Factors associated with uncontrolled blood pressure in hypertensive Brazilians

• DOI: 10.1111/jch.14501
• Publication Date: 2022-06-30T11:09:24Z
• Authors: Thayza de Paula A...; Lucas Gabriel Sul...; Weimar Kunz Sebba...; Andrea Araújo Bra...; Eduardo Costa Dua...; Audes Diógenes M ...; Marcus Vinícius B...; Marco Mota Gomes; Celso Amodeo; Rui Manoel dos Sa...; Paulo César Brand...; Renato D. Lopes; Sandro Rogério Ro...; Priscila Valverde...
• Keywords: Dyslipidemia; Hypertensive emergency; Outpatient clinic

Abstract Uncontrolled hypertension has a high prevalence and is related to numerous negative health outcomes. This study aimed investigate the factors associated with lack of blood pressure control in hypertensive Brazilians treated public private services. an analytical, multicentric, national cross‐sectional study, carried out adult patients, monitored 45 outpatient clinics (September 2013 October 2015) prospective record interview, clinical, anthropometric assessment. Outcome variables included uncontrolled (systolic ≥ 140 mmHg and/or diastolic 90 mmHg). Simple multiple logistic regression analyses were performed. Two thousand six hundred forty‐three participants assessed mean age 61.6 ± 11.9 years, 55.7% women, 46.4% (BP). The following BP: over 60 years (OR: 1.31 [1.11–1.55]); practice irregular physical activity 1.28 [1.06–1.55]); attending emergency room for crises last months 1.80 [1.46–2.22]); increased body mass index 1.02 [1.01–1.04]); low adherence drug treatment 1.22 [1.04–1.44]) menopause 1.36 [1.07–1.72]). negatively associated: fruit consumption 0.90 [0.85–0.94]); presence dyslipidemia 0.75 [0.64–0.89]), acute myocardial infarction 0.59 [0.46–0.76]), peripheral arterial disease 0.52 [0.34‐0.78]). Factors difficult‐to‐control are same that increase risk hypertension, while atherosclerotic its outcomes better control.