Kumar Santosh, Kant Ravi, Yadav Poonam, Natarajan Kavitha, Bahurupi Yogesh, Mishra Ashutosh
Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
General Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus. 2021 Jun 29;13(6):e16014. doi: 10.7759/cureus.16014. eCollection 2021 Jun.
The prevalence of hypertension gradually becomes a serious public health threat as it is a very pertinent risk factor for cardiovascular and cerebrovascular diseases. This study aims to estimate the prevalence of isolated systolic hypertension (ISH) among the hilly region's rural community and identify the indicators of ISH among study participants. A community-based cross-sectional study was conducted among 1220 participants in the rural community of the hilly region. A multistage random sampling technique was applied to recruit the participants. Demographic and anthropometric dimensions were measured to analyze the outcome of the study. The participants' mean age was 44.42 ± 15.54 years, with a majority of 822 female participants (67.40%). The prevalence of ISH was found as 27.45%. A statistically significant positive correlation (p < 0.05) of the waist-to-height ratio (WHtR) and body mass index (BMI) were observed with systolic blood pressure (SBP) in male as well as female participants, whereas BMI and WHtR had no correlation with diastolic blood pressure (DBP). Among female participants, the area under the curve (AUC) for BMI and WHtR was 0.604 (95% confidence interval 0.565-0.643, p-value = 0.020*) and 0.622 (95% confidence interval 0.584-0.660, p-value = 0.020*), respectively. Among male participants, the AUC for BMI and WHtR was 0.574 and 0.592, respectively. Hence, it cannot be considered very satisfactory. The increasing prevalence of ISH in a rural community is also a public health concern. At the preliminary stage, anthropocentric measurements are the primary tool for a family physician while treating the patients. This study concluded that WHtR is a better indicator than BMI for systolic hypertension. Although we have not observed a strong correlation of WHtR with systolic hypertension, it is required to perform future research to support this study's evidence.
高血压的患病率逐渐成为严重的公共卫生威胁，因为它是心血管和脑血管疾病的一个非常相关的风险因素。本研究旨在估计山区农村社区单纯收缩期高血压（ISH）的患病率，并确定研究参与者中ISH的指标。在山区农村社区的1220名参与者中进行了一项基于社区的横断面研究。采用多阶段随机抽样技术招募参与者。测量人口统计学和人体测量学维度以分析研究结果。参与者的平均年龄为44.42±15.54岁，其中大多数为822名女性参与者（67.40%）。ISH的患病率为27.45%。在男性和女性参与者中，均观察到腰高比（WHtR）和体重指数（BMI）与收缩压（SBP）存在统计学上显著的正相关（p<0.05），而BMI和WHtR与舒张压（DBP）无相关性。在女性参与者中，BMI和WHtR的曲线下面积（AUC）分别为0.604（95%置信区间0.565 - 0.643，p值 = 0.020*）和0.622（95%置信区间0.584 - 0.660，p值 = 0.020*）。在男性参与者中，BMI和WHtR的AUC分别为0.574和0.592。因此，不能认为其非常令人满意。农村社区ISH患病率的上升也是一个公共卫生问题。在初步阶段，以人体为中心的测量是家庭医生治疗患者时的主要工具。本研究得出结论，对于收缩期高血压，WHtR比BMI是更好的指标。尽管我们未观察到WHtR与收缩期高血压有很强的相关性，但需要进行未来研究以支持本研究的证据。
