A Study on Prevalence of Hypertension Among Patients Attending OPD of National Institute of Unani Medicine, Bengaluru, India.
Abstract
Introduction: Hypertension is the leading modifiable cause of premature death and hence World Health Organization (WHO) has made it one of its global prevention priorities. It is a major risk factor for stroke, myocardial infarction, vascular disease, and chronic kidney disease. The prevention and treatment of hypertension imposes a significant public health challenge owing to its related morbidity and mortality as well as the expense to society. Hypertension is referred to as a silent and an invisible killer and affects at least 1.4 billion people globally. Less than half of adults (42%) with hypertension are diagnosed and treated.
Methodology The research design was an institution based single centered, observational descriptive study, cross sectional in design and was carried out for a duration of 28 days (4 weeks) from 01.06.2024 to 29.06.2024. The study was conducted in the Outpatient Department (OPD) of Regimenal therapies, National Institute of Unani Medicine (NIUM), Bengaluru. All people above 21 years of age attending OPD constituted study population. In present study, 524 patients were included in the study. The diagnosis of hypertension was done as per WHO guidelines. Data analysis was done using SPSS version 24.
Results: The study revealed that prevalence of hypertension was 35.87% in the study population. In the present study, 53.20% of diagnosed hypertensive patients were females and rest 46.80% were males. Majority of diagnosed hypertensive patients (39.89%) belonged to the age group of above 60 years.
Conclusion: Prevalence of hypertension is significantly increasing at a greater pace globally as well as in India. Periodic screening and raising awareness about hypertension in general population is necessary to reduce the prevalence of the disease and thereby the associated morbidity and mortality.
Keywords: Hypertension, WHO, Prevalence, SPSS, OPD patients.
Downloads
References
Burnier M, Damianaki A. Hypertension as cardiovascular risk factor in chronic kidney disease. Circulation research. 2023 Apr 14;132(8):1050-63. https://doi.org/10.1161/CIRCRESAHA.122.321762 PMid:37053276
Whelton PK, He J, Appel LJ, et al. National High BP Education Program Coordinating Committee. Primary prevention of hypertension: clinical and public health advisory from the National High BP Education Program. JAMA. 2002;288(15):1882-1888. https://doi.org/10.1001/jama.288.15.1882 PMid:12377087
Tackling G, Borhade MB. Tackling G, Borhade MB. Hypertensive heart disease. [Updated 2020 Jun 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020. https://www.ncbi.nlm.nih.gov/books/NBK539800/
Chia YC, Buranakitjaroen P, Chen CH, et al. Current status of home BP monitoring in Asia: statement from the HOPE Asia Network. J Clin Hypertens. 2017;19:1192-1201. https://doi.org/10.1111/jch.13058 PMid:28815840 PMCid:PMC8030958
Kim JH, Thiruvengadam R. Hypertension in an Ageing Population: Diagnosis, Mechanisms, Collateral Health Risks, Treatments, and Clinical Challenges. Ageing Research Reviews. 2024 May 18:102344. https://doi.org/10.1016/j.arr.2024.102344 PMid:38768716
Geldsetzer P, Manne-Goehler J, Marcus ME, et al. The state of hypertension care in 44 low-income and middleincome countries: a cross-sectional study of nationally representative individual-level data from 1·1 million adults. Lancet. 2019;394(10199):652-662. doi:10.1016/S0140-6736(19)30955-9 https://doi.org/10.1016/S0140-6736(19)30955-9 PMid:31327566
United Nations, Department of Economic and Social Affairs. The 17 goals. Accessed February 2, 2023. https://sdgs.un.org/goals
Beaney T, Schutte AE, Stergiou GS, et al; MMM Investigators. May measurement month 2019: the Global Blood Pressure Screening Campaign of the International Society of Hypertension. Hypertension. 2020;76(2):333-341. https://doi.org/10.1161/HYPERTENSIONAHA.120.14874 PMid:32419505
World Health Organization. Hypertension. August 25, 2021. Accessed January 30, 2023. https://www.who.int/news-room/fact-sheets/detail/hypertension
Ministry of Health & Family Welfare, Government of India. National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). Accessed October 14, 2022. https://nhm.gov.in/ index1.php?lang=1&level=2&sublinkid=1048&lid=604
Booth GL, MK Kapral, K. Fung, JV Tu. Relation between age and cardiovascular disease in men and women with diabetes compared with non-diabetic people: a population-based retrospective cohort study. The Lancet. 2006; 368 (9529):29-36. https://doi.org/10.1016/S0140-6736(06)68967-8 PMid:16815377
GBD 2016 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 84 behavioral, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017; 1345-422.
Gupta R, Gaur K, S. Ram CV. Emerging trends in hypertension epidemiology in India. Journal of human hypertension. 2019 Aug;33(8):575-87. https://doi.org/10.1038/s41371-018-0117-3 PMid:30254382
World Health Organization. Global Status Report on NonCommunicable Diseases 2014. Geneva: World Health Organization. 2014.
Farouzanfar MH, Ng M, Biryukov S, Roth GA, Alexander L, Liu P, et al. Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990-2015. JAMA. 2017;317:175-82. https://doi.org/10.1001/jama.2016.19043 PMid:28097354
NCD Risk Factor Collaboration (NCD-RiSC). Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19.1 million participants. Lancet. 2017; 389:37-55.
Gupta R, Xavier D Hypertension: the most important noncommunicable disease risk factor in India. Indian Heart J. 2018; https://doi.org/10.1016/j.ihj.2018.02.003 PMid:30170654 PMCid:PMC6116711
Global Burden of Disease Study 2015. Health data. http://ghdx. healthdata.org/gbd-data-tool. Accessed 2017
Gupta R, Gaur K, S. Ram CV. Emerging trends in hypertension epidemiology in India. Journal of human hypertension. 2019 Aug;33(8):575-87. https://doi.org/10.1038/s41371-018-0117-3 PMid:30254382
Rakesh PS, Renjini BA, Mohandas S, Menon J, Numpelil M, Sreedevi A, Vasudevan B. Hypertension in urban slums of southern India: Burden, awareness, health seeking, control and risk factor profile. Indian Heart Journal. 2023 Jul 1;75(4):258-62 https://doi.org/10.1016/j.ihj.2023.06.004 PMid:37328137 PMCid:PMC10421987
. Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, Di Angelantonio E, Prabhakaran D. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. Journal of hypertension. 2014 Jun 1;32(6):1170-7. https://doi.org/10.1097/HJH.0000000000000146 PMid:24621804 PMCid:PMC4011565
Abariga SA, Khachan H, Al Kibria GM. Prevalence and determinants of hypertension in India based on the 2017 ACC/AHA guideline: evidence from the India national family health survey. American Journal of hypertension. 2020 Mar 13;33(3):252-60. https://doi.org/10.1093/ajh/hpz181 PMid:31711220
Kabir A, Barman TK, Yousuf NA, Fatima N, Banik J. Prevalence of Hypertension among the Patients who attend medicine outdoor of Dhaka Medical College Hospital. J Medicine. 2007; 8:49-52 https://doi.org/10.3329/jom.v8i2.1406
Guthi VR, Kumar DS, Kumar S, Kondagunta N, Raj S, Goel S, Ojah P. Hypertension treatment cascade among men and women of reproductive age group in India: analysis of National Family Health Survey-5 (2019-2021). The Lancet Regional Health-Southeast Asia. 2024 Apr 1;23. https://doi.org/10.1016/j.lansea.2023.100271 PMid:38404520 PMCid:PMC10884964
Di Chiara T, Scaglione A, Corrao S, Argano C, Pinto A, Scaglione R. Education and hypertension: impact on global cardiovascular risk. Acta cardiologica. 2017 Sep 3;72(5):507-13. https://doi.org/10.1080/00015385.2017.1297626 PMid:28657499
Noh J, Kim HC, Shin A, Yeom H, Jang SY, Lee JH, Kim C, Suh I. Prevalence of comorbidity among people with hypertension: the Korea National health and nutrition examination survey 2007-2013. Korean circulation journal. 2016 Sep 1;46(5):672-80. https://doi.org/10.4070/kcj.2016.46.5.672 PMid:27721859 PMCid:PMC5054180
Copyright (c) 2024 Uzair Yousf Mir, Shaik Adeena Parveen, Safia Abbasi, Mohammad Shoaib, Abdul Nasir Ansari
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).