Open AccessLongitudinal Community‐Based Assessment of Blood Pressure Control Among Japanese Hypertensive Patients: Fukushima Research of Hypertension (FRESH)
Author(s) -
Yokokawa Hirohide,
Goto Aya,
Sanada Hironobu,
Watanabe Tsuyoshi,
Yasumura Seiji
Publication year - 2010
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/j.1751-7176.2009.00242.x
Subject(s) - medicine , blood pressure , diabetes mellitus , observational study , lifestyle modification , cohort , cohort study , disease , pediatrics , intensive care medicine , endocrinology
J Clin Hypertens (Greenwich). 2010;12:166–173. © 2010 Wiley Periodicals, Inc. In this observational cohort study, the authors assessed the achievement of treatment goals as defined in the Japanese Society of Hypertension’s Guidelines for the Management of Hypertension (JSH 2004) among 2743 Japanese hypertensive patients who were followed for 1 year (follow‐up rate of 82.6%). Median age was 72 years, and 45% were men. Achievement of treatment goals across all 4 seasons was very low, at 4.1% among patients with diabetes mellitus or renal disease, 3.9% among nonelderly patients (<65 years of age) without these diseases, and 30.8% among elderly patients (≥65 years of age) without these diseases. These findings highlight the importance of maintaining appropriate blood pressure control. In addition, an analysis of factors associated with achievement rates identified the importance of weight control, lifestyle modification, and family history, and indicated a need for better blood pressure management before complications arise.