Hypertension epidemiology in India: lessons from Jaipur Heart Watch

2 ), central obesity (waist : hip ratio >0.95 men, >0.85 women), hypertension, dyslipidemias, metabolic syn- drome and diabetes was determined. Trends were analysed using least squares linear analyses. Results show that mean systolic BP increased with age in all the study cohorts, while there was no significant dif- ference in diastolic BP. Age-adjusted prevalence of hypertension in JHW-R, JHW-1, JHW-2, JHW-3 and JHW-4 studies in men was 21.6, 29.1, 29.6, 42.5 and 45.1% and in women it was 15.7, 21.7, 25.5, 35.2 and 38.2% (P for trend <0.05). There was a significant association of escalating hypertension with obesity and truncal obesity in both men (two-line regression analysis, unadjusted r 2 = 0.91 and 0.50 respectively) and women (r 2 = 0.88 and 0.57; P < 0.05). Increasing hypertension in India is related to increasing adiposity levels. Population and individual-based measures to prevent and control high BP should focus on measures to prevent obesity.

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