The detection, treatment and control of high blood pressure in older British adults: cross-sectional findings from the British Women's Heart and Health Study and the British Regional Heart Study
The detection, treatment and control of high blood pressure in older British adults: cross-sectional findings from the British Women's Heart and Health Study and the British Regional Heart Study
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DOI：
10.1038/sj.jhh.1002064
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发表时间：
2006-10-01
影响因子：
2.7
通讯作者：
Ebrahim, S.
中科院分区：
文献类型：
--
作者：
Patel, R.;Lawlor, D. A.;Ebrahim, S.
在老年人中，高血压的检测和控制对于降低心血管疾病风险尤为重要。这项横断面调查旨在描述英国老年人高血压的检测、治疗和控制情况。1998年至2001年，从24个英国城镇的全科医生年龄/性别登记中随机抽取了3059名女性和3007名男性，年龄在60-79岁之间。其中，52.6%的女性和47.9%的男性至少有一项高血压指标(检查或服用降压药或回忆起医生诊断为高血压的高血压)。在女性中，50%的有高血压症状的人正在接受治疗，29%的人得到了很好的控制，而在男性中，45%的人在接受治疗，16%的人得到了很好的控制。除了男性饮酒(调整后的优势比0.67(0.46，0.98))外，社会经济因素、居住地和行为风险因素与高血压患者的良好控制无关，无论男女。在接受治疗的患者中，20.7%的女性和28%的男性服用了两种降压药，分别有3.5%和4.9%的人服用了三种或三种以上的降压药。在那些被医生诊断为高血压并服用降压药的人中，血压控制良好的比例在服用一种以上降压药的人和只服用一种降压药的人中没有性别差异。我们的结论是，良好控制的目标在老年患者中很少实现，他们将受益于相关心血管疾病风险的降低。
Among older people, the detection and control of hypertension is particularly important to reduce cardiovascular disease risk. This cross-sectional survey aimed to describe the detection, treatment and control of hypertension in older British adults. A total of 3059 women and 3007 men aged 60 - 79 years were randomly selected from general practice age/sex registers in 24 British towns and examined from 1998 to 2001. Of these, 52.6% women and 47.9% men had at least one indicator of hypertension ( high blood pressure on examination, or taking antihypertensive medication or recalled a doctor diagnosis of high blood pressure). Among women, 50% of those with any indication of hypertension were on treatment and 29% were well controlled, and among men 45% were on treatment and 16% were well controlled. With the exception of alcohol use in men (adjusted odds ratio 0.67 (0.46, 0.98)), socioeconomic factors, area of residence and behavioural risk factors were not associated with good control among those with hypertension in either sex. Of those on treatment, 20.7% of women and 28% of men were on two classes of antihypertensive medication and 3.5 and 4.9%, respectively, were on three or more classes of antihypertensive medication. Among those with a doctor diagnosis of hypertension and taking antihypertensive medication, the proportion with well controlled blood pressure did not differ between those on more than one antihypertensive and those on just one in either sex. We conclude that targets of good control are rarely met in older individuals, who would benefit from the associated reduction in cardiovascular disease risk.