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- Title
Health-related determinants of undiagnosed arterial hypertension: a population-based study.
- Authors
Chau, Kénora; Girerd, Nicolas; Zannad, Faiez; Rossignol, Patrick; Boivin, Jean-Marc
- Abstract
<bold>Background: </bold>Undiagnosed arterial hypertension is frequent. Whether it is associated with gender and the absence of cardiovascular-disease warning signs is unknown. Knowledge of the features of undiagnosed-hypertension subjects may help their identification in primary care.<bold>Objective: </bold>To examine whether gender, alcohol consumption, smoking status, health status, cardiovascular diseases/diabetes, familial hypertension history, anti-cholesterol treatment, GP-consultation frequency, body mass index (BMI), waist circumference and metabolic measurements were associated with having undiagnosed hypertension among hypertensive subjects.<bold>Methods: </bold>This population-based study included 281 hypertensive adults (aged 50-76 years): 222 subjects with diagnosed and treated-hypertension and 59 undiagnosed-hypertension subjects (no hypertension history, office and 24-h ambulatory blood pressures ≥140/90 and ≥130/80 mmHg, respectively). Subjects' characteristics, clinical and biological measurements, health problems and blood pressures were collected. Data were analyzed using adjusted odds ratios (OR) computed with multivariable logistic regression models.<bold>Results: </bold>Undiagnosed-hypertension represented 21% of hypertensive subjects. Multivariable logistic regression modeling showed that five risk factors were associated with undiagnosed-hypertension among hypertensive subjects: male gender (OR = 4.61, P < 0.001), no cardiovascular diseases/diabetes (OR=8.51, P < 0.001), no familial hypertension history (OR = 3.15, P = 0.002), number of GP consultations per year (3+, 1-2, and 0; OR = 3.18 per 1-category increase, P < 0.001), and lower waist circumference (OR = 1.05 per 1-cm decrease, P = 0.002). Living alone, alcohol consumption, health status, anti-cholesterol treatment, BMI, and blood glucose were also significant factors (P < 0.05) in bivariate analysis.<bold>Conclusion: </bold>Undiagnosed-hypertension subjects exhibit specific features associated with their hypertension awareness. These findings help understand undiagnosed-hypertension risk patterns and enable better identification of affected subjects for lifestyle management and care.
- Subjects
FAMILIAL hypercholesterolemia; HYPERTENSION; BIVARIATE analysis; BLOOD pressure; BODY mass index; WAIST circumference; ANTILIPEMIC agents; BLOOD pressure measurement; BLOOD sugar; COMPARATIVE studies; ALCOHOL drinking; HEALTH status indicators; RESEARCH methodology; MEDICAL cooperation; MULTIVARIATE analysis; RESEARCH; LOGISTIC regression analysis; EVALUATION research; LIFESTYLES
- Publication
Family Practice, 2019, Vol 36, Issue 3, p276
- ISSN
0263-2136
- Publication type
journal article
- DOI
10.1093/fampra/cmy075