Perspectives in Medical Research

Volume: 12 Issue: 3

  • Open Access
  • Original Article

Prevalence and Determinants of Hypertension and Obesity: A Rural-Urban Comparative Study in Telangana, India

L Murali1 , R Bhavani2∗ , Kavitha Y3 , Fathima Shoukath Ali4

1Associate Professor, Department of Community Medicine, Kakatiya Medical College, Warangal, Telangana
2 Senior Resident, Department of Community Medicine, Kakatiya Medical College, Warangal, Telangana
3Associate Professor, Department of Plastic Surgery, Government Medical College Mahbubabad, Telangana
4 Junior Resident, Department of Community Medicine, Kakatiya Medical College, Warangal, Telangana

*Corresponding Author: R Bhavani, Senior Resident, Department of Community Medicine, Kakatiya Medical College, Warangal, Telangana E-MAIL: [email protected]

Year: 2024, Page: 38-44, Doi: https://doi.org/10.47799/pimr.1203.07

Received: June 22, 2024 Accepted: July 16, 2024 Published: Aug. 28, 2024

Abstract

Introduction: Non-communicable diseases (NCD) causes 74% of all deaths occurring worldwide. It is common among all age groups. The main behavioural risk factors included inadequate physical activity, tobacco usage, excessive consumption of alcohol and unhealthy diet. This study aimed for the comparison of risk factors for NCD in rural and urban areas and to determine the factors associated with hypertension and obesity. Methodology: This cross sectional study was done in the Rural and Urban field practice area of KMC. 300 adults (150 rural and 150 urban) were chosen through systematic sampling technique. WHO Steps questionnaire was used for the data collection. The data collected was analysed using SPSS. Chi square test was used as the statistical tests of significance. Results: The proportion of current tobacco users were 24.7% and 16% and current alcohol users were 56% and 46% in rural and urban respectively. Diet were inadequate and poor in both. Physical inactivity was 90.7% in urban, 52% in rural. Prevalence of Hypertension was 14% and 6%, obesity was 37.3% and 48.7% in rural and urban respectively. Diet was significantly associated with Hypertension and alcohol consumption was significantly associated with obesity in both. Conclusions: Both the rural and urban areas had high prevalence of risk factors. Smoking, alcohol consumption and hypertension were higher in rural area whereas physically inactivity and obesity were higher in urban area. Hence appropriate health education regarding NCDs and their risk factors are mandatory.

Keywords: Non Communicable Diseases, Risk factors, Rural, Urban, Adults

References

  1. Indian Council of Medical Research, Public Health Foundation of India, Institute for Health Metrics, New Delhi . 2017. India: Health of the Nation’s Statesphfi.org

  2. WHO, . 2023. Key facts on Non Communicable Diseases. Key facts on Non Communicable Diseases. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

  3. MOHFW, . 2022. Status of Non-Communicable Diseases in Indiahttps://www.pib.gov.in/PressReleaseIframePage.aspx?PRID=1796435

  4. 2015. Non Communicable Diseases Hypertension. World Health Organisation. https://www.who.int/news-room/questions-and-answers/item/noncommunicable-diseases-hypertension

  5. Htet, A S, Bjertness, M B, Sherpa, L Y, Bjertness, E & Stigum, H . 2016. Urban-rural differences in the prevalence of non-communicable diseases risk factors among 25-74 years old citizens in Yangon Region, Myanmar: a cross-sectional study. BMC Public Health 16:1225.

  6. Felisbino-Mendes, M S, Cousin, E, Malta, D C, Naghavi, M, Abreu, Dmx & Ribeiro, Alp . 2020. The burden of non-communicable diseases attributable to high BMI in Brazil, 1990-2017: findings from the Global Burden of Disease Study. Popul Health Metr 18(S1):18–31.

  7. WHO, . 2024. Global Health Estimates: Leading cause of death and disabilities,SDG Target 3.4https://www.who.int/data/gho/data/themes/topics/sdg-target-3_4-noncommunicable-diseases-and-mental-health

  8. World Health Organisation 2013. NCD Global Monitoring Frameworkhttp://www.who.int/nmh/global_monitoring_framework/en/

  9. Harpham . 2009. Urban health in developing countries: What do we know and where do we go? . Health Place 15:107–123.

  10. . 2019. Warangal Rural Fact Sheet (2019–2020) MOHFW. www.mohfw.gov.in

  11. 2024. Stepwise Approach to NCD Risk Factor Surveillance (STEPS) for Non-communicable Diseases. WHO. https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps

  12. Forde, Cuisle . 2024. Scoring the International Physical Activity Questionnaire (IPAQ) In: Exercise Prescription for the Prevention and Treatment of Disease.

  13. 2004. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute (US). https://www.ncbi.nlm.nih.gov/books/NBK9633/

  14. Girdhar, S, Sharma, S, Chaudhary, A, Bansal, P & Satija, M . 2016. An epidemiological study of overweight and obesity among women in an urban area of North India. Indian J Community Med 41(2):154–161.

  15. Park, K . 2021. Epidemiology of Chronic Non-Communicable Diseases and Conditions: Obesity. In: Park's Textbook of Preventive and Social Medicine (26). (p. 446) Bhanot Publishers

  16. 2020. Fact Sheets in Healthy Diet. WHO. https://www.who.int/news-room/fact-sheets/detail/healthy-diet

  17. 2008. Closing the gap in a generation: Health Equity through Action on the Social Determinants of Health. WHO. https://iris.who.int/bitstream/handle/10665/43943/9789241563703_eng.pdf

  18. Braveman, P & Gottlieb, L . 2014. The social determinants of health: It’s time to consider the causes of the causes. Public Health Rep 129:19–31.

  19. Kandpal, V, Sachdeva, M P & Saraswathy, K N . 2016. An assessment study of CVD-related risk factors in a tribal population of India. BMC Public Health 16:434.

  20. Sabale, R . 2016. Assessment for risk factors of non-communicable diseases in employees (teaching and non-teaching) working in medical college, Maharashtra. J Med Sci Clin Res 4:14190–14196.

  21. Geldsetzer, P, Manne-Goehler, J, Theilmann, M, Davies, J I, Awasthi, A & Vollmer, S . 2018. Diabetes and hypertension in India: A nationally representative study of 1.3 million adults. JAMA Intern Med 178(3):363–72.

  22. 2019. National Family Health Survey 5, India Fact Sheet (2019–2021) MOFHW. www.mofhw.gov.in

  23. Raza, T, Hussain, Asha M, Khan, M, Zubair, M, Nazir, F & A . 2023. Comparative analysis of non-communicable diseases and their risk factors for rural and urban communities. Zhonghua Yi Shi Za Zhi 53:1461–70.

  24. 2019. National Family Health Survey 5, Telangana State Fact Sheet (2019–2020) MOFHW. www.mofhw.gov.in

  25. Sachdeva, S, Sachdev, T R & Sachdeva, R . 2013. Increasing fruit and vegetable consumption: Challenges and opportunities. Indian J Community Med 38(4):192–199.

  26. 2024. Prevalence of insufficient physical activity . WHO. https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-insufficient-physical-activity-among-adults-aged-18-years-(age-standardized-estimate

Cite this article

Murali L, Bhavani R, Y K, Shoukath Ali F. Prevalence and Determinants of Hypertension and Obesity: A Rural-Urban Comparative Study in Telangana, India. Perspectives in Medical Research. 2024;12(3):38-44 DOI: 10.47799/pimr.1203.07

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