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Public Health.

Prabha Shrestha1,2, Victor Valcour3,4, Biraj Man Karmacharya1

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Summary
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Uncontrolled hypertension is common in older adults in Nepal, affecting over half of participants. Factors like medication adherence and obesity were not significantly linked to blood pressure control in this study.

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Area of Science:

  • Gerontology
  • Cardiovascular Health
  • Public Health in Nepal

Background:

  • Hypertension is prevalent among older adults in Nepal, with significant rates of poor control.
  • Uncontrolled hypertension elevates risks for stroke, heart disease, and dementia.
  • Medication adherence is suboptimal, impacting effective hypertension management.

Purpose of the Study:

  • To determine the prevalence of uncontrolled hypertension in older adults in Dhulikhel Municipality, Nepal.
  • To investigate the association between hypertension control and medication adherence, BMI, comorbidities, and living arrangements.

Main Methods:

  • A cross-sectional study was conducted with 101 hypertensive older adults (≥60 years).
  • Medication adherence was assessed using the Hill Bone Medication Adherence Scale.
  • Uncontrolled hypertension was defined as Systolic BP >140 mmHg or Diastolic BP >90 mmHg. Logistic regression was used for analysis.

Main Results:

  • Over half (54%) of participants had uncontrolled hypertension.
  • No significant associations were found between hypertension control and medication adherence, BMI, comorbidities, or living arrangements after adjusting for socio-demographic factors.

Conclusions:

  • High rates of uncontrolled hypertension indicate challenges in management among older adults in Dhulikhel Municipality.
  • Identified factors like medication adherence and obesity did not significantly correlate with hypertension control in this cohort.
  • Further research is crucial to uncover factors influencing blood pressure control and reduce associated risks in Nepal.