Epidemiological Characteristics of Hypertension in the Elderly in Beijing, China

Ma, Lina; Zhao, Xin; Tang, Zhe; Li, Yun; Sun, Fei; Li, Diao; Ge, Gaizhen; Feng, Ming; Wang, Jieyu

doi:10.1371/journal.pone.0135480

Cited by 16 publications

(5 citation statements)

References 25 publications

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“…Given that participants in this study were identified on hospital presentation it could be expected that the prevalence in our population is higher than that reported elsewhere however this does not appear to be the case. Similar prevalence for hypertension, between 60% and 70% have been reported for hypertension in older community dwelling populations internationally (Ma et al, 2015, Polsinelli et al, 2017). A longitudinal study by Egan et al using the The National Health and Nutrition Examination Survey (NHANEs) data showed that the prevalence of hypertension among those aged over 60 years has remained consistently between 60 and 70% since 2008 (Egan et al, 2010).…”

Section: Discussionsupporting

confidence: 80%

Prevalence, management and control of hypertension in older adults on admission to hospital

Alhawassi

Krass

Pont

2017

Saudi Pharmaceutical Journal

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Section: Discussionsupporting

confidence: 80%

Prevalence, management and control of hypertension in older adults on admission to hospital

Alhawassi

Krass

Pont

2017

Saudi Pharmaceutical Journal

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“…The present study found that the prevalence of frailty in hypertensive older adults was high in rural areas, which was in accordance with our previous studies . Participants in rural areas in China have a poor financial situation, poor nutrition, and poor hypertension control, these factors could lead to worse physical function. We have reported the prevalence of frailty in Chinese community‐dwelling population to be 7.1% and 9.9% in our previous studies, moreover, the prevalence of frailty in older hypertensive adults was much higher (19.6%) in this study.…”

Section: Discussionmentioning

confidence: 99%

“…A total of 1111 older adults with hypertension who completed the comprehensive geriatrics assessment (CGA) were included, 519 were male (46.7%) and 592 were female (53.3%), 602 were rural (54.2%) and 509 were urban (45.8%), with the mean age 74.68 (60‐100) years. Details of the sampling scheme have been previously published . The study was approved by the Xuanwu Hospital's Committee on Ethics of Human Experiments.…”

Section: Methodsmentioning

confidence: 99%

Frailty in Chinese older adults with hypertension: Prevalence, associated factors, and prediction for long‐term mortality

Zhang

Sun

et al. 2018

J of Clinical Hypertension

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Hypertension and frailty are associated and often coexist in older adults. Few studies have examined the association between hypertension and frailty in Chinese population. We explored the prevalence of and the factors associated with frailty as well as whether frailty could identify patients at risk of adverse outcomes among older adults with hypertension. Data were from the Beijing Longitudinal Study of Aging. A total of 1111 hypertensive participants aged ≥60 years old who completed the comprehensive geriatrics assessment were included. All participants were followed up for 8 years. The total number of deaths was 604. Frailty was assessed by the 68‐item frailty index. Stepwise forward logistic regression was used to explore the association between the associated factors and frailty in hypertensive participants. The prediction for mortality was assessed using the adjusted Cox proportional hazards model. Two hundred and eighteen older adults were determined as frail (prevalence rate: 19.6%). Frail older adults with hypertension had worse physical performance, worse psychological, and social function, as well as worse lifestyle habits, compared to nonfrail older adults with hypertension. Chair stand test failure, balance test failure, fracture, disability, depression, and physical frailty measured with modified frailty phenotype were independently associated with frailty. Frailty was associated with a higher 8‐year mortality, hazard ratio (HR) = 3.40, adjusted for age and sex, HR = 2.61. Frailty is associated with poorer physical function and higher mortality in community‐dwelling hypertensive older adults in China. These findings emphasize the importance and need for frailty intervention and prevention in older adults with hypertension.

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“…For example, we reported that the prevalence of hypertension in Beijing in 2004 was 59.8%, but the awareness rate was only 55.8%. 23 The situation is similar with other chronic diseases, which indicates FRAIL may underestimate the prevalence of frailty in China. Further studies on the comparison of the FSQ and FRAIL on the prevalence of frailty in Chinese populations are warranted.…”

Section: Discussionmentioning

confidence: 70%

Reliability and validity of the self-reported frailty screening questionnaire in older adults

Zhang

et al. 2020

Therapeutic Advances in Chronic Disease

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Background: Frailty is one of the most important risk factors for adverse outcomes in older adults. Despite a high prevalence, there is still a lack of frailty screening instruments specific to Chinese older adults. We developed a simple frailty screening questionnaire (FSQ) that could predict long-term mortality. We aimed to explore the reliability and construct validity of this new measurement tool. Methods: A total of 205 individuals aged 65 years or older were recruited in this study. The FSQ and frailty phenotype were assessed. The FSQ included self-reported slowness, weakness, weight loss, inactivity, and exhaustion. A subgroup of 109 participants completed the FSQ a second time 2 weeks later for test–retest reliability. Frailty phenotype included slowness, exhaustion, weight loss, weakness, and inactivity. Results: The intraclass correlation coefficient for the FSQ, slowness, weakness, weight loss, inactivity and exhaustion were 0.937, 0.938, 0.934, 0.921, 0.826, and 0.832, respectively. Using a cut-off of 3, the sensitivity, specificity, and area under the curve of the receiver operating characteristic were 52.6%, 93.5%, and 0.883 ( p < 0.001), respectively. The kappa coefficient between the FSQ and frailty phenotype was 0.431 ( p < 0.001). FSQ score was negatively correlated with walking speed and grip strength, and positively correlated with age. Frailty defined by the FSQ was associated with older age, chronic diseases, and worse physical function. Conclusions: The FSQ is a potentially useful, reliable, and valid instrument in screening frailty in older adults, and can be recommended to identify frailty in clinical settings.

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Epidemiological Characteristics of Hypertension in the Elderly in Beijing, China

Cited by 16 publications

References 25 publications

Prevalence, management and control of hypertension in older adults on admission to hospital

Prevalence, management and control of hypertension in older adults on admission to hospital

Frailty in Chinese older adults with hypertension: Prevalence, associated factors, and prediction for long‐term mortality

Reliability and validity of the self-reported frailty screening questionnaire in older adults

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