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- Title
Predictors of 5-year Survival of Elderly with Hypertension. A Prospective Cohort Study.
- Authors
Babaei, Fatemeh Naghdi; Bijani, Ali; Hosseini, Seyed Reza; Ghadimi, Reza; Mouodi, Simin
- Abstract
Background: Given the high prevalence of hypertension in older adults, this study was conducted to identify the factors affecting the 5-year survival of older people with hypertension. Materials and Methods: In this cohort study, individuals aged 60 and over living in Amirkola, north of Iran who were diagnosed with hypertension were followed up for 5 years, and the effect of various factors on their survival was analyzed. Results: Among 1439 older people, 892 individuals (61.99%) had hypertension. Age (adjusted hazard ratio [aHR] = 1.052, 95% confidence interval [CI] = 1.019-1.086, P = 0.002), diabetes mellitus (aHR = 2.166, 95% CI = 1.398-3.354, P = 0.001), serum creatinine (aHR = 2.163, 95% CI = 1.391-3.363, P = 0.001), female gender (aHR = 0.460, 95% CI = 0.276-0.766, P = 0.003), body mass index ≥30 kg/m2 (aHR = 0.386, 95% CI = 0.212-0.701, P = 0.002), physical activity score >150 (aHR = 0.382, 95% CI = 0.162-0.898, P = 0.027), each one unit increase of social support score (aHR = 0.914, 95% CI = 0.861-0.970, P = 0.003), and instrumental functional ability score (aHR = 0.907, 95% CI = 0.843-0.974, P = 0.009) showed a significant effect on 5-year survival of older people. Conclusion: Multiple factors (such as age, gender, social support, lifestyle behaviors, and comorbidities including diabetes mellitus and renal function) might predict the 5-year survival of the elderly with hypertension. They should be considered in health-care package of these patients.
- Subjects
IRAN; DIABETES complications; MORTALITY risk factors; RISK assessment; LIFESTYLES; SURVIVAL rate; CREATININE; BODY mass index; RESEARCH funding; HYPERTENSION; SEX distribution; DESCRIPTIVE statistics; AGE distribution; FUNCTIONAL status; LONGITUDINAL method; CONFIDENCE intervals; SOCIAL support; PHYSICAL activity; COMORBIDITY; OLD age
- Publication
Journal of Research in Medical Sciences, 2024, Vol 29, p1
- ISSN
1735-1995
- Publication type
Article
- DOI
10.4103/jrms.jrms_859_22