scholarly journals Efetividade de programa de apoio a terceira idade no controle da hipertensão arterial

2019 ◽  
Vol 9 (28) ◽  
pp. 26-36
Author(s):  
Eduardo Expedito Valeriano Batista ◽  
Bruno Almeida Rezende
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Elderly Patients ◽  
Arterial Hypertension ◽  
Blood Pressure Measurement ◽  
The Elderly ◽  
Relevant Information ◽  
Support Program ◽  
Cross Sectional ◽  
Systemic Arterial Hypertension

Estudar o perfil do idoso portador de Hipertensão Arterial Sistêmica (HAS) inserido em um Grupo de Apoio a Terceira Idade (GATI), sua adesão ao tratamento medicamentoso e o controle dos níveis pressóricos. Estudo transversal, descritivo e comparativo em 72 idosos portadores de HAS divididos em dois grupos: participantes e não participantes de um GATI na cidade de Jequeri (MG). Os dados foram coletados por entrevistas através do questionário de adesão a medicamentos auto referido, aferição da pressão arterial e coleta de dados do prontuário. A maioria dos indivíduos era do sexo feminino, casados e praticavam atividades físicas regulares. Os participantes do GATI apresentaram maior escolaridade, maior adesão ao tratamento medicamentoso da HAS, maior proporção de praticantes de atividades físicas, menor IMC e menor proporção de fumantes e melhores índices pressóricos. A implementação de GATI pode auxiliar no controle dos níveis pressóricos em pacientes portadores de HAS.Descritores: Hipertensão Arterial Sistêmica, Idoso, Envelhecimento. Effectiveness of a support program for the elderly in the control of Systemic Arterial HypertensionAbstract: To study the profile of elderly patients with Systemic Arterial Hypertension (SAH) included in a support program for elderly people (SPEP) at Jequeri city (MG), as well as their drug treatment adherence and control of blood pressure levels. Cross-sectional, descriptive and comparative study performed in 72 elderly patients with SAH divided into two groups: participants and non-participants of a SPEP. The data were collected by interviews through a self-reported adherence questionnaire, blood pressure measurement, as well as the collection of relevant information to the patient’s medical record. Most of the individuals were female, married, and engaged in regular physical activity. SPEP participants presented higher schooling, greater adherence to the medical treatment of hypertension, greater proportion of physical activity practitioners, lower BMI, a lower proportion of smokers and better blood pressure indexes. The implementation of SPEP can help control pressure levels in patients with SAH.Descriptors: Systemic Arterial Hypertension, Elderly, Senior group, Aging. Efectividad de programa de apoyo a la tercera edad en el control de la hipertensión arterialResumen: Estudar o perfil do idoso portador de Hipertensão Arterial Sistémica (HAS) inserido em um Grupo de Apoio a Terceira Idade (GATI), sua adesão ao tratamento medicamentoso e o controle dos níveis pressóricos. Estudo transversal, descritivo e comparativo em 72 idosos portadores de HAS divididos em dois grupos: participantes e não participantes de um GATI na cidade de Jequeri (MG). Os dados foram coletados por entrevistas através do questionário de adesão a medicamentos auto referido, aferição da pressão arterial e coleta de dados do prontuário. A maioria dos indivíduos era do sexo feminino, casados e praticavam atividades físicas regulares. Os participantes do GATI apresentaram maior escolaridade, maior adesão ao tratamento medicamentoso da HAS, maior proporção de praticantes de atividades físicas, menor IMC e menor proporção de fumantes e melhores índices pressóricos. A implementação de GATI podem auxiliar no controle dos níveis pressóricos em pacientes portadores de HAS.Descriptores: Hipertensão Arterial Sistêmica, Idoso, Envelhecimento.

Abstract WMP57: Declining Blood Pressure is Associated with Subcortical Microinfarcts in Older Adults

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Mekala R Raman ◽  
Jonathan Graff-Radford ◽  
Scott A Przybelski ◽  
Timothy G Lesnick ◽  
Michelle M Mielke ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Elderly Population ◽  
Adult Population ◽  
Blood Pressure Measurement ◽  
The Elderly ◽  
Pressure Measurements ◽  
Autopsy Study ◽  
Cross Sectional ◽  
Blood Pressures

Hypertension is highly prevalent in the elderly population and microinfarcts are the most common vascular brain pathology identified in older adults at autopsy. We investigated the associations between systolic and diastolic blood pressures measured antemortem and the presence of microinfarcts at autopsy. Study subjects (n=302; age range=71-95) were participants in the population-based Mayo Clinic Study of Aging autopsy study, who had blood pressure measurements recorded during life. We investigated both cross-sectional systolic and diastolic blood pressure measurements at the baseline visit and the change in blood pressure (slope). Presence and location (subcortical or cortical) of chronic microinfarcts was abstracted from the autopsy reports. Of the 302 study subjects, 47 (16%) had cerebral microinfarcts, and, of those, 18 (38%) had subcortical microinfarcts and 29 (62%) had only cortical microinfarcts. The baseline blood pressures were not different between subjects with no microinfarcts, subcortical microinfarcts, and only cortical microinfarcts. In a logistic regression model including time between last blood pressure measurement and death, a greater decline in systolic [OR= 1.06 (1.01, 1.11); p=0.02]) and greater decline in diastolic [OR= 1.11 (1.02, 1.20); p=0.01] blood pressures were predictors of the presence of subcortical microinfarcts at autopsy. However, these variables were not associated with the presence of cortical microinfarcts. In conclusion, microinfarcts are common in the older adult population, and most of them are located in the cortex. A greater decline in both systolic and diastolic blood pressures and their association with subcortical microinfarcts, but not with cortical microinfarcts, may have implications for aggressive lowering of blood pressure in the elderly population.

scholarly journals Controle da Pressão Arterial em Pacientes Idosos de um Ambulatório de Atenção Primária à Saúde

2006 ◽  
Vol 9 ◽  
Author(s):  
Paulo Renato Carvalho Alonso Rays ◽  
Honório Sampaio Menezes
Keyword(s):  
Blood Pressure ◽  
Elderly Patients ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Heart Diseases ◽  
The Elderly ◽  
Cross Sectional ◽  
Diabetes Type Ii ◽  
Hypertensive Therapy ◽  
Elderly Control

Resumo: Hipertensão Arterial é definida como elevação da pressão arterial sistólica e diastólica acima de 140/90mmHg, respectivamente. Estima-se que mais de 50% dos pacientes acima de 60 anos tenham hipertensão, o que deixa essa população sob risco aumentado de doenças em órgãos alvo como coração, rins e cérebro, aumentando também a morbimortalidade desta população. Diversos estudos comprovam que a terapia anti-hipertensiva reduz o risco e a morbimortalidade cardiovascular, cerebral e renal. No presente trabalho foi realizado um estudo transversal, observacional, prospectivo, onde foram avaliadas as medidas da pressão arterial de 24 pacientes idosos do grupo de 70 pacientes hipertensos do ambulatório do Programa Saúde da Família da cidade de Mata, interior do RS. Foi utilizada estatística descritiva e distribuição por freqüência, além do teste “t” de Student para comparação de médias, com nível de significância de 5% para análise dos dados. A pressão sistólica variou entre 120 e 180mmHg, a diastólica entre 60 e 100mmHg. Em 17 (70,83%) dos pacientes não houve associação da hipertensão com outra doença crônica, em quatro (16,22%) havia associado diabete melito tipo II e três (12,50%) tinham dislipidemia. Predominou o sexo feminino em 75% (18) dos pacientes estudados. A pressão sistólica estava acima de 140mmHg em 10 (41,67%) dos pacientes entre os quais havia quatro (16,67%) com a diastólica acima de 90mmHg. Dois quintos dos idosos, mesmo sob tratamento ambulatorial, não apresentava controle da hipertensão arterial adequado. Palavras-chave: Hipertensão. Idoso. Controle. Abstract: Hypertension is defined as an elevation of systolic and diastolic blood pressure above 140/90mmHg. More than 50% of patients over 60 years have hypertension, which increases the risk of cerebrovascular, kidney and heart diseases in this population. The anti-hypertensive therapy reduces risks according several studies. This cross sectional hypertension study of the elderly patients over 60 years old analyzed blood pressure in two opportunities separated by two days. Twenty-four patients had the blood pressure measured among 70 patients. Results: the systolic blood pressure were between 120-190mmHg, the diastolic blood pressure between 60-100mmHg. Eighteen (75%) were women, 17 (70.83%) does not have other chronic diseases, four (16.22%) had diabetes type II, three (12.50%) were dislipidemic. In ten (41.67%) patients the systolic blood pressure was over 140mmHg and four (16.67%) had the diastolic blood pressure over 90mmHg. The hypertension was uncontrolled in two fifty of elderly patients. Keywords: Hypertension. Elderly. Control.

scholarly journals Fatores de risco para vigilantes

2018 ◽  
Vol 12 (4) ◽  
pp. 849
Author(s):  
Maria Evani Souza Borges ◽  
Jefferson De Sousa Melo ◽  
Luiza Chayanne Da Silva Soares ◽  
Adélia Dalva Da Silva Oliveira ◽  
Adriana Sávia De Souza Araújo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Blood Pressure ◽  
Arterial Hypertension ◽  
Alcoholic Beverage ◽  
Predisposing Factor ◽  
Cross Sectional ◽  
Systemic Arterial Hypertension ◽  
Increased Risk ◽  
Factores De Riesgo

RESUMOObjetivo: identificar os fatores de risco para a hipertensão arterial sistêmica e diabetes mellitus em vigilantes. Método: estudo quantitativo, descritivo, transversal, realizado com 23 vigilantes, por meio de um questionário analisado pelo software SPSS e apresentado em tabelas. Resultados: predominou os que praticam atividade física; não fumam; não consomem bebida alcóolica; consomem vegetais, frutas, legumes ou grãos; consomem frituras, salgados ou carnes gordas; têm antecedentes pessoais e familiares de hipertensão e diabetes, com maior ocorrência de hipertensão. A maioria obteve pressão arterial ótima e risco aumentado e muito aumentado para obesidade abdominal. Conclusão: apesar da atividade exercida ser considerada fator predisponente para a hipertensão arterial sistêmica e diabetes mellitus, os pesquisados demonstraram hábitos de vida saudáveis e níveis pressóricos dentro do padrão de normalidade. Descritores: Saúde Pública; Diabetes Mellitus; Hipertensão; Trabalho em Turnos; Fatores de Risco; Enfermagem.                                                                                                                    ABSTRACT Objective: to identify the risk factors for systemic arterial hypertension and diabetes mellitus in vigilantes. Method: quantitative, descriptive, cross - sectional study with 23 vigilantes, through a questionnaire analyzed by SPSS software and presented in tables. Results: predominantly those who practice physical activity; do not smoke; do not consume alcoholic beverage; consume vegetables, fruits, vegetables or grains; eat fried foods, salty foods or fatty meats; have a personal and family history of hypertension and diabetes, with a higher occurrence of hypertension. Most had optimal blood pressure and increased and greatly increased risk for abdominal obesity. Conclusion: although the activity was considered a predisposing factor for systemic arterial hypertension and diabetes mellitus, the subjects showed healthy habits and blood pressure levels within the normal range. Descritores: Public Health; Diabetes Mellitus; Hypertension; Shift Work; Risk Factors; Nursing. RESUMEN Objetivo: identificar los factores de riesgo para la hipertensión arterial sistémica y la diabetes mellitus en vigilantes. Método: estudio cuantitativo, descriptivo, transversal, realizado con 23 vigilantes, por medio de un cuestionario analizados por el software SPSS y presentados en tablas. Resultados: predominó los que practican actividad física; no fuman; no consumen bebida alcohólica; consumen vegetales, frutas, legumbres o granos; consumen frituras, salados o carnes gordas; tiene antecedentes personales y familiares de hipertensión y diabetes, con mayor ocurrencia de hipertensión. La mayoría obtuvo una presión arterial óptima y un riesgo aumentado y muy aumentado para la obesidad abdominal.  Conclusión: a pesar de la actividad ejercida como factor predisponente para la hipertensión arterial sistémica y diabetes mellitus, los encuestados demostraron hábitos de vida saludables y niveles de presión dentro del patrón de normalidad. Descritores: Salud Pública; Diabetes Mellitus; Hipertensión; Trabajo en Turnos; Factores de Riesgo; Enfermería.

Prevalence, Characteristics and Predictive Factors of Microalbuminuria in Resistant Systemic Arterial Hypertension

2018 ◽  
Vol 69 (9) ◽  
pp. 2425-2429
Author(s):  
Carmen Gadau ◽  
Elena Ardeleanu ◽  
Roxana Folescu ◽  
Ioan Tilea ◽  
Andreea Varga ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Predictive Factors ◽  
Hdl Cholesterol ◽  
Arterial Disease ◽  
Left Ventricular ◽  
Cross Sectional ◽  
Systemic Arterial Hypertension ◽  
Peripheral Arterial ◽  
Made In

The present cross-sectional observational study was made in family medicine offices of Timi� County, Romania. The aim of the study was to investigate the prevalence of urinary microalbumin excretion (MAU) in resistant systemic arterial hypertension (RH), to analyze patients� biochemical and clinical characteristics, and the predictive factors for MAU. From a total number of 347 patients, MAU was detected in 76 cases (21.9%). The microalbuminuria positive patients were older, with significant higher office systolic blood pressure (BP) (155 � 13.50 vs 148 � 12.40 mmHg, p [ 0.0001) and diastolic blood pressure (94 � 12.20 vs 88 � 14.6 mmHg, p = 0.0013), higher prevalence of left ventricular hypertrophy, diabetes mellitus, obesity, ischemic and peripheral arterial disease. MAU positive patients presented statistical significant differences in biochemical data concerning: fasting plasma glucose (FPG) (118.80 � 32.02 vs 108.01 � 26.01 mg/dL, p = 0.003), impaired glucose tolerance (IGT) (10.52 % vs 4.94 %), glycated hemoglobin (HbA1c) (6.56 � 0.98% vs 5.96 � 0.91%, p [ 0.001), reduced estimated glomerular filtration rate (eGFR) (56.10 � 15.4 vs 69.30 � 17.5 ml/min/1.73m2, p [ 0.001) and higher potassium levels (4.71 � 0.43 vs 4.59 � 0.44 mg/dL, p = 0.0378). No significant differences were noticed regarding LDL- and HDL-cholesterol, triglycerides, uric acid and serum creatinine. In a logistic multivariate analysis independent predictors for MAU were: systolic BP (odds ratio, OR = 1.024, 95% confidence interval, CI:1.011-1.039, p [ 0.001), HbA1c (OR = 1.324, 95% CI: 1.078-1.724, p = 0.008) and eGFR (OR = 0.989, 95% CI: 0.977-0.999, p = 0.01). Our findings suggest that an important part of RH patients have microalbuminuria and highlight the importance of controlling its predictors, in order to improve patients� outcome.

scholarly journals PENGARUH AKTIVITAS FISIK TERHADAP TEKANAN DARAH PADA USIA LANJUT 60-74 TAHUN

2020 ◽  
Vol 8 (1) ◽  
pp. 83
Author(s):  
Ellis Makawekes ◽  
Levi Suling ◽  
Vandri Kallo
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Research Method ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Wilcoxon Test ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Village

ABSTRACTBackground: Physical activity in the elderly is very influential in blood pressure, the greater the physical activity carried out in the blood pressure of the elderly also increases. The purpose of the study is to investigate the effect of physical activity on blood pressure in the elderly 60-74 years. The research method used in this study is a cross sectional study. The sample in this study was 32 elderly people in Taloarane Village. Data colecton method in this study used physical activity observation sheet. Data analysis used statistical analysis with wilcoxon test. The results of this study revealed p- value = 0,000 which is less than significant value 0,005. Obtained are blood pressure before physical activity has a smaller value than blood pressure after physical activity where the avarage blood pressure is increased from before doing activities that is 142,25 to 159,81. Conclusion there was an influence of physical activity on blood pressure in the elderly in the village of Taloarane. The results of this study recommend for further research to add the type of physical activity.Keywords: Physical Activity, Blood Pressure, ElderlyABSTRAKLatar belakang :Aktivitas fisik pada lansia sangat berpengaruh pada tekanan darah, semakin besar aktivitas fisik yang dilakukan tekanan darah pada lansia juga meningkat. Tujuan penelitian diketahui pengaruh aktivitas fisik terhadap tekanan darah pada usia lanjut 60-74 tahun. Metode penelitian yang digunakan dalam penelitian ini adalah survey cross sectional. Sampel dalam penelitian ini adalah 32 orang lansia di Desa Taloarane. Penelitian menggunakan alat pengumpulan data berupa lembar observasi aktivitas fisik. Analisis data menggunakan uji wilcoxon. Hasil penelitian ini mengungkapkan p-value = 0,000 yang kurang dari nilai signifikan 0,005.  uji diperoleh yaitu tekanan darah sebelum aktivitas fisik memiliki nilai lebih kecil dari tekanan darah sesudah aktivitas  dimana didapatkan tekanan darah rata-rata meningkat dari sebelum melakukan aktivitas yaitu 142,25 menjadi 159,81.Kesimpulan  dari penelitian ini ada pengaruh aktivitas fisik dengan tekanan darah pada lansia didesa Taloarane. Hasil penelitian ini merekomendasikan untuk penelitian selanjutnya agar menambahkan jenis aktivitas fisik.Kata kunci : Aktivitas Fisik, Tekanan Darah, Lansia

scholarly journals Avaliação do entendimento da prescrição por idosos atendidos pelo Sistema Único de Saúde de Porto Alegre, RS, Brasil

2017 ◽  
Vol 5 (2) ◽  
pp. 55
Author(s):  
Mayara Becker Delwing ◽  
Daniela De Oliveira Carvalho ◽  
Paula Engroff ◽  
Luísa Scheer Ely ◽  
Bruna Ferreira Máximo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Elderly Patients ◽  
Lipid Profile ◽  
Quantitative Study ◽  
The Elderly ◽  
Porto Alegre ◽  
Cross Sectional ◽  
The University ◽  
Extension Center

Aims: This article aimed to evaluate the use of drugs and to correlate the understanding of the prescription with the elderly lipid profile and bloodpressure. Methods: It was an observational, cross-sectional, quantitative study, which evaluated 97 records of the elderly outpatient from Single HealthSystem of the Institute of Geriatrics and Gerontology (IGG) and the University Extension Center (UEC) Villa Fatima, Porto Alegre/RS from 2008 to 2009.Results: The results revealed that the lack of understanding might be related to the progression of age of the population. The prescription understanding ofthe patients attending the IGG was higher when compared to the elderly who attended the UEC (p<0.05). The parameters of blood pressure and dyslipidemiaare not directly correlated to the understanding of the prescription. Conclusions: Thus, it is necessary to work towardsfollowing of pharmacotherapyfrom elderly patients to improve therapy adhesion in this population.

THE RELATIONSHIP OF PARTNER SUPPORT WITH VARIOUS ACTIVITIES OF THE ELDERLY HYPERTENSION

2021 ◽  
Vol 2 (2) ◽  
pp. 85
Author(s):  
Farah Dwita Angelina ◽  
Joni Haryanto ◽  
Elida Ulfiana
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
The Elderly ◽  
Partner Support ◽  
Daily Activities ◽  
Social Activities ◽  
Cross Sectional ◽  
Mental Health Practices ◽  
Relationship Of ◽  
The Relationship

Hypertension is a health problem that many elderly suffer from. Blood pressure in the elderly with hypertension can be controlled in various ways, namely doing physical activity regularly, performing activities related to cognitive function, and controlling stress levels so as not to affect contractions or pulsations of the heart and nervous system that can cause blood pressure to increase. The purpose of this study was to determine the relationship of partner support with physical, mental, and social activities of the elderly with hypertension.This study used a correlational non-experimental design with a cross-sectional approach. The number of samples were 102 respondents in the Morokrembangan area, where the sampling used Nonprobability Sampling method, namely Purposive Sampling. The research instrument used partner support questionnaires, Global Physical Activity Questionnaire (GPAQ), mental health practices, social activities and demographic characteristics. The analysis used Spearman Rho test.The results of this study were there was a relationship between partner support with physical activity (p = 0.000; r = 0.589 ), mental activity (p = 0.000; r = 0.778 ), and social activity (p = 0.000; r = 0.671) with positive and unidirectional correlation.As you get older, daily activities will decrease too. The better the support provided by the partner, the higher the level of daily activities carried out by the elderly. Therefore, elderly couples are expected to provide mutual support in carrying out physical, mental, and social activities. 

scholarly journals Physical fitness of elderly persons with systemic arterial hypertension users of academies of the third age of Maringá-pr

2020 ◽  
Vol 31 (1) ◽  
Author(s):  
Daniel Vicentini de Oliveira ◽  
Leonardo Lopes Giacomin ◽  
Mateus Dias Antunes ◽  
Carla Thamires Laranjeira Granja ◽  
Eliakim Cerqueira da Silva ◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Physical Fitness ◽  
Arterial Hypertension ◽  
Sedentary Behavior ◽  
Body Mass ◽  
Activity Level ◽  
Male And Female ◽  
Systemic Arterial Hypertension ◽  
The City

This study investigated the physical fitness of elderly hypertensive users of the fitness zones  of the city of Maringá-PR. The subjects were 79 male and female elderly users of 13 fitness zones located in the city of Maringá-PR, with a diagnosis of Systemic Arterial Hypertension (SAH). A semistructured questionnaire was used to identify the sociodemographic and health profile. Resting blood pressure and Body Mass Index (BMI) were measured. The arm flexion and the chair lift and sit tests were used to assess muscle strength and International Physical Activity Questionnaire (IPAQ) was used to identify the physical activity level. The results showed active / very active elderly, with controlled blood pressure, low sedentary behavior index and high limb strength, but with BMI representing overweight and low limb strength. Men presented higher body mass values ​​(p = 0.020); however, other factors related to physical fitness did not show a statistically significant difference between male and female elders. It was concluded that  male and female elderly with a diagnosis of SAH, users of fitness zones presented excellent levels of physical activity, associated with good health behaviors, low sedentary behavior and controlled blood pressure.

scholarly journals Physical Activity and the Quality of Life of Elderly Patients with Hypertension

2020 ◽  
Vol 11 (1) ◽  
pp. 87
Author(s):  
Sri Jumaiyah ◽  
Kurnia Rachmawati ◽  
Hasby Pri Choiruna
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Elderly Patients ◽  
The Elderly ◽  
Poor Quality ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Relationship Of

Introduction: Hypertension is a degenerative disease that causes changes in the elderly so it will affect the quality of life of the elderly. One effort to improve the health status and quality of life of the elderly is maintaining health conditions with activities. Objective: The purpose of this study was to determine the relationship of physical activity and the quality of life of elderly patients with hypertension in the working area of the Hambawang Beach Health Center. Method: This study used correlation with the cross sectional design approach. Respondents numbered 56 elderly taken in total sampling. The research instruments were PASE questionnaire and WHOQOL-BREF questionnaire. Data analysis used chi square test. Results:There was a relationship of physical activity with the quality of life of elderly people with hypertension (p = 0,000). Odds Ratio value of 49,5 means that elderly who have less physical activity are 49,5 times more likely to have a poor quality of life of the elderly compared to good physical activity of the elderly. Discussion: Good physical activity can improve the quality of life of the elderly. It was recommended to the elderly to do physical activities such as walking and doing sports.

scholarly journals Relationship of anxiety-depressive disorders and cognitive dysfunction in patients with arterial hypertension depending on the age and status of physical activity

2020 ◽  
Vol 29 (3) ◽  
pp. 46-53
Author(s):  
T.V. Kolesnyk ◽  
A.V. Nadiuk ◽  
H.A. Kosova
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Elderly Patients ◽  
Arterial Hypertension ◽  
Cognitive Functions ◽  
Physical Inactivity ◽  
Anxiety And Depression ◽  
Middle Aged ◽  
Aged Patients ◽  
Level Of Education

Objective – to determine the level of anxiety and depression, to investigate cognitive functions and the status of physical activity in patients with hypertension, depending on age.Materials and methods. We examined 67 patients with hypertension I–III stage (atherosclerotic plaque and/or myocardial infarction in history). According to age classification (WHO, 2012) patients were randomized into 3 groups: group I – 25 middle-aged patients, group II – 22 elderly patients, group III – 20 patients of senile age. The highest level of education, the total number of education years; duration of arterial hypertension; anthropometric data and the office blood pressure were assessed. We used an individual approach to determine the target level of blood pressure according to the recommendations ESC/ESH 2018. Cognitive functions were evaluated using the MoCA-test and the Clock Drawing Test. The level of anxiety and depression was determined by the results of the Hospital scale of anxiety and depression.Results. According to the data obtained, a statistically greater degree of depression was recorded among eldery patients in comparison with other groups. Only in this group, a higher level of depression was associated with less time that patients spent for regular exercise during the week. Among middle-aged patients with arterial hypertension, the absence of anxiety and depression was detected in 56.0 %. At the same time, in the group of senile age, 75.0 % of patients were diagnosed with manifestations of anxiety and depression of varying severity. It is important to notice that in the group of senile age the median level of anxiety was higher, although nonsignificantly, in comparison with other groups and met the criteria for subclinical anxiety. Results of multivariate correlation analysis showed that a high level of anxiety in middle-aged patients was associated with an earlier age of arterial hypertension verification, as well as with waist circumference increase and the waist/hip circumference ratio. Among elderly patients, a higher level of anxiety was determined in the presence of physical inactivity and among patients of senile age, an increase in anxiety level was associated with a shorter duration of education and a decrease in cognitive functions. Conclusions. The highest level of depression was diagnosed among people of senile age, which was associated with the presence of physical inactivity. The groups did not differ statistically in level of anxiety, however, an increase in its severity in the middle-aged group was associated with an earlier age of hypertension verification and an increase in the degree of abdominal obesity, among elderly patients – with hypodynamia, and in the group of senile age – with a low level of education and the presence of cognitive dysfunctions.

Sign in / Sign up

Export Citation Format

Share Document