Isolated diastolic hypertension and its risk factors in semi-rural population of South India

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dc.contributor.authorMittal, Chetanen_US
dc.contributor.authorSingh, Mandeepen_US
dc.contributor.authorBakhshi, Tanviren_US
dc.contributor.authorBabu, S. Ramen_US
dc.contributor.authorRajagopal, S.en_US
dc.contributor.authorRam, C. Venkata S.en_US
dc.date.accessioned2020-01-02T06:40:27Z
dc.date.available2020-01-02T06:40:27Z
dc.date.issued2019-05
dc.description.abstractBackground Isolated diastolic hypertension (IDH) has been actively discussed for the last two decades because of its prevalence in a younger population and its association with cardiovascular disease. Furthermore, the association of IDH is significant in South Asian Countries such as India because relatively younger populations are known to have a higher risk of cardiovascular events. Objective The objective of this study is to find prevalence of IDH and its risk correlates in a semiurban population of South Indian state of Andhra Pradesh. Methods Data were collected using the modified World Health Organization - STEPwise approach to Surveillance (WHO STEPS) questionnaire for 16,636 individuals from a group of villages under Thavanampalle Mandal. Collated data were analyzed for prevalence and risk factors of IDH. Results Prevalence of IDH was found to be 4.0% with mean age of 46.0 (±SD 13.6) years and a relatively higher prevalence in men (5.3%) as compared with women (3.2%). The prevalence of IDH peaked in the fifth decade of life (40–49 years of age) and declined thereafter. Among various risk factors that were analyzed for their association with IDH, only age, body weight, and body mass index retained their significance in multivariate binary logistic regression analysis. Conclusion There is a significant prevalence of IDH below 50 years of age in the semiurban population of South India. As IDH in young and middle age is known to be associated with increased risk of cardiovascular events and end organ involvement, it highlights need for study and development of effective IDH management strategies to reduce associated morbidity and mortality.en_US
dc.identifier.affiliationsLeisha Hospital, Jalandhar, Indiaen_US
dc.identifier.affiliationsTotal Health Foundation, Chittoor, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsApollo Hospitals, Hyderabad, Telengana, Indiaen_US
dc.identifier.citationMittal Chetan, Singh Mandeep, Bakhshi Tanvir, Babu S. Ram, Rajagopal S., Ram C. Venkata S.. Isolated diastolic hypertension and its risk factors in semi-rural population of South India. Indian Heart Journal. 2019 May; 71(3): 272-276en_US
dc.identifier.issn0019-4832
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/191700
dc.languageenen_US
dc.publisherCardiological Society of Indiaen_US
dc.relation.issuenumber3en_US
dc.relation.volume71en_US
dc.source.urihttps://doi.org/10.1016/j.ihj.2019.07.007en_US
dc.subjectIsolated diastolic hypertensionen_US
dc.subjectPrevalenceen_US
dc.subjectRisk factorsen_US
dc.subjectSemi-ruralen_US
dc.subjectSouth Indiaen_US
dc.subjectMultivariate logistic regressionen_US
dc.subjectUnivariate logistic regressionen_US
dc.subjectCardiovascularen_US
dc.subjectMyocardial infarctionen_US
dc.subjectWHO STEPSen_US
dc.subjectBMIen_US
dc.subjectAgeen_US
dc.subjectBody weighten_US
dc.subjectOdds ratioen_US
dc.subjectWald Chi-squared valueen_US
dc.subjectBlood pressureen_US
dc.subjectFamily historyen_US
dc.subjectCoronary artery diseaseen_US
dc.subjectArterial stiffnessen_US
dc.titleIsolated diastolic hypertension and its risk factors in semi-rural population of South Indiaen_US
dc.typeJournal Articleen_US
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