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Predictors of poor blood pressure control among Iranian hypertensive patients

Leila Jahangiry1,2, Jalileh Ghanbari1, Mahdieh Abbasalizad Farhangi3

  • 1Health Education and Health Promotion Department, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran.

BMC Research Notes
|December 6, 2017
PubMed

Insights

Over half of older Iranian hypertensive patients have uncontrolled blood pressure (BP). Key risk factors include age over 60, smoking, and certain medications, highlighting the need for targeted screening.

Area of Science:

  • Gerontology
  • Cardiovascular Medicine
  • Public Health

Background:

  • Hypertension is a significant global health issue, particularly among the elderly.
  • Effective blood pressure (BP) management is crucial for preventing cardiovascular complications in older adults.
  • Understanding factors contributing to poor BP control in specific populations, like Iranians, is vital for public health strategies.

Purpose of the Study:

  • To identify demographic, lifestyle, and clinical factors associated with inadequate blood pressure (BP) control in hypertensive patients aged 60 and above in Iran.
  • To provide evidence for targeted interventions to improve hypertension management in this vulnerable population.

Main Methods:

  • A cross-sectional study involving older hypertensive patients in Iran.
  • Blood pressure (BP) was defined as poorly controlled if ≥ 140/90 mmHg.
  • Multivariate logistic regression analysis was employed to determine independent predictors of poor BP control.

Main Results:

  • More than half (55.1%) of the elderly patients exhibited poor blood pressure (BP) control.
  • Significant risk factors for uncontrolled hypertension included advanced age (over 60 years), widowed or divorced marital status, smoking, BMI > 25 kg/m², and a waist circumference ≥ 90 cm.
  • Use of calcium channel blockers and angiotensin-converting enzyme inhibitors were also associated with poorer BP control.

Conclusions:

  • Age over 60, specific lifestyle factors, and certain antihypertensive medications are significantly linked to poor blood pressure (BP) control in older Iranian adults.
  • Healthcare providers should prioritize screening for these risk factors in elderly patients to optimize hypertension management.
  • Implementing targeted BP control screening strategies for high-risk individuals is essential for cardiovascular disease prevention.
Abstract

Keywords:
Cardiovascular diseasesHypertensionPatientUncontrolled blood pressure

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