Anthropometric indices and elevated blood pressure: A record-based study among employees of a tertiary health care institute in Telangana

Background: Hypertension is a major global health concern and a leading risk factor for cardiovascular disease. With rising obesity rates, anthropometric indices such as body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) are increasingly used as non-invasive screening tools to identify individuals at risk of elevated blood pressure. Objectives: To examine the association between anthropometric indices and elevated blood pressure among employees of a tertiary health care institute in Telangana. Methods: A cross-sectional study was conducted among employees at Tertiary Healthcare Institute, Telangana during a hypertension screening drive. Participants included healthcare and administrative staff. Data were collected on height, weight, WC, and blood pressure using WHO-recommended protocols. Hypertension and pre-hypertension were defined as per JNC VIII criteria. Statistical analysis, including logistic regression, to evaluate associations between anthropometric measures and blood pressure. Results: A significant association was observed between elevated blood pressure and increased BMI, WC, and WHtR ( P < 0.05). Central adiposity, male gender, and age > 30 years were identified as significant risk factors. Pre-hypertension was found in 23% of participants, indicating a high-risk group requiring early intervention. Conclusion: Anthropometric indices are valuable tools for early detection of hypertension in occupational settings. Routine screening and workplace interventions focusing on lifestyle modifications are essential to prevent long-term cardiovascular complications.