Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension
ObjectivesIn postmenopausal states, women may not maintain blood pressure (BP) in the same way as men, even though most women follow their treatment plans and prescriptions more consistently than men. Biological and lifestyle factors influence the progression of hypertension in postmenopausal women...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1268791/full |
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| author | Geetha Kandasamy Thangamani Subramani Gigi Sam Mona Almanasef Tahani Almeleebia Eman Shorog Asma M. Alshahrani Amjad Hmlan Atheer Y. Al Suhaym Kousalya Prabahar Vinoth Prabhu Veeramani Palanisamy Amirthalingam |
| author_facet | Geetha Kandasamy Thangamani Subramani Gigi Sam Mona Almanasef Tahani Almeleebia Eman Shorog Asma M. Alshahrani Amjad Hmlan Atheer Y. Al Suhaym Kousalya Prabahar Vinoth Prabhu Veeramani Palanisamy Amirthalingam |
| author_sort | Geetha Kandasamy |
| collection | DOAJ |
| description | ObjectivesIn postmenopausal states, women may not maintain blood pressure (BP) in the same way as men, even though most women follow their treatment plans and prescriptions more consistently than men. Biological and lifestyle factors influence the progression of hypertension in postmenopausal women (PMW). This study aimed to determine biosocial predictors associated with achieving the target BP in PMW with hypertension.MethodsA prospective observational study was conducted in the General Medicine Department at Karuna Medical College Hospital, Kerala, India. The definition of BP goal attainment was established based on the guidelines outlined by the VIII Joint National Committee 2014 (JNC VIII). Multivariate logistic regression analysis was used to analyse biosocial predictors, such as educational status, employment status, body mass index (BMI), number of children, age at menarche, age at menopause, and number of co-morbidities, associated with BP goal achievement.ResultsOf the patients, 56.4% achieved their BP goals on monotherapy and 59.7% achieved it on combination therapy. Level of education [odds ratio (OR) = 1.275, 95% confidence interval (CI): 0.234–7.172], employment status (OR = 0.853, 95% CI: 0.400–1.819), age at menopause (OR = 1.106, 95% CI: 0.881–1.149), number of children (OR = 1.152, 95% CI: 0.771–1.720), BMI (OR = 0.998, 95% CI: 0.929–1.071), and number of co-morbidities (OR = 0.068, 95% CI: 0.088–1.093) did not show a significant relationship, and age at menarche (OR = 1.577, 95% CI: 1.031–2.412) showed a significant association with BP goal attainment among hypertensive postmenopausal women.ConclusionHalf of the hypertensive postmenopausal women did not achieve their BP goals. Interventions are required to expand screening coverage and, under the direction of medical professionals, there should be plans to improve hypertension control and increase awareness of the condition. |
| first_indexed | 2024-03-08T00:18:01Z |
| format | Article |
| id | doaj.art-68cd399ba56f4636b7f60601bdbf4a2f |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-08T00:18:01Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-68cd399ba56f4636b7f60601bdbf4a2f2024-02-16T17:43:54ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-02-011110.3389/fcvm.2024.12687911268791Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertensionGeetha Kandasamy0Thangamani Subramani1Gigi Sam2Mona Almanasef3Tahani Almeleebia4Eman Shorog5Asma M. Alshahrani6Amjad Hmlan7Atheer Y. Al Suhaym8Kousalya Prabahar9Vinoth Prabhu Veeramani10Palanisamy Amirthalingam11Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi ArabiaDepartment of Pharmacy Practice, Grace College of Pharmacy, Palakkad, IndiaDepartment of Pharmaceutical Sciences, College of Pharmacy, Shaqra University, Dawadmi, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi ArabiaDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi ArabiaEradah Hospital and Mental Health in Jazan, Ministry of Health, Jazan, Saudi ArabiaDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi ArabiaDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi ArabiaDepartment of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi ArabiaObjectivesIn postmenopausal states, women may not maintain blood pressure (BP) in the same way as men, even though most women follow their treatment plans and prescriptions more consistently than men. Biological and lifestyle factors influence the progression of hypertension in postmenopausal women (PMW). This study aimed to determine biosocial predictors associated with achieving the target BP in PMW with hypertension.MethodsA prospective observational study was conducted in the General Medicine Department at Karuna Medical College Hospital, Kerala, India. The definition of BP goal attainment was established based on the guidelines outlined by the VIII Joint National Committee 2014 (JNC VIII). Multivariate logistic regression analysis was used to analyse biosocial predictors, such as educational status, employment status, body mass index (BMI), number of children, age at menarche, age at menopause, and number of co-morbidities, associated with BP goal achievement.ResultsOf the patients, 56.4% achieved their BP goals on monotherapy and 59.7% achieved it on combination therapy. Level of education [odds ratio (OR) = 1.275, 95% confidence interval (CI): 0.234–7.172], employment status (OR = 0.853, 95% CI: 0.400–1.819), age at menopause (OR = 1.106, 95% CI: 0.881–1.149), number of children (OR = 1.152, 95% CI: 0.771–1.720), BMI (OR = 0.998, 95% CI: 0.929–1.071), and number of co-morbidities (OR = 0.068, 95% CI: 0.088–1.093) did not show a significant relationship, and age at menarche (OR = 1.577, 95% CI: 1.031–2.412) showed a significant association with BP goal attainment among hypertensive postmenopausal women.ConclusionHalf of the hypertensive postmenopausal women did not achieve their BP goals. Interventions are required to expand screening coverage and, under the direction of medical professionals, there should be plans to improve hypertension control and increase awareness of the condition.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1268791/fullhypertensionpostmenopausal womenBP goalage at menopausebiosocial predictors |
| spellingShingle | Geetha Kandasamy Thangamani Subramani Gigi Sam Mona Almanasef Tahani Almeleebia Eman Shorog Asma M. Alshahrani Amjad Hmlan Atheer Y. Al Suhaym Kousalya Prabahar Vinoth Prabhu Veeramani Palanisamy Amirthalingam Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension Frontiers in Cardiovascular Medicine hypertension postmenopausal women BP goal age at menopause biosocial predictors |
| title | Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension |
| title_full | Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension |
| title_fullStr | Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension |
| title_full_unstemmed | Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension |
| title_short | Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension |
| title_sort | biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension |
| topic | hypertension postmenopausal women BP goal age at menopause biosocial predictors |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1268791/full |
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