Hypertension in Asymptomatic, Young Medical Students with Parental History of Hypertension CC05-CC08
Dr. Soumen Manna,
Assistant Professor, Department of Physiology, VMMC and Safdarjung Hospital, New Delhi-110029, India.
Introduction: Family history of hypertension in medical students is an important, non-modifiable risk factor for hypertension in future.
Aim: To determine the prevalence of sustained hypertension in young asymptomatic medical students with a parental history of hypertension.
Materials and Methods: A cross-sectional study was conducted in a medical college of Dehradun. A total of 104 medical students with parental history of hypertension (Group A) and 100 medical students without a parental history of hypertension (Group B) were included. Electronically blood pressures were recorded on two separate occasions at an interval of 15 days. Comparison was done using Chi-square test/Likelihood ratio, Un-paired t-test and ANCOVA.
Results: Overall, Group A had significantly higher percentage of prehypertensive (56.7%) and hypertensive (17.3%) students as compared to Group B which were 19% and 1%, respectively. Group A students had significantly higher Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) as compared to Group B, even after controlling for the differences in Body Mass Index (BMI) and gender (p<0.001).
Conclusion: Hypertension was significantly higher in asymptomatic, healthy medical students with parental history of hypertension as compared to those with normotensive parents. We need to orient medical students to improve their knowledge, attitude and lifestyle practices early in life to prevent, treat hypertension and prevent its subsequent morbidity and mortality.