Factors associated with control of blood pressure among elderly people diagnosed with hypertension in a rural area of South Korea: The Chungju Metabolic Disease Cohort Study (CMC study)

Lee, Hong-Seok; Park, Young Jun; Kwon, Hyuk Sang; Lee, Jin Hee; Yoon, Kun‐Ho; Son, Ho Young; Kim, Dong Suk; Yim, Hyeon Woo; Lee, Won‐Chul

doi:10.3109/08037050903424117

Cited by 11 publications

(13 citation statements)

References 32 publications

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“…Control of blood pressure among elderly has been shown to be safe and beneficial, 26,27 and various guidelines have reaffirmed that except for frail elderly, and all must achieve optimum control. 28e30 While innovative hypertension treatment programs for rural elderly have been initiated in middle income countries such as China 31 and Korea, 32 there is a need for such an initiative in India.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Joshi

Taksande

Kalantri

et al. 2013

Journal of Cardiovascular Disease Research

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a b s t r a c tBackground: Cardiovascular diseases (CVD) are a leading cause of mortality among adults in India, and their risk factors (tobacco, hypertension, diabetes, overweight, and obesity) are common. Most risk-factor surveys have focused on young and middle aged adults. We measured the prevalence of risk factors for CVD among elderly (age 60 years or more) in rural India. Methods and results: In a door-to-door cross-sectional survey we did a non-laboratory based assessment of risk factors (smoking or tobacco use in any form, diabetes mellitus, either known or newly detected hypertension, abnormal waist-hip-ratio, or a high body mass index) among elderly living in 23 villages in rural central India. Laboratory based assessment of risk factors was done in those who had two or more of the five measured conventional risk factors. We compared the distribution of risk factors between men and women. Among 2424 elderly included in the study (51% women, mean age 67), the prevalence of smokeless tobacco use was 50.8% (95% CI 48.1e52.8; smoking 10.5% (95% CI 9.3e11.8); and hypertension46.3% (95% CI 44.3e48.4). Only 10.2% participants were previously known to have had hypertension, and remaining 36.1% were detected to be hypertensive during the survey. A total of 8.2%(95% CI 7.0e9.5) participants were overweight and 4.1% (95% CI 3.3e4.9) had central obesity. The prevalence of dyslipidemia in those who underwent blood based tests was 40.6% (95% CI 36.5e44.9); and hyperglycemia 4.9% (95% CI 3.2e7.1). Conclusions: Strategies to reduce the risk of cardiovascular disorders among elderly should be focused on reducing tobacco use and early detection and optimal control of hypertension.

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Section: Discussionmentioning

confidence: 99%

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Joshi

Taksande

Kalantri

et al. 2013

Journal of Cardiovascular Disease Research

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“…The association between being overweight or obese and poor blood pressure control was reported in a Chinese study (Xu et al., ) and a Korean study (Lee et al., ). Our study did not find a statistically significant association between BMI and blood pressure.…”

Section: Discussionmentioning

confidence: 77%

“…Certain demographic characteristics also are associated with hypertension. For example, among Asians, old age is associated with poor blood pressure control (Dong et al., ) and male gender is associated with higher levels of systolic blood pressure among Chinese immigrants in the USA (Li, Wallhagen, & Froelicher, ), and high body mass index (BMI) is associated with uncontrolled blood pressure in Chinese men and in elderly men in South Korea (Lee et al., ; Xu et al., ). Another Chinese study reported that poor blood pressure control occurs among those who are young, live in urban areas, have minimal education, and are overweight or obese (Wang et al., ).…”

Section: Introductionmentioning

confidence: 99%

Health perception and adherence with blood pressure control among rural Chinese adults with hypertension

Yang

Winslow

Taylor

et al. 2018

Journal of Advanced Nursing

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These findings suggest: (a) healthcare providers should focus on educating rural hypertensive adults about healthful diets and behaviours to manage hypertension, especially for those with high household income; (b) knowledge-based health education alone is not adequate; (c) illness perception may not be directly associated with blood pressure; and (d) the Chinese Illness-Perception Questionnaire-Revised and the Inventory of Adherence to Self-management require validation and potential revision for use with rural Chinese populations.

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“…Available linear relationship between body weight and blood pressure, that every 4.5 kg an increased body weight results in a 4 mmHg increased SBP [10]. As for central obesity, based on research conducted in China, central obesity in women (abdominal circumference ≥ 80 cm) increases the risk of uncontrolled hypertension [18]. Whereas in other studies in Sweden, it was found that among men, uncontrolled hypertension was associated with central obesity and increased the risk by 1.85 times [19].…”

Section: Risk Of Uncontrolled Hypertension and Obesitymentioning

confidence: 99%

Comparison of BMI and Waist Circumference with the Risk of Uncontrolled Hypertension Among Adult Population in Bogor, Indonesia (Longitudinal Data Analysis Using Generalized Estimating Equations)

Kristanti¹,

Riyadina²

2020

Proceedings of the 4th International Symposium on Health Research (ISHR 2019)

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Uncontrolled hypertension increases the risk of cardiovascular morbidity and mortality. Longitudinal studies comparing the effect of BMI and waist circumference with the prevalence of uncontrolled hypertension is limited. This study aims to compare the effects of obesity using BMI and waist circumference criteria with uncontrolled hypertension. Longitudinal data from the Indonesia-Cohort Bogor Study in 2011-2018 was used. The population was adult aged 25-65 years who became subjects of the Indonesia-Cohort Bogor Study in 2011 and 2012. The sample was subjects with hypertension at the beginning of the study and have completed 6 years of follow-up period. The total of 481 subjects or 2,866 personyears were analysed using the Generalized Estimating Equations (GEE). The results showed that in the 6-years of follow-up period in all groups of subjects, the risk of uncontrolled hypertension was 1.621 times (95% CI: 1.160-2.267) and 1.987 times (95% CI: 1.450-2.722) in subjects who experienced overweight and obesity compared to subjects with normal BMI; and 1.437 times (95% CI: 1.136-1,819) in subjects who experienced central obesity compared to subjects with normal waist circumference, adjusted by age, smoking behavior, natrium intake and year of follow-up. Based on the results of the analysis by gender, the risk of uncontrolled hypertension was higher in male group who experienced overweight, obese, or central obesity compared with female group. Obesity using BMI calculation was stronger predictor than central obesity using waist circumference for the risk of uncontrolled hypertension. The results of this study are expected to be used for improving intervention and controlling hypertension programs in Indonesia.

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Factors associated with control of blood pressure among elderly people diagnosed with hypertension in a rural area of South Korea: The Chungju Metabolic Disease Cohort Study (CMC study)

Abstract: In elderly people diagnosed with hypertension general obesity (high BMI) appears to have an important influence on uncontrolled hypertension in men, whereas abdominal obesity (high waist circumference) appears to be an important factor in women.

Cited by 11 publications

References 32 publications

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Prevalence of cardiovascular risk factors among rural population of elderly in Wardha district

Health perception and adherence with blood pressure control among rural Chinese adults with hypertension

Comparison of BMI and Waist Circumference with the Risk of Uncontrolled Hypertension Among Adult Population in Bogor, Indonesia (Longitudinal Data Analysis Using Generalized Estimating Equations)

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