Biophysiological and biochemical parameters among patients with hypertension- A cross-sectional study

Background: Research evidence highlights modifiable risk factors as key elements in preventing hypertension and its complications. This study explores their association with hypertension to inform preventive strategies. Objectives: We assessed the socio-clinical, bio-physiological, and biochemical p...

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Main Authors: Betcy George, Porkodi Arjunan, Abraham M. Ittyachen, M. Rajkumar, N.A. Sheela Shenai, Soney Meleth Varghese, Ramesh Chandrababu
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Clinical Epidemiology and Global Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213398425001915
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author Betcy George
Porkodi Arjunan
Abraham M. Ittyachen
M. Rajkumar
N.A. Sheela Shenai
Soney Meleth Varghese
Ramesh Chandrababu
author_facet Betcy George
Porkodi Arjunan
Abraham M. Ittyachen
M. Rajkumar
N.A. Sheela Shenai
Soney Meleth Varghese
Ramesh Chandrababu
author_sort Betcy George
collection DOAJ
description Background: Research evidence highlights modifiable risk factors as key elements in preventing hypertension and its complications. This study explores their association with hypertension to inform preventive strategies. Objectives: We assessed the socio-clinical, bio-physiological, and biochemical parameters and its associated factors. Materials and methods: This hospital-based cross-sectional study involved 220 hypertensive patients. The outcome variables were assessed using biophysiological and biochemical methods.Association between socio-clinical variables with bio-physiological and biochemical parameters was done with the Mann-Whitney U test, ANOVA, Kruskal-Wallis ANOVA, and Spearman's correlation. p < 0.05 was considered statistically significant. Results: 71.36 % had hypertension for the past 10 years, 73.63 % were on anti-hypertensives for 10 years, and 80.91 % were prescribed a single drug. The median HDL and LDL levels were 58 mg/dL and 140 mg/dL, respectively.Weight emerged as a strong positive contributor to all three BP measures [systolic blood pressure (SBP): p = 0.026, diastolic blood pressure (DBP): p = 0.001, and mean arterial pressure (MAP): p = 0.001], highlighting its potential role in BP control. Gender disparities were evident, with men having higher DBP (p < 0.001) and MAP (p = 0.003) compared to women. Smoking habit was particularly detrimental, showing a significant association with higher DBP (p = 0.016). A link between heart rate and comorbid conditions (p = 0.044) suggests a potential interplay between weight, hypertension, and overall health. Linear regression analysis revealed a statistically significant positive association between weight, DBP, and MAP (p < 0.05 for both). Conclusions: Age showed a weak correlation, and weight management emerged as a crucial factor for BP control. Strategies to decrease weight would be crucial for the control of hypertension.
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spelling doaj-art-c16f8b9d5fb144b4a0b5fb6ebdf180672025-07-26T05:23:15ZengElsevierClinical Epidemiology and Global Health2213-39842025-07-0134102102Biophysiological and biochemical parameters among patients with hypertension- A cross-sectional studyBetcy George0Porkodi Arjunan1Abraham M. Ittyachen2M. Rajkumar3N.A. Sheela Shenai4Soney Meleth Varghese5Ramesh Chandrababu6Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Porur, Chennai, Tamil Nadu, India; M.O.S.C. College of Nursing, Kolenchery, Kerala, IndiaDepartment of Nursing, College of Applied Medical Sciences, King Faisal University, Saudi ArabiaDepartment of Medicine, Malankara Orthodox Syrian Church Medical College and Hospital, Ernakulam District, Kolenchery, Kerala, IndiaDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Porur, Chennai, Tamil Nadu, IndiaM.O.S.C. College of Nursing, Kolenchery, Kerala, IndiaDepartment of Community Health Nursing, College of Nursing Sciences, Gulf Medical University, Ajman, United Arab EmiratesDepartment of Medical-Surgical Nursing, Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Porur, Chennai, Tamil Nadu, India; Corresponding author.Background: Research evidence highlights modifiable risk factors as key elements in preventing hypertension and its complications. This study explores their association with hypertension to inform preventive strategies. Objectives: We assessed the socio-clinical, bio-physiological, and biochemical parameters and its associated factors. Materials and methods: This hospital-based cross-sectional study involved 220 hypertensive patients. The outcome variables were assessed using biophysiological and biochemical methods.Association between socio-clinical variables with bio-physiological and biochemical parameters was done with the Mann-Whitney U test, ANOVA, Kruskal-Wallis ANOVA, and Spearman's correlation. p < 0.05 was considered statistically significant. Results: 71.36 % had hypertension for the past 10 years, 73.63 % were on anti-hypertensives for 10 years, and 80.91 % were prescribed a single drug. The median HDL and LDL levels were 58 mg/dL and 140 mg/dL, respectively.Weight emerged as a strong positive contributor to all three BP measures [systolic blood pressure (SBP): p = 0.026, diastolic blood pressure (DBP): p = 0.001, and mean arterial pressure (MAP): p = 0.001], highlighting its potential role in BP control. Gender disparities were evident, with men having higher DBP (p < 0.001) and MAP (p = 0.003) compared to women. Smoking habit was particularly detrimental, showing a significant association with higher DBP (p = 0.016). A link between heart rate and comorbid conditions (p = 0.044) suggests a potential interplay between weight, hypertension, and overall health. Linear regression analysis revealed a statistically significant positive association between weight, DBP, and MAP (p < 0.05 for both). Conclusions: Age showed a weak correlation, and weight management emerged as a crucial factor for BP control. Strategies to decrease weight would be crucial for the control of hypertension.http://www.sciencedirect.com/science/article/pii/S2213398425001915Bio-physiological parametersBiochemical parametersCardiovascular riskHigh blood pressureHypertension
spellingShingle Betcy George
Porkodi Arjunan
Abraham M. Ittyachen
M. Rajkumar
N.A. Sheela Shenai
Soney Meleth Varghese
Ramesh Chandrababu
Biophysiological and biochemical parameters among patients with hypertension- A cross-sectional study
Clinical Epidemiology and Global Health
Bio-physiological parameters
Biochemical parameters
Cardiovascular risk
High blood pressure
Hypertension
title Biophysiological and biochemical parameters among patients with hypertension- A cross-sectional study
title_full Biophysiological and biochemical parameters among patients with hypertension- A cross-sectional study
title_fullStr Biophysiological and biochemical parameters among patients with hypertension- A cross-sectional study
title_full_unstemmed Biophysiological and biochemical parameters among patients with hypertension- A cross-sectional study
title_short Biophysiological and biochemical parameters among patients with hypertension- A cross-sectional study
title_sort biophysiological and biochemical parameters among patients with hypertension a cross sectional study
topic Bio-physiological parameters
Biochemical parameters
Cardiovascular risk
High blood pressure
Hypertension
url http://www.sciencedirect.com/science/article/pii/S2213398425001915
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