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Prevalence, risk factors and treatment of arterial hypertension in dwellers of Boguszyce village
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Abstract
Material and methods The study group consisted of dwellers of the village of Boguszyce. Examinations were carried out by the trained medical students and physicians visiting village dwellers at their homes. They determined the body mass, height, and measured blood pressure two times based on the Korotkov method. A custom questionnaire was carried out to determine medical history and coexisting risk factors.
Results Examinations were carried out in 409 persons (50% of adult village population). The remaining half of village population was not examined due to following reasons: absence at home (3 separate visits), lack of consent. The studied group consisted of 40.83% men and - 59.17% women. Arterial hypertension was diagnosed in 51% of studied population; 53% of this group was not diagnosed earlier with AH. Mean BMI in the study group was 27.25 and was significantly higher in adults with hypertension (30.5 vs. 24; p < 0.001). 68% of adults treated for hypertension took prescribed medications but only 18.5% were treated succesfully. Main presribed antihypertensives were betablockers, ACEI and diuretics. In spite of frequent use of diuretices potassium substitution was rare.
Conclusions Arterial hypertension is more common in village dwellers than in general polish population. There is significant discrepancy between perception of treatment results and objective hypertension control. The noncompliance to physicians’ recommendations, the life style and eating habits of the dwellers of Boguszyce, resulting in low physical activity and high percentage of overweight are the chief reasons for high prevalence and low effectiveness of the treatment of hypertension.
Abstract
Material and methods The study group consisted of dwellers of the village of Boguszyce. Examinations were carried out by the trained medical students and physicians visiting village dwellers at their homes. They determined the body mass, height, and measured blood pressure two times based on the Korotkov method. A custom questionnaire was carried out to determine medical history and coexisting risk factors.
Results Examinations were carried out in 409 persons (50% of adult village population). The remaining half of village population was not examined due to following reasons: absence at home (3 separate visits), lack of consent. The studied group consisted of 40.83% men and - 59.17% women. Arterial hypertension was diagnosed in 51% of studied population; 53% of this group was not diagnosed earlier with AH. Mean BMI in the study group was 27.25 and was significantly higher in adults with hypertension (30.5 vs. 24; p < 0.001). 68% of adults treated for hypertension took prescribed medications but only 18.5% were treated succesfully. Main presribed antihypertensives were betablockers, ACEI and diuretics. In spite of frequent use of diuretices potassium substitution was rare.
Conclusions Arterial hypertension is more common in village dwellers than in general polish population. There is significant discrepancy between perception of treatment results and objective hypertension control. The noncompliance to physicians’ recommendations, the life style and eating habits of the dwellers of Boguszyce, resulting in low physical activity and high percentage of overweight are the chief reasons for high prevalence and low effectiveness of the treatment of hypertension.
Keywords
arterial hypertension; risk factors; village population
About this articleTitle
Prevalence, risk factors and treatment of arterial hypertension in dwellers of Boguszyce village
Journal
Issue
Article type
Original paper
Pages
121-127
Published online
2006-04-18
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1326
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Bibliographic record
Nadciśnienie tętnicze 2006;10(2):121-127.
Keywords
arterial hypertension
risk factors
village population
Authors
Andrzej Szuba
Rafał Poręba
Vladislav Mlynek
Radosław Gutherc
Małgorzata Nowak
Tomasz Brzozowski
Paweł Gać
Emilia Kolman
Julia Seniuta
Monika Łukasik
Łukasz Cedzyński
Dariusz Szarek
Wiktor Urbański
Karolina Związek
Agnieszka Sokół
Wojciech Kucharski
Ryszard Andrzejak