Document Detail

Factors associated with knowledge and control of arterial hypertension in the Canary Islands.
MedLine Citation:
PMID:  22209706     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION AND OBJECTIVES: To analyze the factors associated with knowledge and control of hypertension in the adult population of the Canary Islands (18-75 years).
METHODS: We recruited a random sample of the general population aged ≥18 years. Hypertension was defined as systolic/diastolic blood pressure ≥140/90 mmHg or known hypertension (self-declared, or controlled hypertension <140/90 mmHg). The bivariate association of known and controlled hypertension with age, sex, anthropometry, serum lipids, medication, and lifestyle was corroborated by adjusting a multivariate logistic model.
RESULTS: We included 6675 participants. The prevalence of hypertension was higher in men (40% vs 31%, P<.001), who also had a lower frequency of treated and controlled hypertension. Female sex (P<.001), age ≥55 years (P<.001), obesity (P<.001), and diabetes (P<.001) were associated with known hypertension. The modifiable factors that, in spite of treatment, increased the risk of poor control of hypertension were alcohol consumption (>30 g/day, odds ratio [OR]=2.4, P<.001; >15-≤30 g/day, OR=2, P=.009; >5-≤15, g/day, OR=1.83, P=.004), obesity (body mass index ≥30, OR=2, P=.003; >24.9-<30, OR=1.7, P=.024), serum cholesterol >250 mg/dL (OR=1.6, P=.006) and elevated heart rate (>80 bpm, OR=1.45, P=.045; >70-≤80 bpm, OR=1.36, P=.038).
CONCLUSIONS: The awareness of hypertension increases with frequent use of the health system and with factors associated with known hypertension: female sex, age, underlying health problems. The modifiable factors associated with poor control of known hypertension are alcohol consumption, obesity, elevated heart rate, and hypercholesterolemia.
María C Rodríguez Pérez; Antonio Cabrera de León; Raquel M Morales Torres; Santiago Domínguez Coello; José J Alemán Sánchez; Buenaventura Brito Díaz; Ana González Hernández; Delia Almeida González
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-12-30
Journal Detail:
Title:  Revista española de cardiología (English ed.)     Volume:  65     ISSN:  1885-5857     ISO Abbreviation:  Rev Esp Cardiol (Engl Ed)     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-22     Completed Date:  2012-07-02     Revised Date:  2012-12-31    
Medline Journal Info:
Nlm Unique ID:  101587954     Medline TA:  Rev Esp Cardiol (Engl Ed)     Country:  Spain    
Other Details:
Languages:  eng; spa     Pagination:  234-40     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.
Unidad de Investigación, Gerencia de Atención Primaria, Hospital Universitario Ntra. Sra. de La Candelaria, Santa Cruz de Tenerife, Spain.
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MeSH Terms
Alcohol Drinking / epidemiology
Antihypertensive Agents / therapeutic use
Blood Pressure / physiology
Cross-Sectional Studies
Health Knowledge, Attitudes, Practice*
Hemodynamics / physiology
Hypercholesterolemia / complications,  epidemiology
Hypertension / drug therapy,  epidemiology*,  therapy*
Logistic Models
Middle Aged
Motor Activity
Obesity / epidemiology
Risk Factors
Social Class
Spain / epidemiology
Young Adult
Reg. No./Substance:
0/Antihypertensive Agents

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