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Hypertension & prehypertension
      prevalence in India
Prevalence in rural
Prevalence in rural
Prevalence
• Hypertension is the most prevalent chronic
  disease in India with prevalence increasing
  rapidly among both urban and rural populations.
• The prevalence of hypertension ranges from 20-
  40% in urban adults and 12-17% among rural
  adults.
• The number of people with hypertension is
  projected to increase from 118 million in 2000 to
  214 million in 2025, with nearly equal numbers of
  men and women.
Prevalence statewise
Prevalence
• A survey of 26,000 adults in South India showed a
  hypertension prevalence of 20% (men 23% and women 17%)
  but 67% of those with hypertension were unaware of their
  diagnosis.
• A multi-centre three-year study, spearheaded by the All India
  Institute of Medical Sciences (AIIMS) and published in the
  "Journal of Human Hypertension" on Thursday, said almost
   – 1 in 2 women in urban study sites and
   – 1 in 3 women in rural sites, were suffering from hypertension.
• Findings from India's largest clinic-based survey study, called
  Screening India's Twin Epidemic (SITE) show that 1 in every 5
  Indian adults living in urban cities suffers not only from
  hypertension but also diabetes.
• In Maharashtra, more disturbingly, 1 in 3 persons is struck by
  the twin epidemic.
Prevalence
• Only 1 in 5 hypertensive women were on treatment,
  and less than 4% are controlled.
• Majority of hypertensives still remain undetected &
  the control of hypertension is also inadequate.
• But, despite all this, the good news is that the
  prevalence of hypertension in India is low as
  compared to world figures and India fares better
  than other countries in the South-East Asia Region
  (SEAR).
• SEAR’s average is
  – 25.40 % in men, &
  – 24.20 in women.
Prevalence
• In India, 23.10 % men and 22.60 % women over
  25 years old suffer from hypertension, says the
  World Health Organisation’s ‘global health
  statistics 2012’ released in May, 2012.
• Recent (2012) studies show that for every known
  person with hypertension in India, there may
  possibly be 2 persons with either undiagnosed
  hypertension or prehypertension.
• With over 139 million patients, India accounts for
  15 % of world’s uncontrolled hypertension
  patients.
Prevalence
• Recently, a door-to-door survey was conducted
  amongst all residents of a village in Uttarakhand
  province to determine the prevalence of
  hypertension and hypertension risk factors in the
  rural Indian community.
• This study showed that the rates of hypertension
  in the rural community under study are similar to
  those seen in high-income countries and in urban
  India.
Prevalence
References
1.   Sources1. Gupta R, Guptha S. Strategies for initial management of hypertension. Indian J Med Res.
     Nov 2010;132(5):531-542.
2.   Gupta R, al-Odat NA, Gupta VP. Hypertension epidemiology in India: meta-analysis of 50 year
     prevalence rates and blood pressure trends. J Hum Hypertens. Jul 1996;10(7):465-472.
3.   Reddy KS. Regional case studies–India. Nestle Nutr Workshop Ser Pediatr Program. 2009;63:15-24;
     discussion 41-16, 259-268.
4.   Mohan V, Deepa M, Farooq S, Datta M, Deepa R. Prevalence, awareness and control of
     hypertension in Chennai–The Chennai Urban Rural Epidemiology Study (CURES-52). J Assoc
     Physicians India. May 2007;55:326-332.
5.   Enas EA, Singh V, Gupta R, Patel R, et al. Recommendations of the Second Indo-US Health Summit
     for the prevention and control of cardiovascular disease among Asian Indians. Indian heart journal.
     2009;61:265-74.
6.   Enas EA, Singh V, Munjal YP, Bhandari S, Yadave RD, Manchanda SC. Reducing the burden of
     coronary artery disease in India: challenges and opportunities. Indian Heart J. Mar-Apr
     2008;60(2):161-175.
7.   Enas EA. How to Beat the Heart Disease Epidemic among South Asians: A Prevention and
     Management Guide for Asian Indians and their Doctors. Downers Grove: Advanced Heart Lipid
     Clinic USA; 2011.
8.   Joshi SR, Saboo B, Vadivale M, et al. Prevalence of Diagnosed and Undiagnosed Diabetes and
     Hypertension in India-Results from the Screening India’s Twin Epidemic (SITE) Study. Diabetes
     Technol Ther. Jan 2012;14(1):8-15.
9.   Prashant R Kokiwar, Sunil S Gupta, Pushpa M Durge et al, Prevalence of Hypertension in a Rural
     Community of Central India, JAPI, June 2012. Vol.60

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Hypertension & prehypertension prevalence in india

  • 1. Hypertension & prehypertension prevalence in India
  • 4. Prevalence • Hypertension is the most prevalent chronic disease in India with prevalence increasing rapidly among both urban and rural populations. • The prevalence of hypertension ranges from 20- 40% in urban adults and 12-17% among rural adults. • The number of people with hypertension is projected to increase from 118 million in 2000 to 214 million in 2025, with nearly equal numbers of men and women.
  • 6. Prevalence • A survey of 26,000 adults in South India showed a hypertension prevalence of 20% (men 23% and women 17%) but 67% of those with hypertension were unaware of their diagnosis. • A multi-centre three-year study, spearheaded by the All India Institute of Medical Sciences (AIIMS) and published in the "Journal of Human Hypertension" on Thursday, said almost – 1 in 2 women in urban study sites and – 1 in 3 women in rural sites, were suffering from hypertension. • Findings from India's largest clinic-based survey study, called Screening India's Twin Epidemic (SITE) show that 1 in every 5 Indian adults living in urban cities suffers not only from hypertension but also diabetes. • In Maharashtra, more disturbingly, 1 in 3 persons is struck by the twin epidemic.
  • 7. Prevalence • Only 1 in 5 hypertensive women were on treatment, and less than 4% are controlled. • Majority of hypertensives still remain undetected & the control of hypertension is also inadequate. • But, despite all this, the good news is that the prevalence of hypertension in India is low as compared to world figures and India fares better than other countries in the South-East Asia Region (SEAR). • SEAR’s average is – 25.40 % in men, & – 24.20 in women.
  • 8. Prevalence • In India, 23.10 % men and 22.60 % women over 25 years old suffer from hypertension, says the World Health Organisation’s ‘global health statistics 2012’ released in May, 2012. • Recent (2012) studies show that for every known person with hypertension in India, there may possibly be 2 persons with either undiagnosed hypertension or prehypertension. • With over 139 million patients, India accounts for 15 % of world’s uncontrolled hypertension patients.
  • 9. Prevalence • Recently, a door-to-door survey was conducted amongst all residents of a village in Uttarakhand province to determine the prevalence of hypertension and hypertension risk factors in the rural Indian community. • This study showed that the rates of hypertension in the rural community under study are similar to those seen in high-income countries and in urban India.
  • 11. References 1. Sources1. Gupta R, Guptha S. Strategies for initial management of hypertension. Indian J Med Res. Nov 2010;132(5):531-542. 2. Gupta R, al-Odat NA, Gupta VP. Hypertension epidemiology in India: meta-analysis of 50 year prevalence rates and blood pressure trends. J Hum Hypertens. Jul 1996;10(7):465-472. 3. Reddy KS. Regional case studies–India. Nestle Nutr Workshop Ser Pediatr Program. 2009;63:15-24; discussion 41-16, 259-268. 4. Mohan V, Deepa M, Farooq S, Datta M, Deepa R. Prevalence, awareness and control of hypertension in Chennai–The Chennai Urban Rural Epidemiology Study (CURES-52). J Assoc Physicians India. May 2007;55:326-332. 5. Enas EA, Singh V, Gupta R, Patel R, et al. Recommendations of the Second Indo-US Health Summit for the prevention and control of cardiovascular disease among Asian Indians. Indian heart journal. 2009;61:265-74. 6. Enas EA, Singh V, Munjal YP, Bhandari S, Yadave RD, Manchanda SC. Reducing the burden of coronary artery disease in India: challenges and opportunities. Indian Heart J. Mar-Apr 2008;60(2):161-175. 7. Enas EA. How to Beat the Heart Disease Epidemic among South Asians: A Prevention and Management Guide for Asian Indians and their Doctors. Downers Grove: Advanced Heart Lipid Clinic USA; 2011. 8. Joshi SR, Saboo B, Vadivale M, et al. Prevalence of Diagnosed and Undiagnosed Diabetes and Hypertension in India-Results from the Screening India’s Twin Epidemic (SITE) Study. Diabetes Technol Ther. Jan 2012;14(1):8-15. 9. Prashant R Kokiwar, Sunil S Gupta, Pushpa M Durge et al, Prevalence of Hypertension in a Rural Community of Central India, JAPI, June 2012. Vol.60