MPS 12-02 DYSLIPIDEMIA IN HYPERTENSION- RISK AND PREVENTION APPROACH IN RURAL POPULATION IN INDIA

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Abstract

Objective:

1. To assess any relationship between dyslipidemia and complications of hypertension

Objective:

2. To understand prevention strategies for dyslipdemia among hypertension patients at community level.

Design and Method:

A population based cross sectional study was conducted in two rural areas of Delhi, India over a period of one year. 1005 subjects aged more than 18 years were selected by systematic random sampling method. A pre-tested predesigned questionnaire in local language was used to take information about socio demographic profile. All participants were subjected to blood pressure measurement, anthropometry to calculate body mass index (BMI), and lipid profile assessment using standard procedure as given under WHO STEPS approach. Data was analysed using SPSS software. Chi-square/fisher exact or T test/Mann Whitney tests were used to find any significance. Institutional ethical clearance was taken for the study and written informed consent was taken from all participants.

Results:

A total of 142 (14.1%) subjects were having hypertension. The prevalence of hypercholesterolemia (45.8%) and hypertriglyceridemia (31.2%) was significantly higher among hypertension patients than non hypertension patients (p < 0.05). Among hypertension patients, those having dyslipidemia were having significantly higher proportion of hypertension complications- hypertensive nephropathy, retinopathy and ischemic heart disease (p < 0.05) as compared to those with no dyslipidemia. Similarly dyslipidemia was significantly associated with obesity among hypertension patients (p < 0.05). Prevalence of dyslipidemia was significantly lower among non tobacco users and those who reported daily intake of fruits and vegetables among hypertension patients (p < 0.05).

Conclusions:

There was high prevalence of complications of hypertension among patients with dyslipidemia. Dyslipidemia should be diagnosed timely and treated adequately among hypertension patients. Non use of tobacco and adequate intake of vegetables and fruits should be promoted among hypertension patients.

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