Adequate control of hypertension among older adults

Firmo, Josélia Oliveira Araújo; Mambrini, Juliana Vaz de Melo; Peixoto, Sérgio Viana; Filho, Antônio Ignácio de Loyola; Souza, Paulo Roberto Borges de; Andrade, Fabíola Bof de; Lima‐Costa, Maria Fernanda

doi:10.11606/s1518-8787.2018052000646

Cited by 15 publications

(14 citation statements)

References 25 publications

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“…It has been shown that health insurance users present higher rates of diagnosis and controlled hypertension [50, 51]. In Brazil, results from the ELSI study also showed a positive association between adequate BP control and the use of private healthcare [52]. As users of the public healthcare system in Brazil are mostly individuals with worse socioeconomic conditions, these results also suggest some influence of socioeconomic factors on the control of chronic diseases.…”

Section: Discussionmentioning

confidence: 98%

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Prevalence of Systemic Arterial Hypertension Diagnosed, Undiagnosed, and Uncontrolled in Elderly Population: SABE Study

Oliveira

Duarte

Zanetta

2019

Journal of Aging Research

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Systemic arterial hypertension is the most prevalent chronic noncommunicable disease among older people. This study aimed to estimate the prevalence of hypertension in the elderly and to analyze factors associated with diagnosed, undiagnosed, and uncontrolled hypertension. This is a cross-sectional study of data from the SABE study—Health, Well-Being, and Aging Survey—a multiple-cohort study, obtained in 2010, composed of a probabilistic sample representative of the population of the São Paulo city aged ≥60 years. Hypertension was self‐reported or defined by increased blood pressure. Multinomial regression assessed factors associated with diagnosis and lack of diagnosis of hypertension (reference: no hypertension), and logistic regression assessed factors associated with uncontrolled hypertension (reference: controlled). The prevalence of hypertension was 79.5%, and in 51% of individuals with the condition, hypertension was uncontrolled. Undiagnosed hypertension was associated with nonwhite skin color (OR: 1.89, CI: 1.11–3.19), being uninsured (OR: 1.77, CI: 1.04–3.03), overweight (OR: 2.38, CI: 1.09–5.19), higher education (OR: 0.46, CI: 0.22–1.94), and ≥1 chronic disease (OR: 0.28; CI: 0.13–0.58). Diagnosed hypertension was associated with age between 70 and 79 years (OR: 2.02, CI: 1.34–3.05), age ≥80 (OR: 2.73, CI: 1.72–4.31), nonwhite skin color (OR: 1.48, CI: 1.01–2.18), being uninsured (OR: 1.70, CI: 1.18–2.47), at least one medical consultation in the last year (OR: 1.86, CI: 1.06–3.25), obesity (OR: 2.50, CI: 1.61–3.88), and ≥1 chronic disease (OR: 2.81, CI: 1.94–4.08). Among those with hypertension, being uncontrolled was associated with widowhood (OR: 1.73, CI: 1.23–2.43), being uninsured (OR: 1.38, CI: 1.02–1.87), and female gender (OR: 0.61, CI: 0.43–0.87). The prevalence of hypertension was high in this population, and its diagnosis and control were associated with socioeconomic, demographic, and healthcare access factors.

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Section: Discussionmentioning

confidence: 98%

“…Three studies with a population-based sample that evaluated only older people were found in the review, all in the southeast region, and the control ranged from 27% to 44.6% [53]. Recent data from the ELSI study, considering older people residing in 70 Brazilian cities, showed that only 51% had BP controlled [52].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Systemic Arterial Hypertension Diagnosed, Undiagnosed, and Uncontrolled in Elderly Population: SABE Study

Oliveira

Duarte

Zanetta

2019

Journal of Aging Research

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“…However, complementary actions are required to ensure adherence to the prescribed medication, the continuous care of the people treated, and the promotion of healthy habits [26]. In addition, improvements in population education and income may substantially contribute to SAH control [27].…”

Section: Discussionmentioning

confidence: 99%

“…The intervention group under pharmaceutical care demonstrated significant control of SBP and DBP, as well as glycemia, dyslipidemia, body mass index, and abdominal circumference [43]. In addition to pharmaceutical care, the Brazilian Longitudinal Study of Aging (ELSI-Brazil) showed that BP control is associated with education level, socio-economic status, a private health plan, and obesity [27]. Thus, pharmacist intervention is important to provide education of patient and to improve medication adherence of hypertensive and heart failure patients [44][45][46].…”

Section: Discussionmentioning

confidence: 99%

Role of the Pharmacist in Managing High Blood Pressure of Hypertensive Patients in Primary Care Units

Souza

Silva

Novo

et al. 2020

Asian J Pharm Clin Res

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Objective: The aim of this study was to evaluate the influence of pharmaceutical care on the control of high blood pressure (BP) in hypertensive patients. Methods: The study included thirty hypertensive patients from primary or secondary healthcare located in the south of São Paulo, Brazil. Results: The majority of patients was aged over 60 years (68.75%), non-smokers (90%), non-alcoholics (93.33%), did not practice physical activities (93.33%), and presented comorbidities and polypharmacy. The most common drug-related problems were drug-drug interactions, missed doses, incorrect frequency or time of administration, incorrect patient administration technique, and self-medication. The interventions used during the pharmaceutical consultations (PC) were based on the organization of medicines with tools such as a pillbox organizer (84.38%). A significant improvement in BP control (p<0.05) was observed when comparing BP measurements before and after the PC; however, the number of PCs did not influence the BP reduction. Conclusion: Patient guidance and a simple intervention favor better patient understanding of medication administration schedules.

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“…High levels of social inequality are found in the majority of topics investigated, with the poorest or those with lower educational level affected most. Inequalities are observed in physical activity 7 , oral health status 8 , limitations to perform basic activities of daily living 9 , frailty 10 , adequate control of hypertension 11 , underutilization of medications due to financial reasons 12 , source of health care 13 , and capacity to work 14 . Social participation 15 and the fear of falling 16 are associated with the urban environment.…”

mentioning

confidence: 99%