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

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

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

International Journal of Cardiology ◽

10.1016/j.ijcard.2014.09.021 ◽

2014 ◽

Vol 177 (1) ◽

pp. 202-208 ◽

Cited By ~ 17

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

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Predictors of poor blood pressure control among Iranian hypertensive patients

BMC Research Notes ◽

10.1186/s13104-017-2971-4 ◽

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

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

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211338 ◽

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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THERAPEUTIC RESISTANCE AS THE KEY DETERMINANT OF POOR BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS: A STITCH SUBSTUDY: 4B.03

Journal of Hypertension ◽

10.1097/01.hjh.0000378848.15762.67 ◽

2010 ◽

Vol 28 ◽

pp. e209-e210

Author(s):

S Nelson ◽

G Dresser ◽

R Feldman

Keyword(s):

Blood Pressure ◽

Blood Pressure Control ◽

Pressure Control ◽

Therapeutic Resistance ◽

Hypertensive Patients ◽

Poor Blood Pressure Control

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

Hypertension ◽

10.1161/hyp.64.suppl_1.426 ◽

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.

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