High prevalence of prehypertension and its association with modifiable risk factors: findings of household steps survey from Urban Puducherry, South India
Background: Prehypertension increases the likelihood of hypertension, cardiovascular diseases, and renal failure, and it is amenable to control if it is detected early. The burden of prehypertension prevalent in the community is not much explored. This study aimed to estimate the prevalence and to i...
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Wolters Kluwer Medknow Publications
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doaj-4c8ac4136b7f41dd9c81acdf962643a32020-11-25T04:00:14ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132020-01-0111116216210.4103/ijpvm.IJPVM_6_19High prevalence of prehypertension and its association with modifiable risk factors: findings of household steps survey from Urban Puducherry, South IndiaSitanshu Sekahr KarKalaiselvi SelvarajGomathi RamaswamyK C PremarajanGanesh Kumar SayaVinodhkumar KalidossBackground: Prehypertension increases the likelihood of hypertension, cardiovascular diseases, and renal failure, and it is amenable to control if it is detected early. The burden of prehypertension prevalent in the community is not much explored. This study aimed to estimate the prevalence and to identify the socio-behavioral and dietary factors related to prehypertension in South India. Methods: A community-based cross-sectional study was carried out where data related to socio-demographic status, substance use, dietary patterns, physical activity, and associated comorbidities were assessed using the WHO STEPwise survey tool. Adults aged >=18 years who were not previously diagnosed and treated for hypertension were assessed for prehypertension. Prevalence of prehypertension is reported as percentage with 95% CI. Association was reported as adjusted prevalence ratio obtained through multivariable log binomial regression adjusted for potential confounders. Results: Among 2399 participants, 2213 underwent screening. Among 2213 adults, 810 (36.6%, 95% CI: 34.6–38.6%) were in the prehypertension range. The adjusted prevalence for prehypertension was 36.2% among males and 37.2% among females, respectively. Being in the age group of 45–54 years aPR-1.36, body mass index (BMI)> 23 Kg/m2 aPR-1.25, consumption of more than 6 grams of salt per day aPR-1.15 times were more likely to be associated with prehypertension. The comorbid conditions such as diabetes are less likely to be associated with prehypertension aPR-0.54 (0.41–0.72). Conclusions: This community-based surveillance showed 36% of prehypertension among adults which would have been missed if we were to follow the routine cares such as opportunistic and high-risk-based screening. Since prehypertension increases the risk for various end organ failures, there is an impending need to focus on screening and promote healthy lifestyles.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=162;epage=162;aulast=Karcardiovascular diseasesearly diagnosisepidemiologymass screeningprehypertensionpublic health surveillance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sitanshu Sekahr Kar Kalaiselvi Selvaraj Gomathi Ramaswamy K C Premarajan Ganesh Kumar Saya Vinodhkumar Kalidoss |
spellingShingle |
Sitanshu Sekahr Kar Kalaiselvi Selvaraj Gomathi Ramaswamy K C Premarajan Ganesh Kumar Saya Vinodhkumar Kalidoss High prevalence of prehypertension and its association with modifiable risk factors: findings of household steps survey from Urban Puducherry, South India International Journal of Preventive Medicine cardiovascular diseases early diagnosis epidemiology mass screening prehypertension public health surveillance |
author_facet |
Sitanshu Sekahr Kar Kalaiselvi Selvaraj Gomathi Ramaswamy K C Premarajan Ganesh Kumar Saya Vinodhkumar Kalidoss |
author_sort |
Sitanshu Sekahr Kar |
title |
High prevalence of prehypertension and its association with modifiable risk factors: findings of household steps survey from Urban Puducherry, South India |
title_short |
High prevalence of prehypertension and its association with modifiable risk factors: findings of household steps survey from Urban Puducherry, South India |
title_full |
High prevalence of prehypertension and its association with modifiable risk factors: findings of household steps survey from Urban Puducherry, South India |
title_fullStr |
High prevalence of prehypertension and its association with modifiable risk factors: findings of household steps survey from Urban Puducherry, South India |
title_full_unstemmed |
High prevalence of prehypertension and its association with modifiable risk factors: findings of household steps survey from Urban Puducherry, South India |
title_sort |
high prevalence of prehypertension and its association with modifiable risk factors: findings of household steps survey from urban puducherry, south india |
publisher |
Wolters Kluwer Medknow Publications |
series |
International Journal of Preventive Medicine |
issn |
2008-7802 2008-8213 |
publishDate |
2020-01-01 |
description |
Background: Prehypertension increases the likelihood of hypertension, cardiovascular diseases, and renal failure, and it is amenable to control if it is detected early. The burden of prehypertension prevalent in the community is not much explored. This study aimed to estimate the prevalence and to identify the socio-behavioral and dietary factors related to prehypertension in South India. Methods: A community-based cross-sectional study was carried out where data related to socio-demographic status, substance use, dietary patterns, physical activity, and associated comorbidities were assessed using the WHO STEPwise survey tool. Adults aged >=18 years who were not previously diagnosed and treated for hypertension were assessed for prehypertension. Prevalence of prehypertension is reported as percentage with 95% CI. Association was reported as adjusted prevalence ratio obtained through multivariable log binomial regression adjusted for potential confounders. Results: Among 2399 participants, 2213 underwent screening. Among 2213 adults, 810 (36.6%, 95% CI: 34.6–38.6%) were in the prehypertension range. The adjusted prevalence for prehypertension was 36.2% among males and 37.2% among females, respectively. Being in the age group of 45–54 years aPR-1.36, body mass index (BMI)> 23 Kg/m2 aPR-1.25, consumption of more than 6 grams of salt per day aPR-1.15 times were more likely to be associated with prehypertension. The comorbid conditions such as diabetes are less likely to be associated with prehypertension aPR-0.54 (0.41–0.72). Conclusions: This community-based surveillance showed 36% of prehypertension among adults which would have been missed if we were to follow the routine cares such as opportunistic and high-risk-based screening. Since prehypertension increases the risk for various end organ failures, there is an impending need to focus on screening and promote healthy lifestyles. |
topic |
cardiovascular diseases early diagnosis epidemiology mass screening prehypertension public health surveillance |
url |
http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=162;epage=162;aulast=Kar |
work_keys_str_mv |
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