Trends in hypertension control among the older population of Spain from 2000 to 2001 to 2008 to 2010: Role of frequency and intensity of drug treatment

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dc.contributor.author Banegas, José Ramón
dc.contributor.author Navarro-Vidal, Beatriz
dc.contributor.author Ruilope, Luis M.
dc.contributor.author De La Cruz, Juan J.
dc.contributor.author López-García, Esther
dc.contributor.author Rodríguez-Artalejo, Fernando
dc.contributor.author Graciani, Auxiliadora
dc.contributor.other UAM. Departamento de Medicina Preventiva y Salud Pública y Microbiología es_ES
dc.contributor.other Instituto de Investigación Sanitaria Hospital Universitario de La Paz (IdiPAZ) es_ES
dc.date.accessioned 2016-06-02T14:09:46Z
dc.date.available 2016-06-02T14:09:46Z
dc.date.issued 2015-01-01
dc.identifier.citation Circulation: Cardiovascular Quality and Outcomes 8.1 (2015): 67-76 en_US
dc.identifier.issn 1941-7713 es_ES
dc.identifier.uri http://hdl.handle.net/10486/671205
dc.description This is the prepint version of the following article: Circulation: Cardiovascular Quality and Outcomes 8.1 (2015) , which has been published in final form at http://dx.doi.org/10.1161/CIRCOUTCOMES.114.001191 en_US
dc.description.abstract Background—The use of antihypertensive medication and hypertension control has significantly increased during recent decades in some developed countries, but the impact of improved drug treatment on blood pressure (BP) control in the population is unknown. Methods and Results—Data were taken from 2 surveys representative of the population aged ≥60 years in Spain conducted with the same methodology in 2000 to 2001 and in 2008 to 2010. BP was measured 6×. The first BP reading was discarded, and the average of the remaining 3 to 5 BP readings was taken for analysis. Hypertension prevalence was 68.7% in 2000 to 2001 and 66.0% in 2008 to 2010. Between both time periods there was an improvement in hypertension awareness (63.6%–67.7%), drug treatment among those aware (84.5%–87.5%), and BP control among treated hypertensives (30.3%–42.9%). Overall, BP control among all hypertensives increased from 16.3% to 25.4%. After adjustment for age, sex, education, hypertension duration, smoking, alcohol consumption, body mass index, sedentary behavior, diabetes mellitus, cardiovascular disease, and visits to the physician through logistic regression, ≈7% of the improvement in BP control among all hypertensives was explained by higher hypertension awareness, and 36.2% was explained by a higher treatment rate. Among the treated hypertensives, 22.6% of the progress in BP control was because of the increase in the number of BP medications used in each patient. Conclusions—BP control among the older hypertensive population in Spain has improved from 2000 to 2001 to 2008 to 2010 because of a higher treatment rate and more intense antihypertensive drug treatment en_US
dc.description.sponsorship This work has been supported by Fondo de Investigación Sanitaria (FIS) grant PI13/02321 (Instituto de Salud Carlos III, Spain) and “Cátedra Universidad Autónoma de Madrid (UAM) de Epidemiología y Control del Riesgo Cardiovascular”, Madrid, Spain. en_US
dc.format.extent 27 pag. es_ES
dc.format.mimetype application/pdf en
dc.language.iso eng en
dc.publisher American Heart Association es_ES
dc.relation.ispartof Circulation: Cardiovascular Quality and Outcomes en_US
dc.subject.other Aging en_US
dc.subject.other Epidemiology en_US
dc.subject.other Hypertension en_US
dc.subject.other Population studies en_US
dc.subject.other Therapeutics en_US
dc.title Trends in hypertension control among the older population of Spain from 2000 to 2001 to 2008 to 2010: Role of frequency and intensity of drug treatment en_US
dc.type article en
dc.subject.eciencia Medicina es_ES
dc.relation.publisherversion http://dx.doi.org/10.1161/CIRCOUTCOMES.114.001191 es_ES
dc.identifier.doi 10.1161/CIRCOUTCOMES.114.001191 en
dc.identifier.publicationfirstpage 67 es_ES
dc.identifier.publicationissue 1 es_ES
dc.identifier.publicationlastpage 76 es_ES
dc.identifier.publicationvolume 8 es_ES
dc.type.version info:eu-repo/semantics/submittedVersion en_US
dc.rights.accessRights openAccess en
dc.authorUAM Banegas Banegas, José Ramón (261477)


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