Document Detail


Characteristics, and disease control and complications of hypertensive patients in primary-care - a community-based study in Singapore.
MedLine Citation:
PMID:  19890575     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Hypertension is a common chronic condition usually managed by primary-care practitioners in Singapore. This study assessed the characteristics, control and complications of non-diabetic hypertensive patients managed at government primary healthcare clinics. MATERIALS AND METHODS: A cross-sectional study involving 9 clinics was conducted over 1-week in 2006. Five hundred and six non-diabetic hypertensive patients were systematically sampled from all clinic attendees. Data relating to socio-demographic, lifestyle factors, treatment and complications were collected by interviewer-administered questionnaires and review of clinic medical records. Blood pressure (BP) measurements were taken with validated automated sets following a standard protocol. RESULTS: The prevalence of good BP control (<140/90 mmHg) was 37.7% (95% CI: 33.6% to 41.8%). Ninety seven percent were on medication with about half on monotherapy. Seventy percent of patients had a body mass index (BMI) of 23.0 kg/m(2) or higher, 64% did not exercise regularly and 8% were current smokers. After adjusting for age and lifestyle factors, male hypertensive patients had poorer BP control compared to females. Nineteen percent of patients reported at least 1 complication of hypertension, especially cardiac disease. After multivariate analysis and duration of disease, age and the male gender were associated with the presence of hypertensive complications. CONCLUSIONS: More than half of the patients were not controlled to target levels. Male patients were more likely to have poorer control of hypertension and significantly higher risks of complications. Control of BP could be further improved by lifestyle modifications - weight reduction, promotion of physical activity, healthier eating habits and smoking cessation.
Authors:
Ek Khoon Tan; Wan Ling Chung; Yii Jen Lew; Mei Yen Chan; Teck Yee Wong; Woon-Puay Koh
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  38     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-11-05     Completed Date:  2010-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  850-6     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Public Health, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Pressure
Body Mass Index
Community-Based Participatory Research*
Confidence Intervals
Cross-Sectional Studies
Diet, Reducing
Female
Humans
Hypertension / complications*,  diagnosis*,  epidemiology,  prevention & control
Life Style
Male
Middle Aged
Motor Activity
Multivariate Analysis
Prevalence
Primary Health Care / statistics & numerical data*
Questionnaires
Risk
Sex Factors
Singapore / epidemiology
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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