Factors associated with uncontrolled blood pressure in hypertensive Brazilians

• Published in: The journal of clinical hypertension (Greenwich, Conn.) Vol. 24; no. 7; pp. 814 - 824
• Main Authors: Araújo, Thayza de Paula, Borges, Lucas Gabriel Sulino, Barroso, Weimar Kunz Sebba, Brandão, Andrea Araújo, Barbosa, Eduardo Costa Duarte, Feitosa, Audes Diógenes M, Malachias, Marcus Vinícius Bolivar, Mota Gomes, Marco, Amodeo, Celso, Povoa, Rui Manoel dos Santos, Jardim, Paulo César Brandão Veiga, Lopes, Renato D., Batista, Sandro Rogério Rodrigues, Vitorino, Priscila Valverde de Oliveira
• Format: Journal Article
• Language: English
• Published: New York John Wiley & Sons, Inc 01-07-2022; John Wiley and Sons Inc; Wiley
• Subjects: Antihypertensives; Blood pressure; Body mass index; control; Data collection; Exercise; Family medical history; Heart failure; Hypertension; Kidney diseases; Lifestyles; Original; Regression analysis; risk factor; Sociodemographics; Software; Uncontrolled Hypertension; Variables
• ISSN: 1524-6175; 1751-7176
• DOI: 10.1111/jch.14501

Uncontrolled hypertension has a high prevalence and is related to numerous negative health outcomes. This study aimed to investigate the factors associated with the lack of blood pressure control in hypertensive Brazilians treated in public and private services. This is an analytical, multicentric, and national cross‐sectional study, carried out with adult hypertensive patients, monitored in 45 outpatient clinics (September 2013 to October 2015) in a prospective record interview, clinical, and anthropometric assessment. Outcome variables included uncontrolled pressure (systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg). Simple and multiple logistic regression analyses were performed. Two thousand six hundred forty‐three participants were assessed with a mean age of 61.6 ± 11.9 years, 55.7% of women, and 46.4% with uncontrolled blood pressure (BP). The following were associated with uncontrolled BP: age over 60 years (OR: 1.31 [1.11–1.55]); practice of irregular physical activity (OR: 1.28 [1.06–1.55]); attending the emergency room for hypertensive crises in the last six months (OR: 1.80 [1.46–2.22]); increased body mass index (OR: 1.02 [1.01–1.04]); low adherence to drug treatment (OR: 1.22 [1.04–1.44]) and menopause (OR: 1.36 [1.07–1.72]). The following were negatively associated: fruit consumption (OR: 0.90 [0.85–0.94]); presence of dyslipidemia (OR: 0.75 [0.64–0.89]), acute myocardial infarction (OR: 0.59 [0.46–0.76]), and peripheral arterial disease (OR: 0.52 [0.34‐0.78]). Factors associated with difficult‐to‐control blood pressure are the same that increase the risk for hypertension, while the presence of atherosclerotic disease and its outcomes were associated with better control.