Home monitoring of BP helps treating hypertension faster

New Delhi: Hypertension or high blood pressure is a leading public health challenge globally due to its high prevalence and related morbidity and mortality. Today, not only the adults, but even the teenagers are becoming victims of hypertension due to their lifestyle and food habits.

Expressing concern over the growing challenges of hypertension in India, doctors from different states congregated under one platform to discuss the issues related to it and to chalk out better ways to deal with the global burden of hypertension during a national level conference held under the aegis of Indian Society of Hypertension in New Delhi.

As per reports, compared to 20-34 year olds, the risk of hypertension is 6-8 times higher in elderly people and 2-3 times in people in the 35-59 age group.
"In India both hypertension and diabetes are 15 to 20 years early in comparison to Europe. We are getting hypertension in adolescent age as well. There are two types of hypertension -- one at the extreme of ages which is secondary hypertension, caused mainly due to thyroid, heart and kidney issues. Primary hypertension usually comes after 25 years of age but in India even the primary hypertension is coming early. It is because of the faulty lifestyle among youngsters", Dr Narsingh Verma, Secretary General of Indian Society of Hypertension told to ANI.

Several analyses have shown that compared to the hospital care, home BP monitoring is associated with significant reductions in systolic and diastolic BP, as well as reductions in antihypertensive medication and therapeutic inertia.

"Home monitoring is considered to be the best system of knowing blood pressure because once we measure blood pressure at clinic it is basically the blood pressure of white coat effect, because of the fear of doctor and fear of atmosphere blood pressure rises. When we do it without the fear of it at home", added Dr Verma.

The doctor can train the patient how to measure the blood pressure and the training is simple. Without the need of health professionals, the monitors can be used for their own monitoring and that home monitoring data can be shown to doctor to change, initiate and augment the treatment, Dr Verma added.

Decrease in the physical activity, fast unplanned urbanization of the country, consumption of polished food, and decrease in the fibre, consumption of more salt, oil, unbalanced diet, high calorie diet are some of the major cause behind high blood pressure. Doctors recommend reduction in stress levels, increasing physically activity, cut down on calories, early consumption of meals are some of the 'must do' for those fighting hypertension.

"It is not only about consuming the right amount of food but should be consumed at the right time and apart from that it is important to correct the sleeping pattern especially for the young adults", suggested Dr Anuj Maheshwari, Executive member of the Research Society for the Study of Diabetes.

During the conference, Dr Maheshwari highlighted the prevalence of various cardio metabolic risk factors in different geographic regions of India as per age and sex. The prevalence of hypertension in urban Indian population is high. Among rural Indians, prevalence is high among Eastern India people when compared to other regions.

"The most important thing is to increase awareness and make people check their blood pressure routinely so that they are aware of the fluctuations. Most of the people check their blood pressure just once when they visit the doctor which is not the correct thing. We should encourage people for self home monitor BP when they are completely relaxed. Once you are more comfortable at home then blood pressure measurement is more effective and it should be promoted to be done in that way", said Dr Maheshwari.