December 1, 1984Scandinavian Journal of Social Medicine
Alcohol, Patient Compliance and Blood Pressure Control in Hypertensive Patients
Why the study?
Does self-reported use of alcohol affect blood pressure control and medication compliance in hypertensive patients?
Population
Randomly selected population sample of hypertensive patients in eastern Finland
Design
Cohort
Follow-up
5 years
Authors
Discussion
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Implication
Alcohol use was associated with higher diastolic BP and poorer compliance in hypertensive men; leaves open whether reduction improves control in trials.
Key Points
- To investigate the relationship between alcohol use, blood pressure, and compliance with antihypertensive medication in hypertensive patients.
- Randomly selected population sample from eastern Finland.
- Correlations assessed between alcohol use, blood pressure levels, and medication compliance.
- Analysis controlled for age, gender, and prior blood pressure levels.
- Positive correlation between alcohol use and diastolic blood pressure levels.
- Negative correlation with the reduction of diastolic blood pressure over five years.
- In men, significant association of alcohol use with poor compliance to antihypertensive medication.
Structured PICO
Does self-reported use of alcohol affect blood pressure control and medication compliance in hypertensive patients?
P
Population
Randomly selected population sample of hypertensive patients in eastern Finland
I
Intervention
Self-reported use of alcohol
O
Outcome
Diastolic blood pressure level and compliance with antihypertensive medicationsurrogate
Alcohol intake in hypertensive patients is associated with higher diastolic blood pressure and poorer medication compliance, particularly in men, leading to inadequate blood pressure control.
Cite This Study
Tuomilehto et al. (1984) studied this question.