Key result
Hypertension affects ~60% of elderly Shanghai residents, with poor treatment and control rates.
Cross-Sectional (n=44,978)
The prevalence of hypertension is high among the elderly in urban China, with low rates of treatment and poor blood pressure control, highlighting an urgent need for improved management.
Suboptimal hypertension control in Shanghai elderly signals need for better community management; leaves open whether targeted interventions improve outcomes in similar populations.
BACKGROUND: Hypertension is considered a major public health challenge. It is the most important risk factor for cardiovascular disease and is a prominent risk for China's elderly population. However, few studies have addressed the effect of blood pressure control on elderly hypertension patients in China. In response, this study aimed to investigate the prevalence and control of hypertension in the elderly population in Shanghai's communities. METHODS: A secondary data analysis based on a government-financed health check-up program for an elderly population aged 65 and older from 2012 to 2014 was conducted in a central district of Shanghai. RESULTS: ). The prevalence of hypertension was 59.9%. In the 18,032 participants without prior diagnosis of hypertension, 5530 (30.7%) had increased blood pressure. Among the 26,946 confirmed hypertension patients, the proportions of treatment and blood pressure control were 32.8% and 43.4% respectively. Multivariate analysis showed that the uncontrolled hypertension was significantly associated with older age, being overweight or obese, a lower level of education, an unbalanced dietary pattern, regular drinking and non-comorbidities. CONCLUSIONS: The prevalence of hypertension was high in China's elderly population. The proportion of individuals who received treatment remained low, and blood pressure control was poor among hypertension patients. These results indicate that improvement of the ability to manage and control hypertension among urban elderly residents is urgently needed.
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Yang et al. (2017) conducted a cross-sectional in Hypertension (n=44,978). Elderly age (≥65 years) was evaluated on Prevalence of hypertension. Among elderly residents aged 65 and older in Shanghai, the prevalence of hypertension was 59.9%, with only 32.8% receiving treatment and 43.4% of confirmed patients achieving blood pressure control.
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