Factors associated with multimorbidity and its link with poor blood pressure control among 223,286 hypertensive patients

2014 ◽  
Vol 177 (1) ◽  
pp. 202-208 ◽  
Author(s):  
Martin C.S. Wong ◽  
Harry H.X. Wang ◽  
Clement S.K. Cheung ◽  
Ellen L.H. Tong ◽  
Antonio C.H. Sek ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Poor Blood Pressure Control

Abstract 426: Factors Associated With Multimorbidity And Its Link With Poor Blood Pressure Control Among 223,286 Hypertensive Patients

Hypertension ◽  
2014 ◽  
Vol 64 (suppl_1) ◽  
Author(s):  
Martin C Wong ◽  
Harry H Wang ◽  
Mandy W Kwan ◽  
Clement S Cheung ◽  
Ellen L Tong ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Clinical Care ◽  
Antihypertensive Agents ◽  
Pressure Control ◽  
Multinomial Regression ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Poor Blood Pressure Control ◽  
Male Patients

Background: Multimorbidity, defined as the presence of ≥ 2 chronic disorders, has become the norm in many countries as populations age. It remains, however, very infrequently researched. This study evaluated the factors associated with multimorbidity in a predominantly Chinese hypertensive population. Methods: We included all adult patients prescribed their first antihypertensive agents in the public sector of the entire Hong Kong population from a validated clinical database. Multinomial regression analyses were performed to explore factors independently associated with multimorbidity. Results: 223,286 hypertensive patients (average age of 59.9 years, SD 17.6) were included. The prevalence of having 0, 1 and ≥2 additional chronic conditions was 59.6% [133,176/223,286], 32.8% [73,313/223,286] and 7.5% [16,797/223,286], respectively. Older age (>50 years), male sex, lower household income, receipt of comprehensive social security allowance and suboptimal blood pressure control (>140mmHg or >90mmHg; >130mmHg or >80mmHg for diabetes patients; AOR=3.38 to 4.49) were significantly associated with the presence of ≥2 additional conditions. There exists a synergistic effect among these variables as older (≥70 years), male patients receiving security allowance had substantially higher prevalence of ≥2 multimorbidity (19.9% vs 7.5% among all patients). Conclusions: Multimorbidity is very common in hypertensive patients and its prevalence increased markedly with the presence of risk factors identified in this study. Hypertensive patients with multimorbidities should receive more meticulous clinical care as their blood pressure control tends to be poorer.

FACTORS ASSOCIATED WITH EARLY BLOOD PRESSURE CONTROL IN NEWLY DIAGNOSED HYPERTENSIVE PATIENTS

2018 ◽  
Vol 36 (Supplement 1) ◽  
pp. e242
Author(s):  
E. Nicolas ◽  
F. Beauvais ◽  
R. Benainous ◽  
L. Weisslinger ◽  
S. Lejeune ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Newly Diagnosed ◽  
Hypertensive Patients ◽  
Factors Associated

Factors associated with poor tensional control in the elderly

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
Z Bargaoui ◽  
K Mzoughi ◽  
S Labbene ◽  
I Zairi ◽  
S Kraiem ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Risk Factor ◽  
Cardiovascular Risk ◽  
Blood Pressure Control ◽  
The Elderly ◽  
Pressure Control ◽  
Thiazide Diuretics ◽  
Factors Associated ◽  
Poor Blood Pressure Control ◽  
History Of

Abstract Funding Acknowledgements Type of funding sources: None. Background Hypertension is a major cardiovascular risk factor, responsible for significant morbidity and mortality. Despite therapeutic progress, blood pressure control remains insufficient. Purpose The aim of our study was to identify the factors associated with poor blood pressure control in the elderly. Methods This was a descriptive study with a prospective data collection including 101 hypertensive treated subjects, aged 65 years and over, followed on outpatient basis between November and December 2019 at the cardiology consultation either at the Habib Thameur hospital or at the Materi hospital. Results Median age was 73 and sex ratio 0.57. The major cardiovascular risk factor was diabetes in 60.4% of cases, followed by dyslipidaemia 48.5% and smoking 40.6%. A history of coronary syndrome was present in 36.6% of cases, followed by atrial fibrillation in 19.8% and 12.9% had a history of ischemic stroke. Thirty-three percent realized regular physical activity and 31% had a high-sodium diet. Four percent of our patients were completely dependent. Among our patients aged 80 and over, 68.2% were frail. The prevalence of poor blood pressure control was 59%. Adherence to treatment was satisfactory in 75.2% of cases. Twelve percent of patients had information about their condition and 89% knew the dosage and schedule for their medication. In multivariate analysis, the factors associated with poor blood pressure control were: non-compliance with treatment (adjusted OR = 0.19; p = 0.013), frailty (adjusted OR = 7.194; p = 0.004), the number of antihypertensive tablets (Adjusted OR = 0.382; p = 0.008), non-use of thiazide diuretics (adjusted OR = 25.903; p = 0.001) and the patient"s lack of knowledge of antihypertensive treatment (adjusted OR = 0.56; p = 0.008). Conclusion Detection of the risk of non-compliance, the use of thiazide diuretics, reducing the number of antihypertensive tablets, screening for frailty and informing the patient about his treatment are necessary to improve blood pressure control in the elderly.

scholarly journals Dyslipidemia in blood pressure control among adult hypertensive patients in Kiambu County Hospital Kenya

2020 ◽  
Vol 4 (1) ◽  
pp. 11-17
Author(s):  
Monica. N. Nderitu ◽  
Jonathan Wala ◽  
Otieno O. Otieno
Keyword(s):  
Blood Pressure ◽  
Total Cholesterol ◽  
Blood Pressure Control ◽  
Lifestyle Modification ◽  
Communicable Disease ◽  
Lipid Level ◽  
Pressure Control ◽  
County Hospital ◽  
Hypertensive Patients ◽  
Poor Blood Pressure Control

Introduction: Hypertension is one of the most common non-communicable diseases with about 40% global prevalence in adults and 46% in Africa. Dyslipidemia, among other factors may lead to poor blood pressure control in hypertensive patients. Dyslipidemia occurs when someone has abnormal levels of lipids in their blood However, the role of dyslipidemia in predicting hypertension has not received adequate attention. Objectives: This study aims to determine the relationship between dyslipidemia and blood pressure control among hypertensive patients in Kiambu County Hospital Kenya. Methods: This was a cross-sectional analytical study assessing independent association between blood pressure control and dyslipidemia in a cohort of 251 hypertensive patients in a hospital set up. Multiple logistic regression model was applied to determine factors associated with poor blood pressure control. Results: In total, 251 hypertensive patients, mean age 55.7 years, females-majority (80.9%) were considered in the study. The mean systolic blood pressure was 145.1±22.4mmHg and 87.4±13.0mmHg for diastolic blood pressure. Blood pressure was poorly controlled in 56.6% of the patients. High LDL levels was diagnosed in 82.1% of the patients, 23.1% low HDL levels, 31.9% high triglycerides and 59.8% high total cholesterol levels. Patients with poorly controlled hypertension (68.7%) recorded significantly higher mean total cholesterol (221.4 mg/dl) compared to193.4 mg/dl in the wellcontrolled group (mean 193.4 mg/dl), p0.05). Conclusion: Dyslipidemia was recorded in 68% of adult hypertensive patients and was significantly associated with development of of inadequate blood pressure control. Low density lipids ( LDL) was significantly higher in the poorly controlled group where 68.7% of the patients with high level of total cholesterol had poorly controlled blood pressure. Lifestyle modification, routine lipid profile testing among hypertensive patients, early treatment on high lipid level patients, change of lifestyle and use of statin were recommended for dyslipidemia treatment. Keyword: Hypertension, cardiovascular, blood pressure, diastolic, systolic,non-communicable,disease

scholarly journals Influence of dietary and lifestyle factors on blood pressure control among adult hypertensive patients under care in Uganda

2021 ◽  
Author(s):  
Patience Annet Nakalega ◽  
Levicatus Mugenyi ◽  
Lilian Nuwabaine ◽  
Mathius Amperiize ◽  
Barbara Kirunda Tabusibwa
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Lifestyle Factors ◽  
Dietary Factors ◽  
Poor Adherence ◽  
Uncontrolled Blood Pressure ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Study Participants

Abstract Background Hypertension is an important worldwide public-health challenge because of its high prevalence and for being a risk factor for cerebrovascular, cardiovascular and chronic renal disease. Despite these risk factors, blood pressure control among hypertensive patients is still poor. Objectives To assess dietary and lifestyle factors associated with uncontrolled blood pressure control among a series of Ugandan hypertensive patients under care at a Kiruddu hospital.Methods A cross sectional study involving 271 adult hypertensive patients attending general outpatient hypertensive clinic were enrolled. We collected data on dietary and lifestyle factors, social demographics, BMI, comorbidities, and adherence to hypertensive medication. Dietary factors were based on recommended DASH diet including nine food items salt; grains; fruits; vegetables; nut/seeds, and legumes; dairy; meat; fat; and sweets. Questionnaires on alcohol intake, smoking status and level of physical activity were also administered. An average of the previous two Blood pressure readings were recorded while weight and height were measured for each subject at enrolment. Factors associated with uncontrolled blood pressure (>140/90mmHg) were assessed using a multivariate logistic regression model.Results The mean age of study participants was 57 years (SD ± 0.76 years), with female dominance (77.9%). Among the study participants, 121 (44.7%) had uncontrolled BP. Dietary factors that remained significantly associated with uncontrolled blood pressure with adjusted OR (95%CI) included consumption of raw salt: 4.18 (1.32-13.24) and inadequate fruit consumption (less than 7days/week): 2.18 (1.26-3.75) while clinical factors included being overweight: 2.51 (1.27-4.95) and poor adherence to antihypertensive medications prescribed: 1.82 (1.03-3.21).Conclusion The proportion of hypertensive patients with uncontrolled BP was high (44.7%). Consumption of raw salt, inadequate fruit consumption being overweight and poor adherence to antihypertensive medication were significantly associated with uncontrolled BP. From these findings, many of the factors that impact on the control of blood pressure are fortunately modifiable.

scholarly journals ASSOCIATION OF DIETARY AND LIFESTYLE FACTORS ON BLOOD PRESSURE CONTROL AMONG ADULT HYPERTENSIVE PATIENTS ATTENDING A UGANDAN TERTIARY HOSPITAL

2021 ◽  
Vol 2 (2) ◽  
pp. 103-114
Author(s):  
A. P. Nakalega ◽  
L. Mugenyi ◽  
L. Nuwabaine ◽  
M. Amperiize ◽  
K. B. Tabusibwa
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Lifestyle Factors ◽  
Poor Adherence ◽  
Fruit Consumption ◽  
Uncontrolled Blood Pressure ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Study Participants

Hypertension is an important worldwide public-health challenge due to its high prevalence and being a risk factor for cerebrovascular, cardiovascular, and chronic renal diseases. Despite these risk factors, blood pressure control among hypertensive patients is still poor.  The main objective was to assess dietary and lifestyle factors associated with uncontrolled blood pressure control among Ugandan hypertensive patients at Kiruddu hospital. Materials and methods: A cross-sectional study involving 271 adult hypertensive patients attending the outpatient hypertensive clinic was enrolled. Data were obtained on dietary, lifestyle factors (alcohol intake, smoking status, and level of physical activity), social demographics, Body Mass Index (BMI), comorbidities, and adherence to hypertensive medication. An average of the current and previous two Blood pressure readings was recorded. Factors associated with uncontrolled blood pressure were assessed using a multivariate logistic regression model. Results: The mean age of study participants was 57 ± 0.76 years, with female dominance (77.9%). Among the study participants, 121 (44.7%) had uncontrolled BP. Dietary factors that were associated with uncontrolled blood pressure with adjusted OR (95%CI) included consumption of raw salt: 4.18 (1.32-13.24) and inadequate fruit consumption: 2.18 (1.26-3.75) while clinical factors included being overweight: 2.51 (1.27-4.95) and poor adherence to antihypertensive medications prescribed: 1.82 (1.03-3.21). Conclusion: The proportion of hypertensive patients with uncontrolled Blood Pressure was high (44.7%). Consumption of raw salt, inadequate fruit consumption, being overweight and poor adherence to antihypertensive medication were significantly associated with uncontrolled BP. From these findings, factors that were associated with the control of blood pressure are modifiable.

scholarly journals Predictors of poor blood pressure control among Iranian hypertensive patients

2017 ◽  
Vol 10 (1) ◽  
Author(s):  
Leila Jahangiry ◽  
Jalileh Ghanbari ◽  
Mahdieh Abbasalizad Farhangi ◽  
Parvin Sarbakhsh ◽  
Koen Ponnet
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Hypertensive Patients ◽  
Poor Blood Pressure Control

scholarly journals The association between medication adherence and blood pressure control among hypertensive patients attending a tertiary hospital in south-south Nigeria

2021 ◽  
Vol 9 (4) ◽  
pp. 965
Author(s):  
Lillian N. Ozumba ◽  
Geraldine U. Ndukwu
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Family Medicine ◽  
Blood Pressure Control ◽  
Teaching Hospital ◽  
Pressure Control ◽  
Bivariate Analysis ◽  
Hypertensive Patients ◽  
Port Harcourt ◽  
Poor Blood Pressure Control

Background: Hypertension is a common disease among adults. It is a global health condition that requires drugs and lifestyle changes for its management and control. Despite this, the rate of hypertension related deaths has been increasing in prevalence across the world. The purpose of this paper is to determine the association between medication adherence and blood pressure control among hypertensive patients in Family Medicine Clinic, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.Methods: A hospital based cross-sectional study was conducted in Family Medicine Clinic, University of Port Harcourt Teaching Hospital. Systematic sampling method was used to select 400 participants. A structured questionnaire namely Morisky Medication Adherence Scale-4 was adapted and used for data collection in this study. Bivariate analysis was done using Chi square test and odd ratio.Results: A total of 400 (118 males and 282 females) adult hypertensive patients participated in this study. Majority of the participants had poor adherence to medication treatment 71.2% (n=285), whereas the remaining ones 28.8% (n=115) had good adherence. Similarly, most of the participants, 77.2% (n=309) had poor blood pressure control while the remainder 22.8% (n=91) experienced the opposite. The bivariate analysis showed that good medication adherence was significantly associated with good blood pressure control.Conclusions: Medication adherence was low especially among those with poor blood pressure control. This link was statistically significant therefore doctor-patient interaction with emphasis on medication adherence is advocated. 

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