Hypertension is considered a major public health challenge. It is the most important risk factor for cardiovascular disease and is a prominent risk for China’s elderly population. However, few studies have addressed the effect of blood pressure control on elderly hypertension patients in China. In response, this study aimed to investigate the prevalence and control of hypertension in the elderly population in Shanghai’s communities.
A secondary data analysis based on a government-financed health check-up program for an elderly population aged 65 and older from 2012 to 2014 was conducted in a central district of Shanghai.
Of the 44,978 study participants, 20,305 (45.1%) were males and 24,673 (54.9%) were females. The participants’ median age was 72. Half of the participants were overweight or obese (BMI ≥ 24.0 kg/m2). The prevalence of hypertension was 59.9%. In the 18,032 participants without prior diagnosis of hypertension, 5530 (30.7%) had increased blood pressure. Among the 26,946 confirmed hypertension patients, the proportions of treatment and blood pressure control were 32.8% and 43.4% respectively. Multivariate analysis showed that the uncontrolled hypertension was significantly associated with older age, being overweight or obese, a lower level of education, an unbalanced dietary pattern, regular drinking and non-comorbidities.
The prevalence of hypertension was high in China’s elderly population. The proportion of individuals who received treatment remained low, and blood pressure control was poor among hypertension patients. These results indicate that improvement of the ability to manage and control hypertension among urban elderly residents is urgently needed.
Mortality GBD. Causes of death collaborators: global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2015;385(9963):117–71. CrossRef
World Health Organization: A global brief on hypertension. Geneva; 2013.
Guo J, CQ Y, Lyu J, Guo Y, Bian Z, Zhou HY, Tan YL, Pei P, Chen JS, Chen ZM, et al. Status of prevalence, awareness, treatment and controll on hypertension among adults in 10 regions, China. Zhonghua Liu Xing Bing Xue Za Zhi. 2016;37(4):469–74. PubMed
United Nations. World population ageing 2017. New York; 2017.
World Health Organization: Global Status Report on Noncommunicable Diseases 2014 Geneva; 2014.
Wang G, Li LM, YH H, Zhan SY, Lu J, Gao WJ, CQ Y, Wang SF, Wang J, Dai LQ, et al. Relationship between the clustering of risk factors and the prevalence of hypertension in the community residents living in shanghai. Zhonghua Liu Xing Bing Xue Za Zhi. 2013;34(4):307–10. PubMed
Li G, Wang H, Wang K, Wang W, Dong F, Qian Y, Gong H, Xu G, Li Y, Pan L, et al. Prevalence, awareness, treatment, control and risk factors related to hypertension among urban adults in Inner Mongolia 2014: differences between Mongolian and Han populations. BMC Public Health. 2016;16:294. CrossRefPubMedPubMedCentral
Kokubo Y, Ma L, Zhao X, Tang Z, Li Y, Sun F, Diao L, Ge G, Feng M, Wang J. Epidemiological characteristics of hypertension in the elderly in Beijing, China. PLoS One. 2015;10(8):e0135480. CrossRef
Huang G, Jb X, T-j Z, Li Q, X-l N, Liu Y, Peng LJ Sr, X-t L, X-l K. Prevalence, awareness, treatment, and control of hypertension among very elderly Chinese: results of a community-based study. J American Soc Hypertension. 2017;11(8):503–512.e502. CrossRef
Shanghai Municipal Statistics Bureau, Survey Office of the National Bureau of statistics in shanghai: shanghai statistical yearbook 2015; 2015.
James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, Lackland DT, LeFevre ML, MacKenzie TD, Ogedegbe O, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the eighth joint National Committee (JNC 8). JAMA. 2014;311(5):507–20. CrossRefPubMed
Chor D, Pinho RA, Sa CM, Duncan BB, Andrade LP, Araujo NA, Aquino EM, Schmidt MI, Griep RH, Molina MC, et al. Prevalence, awareness, treatment and influence of socioeconomic variables on control of high blood pressure: results of the ELSA-Brasil study. PLoS One. 2015;10(6):e0127382. CrossRefPubMedPubMedCentral
Zdrojewski T, Wizner B, Wiecek A, Slusarczyk P, Chudek J, Mossakowska M, Bandosz P, Bobak M, Kozakiewicz K, Broda G et al: Prevalence, awareness, and control of hypertension in elderly and very elderly in Poland: results of a cross-sectional representative survey. J Hypertens 2016, 34(3):532–538; discussion 538.
Chen Y, Factor-Litvak P, Howe GR, Parvez F, Ahsan H. Nutritional influence on risk of high blood pressure in Bangladesh: a population-based cross-sectional study. Am J Clin Nutr. 2006;84(5):1224–32. PubMed
Choi SI, Kim SK, Park S, Kim JH, Ihm SH, Kim GI, Kim WS, Pyun WB, Kim YM, Shin J. Prevalence of resistant hypertension and associated factors for blood pressure control status with optimal medical therapy using Korean ambulatory blood pressure monitoring registry data. Clin Hypertens. 2015;22(1):8. CrossRefPubMed
Subasinghe AK, Arabshahi S, Busingye D, Evans RG, Walker KZ, Riddell MA, Thrift AG. Association between salt and hypertension in rural and urban populations of low to middle income countries: a systematic review and meta-analysis of population based studies. Asia Pac J Clin Nutr. 2016;25(2):402–13. PubMed
Ethical Review of Biomedical Research Involving Human Beings [ http://www.moh.gov.cn/fzs/s3576/201610/84b33b81d8e747eaaf048f68b174f829.shtml].
- Prevalence and control of hypertension among a Community of Elderly Population in Changning District of shanghai: a cross-sectional study
- BioMed Central
Neu im Fachgebiet Innere Medizin
Meistgelesene Bücher aus der Inneren Medizin
Mail Icon II