Independent predictors of effective blood pressure control in patients with hypertension on drug treatment in Brazil

Abstract

Population assessment of effective blood pressure (BP) control is fundamental for reducing the global burden of hypertension, especially in low-and middle-income countries. The authors evaluated the effectiveness of BP control and determined independent predictors associated with effective control among patients with hypertension on drug treatment in a large cross-sectional study performed in two metropolitan areas in Brazil's southeast region. A total of 43 647 patients taking antihypertensive treatment were identified. Less than half of the patients (40.9%) had controlled BP (systolic BP <140 mm Hg and diastolic BP <90 mm Hg). Independent predictors of BP control were age, eating fruit daily, physical activity, previous cardiovascular disease, male sex, diabetes mellitus, ethnicity, and obesity. Simple variables associated with BP control may be utilized for knowledge translation strategies aiming to reduce the burden of hypertension. | INTRODUCTIONCardiovascular disease (CVD) is the leading cause of mortality worldwide.1 About 80% of the global burden of CVD death occurs in lowand middle-income countries. 2 Therefore, primary and secondary CVD prevention is of increasing priority for these countries.Primary risk factors for a first cardiovascular event include age, sex, tobacco use, arterial hypertension, dyslipidemia, diabetes mellitus, obesity, and physical inactivity.3 Hypertension is one of the leading preventable causes of cardiovascular morbidity and mortality. The aim of the current analysis was to evaluate BP control rates and to identify independent predictors associated with effective BP control among patients with hypertension under pharmacological therapy.

A qualitative study of patients’ and carers’ perspectives on factors influencing access to hypertension care and compliance with treatment in Nigeria

“…It has been observed that patients who are aware that elevated BP levels can lead to a reduction in life expectancy are more compliant with their hypertensive medications and follow-up visits [28]. Evidence shows that knowledge about SBP has been identified as one of the independent predictors of blood pressure control [29].…”

Health after the pandemic: investigating risk factors for poorly controlled arterial hypertension and type 2 diabetes among elderly patients in primary care in Slovenia

“…We then applied multivariate binary logistic regression to estimate the relationships between multiple independent variables and poorly controlled aH and T2D. Variables with p-values < 0.05 in univariate analyses were considered for the multivariable model, but the final selection of variables was guided by previous studies [12][13][14][15][16][17] and expert knowledge.…”

“…While prior findings demonstrate varying control rates across diverse healthcare settings, the factors contributing to these disparities are intricate and multifaceted. earlier research has illuminated several factors that contribute to poor aH and T2D control, including advanced age, socio-economic disparities, gender differences, extended disease duration, obesity, unhealthy lifestyle habits, difficulties with treatment adherence, disparity between knowledge and actions and mental health issues [12][13][14][15][16][17].…”

Effect and prediction of physical exercise and diet on blood pressure control in patients with hypertension

“…High BMI and a family history of hypertension were risk factors for hypertension control, similar to previous results. Costa Filho et al [ 30 ] showed that obesity is an independent predictor of BP control in Brazilian hypertensive patients. BMI is a measure of obesity that can be improved by exercise and diet.…”