DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20184015

A study on associations and influence of health determinants on systolic and diastolic blood pressure

Sreenivasa V. Yalamanchili

Abstract


Background: The aim of the study was to assess the prevalence of hypertension among Indian urban educated population and evaluate the association of various modifiable and non-modifiable risk factors on the development of systolic blood pressure (SBP) and diastolic blood pressure (DBP).

Methods: The retrospective study comprised of medical data obtained from 175 individuals who had undergone routine annual medical check-up during the period 2016 -2017. The data was analysed and interpreted using summary statistics, correlations and linear regression analysis. Most of the variables were measured values.

Results: Out of 175 reports analysed, 40 (22.9%) individuals comprising of 29 males and 11 females were found to be hypertensives. Isolated systolic hypertension was present in 4 (2.3%) individuals, isolated diastolic hypertension in 26 (14.9%) individuals and in 10 (5.7%) individuals both systolic and diastolic blood pressure was raised. Significant correlations were observed. Multiple linear regression showed significant positive influence of DBP, age and BMI on SBP whereas serum vitamin D level and left ventricular cardiac ejection fraction was negatively influencing SBP (R²=0.638, p=0.000). furthermore, multiple regression analysis with DBP as the dependent variable showed SBP, and serum vitamin D level to be the significant influencing determinants (R²=0.602, p=0.000).

Conclusions: The present study on the Influence of modifiable and non-modifiable risk factors on development of SBP and DBP improves knowledge for better preventive strategies.


Keywords


Hypertension, Systolic blood pressure, Diastolic blood pressure, Health determinants

Full Text:

PDF

References


World Health Organization-NCD Country Profiles, 2011. World Health Organization, Geneva; 2011.

Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2016 (GBD 2016) Results. Seattle, United States: Institute for Health Metrics and Evaluation (IHME), 2017. Available at: http://ghdx.healthdata.org/gbd-results-tool. Accessed on 3 June 2018.

Gupta R, Khedar RS, Panwar RB. Strategies for Better Hypertension Control in India and Other Lower Middle Income Countries. J The Association of Physicians of India. 2016;64:58-64.

Geldsetzer P, Manne-Guehler J, Theilmann M, Davies JI, Awasthi A, Vollmer S, et al. Diabetes and Hypertension in India, A Nationally Representative study of 1.3 Million Adults. JAMA Intern Med. 2018;178(3):363-72.

Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, Di Angelantonio E, et al. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension, J Hypertens. 2014;32:1170-7.

Women M. Epidemiology of Hypertension. JAPI. 2013;61:12-3.

National Family Health Survey. 2017. Available at: http://rchiips.org/nfhs/abt.html. Accessed on 31 December 2017

Das SK, Sanyal K, Basu A. Study of Urban Community Survey in India: Growing Trend of High Prevalence of Hypertension in a Developing Country. Int J Med Sci. 2005;2:70-8.

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). JAPI. 2007;55:326-32.

Momin MIH, Deasi VK, Kavishwar AB. Study of Socio-Demographic Factors Affecting Prevalence of Hypertension among Bank Employee of Surat City. Indian J Public Health. 2012;56:44-8.

Mungreiphy NK, Kapoor S, Sinha R. Association Between BMI, Blood Pressure, and Age: Study among Tangkhul Naga Tribal Males and Northeast India. J Anthropol. 2011;2011:748147.

Shanthirani CS, Pradeep R, Deepa R, Premalatha G, Saroja R, Mohan V. Prevalence and Risk Factors of Hypertension in a Selected South Indian Population—the Chennai Urban Population Study. Journal of Assoc. Physicians India. 2003;51:20-6.

Desai MHV, Kavishwar A. A Study on Effect of Life Style Risk Factors on Prevalence of Hypertension among White Collar Job People of Surat. Int J Occup Health. 2009;1(1):1-10.

Chauhan RC, Purty AJ, Natesan M, Velavan A, Singh Z. Risk factors profile for noncommunicable diseases among adult urban population of puducherry in India. J Obes Metab Res. 2014;1:201-8.

Deshmukh PR. Gupta SS, Dongre AR, Bharambe MS, Maliye C, Kaur S. Relationship of Anthropometric Indicators with Blood Pressure Levels in Rural Wardha. Indian J Med Res. 2006;123:657-64.

Hypertension Study Group. Prevalence, Awareness, Treatment and Control of Hypertension among the Elderly in Bangladesh and India: A Multicentre Study. Bull World Health Organization, 2001;79:490-500.

Gupta R, Gupta VP. Hypertension Epidemiology in India: Lessons from Jaipur Heart Watch. Current Sci. 2009;97:349-55.

Atsma F, Veldhuizen I, Kort W, Kraaij M, Pasker-de Jong P, Deinum J. Hemoglobin Level Is Positively Associated With Blood Pressure in a Large Cohort of Healthy Individuals, Hypertension. 2012;60:936-41.

Aggarwal HK, Jain D, Mor S, Yadav RK, Jain P. Prevalence and Clinical Correlates of Microalbuminuria in Patients with Essential Hypertension - A Tertiary Care Center Cross Sectional Study. J Association Physicians India. 2016.

Dhanju AS, Neki NS, Singh A, Sandhu PS. A Study on Association between Thyroid Stimulating Hormone Levels and etabolic Syndrome Components. Ann Int Med Den Res. 2016;2(3):102-5.

Liu D, Jiang F, Shan Z, Wang B, Wang J, Lai Y, et al. A cross-sectional survey of relationship between serum TSH level and blood pressure, Journal of Human Hypertension. 2010;24:134–8.

Mehta V, Agarwal S. Does Vitamin D Deficiency Lead to Hypertension? Cureus. 2017;9(2):e1038.