Prehypertension is a rising public health problem in India. Prehypertension is a precursor of clinical hypertension and is associated with increased risk of cardiovascular disease. The present study describes the prevalence of pre-hypertension and associated risk factors in a rural population of Digwal, Telangana, India.Methods:
As part of Arogya Seva Initiative of Piramal Swasthya, Door-to-door screening for hypertension and diabetes was carried out from February to May 2017 in 34 villages around Digwal, Telangana using a standard questionnaire and physical measurements. Pre-hypertension was defined as systolic blood pressure (BP) of 120–139 mmHg and diastolic BP of 80–89 mmHg according to the JNC7 (Seventh Report of the Joint National Committee) guidelines.Results:
A total of 22,273 individuals aged ≥30 years were screened. Almost 65% of those screened were aged between 30–49 years and 52.8% were females. The prevalence of pre-hypertension was 47.5% (50.7% in males and 45% in females) and hypertension was 29.2% (31.7% in males and 27.6% in females). Average age, proportion of male gender, being overweight or obese, higher waist circumference, impaired glucose levels, nicotine and alcohol use were significantly higher among individuals with pre-hypertension compared to the normal BP group (p < 0.05).Conclusion:
The prevalence of pre-hypertension was highly prevalent in this population. Knowledge about pre-hypertension, associated risk factors, health risks, benefits of regular follow-up and lifestyle modification should be aggressively delivered in the community. Government initiatives should focus more on preventive interventions at the community level to manage this rising disease burden.