Between 2007 and 2014, mean systolic blood pressure in Polish adults aged 75 and older significantly decreased from 153.0 to 142.9 mmHg (p<0.0001), with slight decreases in hypertension prevalence and significant improvements in awareness, treatment, and control.
Cross-Sectional (n=1,563)
Yes
Relative Risk: 0.95 (95% CI 0.78–1.16)
Absolute Event Rate: 77.9% vs 83.8%
BACKGROUND: The aim of this study was to assess changes in the prevalence, awareness, and treatment of hypertension and its effectiveness between 2007 (WOBASZ Senior study) and 2013-2014 (WOBASZ II) in a sample of the Polish population over the age of 75 years. METHODS: Sampling had three stages, stratified according to voivodeships, type of community, and gen-der. Finally, the WOBASZ II study included 467 persons (290 women and 177 men). For a comparison of the data, 1096 persons (538 women and 554 men) examined in the WOBASZ Senior study were used. RESULTS: Systolic and diastolic blood pressures significantly decreased from 153.0 ± 23.9 mmHg to 142.9 ± 22.3 mmHg and from 85.2 ± 11.9 mmHg to 78.4 ± 11.3 mmHg, respectively, from 2007 to 2014 (p < 0.0001). Prevalence of hypertension among people included in WOBASZ studies slightly decreased from 83.8% to 77.9% (rate ratio RR: 0.95; 95% confidence interval CI: 0.78-1.16) in men, and from 75.4% to 71.8% (RR: 0.93; 95% CI: 0.8-1.09) in women. Hypertension awareness was improved from 59.2% to 72.9% (RR: 1.23; 95% CI: 0.97-1.56) in men, and from 74,8% to 93% (RR: 1.26; 95% CI: 1.01-1.58) in women. The proportion of men and women, with implemented hypertension treatment, increased from 48.4% to 61.1% (RR: 1.26; 95% CI: 1.01-1.58), and from 63.2% to 82.0% (RR: 1.3; 95% CI: 1.1-1.53), respectively. The effectiveness of the treatment was improved over two-fold, there was an increase from 10.3% to 26.8% (RR: 2.65; 95% CI: 1.81-3.89) in men, and from 13.8% to 33.5% in women (RR: 2.44; 95% CI: 1.81-3.3). CONCLUSIONS: The prevalence of hypertension in Polish seniors remains high, but has decreased slightly in the perspective of the last 7 years. Although treatment and control has improved over the last decade, it remains below expectations. Efforts to improve the diagnosis and effective treatment of hypertension in Polish seniors should be intensified.
Niklas et al. (Thu,) conducted a cross-sectional in Hypertension (n=1,563). Survey year 2013-2014 vs. Survey year 2007 was evaluated on Hypertension prevalence in men (RR 0.95, 95% CI 0.78-1.16). Between 2007 and 2014, mean systolic blood pressure in Polish adults aged 75 and older significantly decreased from 153.0 to 142.9 mmHg (p<0.0001), with slight decreases in hypertension prevalence and significant improvements in awareness, treatment, and control.