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Prevalence of uncontrolled hypertension and its associated factors in 50-74 years old Iranian adults: a

Fariba Farhadi1, Roqayeh Aliyari2, Hossein Ebrahimi3

  • 1Student Research Committee, School of Nursing & Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

BMC Cardiovascular Disorders
|June 24, 2023
PubMed

Insights

Uncontrolled hypertension affects over 60% of adults aged 50-74 in Shahroud, Iran. Male gender, diabetes, and chronic kidney disease significantly increase risk, highlighting the need for targeted interventions.

Area of Science:

  • Gerontology
  • Cardiovascular Health
  • Public Health Epidemiology

Background:

  • Aging populations face increased chronic disease incidence, notably hypertension.
  • Uncontrolled hypertension poses significant health risks, particularly in older adults.
  • Understanding prevalence and risk factors is crucial for effective public health strategies.

Purpose of the Study:

  • To determine the prevalence of uncontrolled hypertension in adults aged 50-74 in Shahroud, Iran.
  • To identify factors associated with uncontrolled hypertension in this demographic.
  • To inform public health interventions for hypertension management.

Main Methods:

  • Utilized data from the third phase of the Shahroud Eye Cohort Study (n=4394).
  • Defined uncontrolled hypertension based on blood pressure thresholds (≥140/90 mmHg, or ≥130/80 mmHg for diabetics/CKD patients).
  • Employed descriptive statistics and multiple logistic regression for data analysis.

Main Results:

  • The prevalence of uncontrolled hypertension was 61.7% (95% CI: 60.3-63.2).
  • Male gender (OR: 2.1), diabetes (OR: 3.2), and chronic kidney disease (CKD) (OR: 3.2) were associated with increased risk.
  • Cardiovascular disease (OR: 0.6) and polypharmacy (OR: 0.2) were associated with reduced risk.

Conclusions:

  • Uncontrolled hypertension is highly prevalent in the 50-74 age group in Shahroud.
  • Male sex, diabetes, and CKD are key risk factors for uncontrolled hypertension.
  • Urgent public health measures are recommended for hypertension prevention and control.
Abstract

Keywords:
Population-Based StudyPrevalenceRelated FactorsUncontrolled Hypertension

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