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Khosravi A, Pourheidar B, Roohafza H, et al. Evaluating factors associated with uncontrolled hypertension: Isfahan cohort study, Iran. ARYA Atheroscler. 2014;10(6):311-8
Khosravi, A., Pourheidar, B., Roohafza, H., Moezzi, M., Mousavi, M., Hajiannejad, A., Bidram, P., Gharipour, M., Shirani, S., Golshahi, J., Boshtam, M., & Sarrafzadegan, N. (2014). Evaluating factors associated with uncontrolled hypertension: Isfahan cohort study, Iran. ARYA atherosclerosis, 10(6), 311-8.
Khosravi, Alireza, et al. "Evaluating factors associated with uncontrolled hypertension: Isfahan cohort study, Iran." ARYA atherosclerosis vol. 10,6 (2014): 311-8.
Khosravi A, Pourheidar B, Roohafza H, Moezzi M, Mousavi M, Hajiannejad A, Bidram P, Gharipour M, Shirani S, Golshahi J, Boshtam M, Sarrafzadegan N. Evaluating factors associated with uncontrolled hypertension: Isfahan cohort study, Iran. ARYA Atheroscler. 2014 Nov;10(6):311-8. PMID: 25815021; PMCID: PMC4354084.
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ARYA Atheroscler. 2014 Nov;10(6):311-8.

Evaluating factors associated with uncontrolled hypertension: Isfahan cohort study, Iran.

ARYA atherosclerosis

Alireza Khosravi, Behrouz Pourheidar, Hamidreza Roohafza, Masoumeh Moezzi, Mehdi Mousavi, Alireza Hajiannejad, Peyman Bidram, Mojgan Gharipour, Shahin Shirani, Jafar Golshahi, Mansoureh Boshtam, Nizal Sarrafzadegan

Affiliations

  1. Associate Professor, Interventional Cardiology Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
  2. Resident, Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran.
  3. Assistant Professor, Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
  4. Assistant Professor, Department of Community Medicine, Shahrekord University of Medical Science, Shahrekord, Iran.
  5. Department of Metabolic Syndrome, Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
  6. Associate Professor, Hypertension Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
  7. Associate Professor, Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
  8. Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

PMID: 25815021 PMCID: PMC4354084

Abstract

BACKGROUND: Hypertension (HTN) considers as one of the most common risk factors, which potentially raises the risk of cardiovascular disease. Regarding high prevalence of HTN among Iranian population this study designed to examine a range of socio-demographic and clinical variables to determine the association with failure to achieve blood pressure control in a cohort of hypertensive subjects.

METHODS: This retrospective cohort study is a part of Isfahan cohort study which carried out on adults aged 35 years old or more. Subjects with confirmed HTN entered in this sub-study. For all subjects questionnaire included socio-demographic characteristics, clinical data and lifestyle behavior completed by trained nurses. Uncontrolled HTN was defined as systolic and diastolic blood pressure more than 140/90 in the presence or absent of pharmacological treatment.

RESULTS: The prevalence of uncontrolled men was significantly higher than controlled in both 2001 and 2007 (P < 0.001). A significant association was found between sex and control of blood pressure: compared with women, being men [odds ratio (OR) = 2.31; 95 % confidence interval (CI) = 1.64-3.24] was significantly associated with uncontrolled HTN in 2001 and (OR = 2.38; 95% CI = 1.78-3.18). Among lifestyle behaviors, tendency for more consumption of salty foods increased the risk of uncontrolled HTN in 2001 by 1.73 times [OR = 1.73, 95% CI = 1.20-2.50, (P = 0.003)]. Patients who were naive to mono-therapy without considering the type of antihypertensive drug were found to be associated with uncontrolled blood pressure (OR = 0.14; 95 % CI =0.1-0.2).

CONCLUSION: Uncontrolled HTN was sex, marital status, diabetes, tendency to salty foods and medication adherence. Assessment of them presence of these risk factors is warranted to recommend an aggressive HTN management with the goal of reducing excessive risk of cardiovascular events caused by uncontrolled HTN.

Keywords: Hypertension; Prevalence; Risk Factors; Uncontrolled

References

  1. Arq Bras Cardiol. 1997 Jun;68(6):443-9 - PubMed
  2. PLoS One. 2013;8(2):e56546 - PubMed
  3. J Clin Hypertens (Greenwich). 2008 Mar;10(3):185-94 - PubMed
  4. BMJ. 1989 Mar 25;298(6676):784-8 - PubMed
  5. Ann Behav Med. 2010 Oct;40(2):228-33 - PubMed
  6. Curr Opin Cardiol. 2011 Jul;26(4):300-7 - PubMed
  7. Arch Iran Med. 2008 Jul;11(4):444-52 - PubMed
  8. Circulation. 2005 Sep 13;112(11):1651-62 - PubMed
  9. Hypertension. 2002 Jun;39(6):1119-25 - PubMed
  10. ARYA Atheroscler. 2012 Fall;8(3):97-118 - PubMed
  11. Circulation. 2008 Feb 19;117(7):905-14 - PubMed
  12. Arq Bras Cardiol. 2001 May;76(5):349-54 - PubMed
  13. PLoS Med. 2013;10(7):e1001490 - PubMed
  14. J Hypertens. 2008 Sep;26(9):1757-64 - PubMed
  15. Cholesterol. 2013;2013:198384 - PubMed
  16. J Hum Hypertens. 2011 Sep;25(9):545-53 - PubMed
  17. J Hypertens. 2014 Jan;32(1):30-8 - PubMed
  18. BMC Cardiovasc Disord. 2010 Dec 21;10:61 - PubMed
  19. J Res Med Sci. 2011 Mar;16 Suppl 1:S368-76 - PubMed
  20. Circulation. 2011 Aug 30;124(9):1046-58 - PubMed
  21. Hypertension. 2013 Oct;62(4):691-7 - PubMed
  22. Diabetes Obes Metab. 2003 Nov;5(6):379-87 - PubMed
  23. Postgrad Med J. 1991 Mar;67(785):230-46 - PubMed
  24. Am J Hum Biol. 2014 Jul-Aug;26(4):518-22 - PubMed
  25. Hypertension. 2000 Mar;35(3):814-21 - PubMed
  26. Rev Esp Cardiol. 2011 Jul;64(7):587-93 - PubMed
  27. J Hypertens. 2014 May;32(5):1025-32; discussion 1033 - PubMed
  28. ARYA Atheroscler. 2013 Jan;9(1):77-81 - PubMed
  29. JAMA. 2003 May 21;289(19):2560-72 - PubMed
  30. Drugs Aging. 2003;20(4):277-86 - PubMed
  31. Circulation. 2000 Jan 25;101(3):329-35 - PubMed

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