Blood pressure and hypertension in an elderly population (original) (raw)

Factors Related to the Incidence of Hypertension in the Elderly

Jurnal Aisyah : Jurnal Ilmu Kesehatan

The elderly will experience many physical and mental changes that can affect the incidence of hypertension. However, the results of several studies were different regarding what factors can affect elderly hypertension, so this can be used as a reference for further research. This study aims to determine what factors can influence the incidence of hypertension in the elderly at Panti Jompo Sabar Hati Banyuanyar. This study used a cross-sectional design with 84 elderly people at the Panti Jompo Sabar Hati Banyuanyar, Indonesia. The samples were collected using a total sampling technique. The tools used in this study were characteristic distribution instruments consisting of age, gender, family history, and lifestyle questionnaires consisting of histories of smoking and physical activity. The data analysis used was the chi-square test and multiple logistic regression tests. The Chi-Square test results showed no relationship between physical activity (p 0.418 and OR 1.600) and age (p 0.772 and OR 1.292) with the incidence of hypertension in the elderly. The results of the Chi-Square test also showed that there was a significant relationship between gender (p 0.028 and OR 0.309), family history of hypertension (p 0.018 and OR 3.316), and history of smoking (p 0.045 and OR 3.061) with the incidence of elderly hypertension. In conclusion, there is a relationship between gender, family history, and smoking history with the incidence of hypertension in the elderly. However, there is no relationship between age and physical activity with the incidence of hypertension in the elderly.

Hypertension in the elderly

Cardiovascular clinics, 1981

ABSTRACT. A review on the effects of ageing on cardiovascular function, with special reference to high blood pressure (BP), is given in this seminar. In most western populations the diastolic and especially the systolic BP increases with age in both sexes and this has been ...

Arterial hypertension in the elderly accompanied in primary care: profile and associated factors

Escola Anna Nery, 2019

Objective: to analyze blood pressure control in elderly hypertensives accompanied by a Basic Health Unit of the Federal District, determining the sociodemographic profile and the associated risk factors. Method: this is a cross-sectional study with 133 elderly hypertensive patients. Variables related to sociodemographic factors, life habits, clinical factors and adherence to drug therapy were evaluated through the application of semistructured instruments and validated scales. Results with p <0.05 were considered significant. Results: the elderly presented controlled blood pressure (56.4%) predominantly. The majority of the participants were female and women also had a higher rate of uncontrolled blood pressure (86.2%). Older age was associated with higher blood pressure values (p = 0.031). Alcoholism (p = 0.020) and mean body mass index of 33.0 (p <0.000) were factors associated with hypertension adherence to therapy had more controlled values of systolic and diastolic blood ...

Epidemiological and clinical profile of hypertensive octogenarian patients and factors associated with uncontrolled hypertension: observational study of 346 patients

The Pan African Medical Journal, 2021

Introduction hypertension (HTN) is the main risk factor for most morbidities of elderly subjects. The objective of this study was to identify the epidemiological and clinical characteristics of hypertension in octogenarians and to identify the factors associated with uncontrolled hypertension in this population. Methods we used data collected in the outpatient cardiology department of the University Hospital of Sfax between 15th April 2019 and 15th May 2019 as part of the National Tunisian Registry of Hypertension. We included in our study patients aged 80 years or more with hypertension. We described the epidemiological and clinical profile of this population, and we studied the associations between uncontrolled hypertension and socio-demographic, lifestyle, clinical and therapeutic factors using logistic regression models. Results we included 346 subjects (45.1% (n=156) male and 54.9% (n=190) female), with a mean age of 84.36 (SD 4.01) years. More than half of them had uncontrolle...

Hypertension in the very old; prevalence, awareness, treatment and control: a cross-sectional population-based study in a Spanish municipality

BMC Geriatrics, 2009

Background: Information on hypertension in the very elderly is sparse. Until recently evidence of benefits from pharmacological treatment was inconclusive. We estimated the prevalence of hypertension in subjects aged 80 or more, the proportion of awareness, treatment and control. Explanatory variables associated with good control were also studied. Methods: Cross sectional, population-based study, conducted in Martorell, an urban Spanish municipality, in 2005. By simple random sampling from the census, 323 subjects aged 80 or more were included. Patients were visited at home or in the geriatric institution and after giving informed consent, the study variables were collected. These included: supine and standing blood pressure and information about diagnosis and treatment of hypertension. The estimation and 95% confidence interval were obtained and a logistic regression model was used to study explanatory variables associated with blood pressure below 140/90 mm Hg. Results: The prevalence of hypertension was 72.8% (95%CI: 69.5-76.6%) and 93% of the patients were aware of this condition, of whom 96.3% (95%CI: 93.65-97.9%) had been prescribed pharmacological treatment and 30.7% (95%CI: 25.8-36.1%) had blood pressure below 140/90 mm Hg. Some of the patients (43%) had one antihypertensive drug and 39.5% had two in combination. Explanatory variables associated with blood pressure below 140/90 mm Hg included prescription of a diuretic, OR: 0.31 (95%CI: 0.14-0.66), and history of ischemic heart disease, OR: 0.21 (95%CI: 0.1-0.47). Conclusion: The prevalence of hypertension in population aged 80 or more was over 70%. Most patients were aware of this condition and they had antihypertensive medication prescribed. Approximately one third of treated patients had blood pressure below 140/90 mm Hg. Patients with heart disease and with diuretics had more frequently blood pressure below this value.

Prevalence andRisk Factors of Hypertension among Elderly Population in Social Welfare Center Old Age Home, Pashupati, Kathmandu

International Journal of Science and Research Methodology

Background: Hypertension is a chronic condition of concern due to its role in causing coronary heart disease, stroke, and other vascular complications. It is one of the most important reasons behind premature death in a developing country. Many Factors like Socio-Demographic, economic, Educational, and behaviorrelated factors influence hypertension. The study's objective was to identify the prevalence and risk factors of hypertension among the elderly population in Social Welfare Center Old Age Home Pashupati, Kathmandu. Methodology: A cross-sectional population-based study was carried out in Social Welfare Center Old Age Home Pashupati, Kathmandu. Among 109 subjects of people aged 60 and above were selected through a purposive sampling technique and a census was done. A semi-structured questionnaire was used for collecting data, and a sphygmomanometer was used to measure the blood pressure. Results: Among the 109 respondents involved in the study, the mean age was 74 years. The prevalence of hypertension among the elderly was 13.8 percent, 19.6 percent among males, and 9.5 percent among females. In Marital status, Married elderly was significantly associated with hypertension. Married elderly were 3.5 times more likely to be hypertensive (COR=3.583, 95% CI=1.027-12.504) compared to separated (divorced, widow). In health-related information, bad health status was 3.7 times more likely to be hypertensive (COR=3.773, 95% CI=1.087-13.091) compared to good health status. Respondents who know the correct answer about hypertension were four times more likely to be hypertensive (COR=4.065, 95% CI=1.279-12.919) compared to those who did know about the incorrect answer. Conclusion: The prevalence of hypertension is among these elderlies was lower compared to the national average. However, they need regular monitoring and health checkup. The study also recommends counseling on a positive marital relationship for the elderly residing in an old-age home. The study also recommends further studies with larger samples.

Original Contributions Treatment of Hypertension in the Elderly: I. Blood Pressure and Clinical Changes

2015

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The Analysis of Factors Influencing Hypertension on Elderly: A Literature Study

Journal of Public Health Sciences

The prevalence of hypertension disease year after year continues to increase. The impact of hypertension and its risks in addition to two affecting human survival and reducing work productivity also adds to the burden of health service costs. Efforts to control this disease are not possible only by the health sector but must involve other sectors and active community involvement. The purpose of this study is to examine a journal of factors that influence the incidence in the elderly. This research method is descriptive analytics using a literature review design. The conclusion of this study is derived from ten research journals. The most dominant factors that influence the incidence of hypertension in terms of behavior include smoking, salt consumption, coffee consumption, and physical activity.

Hypertension in Adult Age and Related Risk Factors

J. of Health Science

Background: Hypertension is one of the signficant risk factors for further severe cardiovascular diseases. Furthermore, the insidence of hypertension in adult age population has increased gradually. Thus, assessment of hypertension insidence and their risk factors in adult age people has given the beneficience for treating dan preventing program earlier. Aim: To analyze hypertension insidence in adult age and their risk factors that dominanly effect the occurance of hypertension. Method: This study was correlational with survey method. Accidental sampling was conducted to 120 respondents who live around Malioboro district. Hypertension was detected from systole and diastole value, while the risk factors of hypertension were age, gender, family disease history, type of activity, the number of cigarette each day, the length of smoking, random blood glucose, and body mass index. Analyzing the data used Pearson correlation if data were normal, or used Spearman correlation if data were not normal. Findings: From 120 participants, mean of systolic pressure was 120.7 mmHg and mean of diastolic pressure was 78.5 mmHg. Age mean was 39 years old, dominantly was woman amount 83 (69.2%), and without family disease history as 66 (55%). Mostly they had moderate physical activity amount 71 (59%). Mean of cigarette consumtion was 11 pieces/day, for 23 years. Random blood glucose mean was 131 mg/dL and mean of body mass index was 26 kg/m 2. Correlation analysis mentioned that body mass index had correlate with systolic and diastolic value significantly (p < 0.05). Conclusion: Systolic and diastolic pressure value in adult age were still normal. Risk factor that correlated significantly with adult age blood pressure was body mass index. Another risk factors such as cholesterol level, blood glucose in fasting condition and two hour post meal, also food consumtion were considered that should be included in next study.