High blood pressure: prevalence and adherence to guidelines in a population-based cohort

Walther, Diana; Ivan, Cristina; Dratva, Julia; Schaffner, Emmanuel; Quinto, Carlos Beat; Rochat, Thierry; Gaspoz, Jean‐Michel; Burdet, Luc; Bridevaux, Pierre‐Olivier; Pons, Marco; Gerbase, Margaret W.; Schindler, Christian; Probst‐Hensch, Nicole

doi:10.4414/smw.2016.14323

Cited by 18 publications

(20 citation statements)

References 16 publications

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“…One-third (35.4%) of participants was excluded at baseline due to hypertension. This prevalence is almost identical to the one found in the Bus Santé study of Geneva (34.4%) 16 and in another multi-cantonal cohort study (34.9%) 17 . Overall, the prevalence of hypertension in our sample agrees with other existing data for Switzerland.…”

Section: Prevalence Of Hypertensionsupporting

confidence: 86%

Ten-year incidence of hypertension in a Swiss population-based sample Incidence of hypertension in Switzerland

2018

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Few studies assessed incidence and determinants of hypertension. We assessed the incidence and determinants of hypertension in a cohort of healthy adults aged 35 to 75 years living in Lausanne, Switzerland. Baseline data was collected from 2003 to 2006. Follow-ups were conducted in 2009-2012 and 2014-2017. Incident hypertension, defined as a systolic BP ≥140 mm Hg or a diastolic BP ≥90 mm Hg or anti-hypertensive medication, was assessed at 1) second follow-up only; 2) first and/or second follow-up. After 10.9 years, incident hypertension was 26.8% (analysis 1, N=3299) and 30.3% (analysis 2, N=3728). After multivariate adjustment, the variables associated with increased hypertension incidence were male gender [incident-rate ratio (IRR) and (95% confidence interval)]: 1.20 (1.07-1.35) and 1.24 (1.13-1.37) for analyses 1 and 2, respectively; increasing age (p for trend <0.001) and body mass index (p for trend <0.001) and history of cardiovascular disease (CVD). Being physically active was negatively associated with incident hypertension: 0.88 (0.78-0.98) and 0.92 (0.83-1.01) for analyses 1 and 2, respectively. Except for male gender, these associations remained after adjusting for baseline BP levels, with incident rate ratios for physical activity of 0.86 (0.77-0.96) and 0.91 (0.83-0.99) for analyses 1 and 2, respectively. No association was found for education, alcohol consumption or smoking status. We conclude that over 10.9 years, between 1/4 and 1/3 of the Swiss population aged 35 to 75 developed hypertension. Male gender, history of CVD, increasing age and higher BMI increase the risk of hypertension, while being physically active reduces the risk.

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Section: Prevalence Of Hypertensionsupporting

confidence: 86%

Ten-year incidence of hypertension in a Swiss population-based sample Incidence of hypertension in Switzerland

2018

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“…Even in high-income countries such as Switzerland, the rate of BP control in hypertensive patients is 40.8%, and nonadherence with treatment is high. 5 Improving HTN management by strategies that are feasible in typical health care settings is essential.…”

Section: Introductionmentioning

confidence: 99%

Treatment adherence among adult hypertensive patients: a cross-sectional retrospective study in primary care in Romania

Ţilea

Petra

Voidăzan

et al. 2018

PPA

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PurposeThis study was performed to elucidate the level of adherence to antihypertensive treatment in adult subjects attending a family medicine clinic in a city in central Romania.Patients and methodsA cross-sectional, retrospective study was performed on a cohort of hypertensive adults. A total of 525 participants were selected from 1,714 adults attending a single urban family medicine practice. Assessment of adherence to therapy was performed by a chart review of prescription and clinical records over a 4-year study period.ResultsThe results showed that 69.8% of the patients had high adherence (>80% with therapy); 20.3% had medium adherence (20%–79%); and 9.9% had low adherence (<20%). A positive association was found (p = 0.01) between low adherence and male gender. A significant positive association (p = 0.02) was found between total cardiovascular risk and level of adherence. We found that 54.7% of the high adherence subjects had well-controlled blood pressure, and chronic kidney disease was associated with high adherence to therapy (p = 0.03). Antihypertensive regimens administered as fixed-dose combinations were positively associated with high adherence (p = 0.001). Subjects who had their antihypertensive regimen adjusted to a new drug class during the study period showed enhanced adherence compared to subjects treated with an unchanged regimen (p = 0.001).ConclusionThis is the first published study assessing adherence to antihypertensive therapy in family medicine practice in Romania. It presented data derived from a primarily urban setting and targeted a geographical area where the prevalence of hypertension has increased continuously. Female gender, age, presence of cardiovascular risk factors, defined cardiovascular disease, chronic renal impairment, and good control of hypertension were positively associated with high adherence. The results provide insights to guide further strategies to improve adherence and indirect methods for blood pressure management strategies.

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“…Hypertension (HTN) is a cardiovascular syndrome characterized by continuous elevation of arterial blood pressure, which is one of the major risk factors and main death causes of cardiovascular diseases. [ 1 ] Cardiovascular Disease Report in China has shown that the mortality rate of cardiovascular diseases ranks the first among all kinds of diseases, higher than cancers and other diseases. Hypertension is considered as an important public health problem in developed and developing countries.…”

Section: Introductionmentioning

confidence: 99%

Correlations between health-promoting lifestyle and health-related quality of life among elderly people with hypertension in Hengyang, Hunan, China

Yu²,

Chen³

et al. 2018

Medicine

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Hypertension is considered as an important public health problem in developed and developing countries. The disease is closely associated with health-promoting lifestyle (HPL), and it seems that HPL plays an important role in improving health-related quality of life (HRQOL). This cross-sectional study is to investigate the effects of health-promoting lifestyle (HPL) on health-related quality of life in elderly people with hypertension from a community health service center in Hengyang, Hunan, PR China.Totally 530 elderly patients with hypertension from the community health service center were included in this study, who were asked to fill in a questionnaire (504 patients responded). HPL was assessed by the health-promoting lifestyle profile II (HPLP-II), and HRQOL was measured by the Short Form Health Survey Questionnaire (SF-36).HPL among these elderly people with hypertension was at moderate level (125.02 ± 21), with the highest score for nutrition and the lowest score for health responsibility. Moreover, HRQOL among these elderly hypertensive people was at moderate level (54.36 ± 21.18). Role-emotional domain score was far below average, vitality domain was a little below average, social functioning and general health domains were a little above average, and other domains were far above average. Furthermore, HPL and HRQOL were positively correlated (P < .01). According to the standardized regression coefficients, the influencing factors for HRQOL included (in a descending order) the health responsibility, physical activity, interpersonal relationships, stress management, spiritual growth, and nutrition.HPL and HRQOL were both relatively poor in the elderly people with hypertension from the community health service center. HPL represents an important factor affecting HRQOL of elderly people with hypertension. HRQOL could be improved through promoting HPL (such as health responsibility and physical activity).

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High blood pressure: prevalence and adherence to guidelines in a population-based cohort

Cited by 18 publications

References 16 publications

Ten-year incidence of hypertension in a Swiss population-based sample Incidence of hypertension in Switzerland

Ten-year incidence of hypertension in a Swiss population-based sample Incidence of hypertension in Switzerland

Treatment adherence among adult hypertensive patients: a cross-sectional retrospective study in primary care in Romania

Correlations between health-promoting lifestyle and health-related quality of life among elderly people with hypertension in Hengyang, Hunan, China

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