Mean arterial pressure may be a valuable tool for classifying blood pressure in physically actives: A cross-sectional study among females from North India

Background: Hypertension is a leading global health issue. Prevention, identification, and treatment of hypertension are crucial. Recent studies found that mean arterial pressure (MAP) is better for predicting hypertension than systolic and diastolic blood pressure. Thus, this cross-sectional study...

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Main Authors: Monika Kulshreshtha, Shivani Chandel
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Clinical Epidemiology and Global Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213398425000016
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author Monika Kulshreshtha
Shivani Chandel
author_facet Monika Kulshreshtha
Shivani Chandel
author_sort Monika Kulshreshtha
collection DOAJ
description Background: Hypertension is a leading global health issue. Prevention, identification, and treatment of hypertension are crucial. Recent studies found that mean arterial pressure (MAP) is better for predicting hypertension than systolic and diastolic blood pressure. Thus, this cross-sectional study compared the prevalence of hypertension among Kathak dancers and physically active non-dancers in North India as per the American Heart Association (AHA) 2017, Indian Guidelines on Hypertension (IGH) 2019, and MAP. Methods: Data on blood pressure were collected using a standardized procedure from 441 Delhi-National Capital Region females (206 Kathak dancers; 235 age-matched non-dancers). We calculated MAP using Diastolic Blood Pressure + (0.33 ∗ Pulse Pressure). The prevalence of hypertension was estimated using AHA 2017, IGH-IV 2019, and MAP. Results: The present study revealed that hypertension prevalence varies significantly as per the three guidelines in Kathak dancers and non-dancers. The highest prevalence of hypertension was found with the AHA 2017 criteria, with 13.1 % in Kathak dancers and 31.1 % in non-dancers. This prevalence was reduced to 4.9 % (Kathak dancers) and 6.4 % (non-dancers) as per IGH 2019. When MAP was used, it drastically reduced the prevalence calculated by AHA 2017 (7.2 % Kathak dancers; 17 % non-dancers) and IGH-IV 2019 (.5 % Kathak dancers; 4.3 % non-dancers). Kathak dancers had a lower prevalence of hypertension than non-dancers. Conclusion: MAP may be a more effective tool for classifying blood pressure than other methods, particularly in physically active populations. Furthermore, the therapeutic movements of Kathak dance may offer a potential preventive strategy for hypertension in the general population.
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spelling doaj-art-aad2eee228774ed391e64dc3726db34f2025-01-11T06:41:21ZengElsevierClinical Epidemiology and Global Health2213-39842025-01-0131101912Mean arterial pressure may be a valuable tool for classifying blood pressure in physically actives: A cross-sectional study among females from North IndiaMonika Kulshreshtha0Shivani Chandel1Development Monitoring and Evaluation Office, NITI Aayog, New Delhi, 110001, IndiaDepartment of Anthropology, University of Delhi, Delhi, 110007, India; Corresponding author. Department of Anthropology, University of Delhi, Delhi, 110007, India.Background: Hypertension is a leading global health issue. Prevention, identification, and treatment of hypertension are crucial. Recent studies found that mean arterial pressure (MAP) is better for predicting hypertension than systolic and diastolic blood pressure. Thus, this cross-sectional study compared the prevalence of hypertension among Kathak dancers and physically active non-dancers in North India as per the American Heart Association (AHA) 2017, Indian Guidelines on Hypertension (IGH) 2019, and MAP. Methods: Data on blood pressure were collected using a standardized procedure from 441 Delhi-National Capital Region females (206 Kathak dancers; 235 age-matched non-dancers). We calculated MAP using Diastolic Blood Pressure + (0.33 ∗ Pulse Pressure). The prevalence of hypertension was estimated using AHA 2017, IGH-IV 2019, and MAP. Results: The present study revealed that hypertension prevalence varies significantly as per the three guidelines in Kathak dancers and non-dancers. The highest prevalence of hypertension was found with the AHA 2017 criteria, with 13.1 % in Kathak dancers and 31.1 % in non-dancers. This prevalence was reduced to 4.9 % (Kathak dancers) and 6.4 % (non-dancers) as per IGH 2019. When MAP was used, it drastically reduced the prevalence calculated by AHA 2017 (7.2 % Kathak dancers; 17 % non-dancers) and IGH-IV 2019 (.5 % Kathak dancers; 4.3 % non-dancers). Kathak dancers had a lower prevalence of hypertension than non-dancers. Conclusion: MAP may be a more effective tool for classifying blood pressure than other methods, particularly in physically active populations. Furthermore, the therapeutic movements of Kathak dance may offer a potential preventive strategy for hypertension in the general population.http://www.sciencedirect.com/science/article/pii/S2213398425000016AHA 2017Blood pressureExerciseIGH-IV 2019Mean arterial pressure
spellingShingle Monika Kulshreshtha
Shivani Chandel
Mean arterial pressure may be a valuable tool for classifying blood pressure in physically actives: A cross-sectional study among females from North India
Clinical Epidemiology and Global Health
AHA 2017
Blood pressure
Exercise
IGH-IV 2019
Mean arterial pressure
title Mean arterial pressure may be a valuable tool for classifying blood pressure in physically actives: A cross-sectional study among females from North India
title_full Mean arterial pressure may be a valuable tool for classifying blood pressure in physically actives: A cross-sectional study among females from North India
title_fullStr Mean arterial pressure may be a valuable tool for classifying blood pressure in physically actives: A cross-sectional study among females from North India
title_full_unstemmed Mean arterial pressure may be a valuable tool for classifying blood pressure in physically actives: A cross-sectional study among females from North India
title_short Mean arterial pressure may be a valuable tool for classifying blood pressure in physically actives: A cross-sectional study among females from North India
title_sort mean arterial pressure may be a valuable tool for classifying blood pressure in physically actives a cross sectional study among females from north india
topic AHA 2017
Blood pressure
Exercise
IGH-IV 2019
Mean arterial pressure
url http://www.sciencedirect.com/science/article/pii/S2213398425000016
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