Prevalence of prehypertension, hypertension, stress, anxiety among undergraduate medical students, and its association with cognitive failure: A cross-sectional study
Background: Research shows that both hypertension and prehypertension accelerate the decline in standardized global cognitive performance. Two important risk factors for development of elevated BP are stress and anxiety. Hence, the study also focuses on assessing stress and anxiety in undergraduate...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2023-01-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/45423 |
| _version_ | 1828083454529503232 |
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| author | Vineeta Chadha Swarna Rastogi Sampa Choudhury Madhu Chaudhary Harvir Singh Sodhi Qazi Rais Ahmad |
| author_facet | Vineeta Chadha Swarna Rastogi Sampa Choudhury Madhu Chaudhary Harvir Singh Sodhi Qazi Rais Ahmad |
| author_sort | Vineeta Chadha |
| collection | DOAJ |
| description | Background: Research shows that both hypertension and prehypertension accelerate the decline in standardized global cognitive performance. Two important risk factors for development of elevated BP are stress and anxiety. Hence, the study also focuses on assessing stress and anxiety in undergraduate medical students using validated questionnaires.
Aims and Objectives: Hypertension and prehypertension are on a rise in undergraduate medical students and are proposed to accelerate cognitive failure. This study aims to provide prevalence of hypertension, prehypertension, anxiety, stress, and its association with cognitive failure among 1st year medical students in a medical college in North India.
Materials and Methods: The study is a cross-sectional study conducted in the Department of Physiology of a Medical College on 1st year medical students. Google form was given to the whole batch of 150 medical students. Out of them, 111 students voluntarily participated. Hence, we have included them in our study. Standard questionnaire prescribed by Cohen et al., Spitzer et al., and Broadbent et al., for stress, anxiety, and cognitive failure respectively was given to students. Google documents were used as a platform to create online questionnaires that were automatically posted through a unique URL. Password protected access to URL link and a unique study ID gave students round the clock access. Unique study ID ensured confidentiality of all self-reported data. Student’s response was secured using a “cloud” database, where data were automatically sorted, scaled, and scored by custom Excel formulas. Blood pressure of all the students was measured and a Google form consisting of items from these three questionnaires was filled by the students. Data were organized and statistically analyzed by Chi-square test.
Results: In the present study, the prevalence of prehypertension was 46.8% and hypertension was 7.2%. Perceived stress score was moderate in 71.2% of subjects and high in 10.8% of subjects. Moderate-to-severe anxiety was recorded in 21.6% of students. Cognitive failure score was high (>43) in 24.3% of students. A Chi-square test of independence was performed to examine the relation between blood pressure and cognitive failure. Relationship between these variables was significant X2 (1, n=111)=7.08, P=0.029. Patients with hypertension are likely to develop cognitive failure than those with normal blood pressure.
Conclusion: The prevalence of prehypertension and hypertension is rising in medical students. Anxiety and stress being the major causes need to be addressed so as to maintain cognitive well-being of the undergraduate medical students. |
| first_indexed | 2024-04-11T04:09:10Z |
| format | Article |
| id | doaj.art-fcd07a0bb5a64d718a91e54a6b0d3bc8 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-11T04:09:10Z |
| publishDate | 2023-01-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-fcd07a0bb5a64d718a91e54a6b0d3bc82023-01-01T12:14:54ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-01-011419498https://doi.org/10.3126/ajms.v14i1.45423Prevalence of prehypertension, hypertension, stress, anxiety among undergraduate medical students, and its association with cognitive failure: A cross-sectional studyVineeta Chadha 0https://orcid.org/0000-0003-1363-8858Swarna Rastogi 1https://orcid.org/0000-0001-7071-3995Sampa Choudhury 2https://orcid.org/0000-0002-9369-1386Madhu Chaudhary 3https://orcid.org/0000-0001-7138-8864Harvir Singh Sodhi 4https://orcid.org/0000-0002-2885-4492Qazi Rais Ahmad 5https://orcid.org/0000-0001-5046-1399Associate Professor, Department of Physiology, Rama Medical College Hospital and Research Center, Kanpur, Uttar Pradesh, India Associate Professor, Department of Community Medicine, Hind Institute of Medical Sciences, Sitapur, Uttar Pradesh, India Assistant Professor, Department of Pathology, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, India Associate Professor, Department of Physiology, Rama Medical College Hospital and Research Center, Kanpur, Uttar Pradesh, India Professor, Department of Physiology, Rama Medical College Hospital and Research Center, Kanpur, Uttar Pradesh, India Professor and Head, Department of Physiology, Rama Medical College Hospital and Research Center, Kanpur, Uttar Pradesh, India Background: Research shows that both hypertension and prehypertension accelerate the decline in standardized global cognitive performance. Two important risk factors for development of elevated BP are stress and anxiety. Hence, the study also focuses on assessing stress and anxiety in undergraduate medical students using validated questionnaires. Aims and Objectives: Hypertension and prehypertension are on a rise in undergraduate medical students and are proposed to accelerate cognitive failure. This study aims to provide prevalence of hypertension, prehypertension, anxiety, stress, and its association with cognitive failure among 1st year medical students in a medical college in North India. Materials and Methods: The study is a cross-sectional study conducted in the Department of Physiology of a Medical College on 1st year medical students. Google form was given to the whole batch of 150 medical students. Out of them, 111 students voluntarily participated. Hence, we have included them in our study. Standard questionnaire prescribed by Cohen et al., Spitzer et al., and Broadbent et al., for stress, anxiety, and cognitive failure respectively was given to students. Google documents were used as a platform to create online questionnaires that were automatically posted through a unique URL. Password protected access to URL link and a unique study ID gave students round the clock access. Unique study ID ensured confidentiality of all self-reported data. Student’s response was secured using a “cloud” database, where data were automatically sorted, scaled, and scored by custom Excel formulas. Blood pressure of all the students was measured and a Google form consisting of items from these three questionnaires was filled by the students. Data were organized and statistically analyzed by Chi-square test. Results: In the present study, the prevalence of prehypertension was 46.8% and hypertension was 7.2%. Perceived stress score was moderate in 71.2% of subjects and high in 10.8% of subjects. Moderate-to-severe anxiety was recorded in 21.6% of students. Cognitive failure score was high (>43) in 24.3% of students. A Chi-square test of independence was performed to examine the relation between blood pressure and cognitive failure. Relationship between these variables was significant X2 (1, n=111)=7.08, P=0.029. Patients with hypertension are likely to develop cognitive failure than those with normal blood pressure. Conclusion: The prevalence of prehypertension and hypertension is rising in medical students. Anxiety and stress being the major causes need to be addressed so as to maintain cognitive well-being of the undergraduate medical students.https://www.nepjol.info/index.php/AJMS/article/view/45423anxiety; cognition; hypertension; prehypertension; stress |
| spellingShingle | Vineeta Chadha Swarna Rastogi Sampa Choudhury Madhu Chaudhary Harvir Singh Sodhi Qazi Rais Ahmad Prevalence of prehypertension, hypertension, stress, anxiety among undergraduate medical students, and its association with cognitive failure: A cross-sectional study Asian Journal of Medical Sciences anxiety; cognition; hypertension; prehypertension; stress |
| title | Prevalence of prehypertension, hypertension, stress, anxiety among undergraduate medical students, and its association with cognitive failure: A cross-sectional study |
| title_full | Prevalence of prehypertension, hypertension, stress, anxiety among undergraduate medical students, and its association with cognitive failure: A cross-sectional study |
| title_fullStr | Prevalence of prehypertension, hypertension, stress, anxiety among undergraduate medical students, and its association with cognitive failure: A cross-sectional study |
| title_full_unstemmed | Prevalence of prehypertension, hypertension, stress, anxiety among undergraduate medical students, and its association with cognitive failure: A cross-sectional study |
| title_short | Prevalence of prehypertension, hypertension, stress, anxiety among undergraduate medical students, and its association with cognitive failure: A cross-sectional study |
| title_sort | prevalence of prehypertension hypertension stress anxiety among undergraduate medical students and its association with cognitive failure a cross sectional study |
| topic | anxiety; cognition; hypertension; prehypertension; stress |
| url | https://www.nepjol.info/index.php/AJMS/article/view/45423 |
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