Hypertension Prevalence, Treatment and Control in Older Adults in a Brazilian Capital City

The diagnosis, treatment and control of arterial hypertension are fundamental for a reduction in cardiovascular outcomes, especially in the elderly. In Brazil, there are few studies that specifically identified these rates in the elderly population. To verify rates of prevalence, treatment and contr...

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Bibliographic Details
Published in:Arquivos brasileiros de cardiologia 2019-03, Vol.112 (3), p.271-278
Main Authors: Sousa, Ana Luiza Lima, Batista, Sandro Rodrigues, Sousa, Andrea Cristina, Pacheco, Jade Alves S, Vitorino, Priscila Valverde de Oliveira, Pagotto, Valéria
Format: Article
Language:English
Subjects:
Aging
Blood Pressure
CARDIAC & CARDIOVASCULAR SYSTEMS
Cross-Sectional Studies
Hypertension/epidemiology
Hypertension/prevention and control
Prevalence
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Summary:The diagnosis, treatment and control of arterial hypertension are fundamental for a reduction in cardiovascular outcomes, especially in the elderly. In Brazil, there are few studies that specifically identified these rates in the elderly population. To verify rates of prevalence, treatment and control of hypertension in elderly people living in the urban area of a Brazilian capital city. A cross-sectional, population-based, randomized, cluster-based study with 912 non-institutionalized elderly individuals (≥ 60 years), living in urban areas in the city of Goiania, Midwest Brazil. Predictor variables were: age, gender, socioeconomic and lifestyle aspects. Blood pressure measurements were performed at home; patients were considered as having arterial hypertension when SBP and/or DBP ≥ 140/90 mmHg or when using antihypertensive drugs (dependent variable). Rates of hypertension treatment and control were evaluated. Variable association analyses were performed by multivariate logistic regression and level of significance was set at 5%. The prevalence of arterial hypertension was 74.9%, being higher (78.6%) in men (OR 1.4, 95% CI: 1.04-1.92); the treatment rate was 72.6%, with higher rates being observed in smokers (OR 2.06, 95% CI: 1.28-3.33). The rate of hypertension control was 50.8%,being higher in women (OR 1.57, 95% CI: 1.19-2.08). The prevalence rates were high. Treatment and control rates were low and associated with gender, age and lifestyle, indicating the need for early and individual interventions.
ISSN:0066-782X
1678-4170
1678-4170
DOI:10.5935/abc.20180274