Factors Affecting Uncontrolled Blood Pressure among Elderly Hypertensive Patients in Pekanbaru City, Indonesia
DOI:
https://doi.org/10.3889/oamjms.2019.255Keywords:
Elderly, Hypertension, Uncontrolled blood pressureAbstract
BACKGROUND: The highest prevalence of hypertension is among older adults. Although older adults with hypertension have already controlled their blood pressure by taking antihypertensive drugs, hypertension will still occur when not balanced with a healthy lifestyle. Data from Pekanbaru Municipality Health Department in 2016 showed that hypertension was the most common disease in Pekanbaru City.
AIM: The purpose of this study was to determine the factors that influence uncontrolled blood pressure among elderly patients with hypertension at Harapan Raya Pekanbaru Health Center in 2017.
MATERIAL AND METHODS: The study employed a cross-sectional design. The sample size comprised 116 elderly patients with hypertension who visited Harapan Raya Community Health Center. The sample criteria were patients aged ≥ 60 years and taking hypertension medication, and subjects were selected using consecutive sampling. The variables collected were demographic characteristics of elderly patients (age, education, sex, and occupation), physical activity, smoking habit, coffee and tea consumption and sodium intake. Statistical analysis involved the chi-square test and multiple logistic regressions.
RESULTS: The proportion of elderly hypertensive patients with uncontrolled blood pressure was 52.6%. The most influential variables concerning uncontrolled blood pressure were smoking habit (P-value: 0.004, OR: 5.2 95% CI: 1.71-15.8), no routine for taking antihypertensive drugs (P-value = 0.029 OR = 2.96 95% CI: 1.11-7.86) and sodium intake (P-value: 0.044 OR: 0.264 95% CI: 0.072-0.967).
CONCLUSION: The dominant factor influencing uncontrolled blood pressure among the elderly was smoking. Health workers at the Community Health Center are expected to provide education and counselling for elderly patients with hypertension to control their blood pressure by taking antihypertensive drugs regularly and quitting smoking.
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Ladecola C, Davisson RL. Hypertension and Cerevascular Dysfunction. Cell Metab NIH Public Acces. 2008; 7(6):476-84. https://doi.org/10.1016/j.cmet.2008.03.010 PMid:18522829 PMCid:PMC2475602
JNC-VII. The Seventh Report of The Joint National Comitee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. 2004.
Hazarika NC, Biswas D, Mahanta J. Hypertension in the Elderly Population of Assam. Journal of the Association of Physicians of India. 2003; 51:567-73.
Lionakis N, Mendrinos D, Sanidas E, Favatas G, Georgopoulou M, Lionakis N, et al. Hypertension in the elderly. World Journal of Cardiology. 2012; 4(5):135-47. https://doi.org/10.4330/wjc.v4.i5.135 PMid:22655162 PMCid:PMC3364500
Alhawassi TM, Krass I, Pont LG. Hypertension in Older Persons : A Systematic Review of National and International Treatment Guidelines. The Journal of Clinical Hypertension. 2015; 17(6):486-92. https://doi.org/10.1111/jch.12536 PMid:25827023
WHO. A global brief on Hypertension. Geneva, 2013.
Ministry of Health-RI. Hypertension. Jakarta: Pusdatin, 2015.
Pekanbaru Municipality Health. Pekanbaru Municipality Health Departement Profil 2016. Pekanbaru, 2015.
Community Health Centrer Harapan Raya. Community Health Center Harapan Raya Profil. Pekanbaru, 2016.
Lwanga S, Lemeshow S. Sample size determination in health studies. Geneva: WHO, 1997.
Wahyuningsih, Astuti E. Factors Affecting Hypertension in the Elderly. Journal Ners and Midwifery Indonesia. 2013; 1(3):71-5.
FAO/WHO/UNU. Human energy requirements. Rome, 2001.
Almatsier S. Basic Principles of Nutrition Science. Jakarta: Gramedia Pustaka Utama, 2009.
Uiterwaal CSPM, Verschuren WMM, Bueno-de-mesquita HB, Ocké M, Geleijnse JM. Coffee Intake and Incidence of hypertension. The American Journal of Clinical Nutrition. 2007; 85(2):718-23.
Peltzer K, Phaswana-mafuya N. Hypertension and associated factors in older adults in South Africa. Cardiovascular Journal of Africa. 2013; 24(3):66-71. https://doi.org/10.5830/CVJA-2013-002 PMid:23736129 PMCid:PMC3721893
Oliveria SA, Chen RS, Mccarthy BD, Davis CC, Hill MN. Hypertension Knowledge, Awareness, and Attitudes in a Hypertensive Population. J Gen Intern Med. 2005; 20:219-25. https://doi.org/10.1111/j.1525-1497.2005.30353.x PMid:15836524 PMCid:PMC1490067
Ministry of Health-RI. Pharmaceutical care for hypertension. Directorate of Community Pharmacy and Clinic, 2006.
Acelajado MC. Optimal management of hypertension in elderly patients. Integrated Blood Pressure Control. 2010; 3:145-53. https://doi.org/10.2147/IBPC.S6778 PMid:21949630 PMCid:PMC3172073
Alam N, Soni GP, Jain KK, Verma S, Panda PS. Prevalence and determinants of hypertension in elderly population of Raipur city, Chhattisgarh. International Journal of Research in Medical Sciences. 2015; 3(3):568-73. https://doi.org/10.5455/2320-6012.ijrms20150307
Hafiz M, Weta W, Ratnawati NLKA. Factors associated with the incidence of hypertension in the elderly group in the working area of UPT Puskesmas Petang I Badung District in 2016. E Jurnal Medika. 2016; 5(7):1-23.
Gardin JM, Arnold AM, Bild DE, Smith V, Lima JAC, Klopfenstein HS, et al. Left Ventricular Diastolic Filling in the Elderly : The Cardiovascular Health Study. The American Journal of Cardiology. 1998; 82(1):345-51. https://doi.org/10.1016/S0002-9149(98)00339-7
Schmieder RE. End Organ Damage In Hypertension Early detection. Deutsches Ärzteblatt International. 2010; 107(49):866-74.
Primatesta P, Falaschetti E, Gupta S, Marmot MG, Poulter NR. Evidence From the Health Survey for England. Hypertension. 2001; 37(1):187-93. https://doi.org/10.1161/01.HYP.37.2.187 PMid:11230269
Quasem I, Shetye MS, Alex SC, Kumar A, Sarma P., Thankappan K. Prevalence, awareness, treatment and control of hypertension among the elderly in Bangladesh and India : a multicentre study. Bulletin of the World Health Organization. 2001; 79(6):490-500.
Dewhurst MJ, Dewhurst F, Gray WK, Chaote P, Orega GP, Walker RW. The high prevalence of hypertension in rural-dwelling Tanzanian older adults and the disparity between detection, treatment and control : a rule of sixths ? Journal of Human Hypertension. 2012; 27(6):374-80. https://doi.org/10.1038/jhh.2012.59 PMid:23235367
Ragueneau I, Michaud P, Dcmolis J, Moryusef A, Jaillon P, Funck-brentano C. Effects of cigarette smoking on short-term variability of blood pressure in smoking and non smoking healthy volunteers. Fundam Clin Pharmacol. 1999; 13(1):501-7. https://doi.org/10.1111/j.1472-8206.1999.tb00010.x PMid:10456293
Gu Q, Burt VL, Dillon CF, Yoon S. Trends in Antihypertensive Medication Use and Blood The National Health and Nutrition Examination Survey, 2001 to 2010. Circulation. 2012; 126:2105-14.
https://doi.org/10.1161/CIRCULATIONAHA.112.096156 PMid:23091084
Viera AJ, Jamieson B. How effective are hypertension self-care interventions ? The Journal of Family Practice. 2007; 56(3):229-31.
Yang L, Xu X, Yan J, Yu W, Tang X, Wu H, et al. Analysis on associated factors of uncontrolled hypertension among elderly hypertensive patients in Southern China : a community-based , cross-sectional survey. BMC Public Health. 2014; 14(903):1-8. https://doi.org/10.1186/1471-2458-14-903
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