Factors associated with uncontrolled blood pressure in hypertensive Brazilians.

Autor: Araújo TP; Pontifical Catholic University of Goiás, Goiânia, GO, Brazil., Borges LGS; Pontifical Catholic University of Goiás, Goiânia, GO, Brazil., Barroso WKS; Hypertension League, Federal University of Goiás, Goiânia, GO, Brazil., Brandão AA; State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil., Barbosa ECD; Institute of Cardiology, Porto Alegre, RS, Brazil., Feitosa ADM; Pernambuco Cardiac Emergency Room (PROCAPE), Recife, PE, Brazil., Malachias MVB; Medical Science Faculty of Minas Gerais, Fundação Educacional Lucas Machado (Lucas Machado Educational Foundation), Belo Horizonte, MG, Brazil., Mota Gomes M; State University of Medical Sciences of Alagoas (UNCISAL), Medicine, Maceió, AL, Brazil., Amodeo C; Dante Pazzanese Institute of Cardiology, São Paulo, SP, Brazil., Povoa RMDS; Universidade Federal de Sao Paulo, São Paulo, SP, Brazil., Jardim PCBV; Hypertension League, Federal University of Goiás, Goiânia, GO, Brazil., Lopes RD; Duke University, Division of Cardiology, County Durham, USA., Batista SRR; Hypertension League, Federal University of Goiás, Goiânia, GO, Brazil., Vitorino PVO; Pontifical Catholic University of Goiás, Goiânia, GO, Brazil.
Jazyk: angličtina
Zdroj: Journal of clinical hypertension (Greenwich, Conn.) [J Clin Hypertens (Greenwich)] 2022 Jul; Vol. 24 (7), pp. 814-824. Date of Electronic Publication: 2022 Jun 30.
DOI: 10.1111/jch.14501
Abstrakt: 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.
(© 2022 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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