Hypertension in overweight and obese primary care patients is highly prevalent and poorly controlled

Although the relationship between body weight and blood pressure (BP) is well established, there is a lack of data regarding the impact of obesity on the prevalence of hypertension in primary care practice. The objective of this study was to assess the prevalence of hypertension and the diagnosis, t...

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Bibliographic Details
Published in:American journal of hypertension 2004-10, Vol.17 (10), p.904-910
Main Authors: Bramlage, Peter, Pittrow, David, Wittchen, Hans-Ulrich, Kirch, Wilhelm, Boehler, Steffen, Lehnert, Hendrik, Hoefler, Michael, Unger, Thomas, Sharma, Arya M.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Antihypertensive Agents - therapeutic use
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Clinical manifestations. Epidemiology. Investigative techniques. Etiology
Control
Cross-Sectional Studies
diagnosis
Female
Humans
hypertension
Hypertension - complications
Hypertension - drug therapy
Hypertension - epidemiology
Hypertension - physiopathology
Male
Medical sciences
Metabolic diseases
Middle Aged
Obesity
Obesity - complications
overweight
Prevalence
Primary Health Care
treatment
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Summary:Although the relationship between body weight and blood pressure (BP) is well established, there is a lack of data regarding the impact of obesity on the prevalence of hypertension in primary care practice. The objective of this study was to assess the prevalence of hypertension and the diagnosis, treatment status, and control rates of hypertension in obese patients as compared to patients with normal weight. A cross-sectional point prevalence study of 45,125 unselected consecutive primary care attendees was conducted in a representative nationwide sample of 1912 primary care physicians in Germany (HYDRA). Blood pressure levels were consistently higher in obese patients. Overall prevalence of hypertension (blood pressure ≥140/90 mm Hg or on antihypertensive medication) in normal weight patients was 34.3%, in overweight participants 60.6%, in grade 1 obesity 72.9%, in grade 2 obesity 77.1%, and in grade 3 obesity 74.1%. The odds ratio (OR) for good BP control (
ISSN:0895-7061
1879-1905
1941-7225
DOI:10.1016/j.amjhyper.2004.05.017