Hipertensión arterial en la mujer adulta

Tagle, Rodrigo; Acevedo, Mónica; Valdés, Gloría

doi:10.4067/s0034-98872013000200014

Cited by 8 publications

(6 citation statements)

References 57 publications

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“…In the present study, we found that women had a 30.2% higher risk for hypertension (95% CI, 1.054–1.607; P =0.014) than men, which indicated menopausal women had a higher prevalence of hypertension than men as they entered in the middle age. These findings suggest that sex hormones have a prominent role in preventing hypertension 13 for women.…”

Section: Discussionmentioning

confidence: 75%

The risk factors of 9-year follow-up on hypertension in middle-aged people in Tujia-Nationality settlement of China

Liu

Schenck

et al. 2017

J Hum Hypertens

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The aim of this study was to investigate the risk factors of hypertension in middle-aged people within the Tujia-Nationality settlement in China. Demographics questionnaires and fitness tests were performed to identify the risk factors of hypertension in middle-aged people in the years 2005, 2010 and 2014 in the area of southwest Hubei of China. Of the 2428 participants, 568 were classified as hypertensive, giving an overall occurrence of hypertension at 23.4%, and the prevalence of hypertension was the highest in the year 2014 (34.9%). Furthermore, Tujia minority had a significantly higher risk for having hypertension (odds ratio=1.055 with 95% confidence interval (CI): 1.039–1.072; P=0.001) than Han people. Individuals with the lowest level of cardiorespiratory fitness (CRF) had a 2.483-fold risk for hypertension (95% CI, 1.530–4.031; P=0.001). Obesity and overweight individuals increased the risk by 3.470-fold and 2.124-fold, respectively, for having hypertension compared to normal weight people. Finally, white-collar workers had a 58.1 and 31.8% higher risk for hypertension than blue-collar workers in rural and urban areas, respectively. These results demonstrated that the prevalence of hypertension was higher between 2011 and 2014 in the area. The main risk factors for developing hypertension were found to be sex (as woman), Tujia minority, white-collar workers, overweight-obese, those with a middle school education, and those with the lowest CRF.

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Section: Discussionmentioning

confidence: 75%

The risk factors of 9-year follow-up on hypertension in middle-aged people in Tujia-Nationality settlement of China

Liu

Schenck

et al. 2017

J Hum Hypertens

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“…However, it is important to consider that underreporting of hypertension in women may distort the assessment of inconsistent adherence to antihypertensive treatment. However, evidence indicates that women are at higher risk of developing hypertensive disorders in specific contexts, such as pregnancy and menopause (45)(46)(47). In the Peruvian context, there is no clinical-therapeutic approach tailored to these risks, which could lead to inadequate therapeutic regimens with insufficient antihypertensive medication, exacerbating adverse socioeconomic conditions (48-50).…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Inequalities in Non-Adherence to Antihypertensive Medication in Peru

Intimayta-Escalante,

Quintana-García

2024

Preprint

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IntroductionIn Peru, adherence to antihypertensive treatment ranges from 55.5% to 46.6%. Adherence decreases under adverse socioeconomic conditions. Therefore, the aim of this research was to evaluate the socioeconomic inequalities in non-adherence to antihypertensive medication in Peru.MethodsA cross-sectional study was conducted through the analysis of data from the Demographic and Family Health Survey carried out in Peru between 2013 and 2023. We addressed the socioeconomic conditions of hypertensive Peruvian adults, including sex, age group, educational level, area or place of residence, and health insurance. These conditions were evaluated as sources of inequality in non-adherence to antihypertensive medication at a general level using the Concentration Index (CI) or Erreygers’ Correction Index (ECI) among adults over 29 years of age.ResultsIn the 15,624 hypertensive adults over 29 years old included in the study, the 86.63% had adherence to their antihypertensive medication. However, the inequality in non-adherence to medication was considerable (CI: -0.259; 95%CI: -0.385 to -0.132; p¡0.001). This inequality was greater among those aged 30 to 49 years (CI: -0.064; 95%CI: -0.121 to -0.008; p=0.01-0.2), those living in rural areas (CI: -0.484; 95%CI: -0.537 to -0.430; p¡0.001) or outside the capital (CI: -0.495; 95%CI: -0.569 to -0.422; p¡0.001), and those with no education (CI: -0.156; 95%CI: -0.201 to -0.112; p¡0.001) or only primary education (CI: -0.323; 95%CI: -0.386 to -0.260; p¡0.001). In contrast, hypertensive adults with a university education had a positive CI (CI: 0.257; 95%CI: 0.199 to 0.316; p¡0.001).ConclussionHypertensive Peruvian adults residing in rural areas or outside the capital, and those with a low educational level, exhibited greater inequality in adherence to antihypertensive medication.

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“…Independent PCA scores plots revealed at least some clustering of the three thyroid status classifications, and, as observed with CCorA model performed, the SBP, DBP and MAP values were significant contributors to the first PC, whereas only the SBP:DBP ratio significantly contributed to the second. Although essential hypertension is more common, secondary hypertension is increasing and is now prevalent in view of associated disorders, which are more common in females [12]. Furthermore, thyroid disorder is the most common endocrinological disorder, and hypertension is more often observed in thyroid diseases.…”

Section: Discussionmentioning

confidence: 99%

Thyroid Dysfunction and Blood Pressure Components: Multivariate Statistical Associations

Meenakshisundaram¹,

Grootveld²,

Bharathy³

et al. 2014

Int J of Medi and Clin Res

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IntroductionThyroid hormones exert a range of actions on physiological systems of the body, including cardiovascular physiology. Thyroid dysfunction is associated with increased mortality from, or a high prevalence of, cardiovascular diseases [1]; deviations from euthyroid status affect normal physiology. Although the effect of such deviations on blood pressure (BP) is more marked [2,3], the relationship between thyroid disorders and BP is not well recognized [4]. Moreover, to date, a series of contradictory relationships have been noted. Indeed, a linear relationship between serum TSH levels and BP (both systolic and diastolic) was observed by Asvold, et al [5,6]. However, no such associations were observed in two further stud-

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Hipertensión arterial en la mujer adulta

Abstract: Hypertension in women

Cited by 8 publications

References 57 publications

The risk factors of 9-year follow-up on hypertension in middle-aged people in Tujia-Nationality settlement of China

The risk factors of 9-year follow-up on hypertension in middle-aged people in Tujia-Nationality settlement of China

Socioeconomic Inequalities in Non-Adherence to Antihypertensive Medication in Peru

Thyroid Dysfunction and Blood Pressure Components: Multivariate Statistical Associations

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