PREVALENCE OF DETERMINANTS OF HYPERTENSION IN HYPERTENSIVE CASES OF A PERIPHERAL BASE OF INDIAN AIR FORCE: AN OBSERVATIONAL STUDY

Dr Ajay Kumar; Dr Rahul Pipraiya

Volume : VIII, Issue : II, February - 2018

PREVALENCE OF DETERMINANTS OF HYPERTENSION IN HYPERTENSIVE CASES OF A PERIPHERAL BASE OF INDIAN AIR FORCE: AN OBSERVATIONAL STUDY

Dr Ajay Kumar, Dr Rahul Pipraiya

Abstract :

There is no known study on prevalence of determinants of hypertension in hypertensive cases in Indian armed forces in general and Indian Air Force in particular. Prevalence of determinants of hypertension in a cohort of Indian Air Force personnel is likely to behave differently because of the peculiarities of the job, health status, awareness and regular health screening however, there’s no known study available to verify this possibility. Methodology: The medical documents of all the known cases of hypertension present in the station by 31^st Dec 14 were perused to find out various determinants of hypertension available in the standard form and descriptive statistical analysis was done to find out the trend. Results: A total of 60 male cases of hypertension were present in the period of study. 33.33% of cases of hypertension was found to have associated cardiovascular and life style diseases viz HOCM (5%), IGT (2%), T2DM (65%) and TIA (5%). Mean age of hypertensive cases was 47.5 ± 5.6 yrs, mean age at onset of hypertension was 43 ± 6.5 yrs and mean military service at the onset of hypertension was 22.2 ± 6.6 yrs. Only 6.7% of cases had family history of hypertension/DM/smoking. Only 13.3% cases were smoker and 5% of cases had admitted to consume alcohol. Lipid profile was deranged in 11.6% cases. Overweight cases of BMI > 25 Kg/m² were 40 %, Waist Circumference 94– 102cms were 21.6%. Truncal obesity (WHR>0.9) was found in 38.3% and BMI >30% in 1.6%. Discussion: Cardiovascular risk factors prevalent in a society determine prevalence of the cardiovascular diseases including hypertension and hence it is expected that the prevalence of risk factors in hypertensive cases should be close to prevalence in the society if not high. Prevalence of smoking (13.3%), alcohol intake (5%) and family history of hypertension (6.7%) was much lesser than reported by Agrawal et al in rural community though he divided the cases as systolic and diastolic hypertension. BMI> 25 Kg/m² (40%) was lower than systolic hypertension but higher than diastolic hypertension cases reported by Agrawal et al. However, prevalence of Truncal obesity (WHR> 0.9) was higher (38.3%) than reported by Agrawal et al. There was no case of abdominal obesity (WC> 102 cms) in our study as compared to 34% in systolic and 32% in diastolic hypertension cases reported by Agrawal et al. Conclusion: Prevalence of modifiable risk factors like smoking, alcohol intake and abdominal obesity was much lesser in hypertensive cases at the base however, prevalence of BMI> 25 Kg/m²and truncal obesity is comparable to hypertensive cases in rural population reported by Agarwal et al.