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Determinants of uncontrolled hypertension in an Iranian population

Somayeh Arabzadeh1, Masoumeh Sadeghi2, Katayoun Rabiei3

  • 1Resident, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

ARYA Atherosclerosis
|June 26, 2014
PubMed

Insights

Obesity significantly increases the risk of uncontrolled hypertension, especially in males. Maintaining a healthy weight is crucial for managing blood pressure effectively in hypertensive patients.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Uncontrolled hypertension is a significant health concern.
  • Factors contributing to uncontrolled hypertension include lifestyle, knowledge, attitude, and treatment effectiveness.

Purpose of the Study:

  • To investigate the factors contributing to uncontrolled hypertension.

Main Methods:

  • Cross-sectional study of hypertensive participants in the Isfahan Healthy Heart Program.
  • Data collected via questionnaire and anthropometric/blood pressure measurements.
  • Statistical analysis included Chi-square, t-tests, and stepwise logistic regression.

Main Results:

  • Over 60% of participants had uncontrolled blood pressure.
  • Obesity (BMI > 25 kg/m2) was the strongest predictor of uncontrolled blood pressure (OR=13.09).
  • Male gender increased risk (OR=8.47), while inappropriate attitude decreased risk (OR=0.047).

Conclusions:

  • Obesity is a primary driver of uncontrolled blood pressure.
  • Weight management is essential for hypertensive patients.
  • Monitoring and controlling weight are critical for effective hypertension management.
Abstract

Keywords:
AttitudeObesityUncontrolled Hypertension

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