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Effect of multimorbidity on hypertension management

Eunjeong Ji1, Soyeon Ahn1, Jung-Yeon Choi2

  • 1Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Scientific Reports
|November 1, 2023
PubMed

Insights

Multimorbidity, having multiple chronic diseases, impacts hypertension treatment. While it

Area of Science:

  • Cardiology
  • Public Health
  • Gerontology

Background:

  • Multimorbidity, defined as the coexistence of multiple health conditions, is a growing concern linked to adverse health outcomes.
  • Hypertension management is complex, particularly in individuals with multiple chronic diseases.

Purpose of the Study:

  • To investigate the association between multimorbidity and hypertension treatment and control rates in Korean adults.
  • To identify patterns of multimorbidity in relation to hypertension management.

Main Methods:

  • Analysis of cross-sectional data from the Korean National Health and Nutrition Examination Survey (2016-2020).
  • Inclusion of 30,271 adults (≥20 years), with multimorbidity defined as having two or more chronic diseases.
  • Classification of participants by the number of chronic conditions and association analysis for hypertension control.

Main Results:

  • Nearly half of the participants (47.2%) had multimorbidity, which was more prevalent in older adults, women, and hypertensive individuals.
  • Multimorbidity was associated with hypertension treatment, with more chronic conditions found in controlled versus uncontrolled patients.
  • Hypertension control rates were lower in patients with multimorbidity compared to those with hypertension only (71.8% vs 75.6%).

Conclusions:

  • Multimorbidity influences hypertension treatment but is associated with lower systolic blood pressure control rates.
  • Hypertensive patients with multimorbidity require targeted interventions to improve blood pressure control.
  • Further attention is needed for managing hypertension in individuals with multiple chronic conditions.

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