Open AccessFactors associated with uncontrolled blood pressure in hypertensive Brazilians
Author(s) -
Araújo Thayza de Paula,
Borges Lucas Gabriel Sulino,
Barroso Weimar Kunz Sebba,
Brandão Andrea Araújo,
Barbosa Eduardo Costa Duarte,
Feitosa Audes Diógenes M,
Malachias Marcus Vinícius Bolivar,
Mota Gomes Marco,
Amodeo Celso,
Povoa Rui Manoel dos Santos,
Jardim Paulo César Brandão Veiga,
Lopes Renato D.,
Batista Sandro Rogério Rodrigues,
Vitorino Priscila Valverde de Oliveira
Publication year - 2022
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/jch.14501
Subject(s) - medicine , blood pressure , body mass index , dyslipidemia , hypertensive emergency , diabetes mellitus , myocardial infarction , anthropometry , outpatient clinic , logistic regression , diastole , prospective cohort study , cardiology , disease , endocrinology
Uncontrolled hypertension has a high prevalence and is related to numerous negative health outcomes. This study aimed to investigate the factors associated with the lack of blood pressure control in hypertensive Brazilians treated in public and private services. This is an analytical, multicentric, and national cross‐sectional study, carried out with adult hypertensive patients, monitored in 45 outpatient clinics (September 2013 to October 2015) in a prospective record interview, clinical, and anthropometric assessment. Outcome variables included uncontrolled pressure (systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg). Simple and multiple logistic regression analyses were performed. Two thousand six hundred forty‐three participants were assessed with a mean age of 61.6 ± 11.9 years, 55.7% of women, and 46.4% with uncontrolled blood pressure (BP). The following were associated with uncontrolled BP: age over 60 years (OR: 1.31 [1.11–1.55]); practice of irregular physical activity (OR: 1.28 [1.06–1.55]); attending the emergency room for hypertensive crises in the last six months (OR: 1.80 [1.46–2.22]); increased body mass index (OR: 1.02 [1.01–1.04]); low adherence to drug treatment (OR: 1.22 [1.04–1.44]) and menopause (OR: 1.36 [1.07–1.72]). The following were negatively associated: fruit consumption (OR: 0.90 [0.85–0.94]); presence of dyslipidemia (OR: 0.75 [0.64–0.89]), acute myocardial infarction (OR: 0.59 [0.46–0.76]), and peripheral arterial disease (OR: 0.52 [0.34‐0.78]). Factors associated with difficult‐to‐control blood pressure are the same that increase the risk for hypertension, while the presence of atherosclerotic disease and its outcomes were associated with better control.