Hypertension In Age Group Research Articles

Evaluating the Pre-Hypertension and Hypertension with Associated Risk Factors in India: Evidence From LASI 2017–2018 Data

India’s cardiovascular conditions and healthcare systems are significantly impacted by hypertension. This study aims to provide estimates of the prevalence of hypertension, and pre-hypertension, in India. Furthermore, it identifies lifestyle modifications to reduce hypertension in age groups of 45–59 and 60+. This study uses data from the Longitudinal Ageing Study in India, 2017–2018, which includes information on 31,197 adults (45–59) and 28,567 older adults (60+). Descriptive, multivariate, and multinomial regression analyses have been performed to ascertain the prevalence and correlation of socioeconomic characteristics and related risk factors. The finding of this study suggests that individuals in the 60+ age group have a higher prevalence of hypertension. In contrast, a higher prevalence of pre-hypertension can be seen in the 45–59 age group. Gender, place of residence, living arrangement MPCE quintile, family history of hypertension, body mass index, self-rated health, and alcohol consumption are significantly associated with pre-hypertension and hypertension. There is a need for public awareness and control since people with age 45–59 are less aware of hypertension; otherwise, unintentionally, they can develop more risk with aging. Methods of modifying one’s lifestyle and dietary changes have a significant impact on the prevention of hypertension; that is why there is a great need for people to be aware of all these.

Estimation of blood pressure In adult population in Baiji

Data was collected from 60 cases in age groups from 40-60 years ( 30 female and 30 male ).The cases included in this study was collected randomly in Baiji hospital from June to October 2006 .The data was obtained by using a questionnaire . It was found that the most common cases use Beta blockers as antihypertensive drugs , 12 cases use B-blocker plus Angiotensin converting enzymeinhibitors and 5 cases use B-blocker with diuretics.There are 8 cases use Angiotensin converting enzyme inhibitor only and 7 cases use vasodilator drugs .Regarding the measurement of bloodpressure and heart rate , in 36 cases complaining from increase blood pressure above the normal level there is increase in heart rate in 30 cases ( heart rate more than 100 beat / minute ) , andin24cases of normal blood pressure there is increase in heart rate in 5 cases only .The aim of this study is to investigate the prevalence of hypertension in age groups from 40-60 years in Baiji from June toOctober with some investigations

PREVALENCE AND CORELLATES OF PREHYPERTENSION AND HYPERTENSION AMONG ADULTS ATTENDING OUTPATIENT DEPARTMENT IN TERTIARY CARE HOSPITAL

Introduction: India and many other developing countries are facing a problem of epidemiological transition from communicable diseases to noncommunicable diseases. Globalization brought the life style and behavioural modications and in turn increased the prevalence of life style disorders such as hypertension and diabetes mellitus etc. Aim and objectives: to know the prevalence of pre hypertension in age group of 19 to 45 years .to know the prevalence of hypertension in age group of 19 to 45 years to know association of various risk factors with pre hypertension and hypertension in adult age group. Methodology-a hospital based observational pilot study conducted among 770 adults between age groups of 19 to 45 years of age in government general hospital outpatient department, which is a tertiary care hospital that caters needs of entire NTR District, A.P. Results: it was observed that the prevalence of hypertension and pre hypertension was 24.7 % and 23.6% among study subjects. Uncontrolled hypertension was observed in 7.7% of study subjects. Various study factors like age, gender, presence of chronic illness, presence of alcohol consumption, presence of sedentary life style and absence of physical activity, junk food consumption, presence of high BMI contributed signicantly as possible risk factors for hypertension and prehypertension and showed statistically signicant association in this study

Headache in hypertension patients in young rural population of Punjab

Objectives; To find the association of essential hypertension and headache in rural young population of PUNJAB, so as to treat the cases at the earliest stage . Material and Methods: The study is conducted in medical department of Pak Red Crescent Medical college Dina Nath in the period from October 2020 to June 2021 . fifty four patients including thirty three males and twenty one females with essential hypertension in age group of 18-35 were selected after scrutinizing clinically and on investigations. The patients were then differentiated as those suffering from generalized headaches without any secondary cause of headache were included Results: Total nineteen patients including seven males out of thirty three males and twelve out of twenty one females in the hypertension patients were having headache. So positivity in males was twenty one percent and in females was fifty seven percent , however in total 19/54 I e 35% were found having headache. Conclusions: All the patients with hypertension should be further evaluated for headache and it is not necessary that some secondary cause of hypertension is necessary for headache but there are many other other pathophysiological links which are still to be evaluated. Keywords: headache, hypertension.migraine, antihypertensive

Distribution of risk factors of hypertension patients in different age groups in Tianjin

BackgroundTo analyze the risk factors for hypertension in different age groups of urban and rural residents in Tianjin.MethodsA total of 33,997 people (35–75 years old) from 13 community health service centers and primary hospitals in Tianjin participated in this study. They were divided into the youth group (≤ 40 years old), middle-aged group (41–65 years old), and elderly group (> 65 years old). Then, a questionnaire survey was administered, followed by physical and blood biochemical examinations. The demographic characteristics and prevalence were recorded and counted. Subsequently, risk factors were analyzed using univariate and stepwise multivariate logistic regression analysis.ResultsIn the youth, middle-aged, and elderly groups, the prevalence rate of hypertension was 18.65, 51.80, and 76.61%, respectively. Logistic regression analysis showed that obesity(OR: 3.263, 95% CI: 1.039–1.656), men (OR: 2.117, 95% CI: 1.691–2.651), diabetes (OR: 1.978, 95% CI: 1.398–2.799), high triglycerides(OR 1.968 95% CI: 1.590–2.434) and family history of stroke (OR: 1.936, 95% CI: 1.287–2.911) are the five factors in youth. In middle-aged group, the significantly associating factors were obesity (OR: 2.478, 95% CI: 2.330–2.636), diabetes (OR: 2.173, 95% CI: 1.398–2.799), family history of stroke (OR: 1.808, 95% CI: 1.619–2.020), maleness (OR: 1.507, 95% CI: 1.412–1.609),Hypertriglyceridemia (OR 1.490 95% CI: 1.409–1.577),family history of cardiovascular disease (OR: 1.484, 95% CI: 1.307–1.684),Hypercholesterolemia (OR 1.228 95% CI: 1.160–1.299). In the elderly group, obesity (OR: 2.104, 95% CI: 1.830–2.418), family history of strokes (OR: 1.688, 95% CI: 1.243–2.292), diabetes mellitus (OR: 1.544, 95% CI: 1.345–1.773), family history of cardiovascular disease (OR: 1.470, 95% CI: 1.061–2.036), hypertriglyceridemia (OR: 1.348, 95% CI: 1.192–1.524) increased the risk for hypertension. Waist circumference (WC) and waist-to-height ratio (WHtR) increased with age, and the value of these two measures for predicting hypertension was better than BMI in middle-aged group.ConclusionObesity is the most important risk factor for hypertension in all age groups. Diabetes, family history of strokes and high triglyceride were also significant risk factors for all age groups. There was a gender difference between the young and middle-aged groups, with men more likely to hypertension. Waist circumference (WC) and waist-to-height ratio (WHtR) were better predictors of hypertension than BMI in middle-aged group.

Risk Factors Of Young Age Hypertension : A Case Control Study

BACKGROUND: The objective of the study was to assess the risk factors of primary hypertension in age group of 15 -40 years at Medical college hospital Trivandrum. METHODS: A Case control study was done to compare hypertensives and non hypertensives in the age group of 15-40 years. Cases were those attending the medicine OP department in the age group of 15 – 40 years and having a BP of more than 140/90 mm of mercury on two successive readings. Those in this age group with BP < 140/90 mm of mercury were taken as controls. 50 cases and 100 controls were identified. Data was collected using a semi structured questionnaire. RESULTS: Factors associated with hypertension in this age group by bivariable analysis included family history (OR-3.63, p- 0.0002), current smoking habit(OR-4.92, p- 0.004), smokeless tobacco user (OR-5.3, p- 0.01), Current drinker (OR-3.8,p-0.002). After multivariable analysis using logistic regression, family history was found to be an independent risk factor for hypertension in the young. CONCLUSION: Early screening for detection of hypertension among young people with family history & appropriate management are important needs of the hour.

Prevalence of hypertension in patients attending dermatology outpatient department: a cross-sectional study of 1023 patients and discussion of the implications

Background: Hypertension is a very big global burden of disease with high incidence of morbidity and mortality (cardiovascular, stroke, renal and retinopathy) making it a leading cause of death all over the world. It is multifactorial in etiology and is difficult to manage at later stages once systemic organ damage has set in. But early detection can prevent this disease and intervention, if needed, can prevent morbidity and mortality in large number of patients. This study was done to find out the prevalence of hypertension in our area, in North India.Methods: A cross-sectional study was conducted in 1023 patients (including their attendants and staff) attending dermatology outpatient department of Maharaja Agrasen Medical College (MAMC), Agroha, Haryana, representing population from North India. Both urban and rural population was included with age 20 years and above.Results: The prevalence of hypertension in age group above 20 years was 31.1% (37.7% males and 22.6% females). The prevalence in age group above 30 years was 46% (54.4% males and 35% females), which showed a rising trend with age.Conclusion: High prevalence of hypertension was found in this study which increased with increasing age. We infer that more epidemiological studies should be done in India to detect hypertension at early stage which can help in preventing or early intervention in the treatment of hypertension and help in policy formulation at national level.

Knowledge and practice on drug compliance among males with hypertension

Background: Treat to goal was the theme of world hypertension day in 2006 which ensured patients compliance and hypertensive control. In hypertensive care drug compliance is a prime factor. Antihypertensive drugs are highly adhered by 50% of hypertensive. Poor blood pressure control result in many complications, leading to huge economic burden. Objectives of the study to find the level of knowledge and current practice on drug compliance with anti-hypertensive drugs among males with hypertension. Methods: A cross sectional study was conducted in November 2013, using an interview schedule among 100 males with hypertension in age group of 30-59 years who attended hypertension clinic of medicine Outpatient Department in a Medical College Hospital, Chennai, Tamil Nadu. Result: Out of 100 hypertensive, 54% had education less than high school level, nearly half of them were from rural population, doing unskilled work and 64% had hypertension for less than 5 years. Among participants 63% were aware that medications should be continued throughout life and 81% were aware that drugs should not be stopped even if blood pressure is under control. Drug compliance rate as prescribed was 52% during last 2 weeks. Noncompliance rate at more than 2times were 22% and less than that were 26%.Common reasons for noncompliance were busy schedule (50%), forgetfulness (33.3%) during consuming alcohol (9%) and others. Conclusion: Drug compliance was very poor among males with hypertension, could be addressed by health care providers.

Dubbo Study of the elderly: hypertension and lipid levels

Untreated hypertension in age groups below 60 years has been shown to be associated with significant elevations in serum cholesterol and triglyceride levels. Drug therapy of hypertension has also been shown to have adverse effects on lipoproteins. We have investigated lipid and lipoprotein levels in a community-based sample of men and women 60 years and older belonging to one of the following groupings: (a) normal blood pressure ( n = 1075); (b) untreated hypertension ( n = 329); (c) drug-treated hypertension ( n = 880). Serum lipid, lipoprotein, apolipoprotein or plasma glucose levels did not vary significantly between untreated hypertensives and normotensives of either sex. In a multiple regression model controlling for possible influences of age, overweight, alcohol and tobacco usage, and presence of coronary heart disease, anti-hypertensive drug therapy significantly predicted increased serum triglycerides ( P < 0.001) and reduced high density lipoprotein (HDL) cholesterol levels ( P < 0.01) in both sexes, reduced apolipoprotein A-I levels in males ( P < 0.001), and increased apolipoprotein B ( P < 0.01) and plasma glucose levels ( P < 0.001) in females. Adjusted triglycerides were 20% higher and HDL cholesterol was 7% lower in the presence of anti-hypertensive drug therapy. These effects were partially consistent with the known actions of thiazide diuretics and beta-blockers which were used by more than 50% and 40% of subjects, respectively.