Health behaviors and hypertension control: the results of ELSI-BRASIL

This study aimed to measure the contribution of selected health behaviors to the prevalence of hypertension control in Brazilian adults 50 years or older, based on data from the ELSI-Brasil study. The study included 4,318 individuals 50 years or older who reported having received a medical diagnosis...

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Bibliographic Details
Published in:Cadernos de saúde pública 2019-07, Vol.35 (7), p.e00091018-e00091018
Main Authors: Firmo, Josélia Oliveira Araújo, Peixoto, Sérgio Viana, Loyola Filho, Antônio Ignácio de, Souza-Júnior, Paulo Roberto Borges de, Andrade, Fabíola Bof de, Lima-Costa, Maria Fernanda, Mambrini, Juliana Vaz de Melo
Format: Article
Language:eng ; por
Subjects:
Aged
Alcohol Drinking - psychology
Brazil - epidemiology
Exercise - psychology
Fabaceae
Feeding Behavior - psychology
Female
Fruit
Geriatric Assessment
Health Behavior
Health Surveys - statistics & numerical data
Humans
Hypertension - epidemiology
Hypertension - prevention & control
Hypertension - psychology
Longitudinal Studies
Male
Middle Aged
Prevalence
Sex Factors
Tobacco Smoking - psychology
Vegetables
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Summary:This study aimed to measure the contribution of selected health behaviors to the prevalence of hypertension control in Brazilian adults 50 years or older, based on data from the ELSI-Brasil study. The study included 4,318 individuals 50 years or older who reported having received a medical diagnosis of hypertension and were taking antihypertensive medication. The selected health behaviors were: physical activity, healthy diet, not consuming excessive alcohol, and never having smoked. The contribution of each health behavior to prevalence of hypertension control was estimated by the attribution method, via adjustment of the binomial additive hazards model, stratified by sex. Prevalence of hypertension control was 50.7% (95%CI: 48.2; 53.1). Overall, health behaviors made a larger contribution to hypertension control in women (66.3%) than in men (36.2%). Moderate alcohol consumption made the largest contribution in both sexes, but particularly in women (52.7% in women versus 19% in men). Physical activity contributed 12.6% in women and 10.7% in men. The other behaviors were more relevant in men: never having smoked (3.4%) and regular consumption of vegetables, legumes, and fruits (3.1%). These results underline the need for measures to promote the adoption of healthy behaviors by hypertensive individuals to reduce blood pressure levels, improve the effectiveness of antihypertensive medication, and decrease their cardiovascular risk.
ISSN:1678-4464
DOI:10.1590/0102-311X00091018