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您的检索式:作者名="Umeshwar Pandey"
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| 1 | Cut-off of body mass index and waist circumference to predict hypertension in Indian adults显示文摘AIM: To determine the cut-off values of body mass index(BMI) and waist circumference to predict hypertension in adults in north India.METHODS: A community based cross-sectional study was conducted in 801 subjects in Kanpur, aged 20 years and above, using multistage stratified random sampling technique. A pre-tested structured question-naire was used to elicit the required information from the study participants and the diagnostic criteria for hypertension were taken according to the Seventh Joint National Committee Report on Hypertension(JNC-7). Receiver operating characteristic(ROC) analysis was used to estimate the cut-off values of BMI and waist circumference to predict hypertension.RESULTS: The ROC analysis revealed that BMI is a good predictor of hypertension for both men(area under the ROC curve 0.714) and women(area under the ROC curve 0.821). The cut-off values of BMI for predicting hypertension were identified as ≥ 24.5 kg/m2 in men and ≥ 24.9 kg/m2 in women. Similarly, the ROC analysis for waist circumference showed that it is a good predictor of hypertension both for men(area under the ROC curve 0.784) and women(area under the ROC curve 0.815). The cut-offs for waist circumference for predicting hypertension were estimated as ≥ 83 cm for men and ≥ 78 cm for women. Adults with high BMI or high waist circumference had a higher prevalence of hypertension, respectively.CONCLUSION: Simple anthropometric measurements such as BMI and waist circumference can be used for screening people at increased risk of hypertension in order to refer them for more careful and early diagnostic evaluation. Policies and programs are required for primary and secondary prevention of hypertension. | Tanu Midha Vinay Krishna Bhola Nath Ranjeeta Kumari Yashwant Kumar Rao Umeshwar Pandey Samarjeet Kaur | 2014 | World Journal of Clinical Cases2014,2,7: | 2 |
| 2 | Correlation between hypertension and hyperglycemia among young adults in India显示文摘AIM: To assess the correlation between blood pressure levels and fasting plasma glucose levels among young adults attending Chatrapati Shahuji Maharaj University, Kanpur, India.METHODS: The present study was cross-sectional in nature, conducted among students in the Institute of Paramedical Sciences, Chatrapati Shahuji Maharaj University, Kanpur. Study subjects included 185 young adults. Among them, 94 were males and 91 were females, in the age group 17 to 19 years.RESULTS: Mean age among males was 18.5 ± 1.5 years and among females was 17.9 ± 1.8 years. Of the total 185 study subjects, 61(32.9%) were classified as pre-diabetic and 20(10.8%) as pre-hypertensive. Mean waist circumference, systolic blood pressure and serum high density lipoprotein did not vary significantly between normoglycemic and pre-diabetic subjects. However, the mean diastolic blood pressure of pre-diabetics(82 ± 5 mm Hg) was significantly higher than normoglycemics(79 ± 6 mm Hg). Mean serum cholesterol, serum triglycerides, serum low density lipoprotein(LDL) and serum very low density lipoprotein was also higher among pre-diabetic subjects in comparison to normoglycemic subjects and the difference was statistically significant. Upon multiple linear regression analysis, it was observed that body mass index(BMI)(β = 0.149), diastolic blood pressure(β = 0.375) and serum LDL(β = 0.483) were significantly associated with fasting plasma glucose. Multiple linear regression with diastolic blood pressure as the outcome variable showed that BMI(β = 0.219), fasting blood glucose(β = 0.247) and systolic blood pressure(β = 0.510) were significantly associated.CONCLUSION: A significant prevalence of pre-diabetes and pre-hypertension in young adults is a matter of concern therefore all young adults need to be targeted for screening of diabetes and hypertension and lifestyle modification. | Tanu Midha Vinay Krishna Rishi Shukla Praveen Katiyar Samarjeet Kaur Dinesh Singh Martolia Umeshwar Pandey Yashwant Kumar Rao | 2015 | World Journal of Clinical Cases2015,3,2: | 1 |
| 3 | Prevalence of hypertension in India:A meta-analysis显示文摘AIM: To determine the prevalence of hypertension in the urban and rural population of India.METHODS: Relevant studies were identified through computer based and manual searches using MEDLINE/ Pub Med, Google scholar, EMBASE, Cochrane Library and reference lists of prevalence studies from January 2000 to June 2012. A total of 12 studies were included in the meta-analysis of hypertension in urban India and 10 studies in the analysis of hypertension in rural India after applying the inclusion and exclusion criteria. Estimates of prevalence were calculated using the random effect model for meta-analysis.RESULTS: The electronic search using appropriate keywords identified 177 titles for prevalence of hypertension in urban India, of which 165 were excluded, and 133 titles for prevalence in rural India, of which123 were excluded after applying the inclusion criteria. Twelve studies including 125333 subjects were analyzed to assess the prevalence of hypertension in the urban Indian population, whereas ten studies including 24800 subjects were analyzed to determine the prevalence of hypertension in the rural Indian population. The prevalence of hypertension in the urban population was estimated to be 40.8%(95%CI: 40.5%-41.0%) and that of hypertension in the rural population was 17.9%(95%CI: 17.5%-18.3%). It is evident that the prevalence of hypertension is significantly higher in the urban population of India compared to the rural. CONCLUSION: Current evidence suggests that policies and interventions should be prioritized for reduction of hypertension in the adult Indian population, especially the urban population. | Tanu Midha Bhola Nath Ranjeeta Kumari Yashwant Kumar Rao Umeshwar Pandey | 2013 | World Journal of Meta-Analysis2013,1,2: | 0 |
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