Trends in Prevalence, Awareness, Treatment and Control of Hypertension during 2001-2010 in an Urban Elderly Population of China

Wu, Lei; He, Yao; Jiang, Bin; Sun, Dongling; Wang, Jianhua; Liu, Miaomiao; Yang, Shanshan; Wang, Yiyan

doi:10.1371/journal.pone.0132814

Cited by 53 publications

(42 citation statements)

References 40 publications

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Section: Discussioncontrasting

confidence: 99%

“…Our study suggested that the dimension of Timeline Cyclical had a positive impact on PCS, which was inconsistent with Slotman's conclusions that a cyclical awareness was associated with lower physical functioning score. 17 Elderly patients with hypertension frequently realised that they were old, which repeatedly stimulated their awareness of hypertension to adhere to healthy lifestyles and take antihypertensive drugs on time, [43][44][45] hence improving their PCS. Simultaneously, this dimension showed a negative impact on MCS, as reported by Slotman et al 17,36 Consequence Positive and Negative This study indicated that the dimension of Consequences Positive was positively linked with both PCS and MCS, while the dimension of Consequences Negative was negatively linked with them, as reported by Slotman et al 36…”

Section: Timeline Cyclicalmentioning

confidence: 99%

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The self‐perceptions of aging were an important factor associated with the quality of life in Chinese elderly with hypertension

Zhang

Jin

et al. 2019

Psychogeriatrics

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Background In China, quality of life (QOL) of the elderly with hypertension was lower than that of normal elderly and lower self‐perceptions of aging (SPA) in the elderly with chronic diseases have been shown. Previous studies showed that SPA played a key role in QOL of the elderly. We hypothesised that SPA were associated with QOL in Chinese elderly with hypertension, with more negative SPA predicting lower QOL. Methods A cross‐sectional survey was conducted in one comprehensive hospital, 15 urban community clinics and 22 rural village clinics in Suzhou. In total, 1029 Chinese elderly with hypertension completed the self‐administered questionnaires, including socio‐demographic and clinical characteristics, aging perceptions questionnaire which contained seven dimensions and Medical Outcomes Study 36‐item Short Form Health Survey evaluating QOL which included physical component summary (PCS) and mental component summary (MCS). Results Correlation analysis between SPA and QOL showed that most dimensions of SPA were correlated with PCS and MCS, except for Emotional Representations not correlated with MCS. The results of multivariate logistic regression analysis showed: the dimensions Timeline Chronic (B = −2.651, P < 0.001), Consequences Negative (B = −2.155, P < 0.001) and Emotional Representations (B = −2.672, P < 0.001) had a negative association with PCS, while Timeline Cyclical (B = 1.401, P = 0.023), Consequences Positive (B = 1.200, P = 0.011) and Control Positive (B = 1.425, P = 0.004) had a positive association with PCS; the dimensions Timeline Cyclical (B = −1.734, P < 0.001) and Consequences Negative (B = −1.646, P < 0.001) had a negative association with MCS, while Timeline Chronic (B = 1.313, P < 0.001), Consequences Positive (B = 0.962, P = 0.012), Control Positive (B = 2.453, P < 0.001) and Control Negative (B = 1.860, P < 0.001) had a positive association with MCS. Conclusions Our results suggest that negative SPA tended to be associated with lower QOL in Chinese elderly with hypertension. Some measures to improve unhealthy negative SPA should be delivered to improve QOL in Chinese elderly with hypertension.

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Section: Discussioncontrasting

confidence: 99%

Section: Timeline Cyclicalmentioning

confidence: 99%

The self‐perceptions of aging were an important factor associated with the quality of life in Chinese elderly with hypertension

Zhang

Jin

et al. 2019

Psychogeriatrics

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“…The previously reported prevalence of hypertension, obesity, NAFLD, and diabetes in Chinese populations are 59.4% to 65.2%, 40,41 12.4%, 42 42%, 43 and 11.6%, 44 respectively. Thus, the hypertension and NAFLD results in our survey are consistent with previous reports, but the prevalence of obesity and diabetes in our survey is higher.…”

Section: Discussionmentioning

confidence: 85%

Factors Significantly Associated With the Increased Prevalence of Carotid Atherosclerosis in a Northeast Chinese Middle-aged and Elderly Population

Pan

Lai

et al. 2016

Medicine

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Carotid atherosclerosis is associated with many serious cardiovascular diseases; hence, it is necessary to identify factors related to its occurrence in order to develop preventive and therapeutic strategies. This study was conducted to identify risk factors associated with carotid atherosclerosis among the population residing in Northeast China.This epidemiological survey was conducted in a representative group of relatively healthy community residents. All participants answered questions about their medical histories and underwent physical examination, blood biochemical analysis, and ultrasonography examinations of their necks and abdomens. The prevalence rates of carotid atherosclerosis under different factors and conditions were then analyzed.The results of this study showed that age, gender, and diabetes significantly affected the prevalence of carotid atherosclerosis in this Northeast Chinese population. In addition, gender-based subgroup analysis revealed additional factors correlated with the prevalence of carotid atherosclerosis in men or women, although their correlations were not significant in the overall population. While high serum TC and LDL-C levels were risk factors for carotid atherosclerosis in men, it showed no clear correlation with the prevalence of carotid atherosclerosis in women. In contrast, the prevalence of carotid atherosclerosis in female participants with high serum TG level, hypertension, obesity and nonalcoholic fatty liver disease were higher than that of the control population, a trend not observed in male participants.Older age, male sex, and diabetes were independently associated with increased risk of carotid atherosclerosis in Northeast China. These findings could lead to improved screening for carotid atherosclerosis for better disease management.

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“…A Swedish study reported decreased mortality among people without disabilities and a decline in the prevalence of disability from 1991 to 2010 . In China, although hypertension seems to have increased among urban elderly populations, awareness, treatment and control have also increased .…”

Section: Epidemiology Of Agingmentioning

confidence: 99%

The aging population: demographics and the biology of aging

Kanasi¹,

Ayilavarapu²,

Jones³

2016

Periodontology 2000

354

207

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Epidemiologic studies show that 11% of the world's population is over 60 years of age; this is projected to increase, by 2050, to 22% of the population. Oral aging is a current focus of several organizations including the Federation Dentaire Internationale, the World Health Organization and the American and Japanese Dental Associations. In their Tokyo Declaration, the Japanese Association identified the elderly population as one of its main target groups. One of the WHO goals is for each person to retain more than 20 teeth by age 80, despite the fact that the prevalence of periodontal disease is continuously rising as the population is aging. Every species has its own characteristic lifespan, which is determined by its evolutionary history and is modified by multiple diverse factors, including biological mechanisms. In humans, the gradual accumulation of products of cellular metabolism and extensive DNA damage contribute to the aging process. Aging is thought to be associated with a low-grade inflammatory phenotype in mammals, called 'inflammaging', and is the result of autophagic capacity impairing so-called 'housekeeping activities' in the cells, resulting in protein aggregation, mitochondrial dysfunction and oxidative stress. Delayed stem-cell proliferation, associated with aging, may impact the maintenance and survival of a living being, but excessive proliferation could also result in depleted reserves of stem cells. Studies are needed to address the association of delayed cell proliferation and wound healing with the onset of periodontal diseases and response to treatment. The effects of systemic diseases, medications, psychological effects and decreased interest or ability in performing oral-hygiene practices are thought to result in periodontal diseases, and ultimately in tooth loss, in aged individuals. Together with an aging population comes a responsibility for 'healthy' and 'successful' aging. This article describes the changing global demographic profile and the effects of an aging society on the prevalence and incidence of periodontal diseases. We review the definitions of normal and successful aging, the principles of geriatric medicine and the highlights of biological aging at cellular, tissue and systems levels.

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Trends in Prevalence, Awareness, Treatment and Control of Hypertension during 2001-2010 in an Urban Elderly Population of China

Cited by 53 publications

References 40 publications

The self‐perceptions of aging were an important factor associated with the quality of life in Chinese elderly with hypertension

The self‐perceptions of aging were an important factor associated with the quality of life in Chinese elderly with hypertension

Factors Significantly Associated With the Increased Prevalence of Carotid Atherosclerosis in a Northeast Chinese Middle-aged and Elderly Population

The aging population: demographics and the biology of aging

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