Prevalência e controle da hipertensão arterial em idosos: um estudo populacional

Menezes, Tarciana Nobre de; Oliveira, Elaine Cristina Tôrres; Fischer, M.; Esteves, Gustavo H.

doi:10.1016/j.rpsp.2016.04.001

Cited by 18 publications

(25 citation statements)

References 25 publications

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“…The disease was shown to be prevalent with increasing age, as was the lack of control. The prevalence of hypertension among people aged 80 or more was even higher, as was described in studies [18, 19]. Data from the Brazilian National Household Sample Survey (Pesquisa Nacional de Amostra por Domicílios (PNAD)) that analyzed the prevalence of hypertension from 1998 to 2008 also showed a significant increase in the occurrence of hypertension in the 80+ group over time [22].…”

Section: Discussionmentioning

confidence: 79%

“…This population-based study with a representative sample of the older population (≥60 years) assessed the prevalence of hypertension, by self-report, use of antihypertensive medication, and blood pressure measurement performed according to the JCN criteria [11]. The striking high prevalence of hypertension found in the older population of São Paulo was similar to the prevalence of other population-based studies in Brazil in this age group, when a similar methodology was used: 75.6% among the elderly in the northeast region of Brazil [18] and about 85% in the elderly in the southern region of the country [19, 20]. In the Brazilian Legal Amazon region, the prevalence among older people was 67.4%, lower than that in other parts of the country [21].…”

Section: Discussionmentioning

confidence: 84%

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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: 79%

Section: Discussionmentioning

confidence: 84%

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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“…It is estimated that 25% of the adult population in Brazil is diagnosed with SAH, and it is estimated that its prevalence will be 40% in 2025 (3) . A Brazilian population-based study estimates that the prevalence among older adults is 75.6% (95%CI = 71.1-77.9) (4) .…”

Section: Introductionmentioning

confidence: 99%

“…As this is a cross-sectional study, it was not possible to state that there was a causal inference between the associations of the studied variables, but the methodological option enabled the objective to be answered and the results found were compatible with studies carried out in several countries. Another limitation which must be considered is the lower chance of the participation of men over 65 years of age because they have shorter survival when compared to women of the same age, as pointed out by a Brazilian study (4) .…”

Section: Introductionmentioning

confidence: 99%

Treatment adherence and frailty syndrome in hypertensive older adults

Silva

Souza

Fhon

et al. 2020

Rev. esc. enferm. USP

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Objective: To analyze the association between adherence to antihypertensive treatment and frailty syndrome in hypertensive older adults. Method: A descriptive, cross-sectional study with a quantitative approach with older adults. The data collection took place between November 2017 and March 2018, evaluating sociodemographic information, adherence to antihypertensive treatment, lifestyle and frailty through the Edmonton Frail Scale. The Kruskal-Wallis test and the Chi-squared test were used for data analysis, considering a 95% confidence interval and a significance level of p<0.05. Results: There were 193 older adults who participated in the study. The average age was 80.94 (sd ± 7.17) years, with a predominance of females (72%) and widows (43.5%). The factors which were associated with adherence to treatment were diastolic blood pressure, education and the time that the older adult had smoked (p<0.05). Frailty was not associated with treatment adherence levels (p=0.095). Conclusion: There was no association between frailty scores and control of arterial hypertension; however, adequate monitoring and nursing care are essential in assessing adherence to treatment in order to reduce the aggravations of the disease and frailty syndrome development.

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“…It is revealed that population aging is a growing world reality, which requires a reorganization of public policies, social programs, family dynamics and, especially, health systems due to the increase of Non-Communicable Chronic Diseases such as Systemic Arterial Hypertension (SAH).1 Thus, early diagnosis and adherence to treatment are essential to ensure control of blood pressure and to reduce hospitalizations and the consequences of untreated disease. 2 Define-se a HAS por níveis elevados e sustentados de pressão arterial maior ou igual a 140/90 mmHg. Frequentemente, está associada com o aumento do risco de eventos cardiovasculares graves como o Infarto Agudo do Miocárdio, a Insuficiência Cardíaca Congestiva e o Acidente Vascular Encefálico.…”

mentioning

confidence: 99%

Dificuldades de idosos na adesão ao tratamento da hipertensão arterial

Resende

Lira²,

Prudêncio

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: analisar as dificuldades de idosos na adesão ao tratamento da Hipertensão Arterial Sistêmica. Método: estudo qualitativo, descritivo, realizado com 17 idosos hipertensos em uma Unidade Básica de Saúde. Os dados foram obtidos mediante entrevista semiestruturada e submetidos à Técnica de Análise de Conteúdo na modalidade Análise temática. Resultados: a maioria dos idosos relatou que segue as recomendações dos profissionais de saúde para o tratamento da hipertensão arterial. Evidenciou-se que o esquecimento, o medo de interações medicamentosas e a falta de apoio familiar e social interferem na adesão à terapia medicamentosa. Além disso, identificou-se que a dieta foi o cuidado não farmacológico mais aceito e que a prática de atividade física ainda precisa avançar. Conclusão: observou-se que os aspectos sociodemográficos, as alterações do estado emocional, a falta de acessibilidade e rede de apoio, a ausência de sintomatologia da hipertensão arterial e a violência urbana influenciaram a adesão à terapêutica por parte dos idosos. Espera-se que este estudo sirva de subsídio para nortear a assistência a esses pacientes, no âmbito da atenção primária, priorizando o cuidado holístico. Descritores: Hipertensão; Idoso; Terapêutica; Atenção Primária à Saúde; Tratamento Farmacológico; Enfermagem.ABSTRACTObjective: to analyze the difficulties of the elderly in adherence to the treatment of Systemic Arterial Hypertension. Method: a qualitative, descriptive study with 17 hypertensive elderly patients in a Basic Health Unit. Data were obtained through a semi-structured interview and submitted to the Content Analysis Technique in the Thematic Analysis modality. Results: most of the elderly reported that they follow the recommendations of health professionals for the treatment of hypertension. It has been shown that forgetfulness, fear of drug interactions and lack of family and social support interfere with adherence to drug therapy. In addition, it was identified that the diet was the most accepted non-pharmacological care and that the practice of physical activity still needs to be advanced. Conclusion: it was observed that socio-demographic aspects, changes in emotional state, lack of accessibility and support network, absence of symptoms of hypertension and urban violence influenced the adherence to therapy by the elderly. It is hoped that this study will serve as a subsidy to guide the care of these patients in the primary care setting, prioritizing holistic care. Descriptors: Hypertension; Aged; Therapeutics; Primary Health Care; Drug Therapy; Nursing.RESUMENObjetivo: analizar las dificultades de los ancianos en la adhesión al tratamiento de la Hipertensión Arterial Sistémica. Método: el estudio cualitativo, descriptivo, realizado con 17 ancianos hipertensos en una Unidad Básica de Salud. Los datos fueron obtenidos mediante entrevista semiestructurada y sometidos a la Técnica de Análisis de Contenido en la modalidad Análisis temático. Resultados: la mayoría de los ancianos relató que sigue las recomendaciones de los profesionales de salud para el tratamiento de la hipertensión arterial. Se evidenció que el olvido, el miedo a las interacciones medicamentosas y la falta de apoyo familiar y social interfieren en la adhesión a la terapia medicamentosa. Además, se identificó que la dieta fue el cuidado no farmacológico más aceptado y que la práctica de actividad física todavía necesita avanzar. Conclusión: se observó que los aspectos sociodemográficos, las alteraciones del estado emocional, la falta de accesibilidad y red de apoyo, la ausencia de sintomatología de la hipertensión arterial y la violencia urbana inflaron la adhesión a la terapéutica por parte de los ancianos. Se espera que este estudio sirva de subsidio para orientar la asistencia a esos pacientes, en el ámbito de la atención primaria, priorizando el cuidado holístico. Descriptores: Hipertensión; Anciano; Terapéutica; Atención Primaria de Salud; Tratamiento Farmacológico; Enfermería.

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Prevalência e controle da hipertensão arterial em idosos: um estudo populacional

Cited by 18 publications

References 25 publications

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

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

Treatment adherence and frailty syndrome in hypertensive older adults

Dificuldades de idosos na adesão ao tratamento da hipertensão arterial

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