To study the burden of hypertension and associated risk factors among police personnel in National Capital Region (NCR), India.Design and Method:
A cross-sectional study was conducted among a random sample of 300 police personnel working at 15 police stations across the national capital region (NCR), India. A pre-tested (a = 0.638) questionnaire was applied to assess: morbidity profile, dietary habits, physical activity, salt intake, tobacco & alcohol intake, mental stress and obstructive sleep apnea (OSA) etc among the participants. Study questionnaire adopted various validated tools viz. WHO Steps instrument v.2.1, Goldberg's general health questionnaire and Berlin sleep apnea scale. New recruits (less than 5-year job), clerical and gazetted police staffs were excluded. Anthropometric and clinical examination conducted based on WHO NCD surveillance guide and hypertension classified according to JNC 7 criteria. Data were analyzed using Chi-squared and student's T test along with variation and correlation analysis by SPSS-17 software.Results:
The prevalence of hypertension was 92 (30.66 %) including 20 (6.66%) pre-diagnosed cases. Among new cases majority 58 (80.5%) were stage 1 hypertensives and of the total participants, nearly half 138 (46.0%) were found to be pre-hypertensives. Hypertensive status was significantly associated with male gender, age (> 40 yrs), job (> 25 yrs), overweight & obesity, tobacco & alcohol intake and high-risk OSA. Both systolic & diastolic BP were significantly higher among male gender and higher rank and was positively correlated with weight and waist circumference of the participants. Participants with high rank, poor education, morbidity, mental stress and inadequate physical activity and fruit & vegetable intake had a higher burden of hypertension.Conclusions:
The present study suggests a very high burden of hypertension and risk factors among policemen reflecting poor lifestyle and job control. Measures should be implemented to halt cardiovascular disease progression preventing both physical and economic strain.