Role of Dietary Management and Physical Activity in Control of Hypertension in Rural Areas of Punjab-A Cross-sectional Study
DOI:
https://doi.org/10.47203/IJCH.2023.v35i02.012Keywords:
Humans, Male, Female, Aged, Cross-Sectional Studies, Sodium Chloride, Dietary, Life Style, Hypertension, Surveys and Questionnaires, Demography, World Health OrganizationAbstract
Introduction: As reported by WHO, hypertension is the third ‘killer’ disease, accounting for one in every eight deaths worldwide.
Many modifiable and non-modifiable risk factors are found to be associated with the disease.
The present study aims to determine the role of dietary management and physical activity in the control of hypertension in a given population.
Material and Methods: A cross-sectional study was conducted that. Study included all hypertensive patients (290) from the field practice area of a tertiary care institute. A self-constructed, pretested questionnaire was used to enquire about the socio- demographic factors and other risk factors associated with hypertension. The data was analyzed using SPSS 23 and valid conclusions were drawn by using the chi-square test.
Results: Out of 290 patients, 204 (70.3%) were females and 86 (29.7%) were males. Univariate analysis identified decreased salt intake, decreased fatty food consumption, physical activity, stress management, and spiritual help as highly significant factors affecting hypertension. On multivariate analysis, physical activity, stress management and spiritual help were found to be significant.
Conclusion: The study showed that physical activity, stress management and spiritual help were significantly associated with hypertension control among the elderly. Measures should be taken to create awareness about lifestyle modifications in the control of hypertension.
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References
World Health Organisation. A global brief on hypertension. Silent killer, global public health crisis.2013; [Assessed on 20th December, 2022]. Available at: http://www.who. int/cardiovascular_diseases/publications/global_brief_hypertension/en/
Crilly P. Managing hypertension: the role of diet and exercise. 2020. The Pharmaceutical Journal, PJ, February 2020;304(7934): DOI:10.1211/PJ.2020.20207659.
Shitu K, Kassie A. Behavioral and Socio-demographic Determinants of Hypertension and Its Burden among Bank Employees in Metropolitan Cities of Amhara Regional State, Ethiopia. International Journal of Hypertension 2021;6616473 [Assessed on 12th March, 2023] Available at https://doi. org/10.1155/2021/6616473.
Waken R, Fuentes LDL, and Rao DC. A review of the genetics of hypertension with a focus on gene-environment interactions. Current Hypertension Reports. 2017;19(3):23.
Lal S. Epidemiology of Non-communicable diseases and related health programmes. Text book of community medicine: social and preventive medicine. New Delhi: CBS publishers and distributors pvt. ltd. 2014;4:579-83.
Jurik R and Stastny P. Role of Nutrition and Exercise Programs in Reducing Blood Pressure: A Systematic Review. J. Clin. Med 2019; 8(9):1393 [Assessed on 6th March, 2023] Available at https://doi.org/10.3390/jcm8091393.
Pareek U, Trivedi G. Manual of socio economic scale (rural). Manasayan Publishers, New Delhi; 1979.
Evidence-based guideline for the management of high blood pressure in adults report from the panel members appointed to the eighth joint national committee (JNC 8). JAMA [Assessed on 10th March, 2017] 2014; 18th December.
Park K. Epidemiology of chronic non communicable diseases. Park’s textbook of preventive and social medicine.2013; 22:334-82.
Madhukumar S, Gaikwad V, Sudeepa D. An epidemiological study of hypertension and its risk factors in rural population of Bangalore rural district. Al Ameen J Med Sci. 2012;5 (3):264 -70.
Sidhu S, Kumari K, Prabhjot. Socio-demographic variables of hypertension among adult Punjabi females. J. Hum. Ecol. 2005;17(3): 211-15.
Baliga SS, Gopakumaran PS, Katti SM, Mallapur MD. Treatment seeking behavior and health care expenditure incurred for hypertension among elderly in urban slums of Belgaum City. Natl J Community Med. 2013;4(2):227-30.
Azubuike SO, Kurmi R. Awareness, practices, and prevalence of hypertension among rural Nigerian women. Arch Med Health Sci. 2014 Jan-July;2(1):23-8.
Diaz KM, Shimbo D. Physical Activity and the prevention of hypertension. Curr Hypertens Rep. 2013;15(6):659-68.
Alikor CA, Chioma PCE, Odia OJ. Hypertension in a rural community in rivers state, Niger delta region of Nigeria: prevalence and risk factors. The Nigerian Health Journal. 2013 Jan-March;13(1):18-25.
Fagard RH, Cornelissen VA. Effect of exercise on blood pressure control in hypertensive patients. Eur J Cardiovasc Prev Rehabil. 2007 Feb;14(1):12-7.
Ghosh A, Sarkar D, Mukerji B, Pal R. Prevalence and risk correlates of hypertension among adult rural population of Bihar. Ann Trop Med Public Health. 2013;6(1):71-5.
Julius S, Valentini M, Palatini P. Overweight and hypertension A 2-Way Street? Hypertension. 2000;35(3):807-13.
Hazarika NC, Narain K, Biswas D, Kalita HC, Mahanta J. Hypertension in the native rural population of Assam. The National Medical Journal of India. 2004;17(6):300-04.
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