Factors associated with uncontrolled blood pressure in hypertensive Brazilians
Abstract Uncontrolled hypertension has a high prevalence and is related to numerous negative health outcomes. This study aimed to investigate the factors associated with the lack of blood pressure control in hypertensive Brazilians treated in public and private services. This is an analytical, multi...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-07-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14501 |
| _version_ | 1797645218224275456 |
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| author | Thayza de Paula Araújo Lucas Gabriel Sulino Borges Weimar Kunz Sebba Barroso Andrea Araújo Brandão Eduardo Costa Duarte Barbosa Audes Diógenes M Feitosa Marcus Vinícius Bolivar Malachias Marco Mota Gomes Celso Amodeo Rui Manoel dos Santos Povoa Paulo César Brandão Veiga Jardim Renato D. Lopes Sandro Rogério Rodrigues Batista Priscila Valverde de Oliveira Vitorino the researchers of Study I RBH |
| author_facet | Thayza de Paula Araújo Lucas Gabriel Sulino Borges Weimar Kunz Sebba Barroso Andrea Araújo Brandão Eduardo Costa Duarte Barbosa Audes Diógenes M Feitosa Marcus Vinícius Bolivar Malachias Marco Mota Gomes Celso Amodeo Rui Manoel dos Santos Povoa Paulo César Brandão Veiga Jardim Renato D. Lopes Sandro Rogério Rodrigues Batista Priscila Valverde de Oliveira Vitorino the researchers of Study I RBH |
| author_sort | Thayza de Paula Araújo |
| collection | DOAJ |
| description | Abstract Uncontrolled hypertension has a high prevalence and is related to numerous negative health outcomes. This study aimed to investigate the factors associated with the lack of blood pressure control in hypertensive Brazilians treated in public and private services. This is an analytical, multicentric, and national cross‐sectional study, carried out with adult hypertensive patients, monitored in 45 outpatient clinics (September 2013 to October 2015) in a prospective record interview, clinical, and anthropometric assessment. Outcome variables included uncontrolled pressure (systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg). Simple and multiple logistic regression analyses were performed. Two thousand six hundred forty‐three participants were assessed with a mean age of 61.6 ± 11.9 years, 55.7% of women, and 46.4% with uncontrolled blood pressure (BP). The following were associated with uncontrolled BP: age over 60 years (OR: 1.31 [1.11–1.55]); practice of irregular physical activity (OR: 1.28 [1.06–1.55]); attending the emergency room for hypertensive crises in the last six months (OR: 1.80 [1.46–2.22]); increased body mass index (OR: 1.02 [1.01–1.04]); low adherence to drug treatment (OR: 1.22 [1.04–1.44]) and menopause (OR: 1.36 [1.07–1.72]). The following were negatively associated: fruit consumption (OR: 0.90 [0.85–0.94]); presence of dyslipidemia (OR: 0.75 [0.64–0.89]), acute myocardial infarction (OR: 0.59 [0.46–0.76]), and peripheral arterial disease (OR: 0.52 [0.34‐0.78]). Factors associated with difficult‐to‐control blood pressure are the same that increase the risk for hypertension, while the presence of atherosclerotic disease and its outcomes were associated with better control. |
| first_indexed | 2024-03-11T14:43:11Z |
| format | Article |
| id | doaj.art-3aa2399b851b4b7f90b9e8b1206010be |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:43:11Z |
| publishDate | 2022-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-3aa2399b851b4b7f90b9e8b1206010be2023-10-30T13:26:30ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762022-07-0124781482410.1111/jch.14501Factors associated with uncontrolled blood pressure in hypertensive BraziliansThayza de Paula Araújo0Lucas Gabriel Sulino Borges1Weimar Kunz Sebba Barroso2Andrea Araújo Brandão3Eduardo Costa Duarte Barbosa4Audes Diógenes M Feitosa5Marcus Vinícius Bolivar Malachias6Marco Mota Gomes7Celso Amodeo8Rui Manoel dos Santos Povoa9Paulo César Brandão Veiga Jardim10Renato D. Lopes11Sandro Rogério Rodrigues Batista12Priscila Valverde de Oliveira Vitorino13the researchers of Study I RBH14Pontifical Catholic University of Goiás Goiânia GO BrazilPontifical Catholic University of Goiás Goiânia GO BrazilHypertension League Federal University of Goiás Goiânia GO BrazilState University of Rio de Janeiro Rio de Janeiro RJ BrazilInstitute of Cardiology Porto Alegre RS BrazilPernambuco Cardiac Emergency Room (PROCAPE) Recife PE BrazilMedical Science Faculty of Minas Gerais Fundação Educacional Lucas Machado (Lucas Machado Educational Foundation) Belo Horizonte MG BrazilState University of Medical Sciences of Alagoas (UNCISAL), Medicine Maceió AL BrazilDante Pazzanese Institute of Cardiology São Paulo SP BrazilUniversidade Federal de Sao Paulo São Paulo SP BrazilHypertension League Federal University of Goiás Goiânia GO BrazilDuke University Division of Cardiology County Durham USAHypertension League Federal University of Goiás Goiânia GO BrazilPontifical Catholic University of Goiás Goiânia GO BrazilPontifical Catholic University of Goiás Goiânia GO BrazilAbstract Uncontrolled hypertension has a high prevalence and is related to numerous negative health outcomes. This study aimed to investigate the factors associated with the lack of blood pressure control in hypertensive Brazilians treated in public and private services. This is an analytical, multicentric, and national cross‐sectional study, carried out with adult hypertensive patients, monitored in 45 outpatient clinics (September 2013 to October 2015) in a prospective record interview, clinical, and anthropometric assessment. Outcome variables included uncontrolled pressure (systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg). Simple and multiple logistic regression analyses were performed. Two thousand six hundred forty‐three participants were assessed with a mean age of 61.6 ± 11.9 years, 55.7% of women, and 46.4% with uncontrolled blood pressure (BP). The following were associated with uncontrolled BP: age over 60 years (OR: 1.31 [1.11–1.55]); practice of irregular physical activity (OR: 1.28 [1.06–1.55]); attending the emergency room for hypertensive crises in the last six months (OR: 1.80 [1.46–2.22]); increased body mass index (OR: 1.02 [1.01–1.04]); low adherence to drug treatment (OR: 1.22 [1.04–1.44]) and menopause (OR: 1.36 [1.07–1.72]). The following were negatively associated: fruit consumption (OR: 0.90 [0.85–0.94]); presence of dyslipidemia (OR: 0.75 [0.64–0.89]), acute myocardial infarction (OR: 0.59 [0.46–0.76]), and peripheral arterial disease (OR: 0.52 [0.34‐0.78]). Factors associated with difficult‐to‐control blood pressure are the same that increase the risk for hypertension, while the presence of atherosclerotic disease and its outcomes were associated with better control.https://doi.org/10.1111/jch.14501blood pressurecontrolhypertensionrisk factor |
| spellingShingle | Thayza de Paula Araújo Lucas Gabriel Sulino Borges Weimar Kunz Sebba Barroso Andrea Araújo Brandão Eduardo Costa Duarte Barbosa Audes Diógenes M Feitosa Marcus Vinícius Bolivar Malachias Marco Mota Gomes Celso Amodeo Rui Manoel dos Santos Povoa Paulo César Brandão Veiga Jardim Renato D. Lopes Sandro Rogério Rodrigues Batista Priscila Valverde de Oliveira Vitorino the researchers of Study I RBH Factors associated with uncontrolled blood pressure in hypertensive Brazilians The Journal of Clinical Hypertension blood pressure control hypertension risk factor |
| title | Factors associated with uncontrolled blood pressure in hypertensive Brazilians |
| title_full | Factors associated with uncontrolled blood pressure in hypertensive Brazilians |
| title_fullStr | Factors associated with uncontrolled blood pressure in hypertensive Brazilians |
| title_full_unstemmed | Factors associated with uncontrolled blood pressure in hypertensive Brazilians |
| title_short | Factors associated with uncontrolled blood pressure in hypertensive Brazilians |
| title_sort | factors associated with uncontrolled blood pressure in hypertensive brazilians |
| topic | blood pressure control hypertension risk factor |
| url | https://doi.org/10.1111/jch.14501 |
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