open access

Vol 27, No 1 (2023)
Original paper
Published online: 2023-03-10
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Hypertension control in the Tunisian elderly

Zeineb Bargaoui1, Khadija Mzoughi2, Imtinene Ben Mrad2, Rym Arroum3, Ihsen Zairi2, Sonia Labbène4, Sondos Kraiem2
·
Arterial Hypertension 2023;27(1):46-55.
Affiliations
  1. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
  2. Cardiology Department, Habib Thameur Hospital, Tunis, Tunisia
  3. University of Aix-Marseille, Aix Marseille, France
  4. Cardiology Department, Mahmoud Materi Hospital, Tunis, Tunisia

open access

Vol 27, No 1 (2023)
ORIGINAL PAPERS
Published online: 2023-03-10

Abstract

Background: Hypertension is a major public health problem. Despite therapeutic progress, blood pressure control remains insufficient particularly in the elderly. Purpose: The aim of our study was to identify the factors associated with poor blood pressure control in the elderly in Tunisia.

Material and methods: We conducted a descriptive study including 101 Tunisian treated hypertensive patients, aged 65 years and over, followed on an outpatient basis between November and December 2019.

Results: Median age was 73 and sex ratio was 0.57. The major cardiovascular risk factor was diabetes in 60.4% of cases, followed by dyslipidaemia (48.5%) and smoking (40.6%). About 33% of the hypertensive patients realized regular physical activity and 31% had a high-sodium diet. Our patients were completely dependent in 4% of cases and among those aged 80 and over, 68.2% were frail. The prevalence of poor blood pressure control was 59%. Adherence to treatment was satisfactory in 75.2% of cases. In multivariate analysis, the factors associated with poor blood pressure control were: non-compliance with treatment [odds ratio (OR) = 0.19; p = 0.013], frailty (OR = 7.194; p = 0.004), the number of antihypertensive tablets (OR = 0.382; p = 0.008), non-use of thiazide diuretics (OR = 25.903; p = 0.001) and the patient's lack of knowledge of antihypertensive treatment (OR = 0.56; p = 0.008).

Conclusion: Detection of the risk of non-compliance, the use of combined treatments screening for frailty and informing the patient about his/her treatment are necessary to improve blood pressure control in our Tunisian context.

Abstract

Background: Hypertension is a major public health problem. Despite therapeutic progress, blood pressure control remains insufficient particularly in the elderly. Purpose: The aim of our study was to identify the factors associated with poor blood pressure control in the elderly in Tunisia.

Material and methods: We conducted a descriptive study including 101 Tunisian treated hypertensive patients, aged 65 years and over, followed on an outpatient basis between November and December 2019.

Results: Median age was 73 and sex ratio was 0.57. The major cardiovascular risk factor was diabetes in 60.4% of cases, followed by dyslipidaemia (48.5%) and smoking (40.6%). About 33% of the hypertensive patients realized regular physical activity and 31% had a high-sodium diet. Our patients were completely dependent in 4% of cases and among those aged 80 and over, 68.2% were frail. The prevalence of poor blood pressure control was 59%. Adherence to treatment was satisfactory in 75.2% of cases. In multivariate analysis, the factors associated with poor blood pressure control were: non-compliance with treatment [odds ratio (OR) = 0.19; p = 0.013], frailty (OR = 7.194; p = 0.004), the number of antihypertensive tablets (OR = 0.382; p = 0.008), non-use of thiazide diuretics (OR = 25.903; p = 0.001) and the patient's lack of knowledge of antihypertensive treatment (OR = 0.56; p = 0.008).

Conclusion: Detection of the risk of non-compliance, the use of combined treatments screening for frailty and informing the patient about his/her treatment are necessary to improve blood pressure control in our Tunisian context.

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Keywords

hypertension; aged; therapeutic adherence; blood pressure control

About this article
Title

Hypertension control in the Tunisian elderly

Journal

Arterial Hypertension

Issue

Vol 27, No 1 (2023)

Article type

Original paper

Pages

46-55

Published online

2023-03-10

Page views

2180

Article views/downloads

413

DOI

10.5603/AH.a2023.0011

Bibliographic record

Arterial Hypertension 2023;27(1):46-55.

Keywords

hypertension
aged
therapeutic adherence
blood pressure control

Authors

Zeineb Bargaoui
Khadija Mzoughi
Imtinene Ben Mrad
Rym Arroum
Ihsen Zairi
Sonia Labbène
Sondos Kraiem

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