Sociodemographic and behavioral factors associated with controlled hypertension after 9 years of observation of a Pure Poland cohort study

Bibliographic Data

ID22089955
AuthorsKatarzyna Zatońska (0000-0002-3772-5588, Wroclaw Medical University), Alicja Basiak-Rasała (0000-0002-0313-021X, Wroclaw Medical University, corresponding author), Katarzyna Połtyn–Zaradna (0000-0002-5094-219X, Wroclaw Medical University), Katarzyna Połtyn-Zaradna, Dagmara Gaweł-Dąbrowska (0000-0001-9076-4247, Wroclaw Medical University), Maria Wołyniec (0000-0003-2054-1691, Wroclaw Medical University), Maciej Karczewski (0000-0002-6043-8472, Wrocław University of Environmental and Life Sciences), Andrzej Szuba (0000-0002-7555-6201, Wroclaw Medical University)
Year2023
Volume11
Pages1167515-1167515
Publication date2023-04-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1167515
PMID37151593
OpenAlexW4366771784
LanguageEN
References cited33

Introduction: Despite some improvement in awareness and treatment of hypertension, blood pressure control is still below expectations in Poland. The aim of the study was to analyze the secular trend of hypertension prevalence in the PURE Poland cohort study over 9 years of observation and to analyze factors associated with controlled HT. Methods: The study group consisted of 1,598 participants enrolled in a Prospective Urban and Rural Epidemiological Study (PURE), who participated both in baseline (2007-2010) and 9-year follow-up (2016-2019). Hypertension was ascertained on the basis of (1) self-reported hypertension previously diagnosed by the physician, (2) self-reported anti-hypertensive medication, and/or (3) an average of two blood pressure measurements ≥140 mmHg systolic BP and/or ≥90 mmHg diastolic BP. Results: The prevalence of hypertension increased from 69.4% at baseline to 85.9% at 9-year follow-up. The chance of HT was 8.6-fold higher in the oldest vs. the youngest age group [OR 8.55; CI 4.47-16.1]. Male sex increased the chance for hypertension over 3-fold [OR 3.23; CI 2.26-4.73]. Obesity, according to BMI, increased the chance of HT 8-fold [OR 8.01; CI 5.20-12.8] in comparison with normal body weight. Male sex decreased the chance of controlled HT after 9 years [OR 0.68; CI 0.50-0.92]. There was no statistically significant association between controlled HT and age or place of residence. Higher and secondary education increased the chance of controlled HT over 2-fold in comparison with primary education [OR 2.35; CI 1.27-4.34, OR 2.34; CI 1.33-4.11]. Obesity significantly decreased the chance of controlled HT after 9 years in comparison with normal body weight [OR 0.54; CI 0.35-0.83]. Conclusion: Factors significantly increasing the chance for controlled hypertension after 9 years were female sex, secondary and tertiary education, normal body weight, and avoiding alcohol drinking. Changes in lifestyle, with special emphasis on maintaining normal body weight, should be the basis of prevention and control of HT

Cohort · Cohort study · Environmental health · Blood Pressure and Hypertension Studies · Demography · Health Promotion and Cardiovascular Prevention · Medicine · Sodium Intake and Health · Gerontology · Internal Medicine · Pediatrics