Prevalence of prehypertension in young adults in a semi-urban district in Telangana

Authors

  • Kande V. Mallikarjuna Rao Department of Medicine, Mallareddy institute of medical sciences, Hyderabad, India
  • G. Pavan Kumar Reddy Department of Medicine, Mallareddy Medical College for women, Hyderabad, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20160190

Keywords:

Prehypertension, Hypertension, Prevalence, Young adults

Abstract

Background: Referred to as silent killer, is one of the leading causes of cardiovascular diseases. The risk of cardiovascular disease in people with prehypertension increases with the increase in burden of the other risk factors such as obesity, diabetes mellitus and dyslipidaemia. This study was undertaken to estimate the prevalence of prehypertension among the young adults in our area.

Methods: 2658 patients, between 18-35 years of age, were included in the study. Complete physical and clinical examination, blood pressure, blood tests for cholesterol levels, blood glucose levels, and triglyceride levels were done. BMI, waist to hip ratio was also calculated.

Results: 1433 (53.9%) of the patients were females and 1225 (46.1%) were males.  Pre hypertension was found in 846 (31.8%) hypertension in 261(9.8%) young adults. There was a higher rate of BMI, blood glucose levels and cholesterol in these patients.

Conclusions: There is a high prevalence of prehypertension among the young adults in our geographical. Therefore, awareness among the community, lifestyle modifications such as proper nutrition and less of fatty foods, regular check-ups especially for those with risk factors and timely treatment are very essential for curbing outcomes such as cardiovascular diseases.

References

Kulkarni AT. Hypertension- a silent killer. Indian Medical gazette. 1998;32(3):73-7.

Park K. Text Book of P.S.M. 20th edn. M/s Banarsidas Bhanot Publishers;2009:323-327.

Whitworth JA. World health organization, international society of hypertension writing group. World Health Organization (WHO)/International Society of Hypertension (ISH) statement on management of hypertension. J. Hypertens. 2003;21(11):1983-92.

Alwan A, Maclean DR, Riley LM, d'Espaignet ET, Mathers CD, Stevens GA et al. Monitoring and surveillance of chronic non-communicable diseases: progress and capacity in high-burden countries. Lancet. 2010;376(9755):1861-8.

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

Chobanian AV, Bakris GL, Black HR, 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: the JNC 7 report. JAMA. 2003;289:2560-72.

Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age specific relevance of usual blood pressure to vascular mortality. Lancet. 2002;360:1903-13.

US Department of Health and Human Services: Healthy people 2010. With Understanding and Improving Health and Objectives for Improving Health, 2nd edn, Vol. 2. Washington, DC: US Dept of Health and Human Services;2000.

National Nutrition Monitoring Bureau (NNMB). Diet and nutritional status of population and prevalence of hypertension among adults in rural areas, NNMB Technical Report 24. Hyderabad: NNMB;2006:35-7.

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.

Deepa R, Shanthirani CS, Pradeepa R, Mohan V. Is the ‘rule of halves’ in hypertension still valid? - evidence from the Chennai urban population study. J Assoc Phys India. 2003;51:153-7.

Padmavati S. A meta-analysis-National heart institute, New Delhi. Ind Heart J. 2002;54:99-102.

Srinivas S, Satyavaraprasad K, Ramdas, Krishna CPRS, Tajuddin, Prabhakar Rao R. Prevalence of prehypertension in adult population of rural Andhra Pradesh. Asian J Biomed Pharm Sci. 2013;3(23):45-8.

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

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

Ray S, Kulkarni B, Sreenivas A. Prevalence of prehypertension in young military adults & its association with overweight & dyslipidaemia. Indian J Med Res. 2011;134:162-7.

Ciptaningtyas R. Prevalence of prehypertension and associated risk factors among young Indonesian adults. Available at www2.kenes.com/apccn/scientific/Documents/Poster/822.pdf. Accessed on 26 December 2015.

Sun Z, Zheng L, Wei Y, Li J, Zhang X, Zhang X, Liu S, Xu C, Li J, Zhao F, Dong G, Hu D, Sun Y. Clin Cardiol. 2007;30:183-7.

Ishikawa Y, Ishikawa J, Ishikawa S, Kayaba K, Naka-mura Y, Shimada K et al. Prevalence and determinants of prehypertension in a Japanese general population. The Jichi Medical School Cohort Study. Hypertens Res. 2008;31(7):1323-30.

Tsai PS, Ke TL, Huang CJ, Tsai JC, Chen PL, Wang SY et al. Prevalence and determinants of prehypertension status in the Taiwanese general population. J Hypertens. 2005;23(7):1355-60.

Choi KM, Park HS, Han JH, Lee JS, Lee J, Ryu OH et al. Prevalence of prehypertension and hyper-tension in a Korean population: Korean national health and nutrition survey 2001. J Hypertens. 2006;24(8):1515-21.

Alfonzo JP, Pérez MD, Hernández MJ, García D. Hipertensión arterial en la atención primaria de salud. La Habana: Editorial Ciencias Médicas; 2009.

Merino Barrera SI, Pérez Fernández GA, Llanes MG, Ferrer VG, Camacho BG, Moreno-Martínez FL, Flores Molina JJ. Factors associated with prehypertension in young adults between 20 and 25 years of age. Cor Salud. 2014;6(1):25-35.

Yuvaraj BY, Nagendra Gowda MR, Umakantha AG. Prevalence, awareness, treatment, and control of hypertension in rural areas of Davanagere. Indian J Community Med. 2010;35(1):138-41.

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(3):268-73.

Hypertension control. Technical report series: World Health Organization; 1996. Report No. 862.

Ferguson TS, Younger N, Tulloch-Reid MK, Lawrence-Wright MB, Forrester T, Cooper R et al. Progression from prehypertension to hypertension in a Jamaican cohort: incident hypertension and its predictors. West Indian Med J. 2010;59:486-93.

Arima H, Murakami Y, Lam TH et al. Effects of prehypertension and hypertension subtype on cardiovascular disease in the Asia-Pacific Region. Hypertension. 2012;59:1118-23.

Robinson SC, Brucer M. Range of normal blood pressure: a statistical and clinical study of 11,383 persons. Arch Intern Med. 1939;64:409-44.

Downloads

Published

2017-01-05

Issue

Section

Original Research Articles