COEXISTENCE OF DIABETES MELLITUS AND HYPERTENSION AND ITS CORRELATES AMONG ADULTS IN RURAL INDIA: A COMMUNITY-BASED STUDY

Abstract

Background: A tremendous increase in the co-occurrence of Hypertension (HTN) and Diabetes mellitus
(DM) all over the world including India is seen, which is nowadays considered as a major public health
problem. These two multifactorial disorders are the gateway to the cardiovascular diseases. The coexistence
of DM and HTN worsens clinical outcomes.
Aim and Objectives: To determine burden of coexistence of HTN and DM and factors affecting them in
adult population of Dehradun.
Methodology: A cross sectional survey was conducted covering all households in the randomly selected 30
villages of district Dehradun, Uttarakhand by house-to-house visit. A pre-validated, structured
questionnaire was used for collecting data on sociodemographic profile, addiction, physical activity, stress,
sleep. Blood pressure, random blood sugar and anthropometric measurements were done. Appropriate
statistical tests were applied.
Result: Out of total 1946 participants, 56.2% women and 43.8% men also 39.1% (749) were found
Hypertensive, 16.1% (313) Diabetics and 8.9% (173) had Coexistence of both. Maximum number of
participants suffering from Hypertension, Diabetes and Co-existence of both belonged to the age group>60
years and were males. The odds of getting coexistence is more among those > 40 years (OR: 4.137), males
(OR: 1.636), those with high WC (OR: 1.647) and high BMI (OR: 1.478).
Conclusion: The prevalence of diabetes, hypertension and coexistence of both was quite high in the
present study. Interventions to be taken at an earliest to reduce the incidence of complications and its
associated mortality.