Sex, drugs and blood pressure control: the impact of age and gender on sympathetic regulation of arterial pressure

Shaw, Brett H.; Protheroe, Clare Louise

doi:10.1113/jphysiol.2012.229237

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…This aligned with the findings of Iloh et al (65.2%) who also reported a higher prevalence of hypertension in females [36]. It is worthy of note that women are protected from most cardiovascular events compared to men, until after menopause, during which women are at increased risk of cardiovascular complications compared to premenopausal women [37,38]. Gender differences in blood pressure is inconsistent in many population studies, while some studies quoted a higher prevalence of hypertension among males, others reported no significant gender difference [33,[39][40][41].…”

Section: Medication Adherencesupporting

confidence: 90%

Relationship between the Level of Spirituality and Medication Adherence among Adult Hypertensive Patients in Rural South Western Nigeria

2023

Int J Health Policy Plann

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Background: Spirituality has been found to drive the motivational component of the Behavioural Wheel of the Theory of Change Approach in adaptation mechanisms. Effective medication adherence has been strongly associated with good hypertension control and one way to achieve this is to leverage spirituality as a strong coping mechanism in hypertensive patients. Method: Selection was done by systematic random sampling technique. Socio-demographic and clinical information were obtained through semi-structured interviewer-administered questionnaires. The level of Spirituality was assessed using the Spiritual Perspective Scale and medication adherence was assessed using the Morisky Medication Adherence Scale 8. Data were analysed using the Statistical Package for Social Sciences version 20.0. Statistical significance was set at p ≤ 0.05. Results: The mean age of the respondents was 61.1±11.1 years. More than half (52.6% and 61.2%) had high level of spirituality and good medication adherence respectively. Respondents with high level of spirituality (99.4%) had good medication adherence and this was statistically significant with p<0.001. Conclusion: Proper understanding and effective utilization of this relationship will assist health professionals and researchers in the appropriate integration of this concept into patients’ holistic care with the aim of achieving better blood pressure control among hypertensive patients.

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Section: Medication Adherencesupporting

confidence: 90%

Relationship between the Level of Spirituality and Medication Adherence among Adult Hypertensive Patients in Rural South Western Nigeria

2023

Int J Health Policy Plann

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“…In comparison with the No HL group, the subjects in the HL group and gender were at higher risk ( P <0.05). The mean arterial pressure was higher in males compared to females [29, 30]. Pulsatile pressure primarily predominates in females, especially the elderly, as a consequence of short stature [31, 32].…”

Section: Discussionmentioning

confidence: 99%

Hearing Loss Characteristics of Workers with Hypertension Exposed to Occupational Noise: A Cross-Sectional Study of 270,033 Participants

Wang

Han

Dai

et al. 2018

BioMed Research International

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Objectives This study investigated the hearing loss characteristics among occupational noise exposure workers with hypertension and the link between hypertension and hearing loss when exposed to occupational noise. Methods A total of 267,766 occupational noise-exposed workers were enrolled, including 29,868 workers with hypertension and 240,165 without hypertension. Hypertension was diagnosed according to WHO criteria. Hypertension was classified into four grades based on blood pressure. Assessment of hearing was performed through measurement of an unadulterated tone threshold at different frequencies, which ranged between 250 and 8,000 Hz. Results A substantial link was observed to exist between hypertension and the increment in the hearing limit. The increase in the hearing threshold was substantially higher among those having grade 2 hypertension. Conclusion The current investigation suggested patients with hypertension exhibit a substantial rise in hearing loss in comparison with patients without hypertension. The rise in hearing loss was significant in patients with grade 2 hypertension. Efficient and practicable measures are required to decrease the hearing loss in workers with hypertension and work-related noise exposure.

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“…Several contributing factors may explain why blood pressure control differs in males and females (Shaw & Protheroe, 2012).Beside the theoretical relationships between BP control and muscle sympathetic nerve activity (Shaw & Protheroe, 2012),there is no information to date that suggests chromosomes alone may affect hypertension control (Maranon & Reckelhoff, 2013). Nevertheless, it has been systematically shown that premenopausal women have lower BP than age-matched men (Maranon & Reckelhoff, 2013;Yanes & Reckelhoff, 2011).…”

Section: Discussionmentioning

confidence: 99%

<b>Factors related to blood pressure control in a prospective cohort of hypertensive outpatients

Wachholz

Masuda

Ferrari

et al. 2016

Acta Sci. Health Sci.

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Previous studies have reported a controversial relationship between inadequate blood pressure control and predictor variables. Current prospective cohort study analyzes the interference of age, gender, diabetes and medication adherence in the control of blood pressure of hypertensive outpatients. Patients were interviewed under blind conditions to determine medication adherence, and clinical variables assessment were standardized. Univariate analysis of variance identified the variables correlated to blood pressure control at the end of the follow-up period. Missing data were excluded from analysis. After adjusting for confounders with univariate analysis, the association between the outcome (BP control rate) with significant factors and the calculated adjusted odds ratios (OR) and their 95% CI was analyzed by logistic regression. No interference by age or medication adherence in blood pressure control was reported. In fact, the higher the number of medications in use, the greater were the chances of having blood pressure control in disorder. Females are associated with a 3.1 increase in odds ratio of poor blood pressure control. Compared with non-diabetic hypertensive patients, hypertensive diabetic ones had a lower chance of poor blood pressure control.

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Sex, drugs and blood pressure control: the impact of age and gender on sympathetic regulation of arterial pressure

Cited by 7 publications

References 5 publications

Relationship between the Level of Spirituality and Medication Adherence among Adult Hypertensive Patients in Rural South Western Nigeria

Relationship between the Level of Spirituality and Medication Adherence among Adult Hypertensive Patients in Rural South Western Nigeria

Hearing Loss Characteristics of Workers with Hypertension Exposed to Occupational Noise: A Cross-Sectional Study of 270,033 Participants

<b>Factors related to blood pressure control in a prospective cohort of hypertensive outpatients

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