January-March 2018

Assessment of Risk Factors for the Development of Hypertension among Class Iii and Iv Employees of GMERS Medical College and General Hospital, Gotri, Gujarat.

Raj K. Parekh1*, Yasir N. Merchant2, Chandresh Pandya3, Dipak M. Solanki4

1,2III MBBS Student, 3Associate Professor, Department of Community Medicine, 4Professor and Head, Department of Community Medicine, GMERS Medical College


BACKGROUND: Hypertension is an ‘iceberg’ disease and it is one of the leading causes of global burden of disease approx. 7.6 million deaths. Early diagnosis and effective control of blood pressure can save hundreds of crores in costs and millions of people from subsequent morbidity, mortality and disability. Only a quarter of adults in India are aware of their BP status and the risk factors leading to development of the silent killer disease – hypertension. Class III and IV workers are more exposed to the modifiable risk factors such as smoking, chewing tobacco, alcohol, malnutrition and lack of exercise. METHODS & MATERIALS: A cross-sectional study was conducted among 289 class III and IV employees of GMERS Medical College and Hospital, Gotri. A pre designed case sheet was used to collect history of exposure to modifiable and non-modifiable risk factors followed by their physical examination such as height, weight, waist-hip ratio and blood pressure. The participants were given health education and made aware about the risk factors and methods of prevention of hypertension. Those subjects who had blood pressure readings more than 140/90 mmHg were immediately referred to Department of Medicine for further management and also referred for de-addiction to the Department of Psychiatry. RESULTS: A total of 60 subjects (20.8%) out of 289 had blood pressure readings above the optimal levels. 30 Subjects had hypertension which includes grade 1 systolic hypertension (5) and Isolated Systolic Hypertension (25).Out of which 15 belong to class III and rest 15 to class IV and 30 subjects were screened as pre-hypertensive, out of which 17 belong to class III of work and 13 belong to class IV. CONCLUSION: As per our study, modifiable risk factors play a major role in the causation of hypertension. Diabetes Mellitus and cardiovascular disease have a strong association with the hypertensive status. Thus, these factors can be controlled by spreading awareness on personal and public platforms and making appropriate lifestyle changes.

Keywords: Hypertension, Blood Pressure, Risk Factors, Class III & IV hospital employees

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