Prevalence of hypertension-attributed symptoms in routine clinical practice: a general practitioners-based study

Middeke, Martin; Schaaf, Beate; Eckes, L

doi:10.1038/sj.jhh.1002305

Cited by 27 publications

(24 citation statements)

References 23 publications

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“…In the current study, 51% of participants reported headaches, dizziness, and vision changes as their principal hypertensive symptoms. Both the frequency and symptoms identified are consistent with the findings of studies done with Europeans (Middeke et al., ; San Pedro et al., ). Middeke et al () studied the hypertensive symptom frequency and type in nearly 55,000 general practice patients.…”

Section: Discussionsupporting

confidence: 88%

“…Both the frequency and symptoms identified are consistent with the findings of studies done with Europeans (Middeke et al., ; San Pedro et al., ). Middeke et al () studied the hypertensive symptom frequency and type in nearly 55,000 general practice patients. More than 30% of the participants attributed headaches, dizziness, dyspnea, or angina to their HTN.…”

Section: Discussionsupporting

confidence: 88%

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Hypertensive symptom representations: A pilot study

Franklin

Allen

Pickett

et al. 2015

Journal of the American Association of Nurse Practitioners

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Purpose Approximately 40% of African Americans have hypertension (HTN). Up to 50% of persons with HTN experience symptoms they attribute to HTN. The beliefs African Americans ascribe to their symptoms have not been substantively described in research. Therefore, the purpose of this study was to describe the “representations” (meaning and emotions associated with symptoms) ascribed to hypertensive symptoms. Data sources Twenty‐six community‐dwelling African Americans with hypertensive symptoms were identified from among 51 participants enrolled in a larger HTN study. Participants completed the Symptom Representation Questionnaire for each reported hypertensive symptom. Conclusions Twenty‐six participants (51%) experienced at least one hypertensive symptom (e.g., headaches, dizziness, vision changes). Participants held neutral scores for the level of distress, and expected duration and consequences of their headaches, dizziness, and vision changes. Participants attributed HTN as a cause of their symptom(s) to a greater degree than HTN treatment. Strong symptom cure/control beliefs were reported among participants with headaches, dizziness, and vision changes. Implications for practice The study results highlight areas that nurse practitioners should assess with hypertensive patients. Key assessment areas include (a) hypertensive symptom type and frequency; (b) HTN as a cause for symptoms; and (c) beliefs about cure/control of symptoms and patients’ corresponding self‐management actions.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

Hypertensive symptom representations: A pilot study

Franklin

Allen

Pickett

et al. 2015

Journal of the American Association of Nurse Practitioners

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Section: Discussionmentioning

confidence: 81%

“…For example, hypertensive people often have hypertension-attributed symptoms such as headache and dizziness in the morning. 29 In the current study, however, the analyses with the early cardiovascular events excluded did not substantially change the associations of breakfast intake frequency with the risk of total CVD, total stroke, and cerebral hemorrhage.In the current study, the frequency of breakfast intake was inversely associated with the prevalence of participants with body mass index ≥25 kg/m 2 , whereas it was positively associated with the prevalence of diabetes mellitus. Although these associations seem incompatible, our baseline survey might reflect that after breakfast skippers were diagnosed with diabetes mellitus, they might have changed their unhealthy lifestyle, leading to loss of body weight, and started to eat breakfast to take medicines for diabetes mellitus before the baseline survey.…”

mentioning

confidence: 81%

Association of Breakfast Intake With Incident Stroke and Coronary Heart Disease

Kubota¹,

Iso²,

Sawada³

et al. 2016

Stroke

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Background and Purpose-The association between breakfast intake and the risk of cardiovascular disease, including stroke, among Asian people remains unknown. We sought to prospectively investigate whether the omission of breakfast is related to increased risks of stroke and coronary heart disease in general Japanese populations. Methods-A total of 82 772 participants (38 676 men and 44 096 women) aged 45 to 74 years without histories of cardiovascular disease or cancer were followed up from 1995 to 2010. Participants were classified as having breakfast 0 to 2, 3 to 4, 5 to 6, or 7 times/wk. The hazard ratios of cardiovascular disease were estimated using Cox proportional hazards models. Results-During the 1 050 030 person-years of follow-up, we documented a total of 4642 incident cases, 3772 strokes (1051 cerebral hemorrhages, 417 subarachnoid hemorrhages, and 2286 cerebral infarctions), and 870 coronary heart disease. Multivariable analysis showed that those consuming no breakfast per week compared with those consuming breakfast everyday had hazard ratios (95% confidence interval; P for trend) of 1.14 (1.01-1.27; 0.013) for total cardiovascular disease, 1.18 (1.04-1.34; 0.007) for total stroke, and 1.36 (1.10-1.70; 0.004) for cerebral hemorrhage. Similar results were observed even after exclusion of early cardiovascular events. No significant association between the frequency of breakfast intake and the risk of coronary heart disease was observed. Conclusions-The frequency of breakfast intake was inversely associated with the risk of stroke, especially cerebral hemorrhage in Japanese, suggesting that eating breakfast everyday may be beneficial for the prevention of stroke. . Of 116 896 subjects, 3053 subjects were excluded from the present study because they were identified as having died, moved out of the study area, or been lost at the second survey. Therefore, a total of 113 393 patients from the 2 cohorts were eligible for participation in the present study, and the second survey was considered as the baseline for this study. Of 113 393 participants, 88 981 participants (78%) completed the questionnaires, including information on breakfast at the second survey. In addition, we excluded 6209 patients who had a history of stroke, myocardial infarction, angina pectoris, or cancer at the baseline. Ultimately, a total of 82 772 participants (38 676 men and 44 096 women) were included in the present study. The institutional human ethics review boards of Osaka University and the National Cancer Center approved the present study. Main Exposure: Frequency of Breakfast IntakeParticipants were asked to provide information concerning the average frequency of breakfast consumption as follows: "How often do you have breakfast a week? Almost never, 1 to 3 times per month, 1 to 2, 3 to 4, 5 to 6 times per week, or everyday." In the current study, subjects were classified into the following 4 groups for comparison: those who had breakfast 0 to 2 (subjects with almost never, those with 1-3 times/mo, and those with 1-2 times/...

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“…A literature search31–34 was conducted to compile potentially relevant concepts for hypertension self-management regarding symptoms of hypertension and its treatment, clinical measurements, and examples of lifestyle habits. Additional concepts were derived from a Swedish national multicenter study 35.…”

Section: Resultsmentioning

confidence: 99%

Phases in development of an interactive mobile phone-based system to support self-management of hypertension

Hallberg¹,

Taft²,

Ranerup³

et al. 2014

IBPC

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Hypertension is a significant risk factor for heart disease and stroke worldwide. Effective treatment regimens exist; however, treatment adherence rates are poor (30%–50%). Improving self-management may be a way to increase adherence to treatment. The purpose of this paper is to describe the phases in the development and preliminary evaluation of an interactive mobile phone-based system aimed at supporting patients in self-managing their hypertension. A person-centered and participatory framework emphasizing patient involvement was used. An interdisciplinary group of researchers, patients with hypertension, and health care professionals who were specialized in hypertension care designed and developed a set of questions and motivational messages for use in an interactive mobile phone-based system. Guided by the US Food and Drug Administration framework for the development of patient-reported outcome measures, the development and evaluation process comprised three major development phases (1, defining; 2, adjusting; 3, confirming the conceptual framework and delivery system) and two evaluation and refinement phases (4, collecting, analyzing, interpreting data; 5, evaluating the self-management system in clinical practice). Evaluation of new mobile health systems in a structured manner is important to understand how various factors affect the development process from both a technical and human perspective. Forthcoming analyses will evaluate the effectiveness and utility of the mobile phone-based system in supporting the self-management of hypertension.

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Prevalence of hypertension-attributed symptoms in routine clinical practice: a general practitioners-based study

Cited by 27 publications

References 23 publications

Hypertensive symptom representations: A pilot study

Hypertensive symptom representations: A pilot study

Association of Breakfast Intake With Incident Stroke and Coronary Heart Disease

Phases in development of an interactive mobile phone-based system to support self-management of hypertension

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