Blood pressure trait in rural Bengal- impact of hard labour, poor economic condition and poor diet
Keywords:Blood pressure, Dog BMI, Hypertension, Nutritional status
Background: The aim of the present study was to observe the blood pressure trait of male population of rural Bengal, India as a part of community work. Physical characteristics and blood pressure of 699 adult male from a rural area of West Bengal, India were studied. Participants were from poor socioeconomic status, who do hard different manual works on the field for earning to feed their families for survival.
Methods: Blood pressure was measured with manual sphygmomanometer in the morning. Physical characteristics were measured for predicting nutritional status in terms of BMI.
Results: Nutritional status of 85% male villagers was either underweight or normal. Only 4.6 % were obese. Most of villagers possessed either optimal or normal blood pressure. Very few had hypertension. More than 99% of male villagers were without hypertension. Calorie intake of the villager were nominal due to poverty but had to work hard for economic survival. Nominal intake of calories along with hard labour might be the reason behind optimal or normal blood pressure.
Conclusions: It could be concluded that survival efforts of the rural people make them less hypertensive.
WHO. A global brief on hypertension: silent killer, global public health crisis. Geneva, Switzerland: World Health Organization; 2013.
Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365:217- 23.
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2224-60.
WHO: World Health Organization. Obesity and overweight. Available at: https://www. who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed on 2 December 2021.
Anchala R, Kannuri N, Nanda K, Pant H, Khan H, Franco OH, et al. Hypertension in India- a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens. 2014;32(6):1170-7.
ISAK . International Standards for Anthropometric Assessment, ISAK manual. International Society for the Advancement of Kinanthropometry (ISAK). Lower Hutt: New Zealand; 2011.
Muntner P, Carey RM, Charleston JB, Gaillard T, Misra S, Myers MG, et al. Measurement of blood pressure in humans: a scientific statement from the American Heart Association. Hypertension. 2019;73(5): e35-66.
Sarkar D, Mondal N, Sen J. Obesity and blood pressure variations among Bengali Kayastha population of North Bengal, India. J Life Sci. 2009;1(1):35-43.
Mamidi RS, Kulkarni B, Singh A. Secular trends in height in different states of India in relation to socioeconomic characteristics and dietary intake. Food Nutr Bull. 2011;32(1):23-34.
Srivastava RN, Verma BI, Arun K, Srivastava JP. The influence of some correlates of blood pressure on its distribution in an Indian rural community. J Epidemiol Community Health. 1979;33:279-85.
Gupta SP, Siwach SB. Epidemiology of hypertension in a north indian population based on rural-urban community surveys. Japanese Heart J. 1984;25(1):65-73.
Rockwood MR, Howlett SE. Blood pressure in relation to age and frailty. Canadian Geriatr J. 2011;14(1):2-7.
Penuela R, Penuela T. Relationship between blood pressure, age, gender, body mass index and short term blood pressure variability in untreated hypertensive patients, J Hypertens. 2015;33:286.
Shang S, Pei Li, Deng M, Jiang Y, Qiumin Qu CC. The age-dependent relationship between blood pressure and cognitive impairment: a cross-sectional study in a rural area of Xi'an, China. PloS One. 2016:1-18.
Deshmukh PR, Gupta SS, Dongre AR, Bharambe MS, Maliye C, Kaur S, Garg BS. Relationship of anthropometric indicators with blood pressure levels in rural Wardha. Indian J Med Res. 2006;123:657-64.
Prakash J, Srivastava N, Awasthi S, Agarwal CG, Natu SM, Rajpal N, Mittal B. Association of FTO rs17817449 SNP with obesity and associated physiological parameters in a north Indian population. Ann Hum Biol. 2011;38(6):760-3.
Prasad DS, Kabir Z, Dash AK, Das BC. Prevalence and predictors of adult hypertension in an urban eastern Indian population. Heart Asia. 2012;49-52.
Majumder P, Nayak S, Bhattacharya SK, Ghosh KK, Pala S, Mukherjee BN. An epidemiological study of blood pressure and lipid levels among Marwaris of Calcutta, India. Am J Hum Biol. 1994;6:183-94.
World Food Summit. Declaration on world food security. Food and Agriculture Organization. Rome: Italy; 1996. Available at: https://www.fao.org/ 3/w3548e/w3548e00.htm. accessed on 3 December 2021.
Meenakshi JV, Vishwanathan B. Calorie deprivation in rural India, 1983-1999/2000. Econom Polit Week. 2003;38(4):369-75.
Deaton A, Dreze J. Nutrition in India: facts and interpretations. Econom Polit Week. 2009;44(7):42-65.
Patnaik U. A critical look at some propositions on consumption and poverty. Econom Polit Week. 2010;45(6):74-80.
World Bank Report. Conflict, security, and development, Washington DC: USA; 2011. Available at: https://openknowledge.worldbank. org/handle/10986/4389. Accessed on 4 December 2021.
Basu D, Basole A. The calorie consumption puzzle in India: an empirical investigation. Economics Department Working Paper Series, Paper No. 147. 2012. Available at: http://scholarworks. umass.edu/econ_workingpaper/147. Accessed on 3 December 2021.
Ahirwar R, Mondal PR. Prevalence of obesity in India: a systematic review. Diabetes Metab Syndr. 2019;3(1):318-21.
Rakshit S, Roy P. Consumption of food grain and calories deprivation in Rural West Bengal: a case study of two villages in Birbhum district -2010. 2019.
Chandra H, Aditya K, Gupta S, Guha S, Verma B. Food and nutrition in the Indo-Gangetic plain region-a disaggregate level analysis. Curr Sci. 2020;119(11):1783-8.