Hypertension magnitude and management in the elderly population of Spain

Banegas, José R.; Rodríguez‐Artalejo, Fernando; Ruilope, Luís M.; Graciani, Auxiliadora; Luque, Manuel; Cruz-Troca, Juan José De la; García-Robles, Rafael; Tamargo, Juan; Rey-Calero, J.

doi:10.1097/00004872-200211000-00014

Cited by 227 publications

(109 citation statements)

References 20 publications

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“…17 In particular, the lack of improvement in SBP may prevent the patients to receive the benefits of otherwise improved hypertension care. Compared with the prevalences of hypertension in our study, those reported since 2000 in other studies by age and sex have been lower in most, [18][19][20][21][22][23][24][25][26][27] but not in all populations. 27,28 As in our paper, the rate of awareness of hypertension in these reports was usually more than 60%.…”

Section: Discussioncontrasting

confidence: 90%

Despite evidence-based guidelines, systolic blood pressure remains inadequately controlled in older hypertensive adults

Antikaínen

Kastarinen

Jousilahti³

et al. 2009

J Hum Hypertens

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We aimed to assess the trends in the prevalence, awareness, treatment and control of hypertension in Finnish men and women aged 60-74 years. Three independent cross-sectional population surveys were conducted in 1997, 2002 and 2007 remained stable. The mean diastolic blood pressure (BP) decreased in both genders. Awareness of hypertension increased from 60 to 71% in men (Po0.001 for trend) and from 66 to 76% (P ¼ 0.012) in women. The prevalence of antihypertensive drug treatment among hypertensive people increased from 35 to 56% in both genders (Po0.001). The proportion of treated hypertensive patients with adequately controlled BP increased from 16 to 32% in men (Po0.001) and from 16 to 30% in women (P ¼ 0.003). Hypertension care in older adults has improved in Finland during 1997 to 2007. The situation is not optimal: the main problem in this age group is high SBP.

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Section: Discussioncontrasting

confidence: 90%

Despite evidence-based guidelines, systolic blood pressure remains inadequately controlled in older hypertensive adults

Antikaínen

Kastarinen

Jousilahti³

et al. 2009

J Hum Hypertens

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“…It has been suggested that, in middle-aged and older people with high SBP, PP is a more important determinant of risk for coronary heart disease than SBP or DBP. 16,17 The independent association of short stature with increased PP suggests that PP could be a potential mediator of the relation between short stature and increased risk of coronary heart disease that has been seen in many studies. 4,19 This would also explain the paradox of the consistent findings about the relation between height and coronary heart disease and the inconsistent findings about the association of short stature with SBP and DBP.…”

Section: Pulse Systolic and Diastolic Blood Pressure In Older Peoplementioning

confidence: 99%

“…Ethical committee approval for the study was obtained and all subjects gave informed consent; full details of participants and measurements have been reported previously. 17,18 The information was collected by personal interview using a structured questionnaire, followed by a physical examination to measure anthropometric characteristics and blood pressure.…”

Section: Participantsmentioning

confidence: 99%

Influence of childhood socioeconomic circumstances, height, and obesity on pulse pressure and systolic and diastolic blood pressure in older people

et al. 2005

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This study assesses the association of childhood socioeconomic circumstances, height, and obesity with components of blood pressure. We selected 4009 people representative of the Spanish population aged 60 years and older, and estimated systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse pressure (PP) according to childhood social class, height, and obesity. No association was found between childhood social class and blood pressure. SBP showed an inverse gradient and DBP a direct gradient with height, although an independent association between height and DBP was found only in women. Stature was independently associated with increased DBP in women with central obesity, but there was no association between height and DBP in women without central obesity. Short stature was independently associated with increased PP. Body mass index and waist-to-hip ratio were independently associated with increased DBP in women, and waist-to-hip ratio was independently associated with increased PP in men, while waist circumference was independently associated with increased DBP and increased PP in women. These results do not support the assumed effect of socioeconomic circumstances in early life on blood pressure, which may depend on the context and/or study population. The relations observed between height and blood pressure support the hypothesis that PP could be a mediator of the association between short stature and increased cardiovascular risk. The relationship between obesity measures and components of blood pressure reinforces the recommendation to reduce body weight in order to reduce blood pressure.

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“…1,14,15,17,[19][20][21][22][23][24][25][26][27] Among hypertensives, those who responded in the negative to 'Have you ever been diagnosed with high blood pressure by a medical professional?' were considered to be unaware and those who responded in the negative to 'Are you presently taking any medicine prescribed by a physician for high blood pressure?'…”

Section: Definitionsmentioning

confidence: 99%

“…4,6 Recognizing the elderly as an at-risk population, studies in various countries have documented the prevalence and correlates of hypertension and of awareness, treatment and control of hypertension among the elderly. [14][15][16][17][18][19][20][21][22][23][24][25][26][27] These studies suggest considerable heterogeneity for the prevalence of these conditions across elderly subgroups, defined by socio-demographic or health characteristics. Furthermore, neither the prevalence nor the identified correlates are uniform across countries.…”

Section: Introductionmentioning

confidence: 99%

Prevalence, awareness, treatment and control of hypertension in the elderly population of Singapore

et al. 2010

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A comprehensive picture of the management of hypertension in the increasing elderly population in Singapore is lacking. In this study, we assess the prevalence and correlates of hypertension and of awareness, treatment and control of hypertension among 4494 elderly Singaporeans (X60 years) participating in a recent representative survey. The weighted prevalences of hypertension (systolic blood pressure X140 mm Hg or diastolic blood pressure X90 mm Hg or current use of antihypertension medication) and of awareness, treatment and control of hypertension were assessed. We assessed the extent of association of these outcomes with socio-demographic (age, gender, ethnicity, education, housing type, living arrangement and social participation) and health (body mass, diabetes and cognitive status) variables using multivariable logistic regression. Nearly three-fourths (73.9%) of participants were found to have hypertension. Of this number, 30.8% were unaware that they had hypertension, 32.0% were not being treated for the disease and 75.9% had suboptimal control of their blood pressure. Among those aware of their hypertension, only 1.9% were untreated. However, nearly two-thirds (64.5%) of treated hypertensives had suboptimal control. Age, gender, ethnicity, education, housing type, body mass and diabetes were significantly correlated with lack of awareness, treatment and control of hypertension. Although the specific 'at-risk' subgroups varied by the outcome, men and Malays had consistently higher odds for all three unfavorable outcomes. There is a need to improve awareness, treatment and especially control of hypertension among elderly Singaporeans. Primary and secondary prevention efforts targeting the elderly and their primary health-care providers are called for, as are regular data collection efforts based on representative samples.

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Hypertension magnitude and management in the elderly population of Spain

Cited by 227 publications

References 20 publications

Despite evidence-based guidelines, systolic blood pressure remains inadequately controlled in older hypertensive adults

Despite evidence-based guidelines, systolic blood pressure remains inadequately controlled in older hypertensive adults

Influence of childhood socioeconomic circumstances, height, and obesity on pulse pressure and systolic and diastolic blood pressure in older people

Prevalence, awareness, treatment and control of hypertension in the elderly population of Singapore

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