

Chadha SL, Radhakrishnan S, Ramachandran K, Kaul U, Gopinath N. Prevalence, awareness and treatment status of hypertension in urban population of Delhi. Indian J Med Res. 1990;92:233-40.

Misra A, Vikram NK, Gupta R, Pandey RM, Wasir JS, Gupta VP. Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity. Int J Obes (Lond). 2006;30(1):106-11.

Hypertension Society of India. Indian guidelines on management of Hypertension. Hypertension India 2001;15:1-34.

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. Seventh report of the Joint national Committee on prevention, Detection, Evaluation, and treatment of high blood pressure. Hypertension. 2003;42:1206-52.

Provisional population totals‑ NCT of Delhi‑ Rural‑urban distribution. Available at: www.censusindia.gov.in Accessed on 9 December 2016.

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(8):1003-10.

Mohan V, Deepa M, Farooq S, Datta M, Deepa R. Prevalence, awareness and control of hypertension in Chennai--The Chennai Urban Rural Epidemiology Study (CURES-52). J Assoc Physicians India. 2007;55:326-32.

Yadav S, Boddula R, Genitta G, Bhatia V, Bansal B, Kongara S, et al. Prevalence & risk factors of pre-hypertension & hypertension in an affluent north Indian population. Indian J Med Res 2008;128:712-20.

Wang Y, Chen J, Wang K, Edwards CL. Education as an important risk factor for the prevalence of hypertension and elevated blood pressure in Chinese men and women. J Hum Hypertens. 2006;20(11):898-900.

Mendez MA, Monteiro CA, Popkin BM. Overweight exceeds underweight among women in most developing countries. Am J Clin Nutr. 2005;81:714–21.

Addo J, Smeeth L, Leon DA. Hypertension in Sub Saharan Africa: a systematic review. Hypertension. 2007;50:1012–8.

Reddy SK, Shah B, Varghese C, Ramadoss A. Responding to the threat of chronic diseases in India. Lancet. 2005;366:1744–49.

Wang Y, Mi J, Shan XY, Wang QJ, Ge KY. Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int J Obes. 2007;31:177–88.

Gu D, Reynolds K, Wu X, Chen J, Duan X, Muntner P, et al. Prevalence, awareness, treatment, and control of hypertension in china. Hypertension. 2002;40:920–7.