Birth cohort differences in hypertension control in a Brazilian population of older elderly: the Bambuí Cohort Study of Aging (1997 and 2008).

Birth cohort differences in hypertension control in a Brazilian population of older elderly: the Bambuí Cohort Study of Aging (1997 and 2008).
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巴西老年群体高血压控制的出生队列差异:Bambuí 老龄化​​队列研究(1997 年和 2008 年)。

DOI:
10.1590/s0102-311x2011001500013
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发表时间:
2011
影响因子:
2.8
通讯作者:
M. Lima
M. Lima
中科院分区:
医学4区
文献类型:
--
作者:
J. Firmo;S. Peixoto;Antônio Ignácio de Loyola Filho;E. Uchôa;M. Lima

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我们检查了 1916-1926 年和 1927-1937 年出生的 Bambuí 老龄化​​队列研究参与者之间高血压控制的队列差异。参与者包括基线时 (n = 313) 和第 11 波随访时 (n = 484) 年龄为 71-81 岁的高血压老年人。从老年队列到年轻队列,高血压知晓率(分别为 70.9% 和 81.2%)、过去 12 个月的平均医疗预约次数(分别为 2 个月和 3 个月)和抗高血压药物使用率(分别为 74.4% 和 90.7%)显着增加。然而,两个队列中接受治疗的患者中高血压得到适当控制的患病率 (< 140/< 90 mmHg) 相似(44.6% 和 40.1%,p = 0.255)。多变量分析表明,学校教育是与适当控制高血压独立相关的唯一因素。尽管最近队列中的医疗预约和药物使用有所增加,但适当控制的高血压患病率仍然与较早队列中一样低。
We examined for cohort differences in hypertension control between participants in the Bambuí Cohort Study of Aging of aging born 1916-1926 and 1927-1937. Participants included hypertensive elderly aged 71-81 at baseline (n = 313) and at 11th wave follow up (n = 484). Prevalence of hypertension awareness (70.9% and 81.2%, respectively), median medical appointments in previous 12 months (2 and 3, respectively) and antihypertensive drug use (74.4% and 90.7% respectively) increased significantly from older to younger cohort. However, prevalence of appropriately controlled hypertension among those treated (< 140/< 90 mmHg) was similar in both cohorts (44.6% and 40.1%, p = 0.255). Multivariate analysis returned schooling as the only factor independently associated with appropriately controlled hypertension. Despite increased medical appointments and drug use in the recent cohort, the prevalence of appropriately controlled hypertension remained as low as in the older cohort.