Material needs insecurity and dietary salt – Role in uncontrolled hypertension: A case–Control study
Alfia Rachel Kaki1, Jayaprakash Muliyil2, Arun Jose Nellickal3, Visakakshi Jeyaseelan4, Vijay Prakash Turaka1, Anand Zachariah1, Samuel George Hansdak1, Manjeera Jagannati1, Thambu David Sudarsanam5
1 Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India 2 Department of Clinical Epidemiology Unit, Christian Medical College, Vellore, Tamil Nadu, India 3 Department of Biochemistry, Christian Medical College, Vellore, Tamil Nadu, India 4 Department of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India 5 Department of Medicine; Clinical Epidemiology Unit, Christian Medical College, Vellore, Tamil Nadu, India
Correspondence Address:
Thambu David Sudarsanam Medicine Unit2 and CEU, Christian Medical College, Vellore - 632 004, Tamil Nadu India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/cjhr.cjhr_124_19
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We performed a case control study of 108 patients for the risk of uncontrolled hypertension Housing insecurity, a part of material needs insecurity is an independent predictor of uncontrolled hypertension (adjusted odds ratio 29.9, 1.2-734). Food insecurity, cost related medication underuse and housing instability were seen in 32.4%, 33.3%.and 39.8% of our study subjects respectively. On average patients had 6 stressful life events, which was not different among those with different levels of blood pressure control. We did not find correlation with 24-urine sodium excretion, a reflection of salt intake and hypertension control. The average hypertensive subject was taking more than 10 grams of sodium per day, far higher than recommended.
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