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Analysis of the Factors Related to the Blood Pressure Control in Hypertension
Fatih Atik1, Gulali Aktas1, Mehmet Zahid Kocak1
1Department of Internal Medicine, Abant Izzet Baysal University Hospital, Bolu, Turkey.
Insights
Maintaining healthy blood pressure requires awareness of normal ranges and treatment compliance. Lower body mass index and waist circumference are key factors for better hypertension control.
Area of Science:
- Cardiology
- Public Health
- Internal Medicine
Background:
- Hypertension affects a significant portion of the adult population worldwide.
- Effective blood pressure control is crucial for preventing cardiovascular complications.
- Identifying factors influencing hypertension management is essential for improving patient outcomes.
Purpose of the Study:
- To identify factors associated with blood pressure control in hypertensive patients.
- To compare anthropometric and clinical parameters between well-controlled and poorly controlled hypertension groups.
- To assess the role of patient awareness and treatment compliance in hypertension management.
Main Methods:
- An observational cross-sectional study was conducted.
- Data were collected from 342 hypertensive patients at Abant Izzet Baysal University Hospital.
- Hypertension control was assessed based on JNC VIII guidelines, comparing patient awareness, body mass index (BMI), waist circumference, and treatment compliance.
Main Results:
- Only 33.9% of subjects were aware of normal blood pressure ranges.
- Patients aware of normal blood pressure ranges had significantly better blood pressure control.
- Higher BMI and waist circumference were observed in the poorly controlled hypertension group.
- Treatment compliance was significantly associated with better hypertension control.
Conclusions:
- Lower BMI and reduced waist circumference are important for achieving blood pressure targets.
- Patient awareness of normal blood pressure ranges positively impacts hypertension management.
- Treatment compliance is a critical factor in controlling hypertension effectively.
Objective:
To determine the factors associated with blood pressure control and comparing anthropometric and clinical parameters of subjects with well-controlled hypertension to those with poorly controlled blood pressure.
Study Design:
Observational cross-sectional study.
Place And Duration Of Study:
Abant Izzet Baysal University Hospital, Bolu, Turkey, from January to June 2016.
Methodology:
Medical data obtained and recorded from computerised database and case files of our clinic. Subjects with mean blood pressure above target levels were defined as poorly controlled and others were as well-controlled hypertension group according to JNC VIII.
Results:
Out of 342 subjects, only 116 (33.9%) were aware of normal blood pressure range. The number of patients who had a blood pressure on goal in the group and knew the normal range of blood pressure was significantly higher than the patients in group who did not know the normal range of blood pressure. Body mass index and waist circumference were both significantly higher in poorly controlled compared to well-controlled hypertensive subjects. Treatment compliance was significantly associated with better control of hypertension.
Conclusion:
Striking results of present study indicate that lower body mass index and lesser waist circumference along with treatment compliance and awareness of normal blood pressure ranges are important factors that affect reaching treatment targets in hypertensive subjects.
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