Original Research Article
Year: 2017 | Month: July | Volume: 7 | Issue: 7 | Pages: 31-37
A Study on Association of Non Communicable Diseases Risk Factors and Prehypertension in Garhwal Region of North India
Deep Shikha1*, Jayanti Semwal3*, A.K.Srivastava3*, Shaili Vyas2*, Ruchi Juyal3*, Hemchandra Sati4**
1Assistant Professor, 2Associate Professor, 3Professor, 4Statistical Assistant,
*Department of Community Medicine, HIMS, SRHU, Jolly Grant, Dehradun-248140
**AIIMS, New Delhi
Corresponding Author: Deep Shikha
Introduction: The term ‘prehypertension’ (pre - HT) was coined in 1939 in the context of early studies that linked high blood pressure recorded for life insurance purposes to subsequent morbidity and mortality. Pre-HT is not a disease category; however, pre hypertensive subjects are known to be at high risk for developing hypertension, and even slightly elevated BP increases cardiovascular risk.
Material & method: Community based descriptive cross sectional study. The estimated total sample size was 632. “Kish” method was applied in each selected household for the selection of study subjects who were in the age group of 21-60 years. WHO STEPS methodology, (NCD Risk Factor Surveillance) was used to gather necessary information at household and individual level. SPSS 22.0 version was used for data analysis. Percentage, Chi square, & Risk (Odds Ratio) was estimated at significant level p<0.05.
Results: Prevalence of normotension (NT) was 47.5%, while that of prehypertension (pre-HT) was 33.4% and hypertension (HT) was 19.1%. The prevalence of pre – HT and HT both continued to increase progressively with the increasing age & BMI. Overweight and obesity were the most significant determinants of pre –HT even at the level of more than 23 Kg/m2. Stress and a family history of hypertension in both parents were other pre determinants of pre – HT.
Conclusion: In conclusion, our the study provides important information on the high burden of cardiovascular risk factors such as prehypertension, overweight and stress, in an apparently healthy adults.
Key words: Prehypertension, WHO STEPS, Kish method.