RISK FACTORS ASSOCIATED WITH UNCONTROLLED HYPERTENSION AMONG TREATED ADULTS RESIDING IN AN URBAN AREA OF KERALA- A CROSS SECTIONAL STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 10
Abstract
BACKGROUND Non communicable disease control involves not only intake of medications, but also a substantial change in the life style of the patient. This is absolutely true regarding hypertension. In this study, we attempted to find out the proportion of patients with uncontrolled hypertension in spite of taking treatment, among adults residing in Kollam municipal corporation area. An exploration into the risk factors which are associated with non-control of hypertension even though they have been diagnosed as hypertensives and were under treatment was also done. The findings may throw light over the deficiencies in the modalities undertaken to treat hypertension as it is done presently. The objectives of the study were- 1) to determine the proportion of uncontrolled hypertensives among treated adults residing in an urban area of Kerala. 2) to identify the risk factors associated with uncontrolled hypertension in the above population. MATERIALS AND METHODS A cross sectional study was conducted during the months of February & March of 2017. The study area included 5 wards in the Kollam Municipal Corporation area. The study subjects included 300 individuals above 18 years of age, residing in the study area. RESULTS The prevalence of hypertension was found to be 40% in the study area. 27% were identified as pre-hypertensives. Of the previously diagnosed hypertensives undergoing treatment, 68.3% were found to have uncontrolled hypertension. Higher age (p<0.05), sedentary lifestyle (p<0.05), regular intake of alcohol (p<0.05), stress (p<0.001), dyslipidaemia (p<0.001), diabetes mellitus (p<0.05), family history of hypertension(p<0.01) and family history of first degree relative dying before the age of 40 years following Coronary Artery Disease were found to be significantly associated with uncontrolled hypertension. CONCLUSION The prevalence of uncontrolled hypertension is high even among patients on treatment (68.3%). Programmes focusing on ensuring compliance of hypertensives on treatment regarding life style modification should receive equal importance as drug compliance.
Authors and Affiliations
Jayasree Chandrasekharan Nair Saradamma, Athira Thekke Kottarath, Ankitha Saleem, Asha Thulaseedharan Jaya, Aleesha Thaj
Keywords
Related Articles
- EP ID EP611616
- DOI 10.18410/jebmh/2019/156
- Views 74
- Downloads 0
STUDY OF COMMUNICATIONS BETWEEN MUSCULOCUTANEOUS NERVE AND MEDIAN NERVE IN ADULT CADAVERS
BACKGROUND Variations of the musculocutaneous nerve and the median nerve, like the communications between the two, may prove valuable in the traumatology of the shoulder joint and upper arm region. These variations are i...
CORRELATION BETWEEN HDL-CHOLESTEROL LEVEL AND ANGIOGRAPHIC SEVERITY OF CORONARY ARTERY DISEASE AND IT’S COMPARISON IN PATIENTS WITH AND WITHOUT TYPE 2 DIABETES MELLITUS
BACKGROUND There has been enough evidence that HDL cholesterol plays a major role in reverse cholesterol transport and thereby reduces coronary artery atherosclerotic plaque burden and quantitatively low HDL cholesterol...
DIAGNOSTIC VALUE OF ADENOSINE DEAMINASE ACTIVITY IN TUBERCULOSIS & NON TUBERCULOUS LYMPHOCYTIC BODY FLUIDS
INTRODUCTION The diagnosis of tuberculosis continues to be a challenge. More than 90% of TB effusions show a lymphocytic predominance, hence TB requires exclusion in any lymphocytic exudative effusion where no alternativ...
CLINICAL PROFILE OF 150 ELDERLY PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
BACKGROUND The longevity has increased in India and is further going to rise. The elderly are living with medical, social and psychological problems. Acute myocardial infarction in elderly often presents with atypical pr...
STUDY ON INFLUENCE OF GESTATIONAL AGE AND BIRTH WEIGHT ON CORD BLOOD THYROID STIMULATING HORMONE AND THYROXINE
Congenital hypothyroidism is a more common pediatric endocrine disorder and also most common preventable cause of mental retardation. Early diagnosis by measuring Thyroid hormones thyroxine (T4), Thyroid Stimulating Horm...