A COMMUNITY BASED STUDY ON HYPERTENSION AND DIABETES AMONG ADULTS IN A RURAL AREA OF WEST BENGAL

  • Dr. Sudipta Das Junior Resident, AIIH&PH, 110, Chittaranjan Avenue, Kolkata-73
  • Dr. Aparajita Dasgupta Prof. and Head of the Dept. of P.S.M, AIIH&PH,110, Chittaranjan Avenue, Kolkata-73.
  • Dr. Malay Kumar Das Junior Resident, AIIH&PH, 110, Chittaranjan Avenue, Kolkata-73.
  • Dr. Amitava Kumar Junior Resident, AIIH&PH, 110, Chittaranjan Avenue, Kolkata-73.
  • Dr. Dhiraj Biswas Junior Resident, AIIH&PH, 110, Chittaranjan Avenue, Kolkata-73
Keywords: Hypertension, Diabetes, Prevalence, Risk factors

Abstract

Introduction: Prevalence of hypertension and diabetes is increasing rapidly worldwide. Frequently these two conditions coexist. They have serious health impacts with an increased risk of premature death due to cardiovascular disease, stroke, and renal disease. The present study aimed to find out the prevalence and associated risk factors of hypertension and diabetes among adults in a rural area of West Bengal.

Methodology: Community-based cross-sectional study was conducted in the rural field practice area of AIIH&PH, Kolkata located in Singur Block, Hooghly district of West Bengal, among 124 adult population aged ≥ 18 years. Each participant was examined for Blood Pressure along with height, weight, and waist circumference following SOP. Fasting blood sugar was checked by one touch ultra-glucometer. Information related to the relevant covariates was obtained through a pretested predesigned structured schedule.

Results: Prevalence of hypertension and diabetes among participants were 21.8% and 11.3% respectively. The use of non-smoking tobacco presently and BMI had a significant effect on the occurrence of hypertension in bivariate [OR: 3.66, 4.98 and 10.2 respectively] and multivariate [AOR: 29.7, 4.8, 47.9 respectively] analysis. Age, education level of participants, and current smoking had a significant effect on the occurrence of diabetes [OR: 11.8, 4.7, and 13.4 respectively]. Current smoking significantly affected the occurrence of diabetes even after adjusting for other covariates [AOR: 8.7].

Conclusion: High prevalence of hypertension, diabetes, and risk factors in rural areas of West Bengal indicates the requirement of special emphasis on primary and primordial prevention in these areas.

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References

1. King H, Aubert RE, Herman WH. Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care.1998 Sep; 21(9):1414-31.
2. Genuth S. A case for blood glucose control. Advances in internal medicine. 1995; 40:573-623.
3. Libby P, Nathan DM, Abraham K, Brunzell JD. Report of the National Heart, Lung and Blood Institute: National Institute of Diabetes and Digestive and Kidney Diseases Working Group on Cardiovascular Complications of DM. Circulation. 2005; 111:3489-93.
4. Paul B, Sapra B, Maheswari S, Goyal RK. Role of Losartan therapy in the management of diabetic hypertension. The Journal of the Association of Physicians of India. 2000; 48: 514-7.
5. National High Blood Pressure Education Program Working Group report on hypertension in diabetes. Hypertension. 1994 Feb; 23(2):145-58.
6. Satman I, Yilmaz T. Population-based study of diabetes and risk characteristics in Turkey. Diabetes Care. 2002; 25:1551-6.
7. Tseng CH. Higher risk of hypertension in indigenous type 2 diabetic patients in Taiwan. Journal of Hypertension. 2006; 24(9):1817-21.
8. Baskar V, Kamalakannan D, Holland MR, Singh BM. The prevalence of hypertension and utilization of antihypertensive therapy in a district Diabettes Population. Diabetes Care. 2002; 25:2107-8.
9. Comaschi M, Coscelli C, Cucinotta D, Malini P, Manzato E, Nicolucci A; SFIDA Study Group--Italian Association of Diabetologists (AMD).Cardiovascular risk factors and metabolic control in type 2 diabetic subjects attending outpatient clinics in Italy: the SFIDA (survey of risk factors in Italian diabetic subjects by AMD) study. Nutr Metab Cardiovasc Dis. 2005 Jun;15(3):204-11.
10. Del Cañizo-Gómez FJ, Moreira-Andrés MN. Cardiovascular risk factors in patients with type 2 diabetes. Do we follow the guidelines? Diabetes Res Clin Pract. 2004 Aug;65(2):125-33. This article on PubMed
11. Baskar V, Kamalakannan D, Holland MR, Singh BM. Does ethnic origin have an independent impact on hypertension and diabetic complications? Diabetes Obes Metab. 2006 Mar;8(2):214-9. This article on PubMed
12. Sowers JR, Epstein M, Frohlich ED. Diabetes, hypertension, and cardiovascular disease: an update. Hypertension. 2001; 37(4): 1053-9.
13. Adler AI, Stratton IM, Neil HA, Yudkin JS, Matthews DR, Cull CA Wright AD, Turner RC, Holman RR. Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study. British medical journal. 2000; 321(7258): 412-9.
14. Kokiwar Prashant R, Gupta Sunil S. Prevalence of hypertension in a rural community of central India. Int J Biol Med Res. 2011; 2(4): 950 – 953
15. Shah Ahsana, Afzal Mohammad. Prevalence of diabetes and hypertension and association with various risk factors among different Muslim populations of Manipur, India. Journal of Diabetes & Metabolic Disorders 2013, 12:52 doi:10.1186/2251-6581-12-52
16. Bharati Dharamvir Ranjan, Pal Ranabir, Kar Sumit, Rekha R., Yamuna T. V., and Basu Mausumi. Prevalence and determinants of diabetes mellitus in Puducherry, South India. J Pharm Bioallied Sci. 2011 Oct-Dec; 3(4): 513–518.
17. Midha T , Idris MZ, Saran RK, Srivastav AK, Singh SK. Prevalence and determinants of hypertension in the urban and rural population of a north Indian district. East Afr J Public Health. 2009 Dec; 6(3):268-73.
How to Cite
1.
Das S, Dasgupta A, Das MK, Kumar A, Biswas D. A COMMUNITY BASED STUDY ON HYPERTENSION AND DIABETES AMONG ADULTS IN A RURAL AREA OF WEST BENGAL. Med. res. chronicles [Internet]. 2015Mar.15 [cited 2024Apr.30];2(2):199-08. Available from: https://medrech.com/index.php/medrech/article/view/72
Section
Original Research Article

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