Prevalence and related factors for pre-hypertension and hypertension amongst school going adolescents in a rural area of central India: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20261043Keywords:
Adolescents, Blood pressure, BMI, Hypertension, ObesityAbstract
Background: Adolescence is a critical period of rapid growth and development, marked by significant physical and metabolic changes. During this stage, many risk factors for adult diseases begin to emerge. In India, both undernutrition and increasing rates of overweight and obesity among adolescents have become important public health concerns. Rising obesity levels are associated with an increased prevalence of high blood pressure in this age group, which may persist into adulthood and contribute to cardiovascular diseases. Early identification through regular monitoring of blood pressure, height, and weight, along with promotion of healthy lifestyle practices, is essential to prevent these long-term health problems.
Methods: A cross-sectional study was conducted among adolescents studying in randomly selected government schools in a rural area of central India. Age was determined using birth dates recorded in school registration records. Information from each student was collected using a pretested questionnaire. All eligible adolescents were included in the study through universal sampling.
Results: Adolescents aged 15-16 years constituted the majority of participants, with females slightly predominating. The prevalence of pre-hypertension and hypertension was 15.92% and 9.95%, respectively. Higher BMI, frequent consumption of junk or salty foods, physical inactivity, and a family history of hypertension showed a statistically significant association with elevated blood pressure.
Conclusions: A considerable proportion of rural adolescents had pre-hypertension or hypertension. Elevated blood pressure was significantly associated with modifiable lifestyle factors and nutritional status. Early screening, health education, and school-based interventions promoting healthy diet, regular physical activity, and weight management are essential to prevent future cardiovascular morbidity.
Metrics
References
Health needs of adolescents. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1977;(609):1-55.
WHO 2013 Report. A Global Brief on Hypertension Silent Killer, Global Public Health Crisis. World Health Day 2013 Document WHO/DCO/ WHD/2013. 2013;2013
Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. JAMA. 2004;291:2107-13. DOI: https://doi.org/10.1001/jama.291.17.2107
Sumna VM, Malhotra S, Gupta S, Goswami K, Salve HR. Prevalence and associated factors of hypertension among adolescents in a rural community of North India. Cureus. 2023;15(10).
Vispute S, Mandlik R, Patwardhan V, Gondhalekar K, Khadilkar V, Khadilkar A. Prevalence and determinants of primary hypertension in urban and rural children from six Indian states: a multicentre study. Nutrition. 2022;103:111759. DOI: https://doi.org/10.1016/j.nut.2022.111759
Sudikno S, Mubasyiroh R, Rachmalina R, Arfines PP, Puspita T. Prevalence and associated factors for prehypertension and hypertension among Indonesian adolescents: a cross-sectional community survey. BMJ Open. 2023;13(3):e065056.
Vasudevan A, Thomas T, Kurpad A, Sachdev HS. Prevalence of and factors associated with high blood pressure among adolescents in India. JAMA Network Open. 2022;5(10):e2239282. DOI: https://doi.org/10.1001/jamanetworkopen.2022.39282
Sumna VM, Malhotra S, Gupta S, Goswami K, Salve HR. Prevalence and associated factors of hypertension among adolescents in a rural community of North India. Cureus. 2023;15(10).
Thapa J, Sundar Budhathoki S, Niraula SR, Pandey S, Thakur N, Pokharel PK. Prehypertension and its predictors among older adolescents: a cross-sectional study from eastern Nepal. PloS Glob Public Health. 2022;2(9):e0001117. DOI: https://doi.org/10.1371/journal.pgph.0001117
Sudikno S, Mubasyiroh R, Rachmalina R, Arfines PP, Puspita T. Prevalence and associated factors for prehypertension and hypertension among Indonesian adolescents: a cross-sectional community survey. BMJ Open. 2023;13(3):e065056. DOI: https://doi.org/10.1136/bmjopen-2022-065056
George B, Bhaskaran D, Leela LM, Raju JA, Indiradevi L, Mahendran P, et al. Prevalence and Determinants of Hypertension among adolescents: a cross sectional study in South Kerala. J Med Sci. 2025;11(3):244. DOI: https://doi.org/10.46347/jmsh.v11.i3.25.5
Singh G, Agrawal R, Kumar S, Kumar S, Negi R, Goel S, et al. Prevalence and determinants of prehypertension (elevated blood pressure or high normal BP) according to different classifications in India during 2015-2021: evidence from the large national surveys. PLoS One. 2025;20(6):e0325437. DOI: https://doi.org/10.1371/journal.pone.0325437
Gouroumourty R, Kumar A, Bhaskar S, Jaison A, Bhatt GC, Joshi A, et al. Prevalence of elevated blood pressure and hypertension based on repeat measurements among school-going adolescents in Central India. BMC Paediatr. 2025;25(1):716. DOI: https://doi.org/10.1186/s12887-025-06063-z
Singh J, Iqbal SA, Mohammed TI, Radhavan P, Rajpal S, Gajula S, et al. Prevalence and associated risk factors of hypertension in rural and urban areas of Punjab: a cross-sectional study. J Fam Med Prim Care. 2025;14(2):757-61. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1419_24
Solanki R, Prajapati T, Shah H. The pattern of blood pressure distribution and analysis of influencing factors of pre (hypertension) among young adults: a cross-sectional survey in western India. Nat J Community Med. 2023;14(11):730. DOI: https://doi.org/10.55489/njcm.141120233342
GS V, Shyam AC. Prevalence and awareness of risk factors for hypertension among urban and rural high school children in the field practice areas Raja Rajeswari Medical College, Bengaluru: a cross sectional comparative study. Indian J Public Health Res Develop. 2023;14(1). DOI: https://doi.org/10.37506/ijphrd.v14i1.18834