What happened to the distribution of the blood pressure and random blood glucose of the Indian adult population between 2015 and 2021?

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2024-11-01 DOI:10.1016/j.cegh.2024.101834

Vignesh Loganathan, Ismail Zabiulla Rifai, Sitanshu Sekhar Kar

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引用次数: 0

Abstract

Objective

To describe the change in mean and shape of the distributions of blood pressure (BP) and random blood glucose (RBG) of adults aged 15–49 between two consecutive rounds of the National Family Health Survey in India.

Study design and methods

We analyzed the data of adults aged 15–49 from the household datasets of NFHS 4 (2015–16) and 5 (2019–21). Both surveys used identical two-stage sampling and methodology. Three BP readings with 5-min intervals using a digital sphygmomanometer and FreeStyle Optium H (NFHS-4) or Accu-Chek Performa glucometer (NFHS-5) were used for RBG testing. Descriptive statistics and absolute change for BP and RBG were estimated, and mean-difference plots (m-d plots) were used to compare the distributions in the two surveys.

Results

We analyzed data of 1,207,535 and 767,454 adults aged 15–49 years for blood pressure and 1,295,357 and 799,833 for the glucose distribution from NFHS 5 and NFHS 4, respectively. The mean increase between the two surveys in SBP, DBP and RBG was 4.23 mmHg (95 % C.I. 4.20–4.28), 1.95 mmHg (95 % C.I. 1.92–1.98), and 7.43 mg/dL (95 % C.I. 7.35–7.51), respectively. The m-d plots showed a rightward shift in the distribution of SBP, DBP, and RBG in NFHS 5 compared to NFHS 4.

Conclusion

The increasing trend of mean blood pressure and blood glucose and the rightward shift of the blood pressure and blood glucose distributions calls for prioritizing the national and state-level strategies for preventing NCDs, with increased focus on implementing population-level interventions.

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2015 至 2021 年间，印度成年人口的血压和随机血糖分布情况如何？

目标描述印度连续两轮全国家庭健康调查之间 15-49 岁成年人血压（BP）和随机血糖（RBG）分布的平均值和形状的变化。研究设计和方法我们分析了 NFHS 4（2015-16 年）和 5（2019-21 年）家庭数据集中 15-49 岁成年人的数据。两次调查均采用相同的两阶段抽样和方法。使用数字血压计和FreeStyle Optium H（NFHS-4）或Accu-Chek Performa血糖仪（NFHS-5）进行三次血压读数，每次读数间隔5分钟，用于RBG测试。结果我们分别分析了 NFHS 5 和 NFHS 4 中 1,207,535 和 767,454 名 15-49 岁成人的血压数据，以及 1,295,357 和 799,833 名 15-49 岁成人的血糖数据。两次调查之间，SBP、DBP 和 RBG 的平均增幅分别为 4.23 mmHg（95 % C.I.为 4.20-4.28）、1.95 mmHg（95 % C.I.为 1.92-1.98）和 7.43 mg/dL（95 % C.I.为 7.35-7.51）。与 NFHS 4 相比，M-D 图显示 NFHS 5 中 SBP、DBP 和 RBG 的分布向右移动。结论平均血压和血糖的上升趋势以及血压和血糖分布的右移要求将国家和州一级的非传染性疾病预防战略列为优先事项，并更加重视实施人口一级的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.