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Blood pressure trends, plasma insulin levels and risk factors in rural and urban elderly populations of north India.
Coron Artery Dis. 1997 Jul; 8(7):463-8.CA

Abstract

OBJECTIVE

To compare the prevalence of hypertension and its risk factors with age-specific blood pressures in rural and urban subjects.

DESIGN AND SETTING

A cross-sectional survey of two randomly selected villages and 20 randomly selected streets in Moradabad, north India.

SUBJECTS AND METHODS

The subjects were 255 rural people (140 men, 115 women) and 311 urban people (172 men, 139 women) aged 60-84 years. The survey methods were questionnaires, blood pressure and anthropometric measurements and electrocardiography.

RESULTS

The mean +/- SD blood pressures, both systolic (137.7 +/- 13 versus 131.2 +/- 12 mmHg) and diastolic (89.8 +/- 41 versus 85.8 +/- 9 mmHg) were significantly higher in urban men than they were in rural men. Similar differences between systolic (135.6 +/- 11 versus 129.2 +/- 10 mmHg) and diastolic (90 +/- 10 versus 87.6 +/- 9 mmHg) blood pressures were found among urban and rural women, respectively. A significant correlation between systolic blood pressures and increasing age was observed both for rural and for urban subjects of both sexes. The overall prevalences of hypertension based on World Health Organization criteria (17.6 versus 5.0%) and Joint National Committee fifth report criteria (34.0 versus 10.1%) were significantly higher among urban than they were among rural subjects. Multivariate logistic regression analysis revealed that age, body mass index, central obesity, glucose intolerance, 2 h plasma insulin and triglyceride level were associated independently with hypertension.

CONCLUSIONS

The findings indicate that urban subjects had higher blood pressures than did rural subjects and that age, body mass index, central obesity and 2 h plasma insulin levels were significant risk factors for hypertension in an elderly population.

Authors+Show Affiliations

Centre of Nutrition, Moradabad, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9383608

Citation

Singh, R B., et al. "Blood Pressure Trends, Plasma Insulin Levels and Risk Factors in Rural and Urban Elderly Populations of North India." Coronary Artery Disease, vol. 8, no. 7, 1997, pp. 463-8.
Singh RB, Rastogi SS, Rastogi V, et al. Blood pressure trends, plasma insulin levels and risk factors in rural and urban elderly populations of north India. Coron Artery Dis. 1997;8(7):463-8.
Singh, R. B., Rastogi, S. S., Rastogi, V., Niaz, M. A., Madhu, S. V., Chen, M., & Shoumin, Z. (1997). Blood pressure trends, plasma insulin levels and risk factors in rural and urban elderly populations of north India. Coronary Artery Disease, 8(7), 463-8.
Singh RB, et al. Blood Pressure Trends, Plasma Insulin Levels and Risk Factors in Rural and Urban Elderly Populations of North India. Coron Artery Dis. 1997;8(7):463-8. PubMed PMID: 9383608.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Blood pressure trends, plasma insulin levels and risk factors in rural and urban elderly populations of north India. AU - Singh,R B, AU - Rastogi,S S, AU - Rastogi,V, AU - Niaz,M A, AU - Madhu,S V, AU - Chen,M, AU - Shoumin,Z, PY - 1997/7/1/pubmed PY - 1998/1/10/medline PY - 1997/7/1/entrez SP - 463 EP - 8 JF - Coronary artery disease JO - Coron Artery Dis VL - 8 IS - 7 N2 - OBJECTIVE: To compare the prevalence of hypertension and its risk factors with age-specific blood pressures in rural and urban subjects. DESIGN AND SETTING: A cross-sectional survey of two randomly selected villages and 20 randomly selected streets in Moradabad, north India. SUBJECTS AND METHODS: The subjects were 255 rural people (140 men, 115 women) and 311 urban people (172 men, 139 women) aged 60-84 years. The survey methods were questionnaires, blood pressure and anthropometric measurements and electrocardiography. RESULTS: The mean +/- SD blood pressures, both systolic (137.7 +/- 13 versus 131.2 +/- 12 mmHg) and diastolic (89.8 +/- 41 versus 85.8 +/- 9 mmHg) were significantly higher in urban men than they were in rural men. Similar differences between systolic (135.6 +/- 11 versus 129.2 +/- 10 mmHg) and diastolic (90 +/- 10 versus 87.6 +/- 9 mmHg) blood pressures were found among urban and rural women, respectively. A significant correlation between systolic blood pressures and increasing age was observed both for rural and for urban subjects of both sexes. The overall prevalences of hypertension based on World Health Organization criteria (17.6 versus 5.0%) and Joint National Committee fifth report criteria (34.0 versus 10.1%) were significantly higher among urban than they were among rural subjects. Multivariate logistic regression analysis revealed that age, body mass index, central obesity, glucose intolerance, 2 h plasma insulin and triglyceride level were associated independently with hypertension. CONCLUSIONS: The findings indicate that urban subjects had higher blood pressures than did rural subjects and that age, body mass index, central obesity and 2 h plasma insulin levels were significant risk factors for hypertension in an elderly population. SN - 0954-6928 UR - https://www.unboundmedicine.com/medline/citation/9383608/Blood_pressure_trends_plasma_insulin_levels_and_risk_factors_in_rural_and_urban_elderly_populations_of_north_India_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=9383608.ui DB - PRIME DP - Unbound Medicine ER -