TY - JOUR T1 - Changes in hypertension prevalence, awareness, treatment and control rates over 20 years in National Capital Region of India: results from a repeat cross-sectional study JF - BMJ Open JO - BMJ Open DO - 10.1136/bmjopen-2016-015639 VL - 7 IS - 7 SP - e015639 AU - Ambuj Roy AU - Pradeep A Praveen AU - Ritvik Amarchand AU - Lakshmy Ramakrishnan AU - Ruby Gupta AU - Dimple Kondal AU - Kalpana Singh AU - Meenakshi Sharma AU - Deepak Kumar Shukla AU - Nikhil Tandon AU - Kolli Srinath Reddy AU - Anand Krishnan AU - Dorairaj Prabhakaran Y1 - 2017/07/01 UR - http://bmjopen.bmj.com/content/7/7/e015639.abstract N2 - Background and objectives Despite being one of the leading risk factors of cardiovascular mortality, there are limited data on changes in hypertension burden and management from India. This study evaluates trend in the prevalence, awareness, treatment and control of hypertension in the urban and rural areas of India’s National Capital Region (NCR).Design and setting Two representative cross-sectional surveys were conducted in urban and rural areas (survey 1 (1991–1994); survey 2 (2010–2012)) of NCR using similar methodologies.Participants A total of 3048 (mean age: 46.8±9.0 years; 52.3% women) and 2052 (mean age: 46.5±8.4 years; 54.2% women) subjects of urban areas and 2487 (mean age: 46.6±8.8 years; 57.0% women) and 1917 (mean age: 46.5±8.5 years; 51.3% women) subjects of rural areas were included in survey 1 and survey 2, respectively.Primary and secondary outcome measures Hypertension was defined as per Joint National Committee VII guidelines. Structured questionnaire was used to measure the awareness and treatment status of hypertension. A mean systolic blood pressure <140 mm Hg and diastolic blood pressure <90 mm Hg was defined as control of hypertension among the participants with hypertension.Results The age and sex standardised prevalence of hypertension increased from 23.0% to 42.2% (p<0.001) and 11.2% to 28.9% (p<0.001) in urban and rural NCR, respectively. In both surveys, those with high education, alcohol use, obesity and high fasting blood glucose were at a higher risk for hypertension. However, the change in hypertension prevalence between the surveys was independent of these risk factors (adjusted OR (95% CI): urban (2.3 (2.0 to 2.7)) rural (3.1 (2.4 to 4.0))). Overall, there was no improvement in awareness, treatment and control rates of hypertension in the population.Conclusion There was marked increase in prevalence of hypertension over two decades with no improvement in management. ER -