Prevalence and determinants of hypertension and diabetes mellitus in an urban area of Coimbatore

Authors

  • Naveen Prabhu Jayaraj Department of Community Medicine, Karpagam Faculty of Medical Sciences and Research, Coimbatore, Tamil Nadu, India
  • Jeevithan Shanmugam Department of Community Medicine, KMCH Institute of Health Sciences and Research, Coimbatore, Tamil Nadu
  • Shanmugapriya Duraisamy Department of Community Medicine, KMCH Institute of Health Sciences and Research, Coimbatore, Tamil Nadu
  • Loganathan Padmavathy Department of Community Medicine, KMCH Institute of Health Sciences and Research, Coimbatore, Tamil Nadu

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20201985

Keywords:

Adherence, Determinants, Diabetes mellitus, Hypertension, Prevalence

Abstract

Background: Owing to change in behavior and lifestyle patterns, diabetes mellitus and hypertension are in increasing trend worldwide. They are associated with various complications resulting in high morbidity. Early detection of these would necessitate the prevention of complications associated with it and improves the quality of life of the people. The objective of the study was to assess the prevalence and determinants of diabetes mellitus and hypertension among urban population in the field practice area of a tertiary care hospital in Coimbatore.

Methods: 299 individuals of both sexes belonging to six wards in the field practice area of a tertiary care hospital in Coimbatore were randomly selected and screened for diabetes mellitus and hypertension. Diagnosis was based on American Diabetic Association and JNC 7 guidelines for diabetes mellitus and hypertension respectively. Data on various factors associated was collected using pretested validated semi structured questionnaire.

Results: Overall prevalence of diabetes mellitus and hypertension was found to be 32.44% and 38.8% respectively with newly diagnosed diabetes mellitus and hypertension of 4.02% and 7.37%. Overall adherence was found to be 80%. Factors such as elderly age, sedentary life style, non-vegetarian diet, obesity are found to be associated with both diabetes mellitus and hypertension.

Conclusions: Almost one in every third person found to be having either diabetes mellitus/hypertension or both with 20% non-adherence to treatment. This high prevalence necessitates the need for adoption of various strategies to combat the risk factors and to promote healthy life style.

References

Shah A, Afzal M. Prevalence of diabetes and hypertension and association with various risk factors among different Muslim populations of Manipur, India. J Diabetes Metab Disorders. 2013;12(1):52.

Yoon KH, Lee JH, Kim JW. Epidemic obesity and type 2 diabetes in Asia. Lancet. 2006;12(9548):1681-8.

Rangadhar P, Kumar DB, Mitra A. Some salient points in type 2 diabetes prevalence in rural Bengal. Ethno-Med. 2009;12(2):127-31.

Diabetes. WHO. 2018. Available at: https://www.who.int/news-room/fact-sheets/detail/ diabetes. Accessed on 4 January 2020.

Raised blood pressure- situation and trends. WHO. Available at: https://www.who.int/gho/ncd/ risk_factors/blood_pressure_prevalence_text/en/

Sahay BK. API-ICP guidelines on DM. J Assoc Physic India. 2007;12:1-50.

Sowers JR, Epstein M, Frohlich ED. Diabetes, hypertension, and cardiovascular disease: an update. J Hypertens. 2001;12(4):53-9.

Singh S, Shankar R, Singh GP. Prevalence and associated risk factors of hypertension: a cross-sectional study in urban Varanasi. Int J Hypertens. 2017: 1-10.

Prabakaran J, Vijayalakshmi N, Venkatarao E. Prevalence of hypertension among urban adult population (25-64 years) of Nellore, India. Int J Res Develop Health. 2013;1(2):42-9.

Singh R, Sinha RK, Mani C, Singh R, Pal R. Burden and vulnerability of hypertension in a rural population of Patna, Bihar, India. South East Asia J Public Health. 2013;1(1):53-8.

Kokiwar PR, Gupta SS, Durge PM. Prevalence of hypertension in a rural community of central India. J Assoc Phys India. 2012;60:26-9.

Katapadi P, Bant D. A comparative study on the adherence to anti-hypertensive medications in urban and rural areas of Hubballi. Int J Community Med Public Health. 2019;6(4):1701.

Bharati DR, Pal R, Kar S, Rekha R, Yamuna TV, Basu M. Prevalence and determinants of diabetes mellitus in Puducherry, South India. J Phar Bioallied Sci. 2011;3(4):513-8.

Kapil U, Khandelwal R, Ramakrishnan L, Khenduja P, Gupta A, Pandey RM, et al. Prevalence of hypertension, diabetes, and associated risk factors among geriatric population living in a high-altitude region of rural Uttarakhand, India. J Fam Med Prim Care. 2018;7(6):1527-36.

Santhanakrishnan I, Lakshminarayanan S, Kar SK. Factors affecting compliance to management of diabetes in Urban Health Centre of a tertiary care teaching hospital of south India. J Nat Sci Biol Med. 2014;5(2):365-8.

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Published

2020-04-24

How to Cite

Jayaraj, N. P., Shanmugam, J., Duraisamy, S., & Padmavathy, L. (2020). Prevalence and determinants of hypertension and diabetes mellitus in an urban area of Coimbatore. International Journal Of Community Medicine And Public Health, 7(5), 1807–1811. https://doi.org/10.18203/2394-6040.ijcmph20201985

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Original Research Articles