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A cross sectional community based study was conducted in 10 coastal and 10 non coastal areas to assess the prevalence of pre hypertension in Nellore district. A total of 5000 samples were included in this study. Among this, 2500 samples belongs to coastal areas and 2500 samples belongs to non coastal areas. In coastal areas, among 2500 samples, with regard to pre hypertension, 1129 (45.16%) samples are with SBP pre hypertension and 78(3.12%) samples are with DBP prehypertension. In non coastal areas, among 2500 samples, with regard to pre hypertension, 971 (38.84%) samples are with SBP pre hypertension and 72 (2.88%) samples are with DBP prehypertension. The correlation coefficient value is highly significant (1) and the standard deviation is 566.60. The above results shown that pre hypertension values are higher in the coastal areas than in the non coastal areas. The variables like age, education, type of family, occupation, income, working members in the family, type of ventilation, sleeping hours, sleeping pattern, exercises, type of oil used, amount of oil used per day per person, type of salt, entertainment, stress, obesity are the influencing risk factors for the development of hypertension among the adults.