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Does the previous diagnosis of arterial hypertension affect one's daily life? Pro-Saude Study
Gilberto Senechal de Goffredo Filho1, Claudia de Souza Lopes2, Eduardo Faerstein2
1School of Medicine of Petropolis, Petropolis, RJ, Brazil.
Insights
Hypertension diagnosis did not affect daily activities for most adults. However, older adults (55+) with hypertension showed significantly higher limitations in daily living activities.
Area of Science:
- Public Health
- Epidemiology
- Gerontology
Background:
- Arterial hypertension is a significant health concern, impacting organ function and daily life.
- Mechanisms linking hypertension to limitations in activities of daily living (ADL) require further investigation.
- Understanding these links is crucial for targeted interventions and patient support.
Purpose of the Study:
- To examine the association between a hypertension diagnosis and temporary ADL limitations.
- To determine if this association varies by gender, age, or socioeconomic status.
- To explore potential vigilance behaviors in elderly individuals with hypertension.
Main Methods:
- Cross-sectional analysis of 2,666 university employees in Brazil (Pró-Saúde Study).
- Data collected on hypertension diagnosis, temporary ADL limitations (frequency and duration).
- Multinomial logistic regression models used across various demographic strata.
Main Results:
- No significant association between hypertension diagnosis and ADL limitations in the general population or by gender, education, or income.
- Significantly higher odds of temporary ADL limitations observed in participants aged 55+ with hypertension (aOR = 9.5).
- This association persisted irrespective of blood pressure levels or medication use.
Conclusions:
- Hypertension diagnosis is linked to increased ADL limitations primarily in older adults (55+).
- Elderly individuals may exhibit heightened health awareness, influencing reported limitations.
- Further research into age-specific impacts of hypertension on daily functioning is warranted.
Abstract:
In addition to damaging several target organs, arterial hypertension may negatively impact patients' activities of daily living. Biological and behavioral mechanisms underlying such limitations have yet to be clarified. The objectives of this study were to investigate whether having been previously told of a hypertension diagnosis is associated with the frequency and duration of temporary limitations in activities of daily living, and whether these relationships differ by gender, age, or socioeconomic position. We analyzed sectional data from 2,666 participants (56% women; 55% with high school or lower schooling) at the baseline phase (1999 - 2001) of a longitudinal investigation of university employees in Rio de Janeiro, Brazil (Pró-Saúde Study), asking participants whether they had ever been diagnosed with hypertension by a health professional, if they had been unable to perform any activities of daily living due to a health problem in the previous 2 weeks, and for how many days that had occurred. Multinomial logistic regression models were fitted for the overall study population and for age, gender, educational level, and per capita household income strata. Associations between hypertension diagnosis and temporary limitations were not observed in the overall study population and in gender, education and income strata. However, there were higher odds of temporary limitations among participants aged 55 years old or more with hypertension diagnosis (adjusted OR = 9.5; 95%CI 1.5 - 58.6), regardless of blood pressure levels and use of antihypertensive medication. Elderly people may keep an attitude of higher vigilance regarding conditions or events potentially worsening their health status.
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