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

BACKGROUND: By the lengthening of life span, the incidence of chronic diseases such as hypertension and uncontrolled hypertension has increased. This study aims to determine the prevalence of uncontrolled hypertension and its related factors in the age group of 50–74 years in Shahroud, northeast Ira...

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Autores principales: Farhadi, Fariba, Aliyari, Roqayeh, Ebrahimi, Hossein, Hashemi, Hassan, Emamian, Mohammad Hassan, Fotouhi, Akbar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10290783/
https://www.ncbi.nlm.nih.gov/pubmed/37355590
http://dx.doi.org/10.1186/s12872-023-03357-x
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author Farhadi, Fariba
Aliyari, Roqayeh
Ebrahimi, Hossein
Hashemi, Hassan
Emamian, Mohammad Hassan
Fotouhi, Akbar
author_facet Farhadi, Fariba
Aliyari, Roqayeh
Ebrahimi, Hossein
Hashemi, Hassan
Emamian, Mohammad Hassan
Fotouhi, Akbar
author_sort Farhadi, Fariba
collection PubMed
description BACKGROUND: By the lengthening of life span, the incidence of chronic diseases such as hypertension and uncontrolled hypertension has increased. This study aims to determine the prevalence of uncontrolled hypertension and its related factors in the age group of 50–74 years in Shahroud, northeast Iran. METHODS: The data of the third phase of the Shahroud Eye Cohort Study were used in this study. This phase of the cohort study included 4394 participants aged 50 to 74 years from the previous phases. In addition to ophthalmological and optometric examinations, demographic characteristics, blood biochemistry tests, and blood pressure measurements were performed in this phase. Individuals with a blood pressure ≥ 140/90 mm/Hg (being treated or not treated with antihypertensive medicines) were defined as uncontrolled hypertension. In patients with diabetes and chronic kidney disease, blood pressure equal to or higher than 130/80 mm/Hg was considered uncontrolled hypertension. Descriptive statistics and multiple logistic regression were used to analyze the data. FINDINGS: Overall, the prevalence of uncontrolled hypertension out of all the participants was 61.7% (95% CI: 60.3–63.2). Multiple regression results showed that the male gender (OR: 2.1, 95% CI: 1.5–2.9), patients with diabetes (OR:3.2, 95% CI: 2.4–4.3), and patients with chronic kidney disease (CKD) (OR: 3.2, 95% CI: 2.5–4.1) increased the risk of uncontrolled hypertension while in patients with cardiovascular disease (OR: 0.6, 95% CI: 0.4–0.8) and polypharmacy (OR: 0.2, 95% CI: 0.1–0.2) reduced the risk of uncontrolled hypertension. CONCLUSION: The present study showed that uncontrolled hypertension has a high prevalence, and factors such as male gender, diabetes, and CKD are associated with this disorder. So, it is recommended to take the necessary measures to formulate and implement immediate actions to prevent or control hypertension.
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spelling pubmed-102907832023-06-26 Prevalence of uncontrolled hypertension and its associated factors in 50–74 years old Iranian adults: a population-based study Farhadi, Fariba Aliyari, Roqayeh Ebrahimi, Hossein Hashemi, Hassan Emamian, Mohammad Hassan Fotouhi, Akbar BMC Cardiovasc Disord Research BACKGROUND: By the lengthening of life span, the incidence of chronic diseases such as hypertension and uncontrolled hypertension has increased. This study aims to determine the prevalence of uncontrolled hypertension and its related factors in the age group of 50–74 years in Shahroud, northeast Iran. METHODS: The data of the third phase of the Shahroud Eye Cohort Study were used in this study. This phase of the cohort study included 4394 participants aged 50 to 74 years from the previous phases. In addition to ophthalmological and optometric examinations, demographic characteristics, blood biochemistry tests, and blood pressure measurements were performed in this phase. Individuals with a blood pressure ≥ 140/90 mm/Hg (being treated or not treated with antihypertensive medicines) were defined as uncontrolled hypertension. In patients with diabetes and chronic kidney disease, blood pressure equal to or higher than 130/80 mm/Hg was considered uncontrolled hypertension. Descriptive statistics and multiple logistic regression were used to analyze the data. FINDINGS: Overall, the prevalence of uncontrolled hypertension out of all the participants was 61.7% (95% CI: 60.3–63.2). Multiple regression results showed that the male gender (OR: 2.1, 95% CI: 1.5–2.9), patients with diabetes (OR:3.2, 95% CI: 2.4–4.3), and patients with chronic kidney disease (CKD) (OR: 3.2, 95% CI: 2.5–4.1) increased the risk of uncontrolled hypertension while in patients with cardiovascular disease (OR: 0.6, 95% CI: 0.4–0.8) and polypharmacy (OR: 0.2, 95% CI: 0.1–0.2) reduced the risk of uncontrolled hypertension. CONCLUSION: The present study showed that uncontrolled hypertension has a high prevalence, and factors such as male gender, diabetes, and CKD are associated with this disorder. So, it is recommended to take the necessary measures to formulate and implement immediate actions to prevent or control hypertension. BioMed Central 2023-06-24 /pmc/articles/PMC10290783/ /pubmed/37355590 http://dx.doi.org/10.1186/s12872-023-03357-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Farhadi, Fariba
Aliyari, Roqayeh
Ebrahimi, Hossein
Hashemi, Hassan
Emamian, Mohammad Hassan
Fotouhi, Akbar
Prevalence of uncontrolled hypertension and its associated factors in 50–74 years old Iranian adults: a population-based study
title Prevalence of uncontrolled hypertension and its associated factors in 50–74 years old Iranian adults: a population-based study
title_full Prevalence of uncontrolled hypertension and its associated factors in 50–74 years old Iranian adults: a population-based study
title_fullStr Prevalence of uncontrolled hypertension and its associated factors in 50–74 years old Iranian adults: a population-based study
title_full_unstemmed Prevalence of uncontrolled hypertension and its associated factors in 50–74 years old Iranian adults: a population-based study
title_short Prevalence of uncontrolled hypertension and its associated factors in 50–74 years old Iranian adults: a population-based study
title_sort prevalence of uncontrolled hypertension and its associated factors in 50–74 years old iranian adults: a population-based study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10290783/
https://www.ncbi.nlm.nih.gov/pubmed/37355590
http://dx.doi.org/10.1186/s12872-023-03357-x
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