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Predictors of Uncontrolled Blood Pressure in Treated Hypertensive Individuals: First Population-Based Study in

Rita Farah1,2, Rouba Karen Zeidan3, Mirna N Chahine4

  • 1Doctoral School of Life and Health Sciences, Paris-Est University, Creteil, France. rita.farah@univ-paris-est.fr.

Journal of Clinical Hypertension (Greenwich, Conn.)
|January 24, 2016
PubMed

Insights

Uncontrolled blood pressure (BP) affects 43.1% of treated hypertensives in Lebanon. Low medication adherence and obesity are key modifiable factors impacting BP control, highlighting a significant public health issue.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Arterial hypertension is a primary risk factor for cardiovascular disease and stroke.
  • Effective blood pressure (BP) management is crucial for preventing severe health outcomes.
  • Understanding predictors of uncontrolled BP in treated populations is vital for targeted interventions.

Purpose of the Study:

  • To identify predictors of uncontrolled systolic and diastolic blood pressure (BP) among treated hypertensive individuals in Lebanon.
  • To assess the prevalence of uncontrolled BP in this demographic.
  • To inform public health strategies for hypertension management.

Main Methods:

  • Cross-sectional study involving 562 participants aged 40 years and older in Lebanon.
  • Data collection included sociodemographic characteristics, health information, and medication adherence.
  • Blood pressure was measured to determine systolic and diastolic control levels.

Main Results:

  • Prevalence of uncontrolled systolic BP was 43.1% and uncontrolled diastolic BP was 24.9%.
  • Independent predictors for uncontrolled systolic BP included older age, male sex, and low/medium medication adherence.
  • Predictors for uncontrolled diastolic BP were younger age, obesity, and low medication adherence; marriage and statin use were associated with better diastolic control.

Conclusions:

  • Uncontrolled blood pressure remains a significant public health challenge in Lebanon.
  • Low medication adherence is a major modifiable risk factor for both systolic and diastolic BP control.
  • Obesity is a key modifiable risk factor for diastolic BP control, emphasizing the need for lifestyle interventions.

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