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Prevalence and risk factors for isolated systolic hypertension among the oldest-old population in southwestern China: A community-based cross-sectional study.
Huang, Xiaobo; Qiu, Lingli; Wang, Tzung-Dau; Yao, Qian; Liu, Jianxiong; Xu, Ronghua; Zheng, Qingkun; Zhang, Xingping; Wu, Jinhui.
Afiliación
  • Huang X; Center of Gerontology and Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China.
  • Qiu L; Department of Cardiology, Second People's Hospital of Chengdu, Chengdu, China.
  • Wang TD; Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China.
  • Yao Q; Department of Internal Medicine, Cardiovascular Center and Division of Cardiology, National Taiwan University Hospital, Taipei City, Taiwan, China.
  • Liu J; Department of Nursing, Second People's Hospital of Chengdu, Chengdu, China.
  • Xu R; Department of Cardiology, Second People's Hospital of Chengdu, Chengdu, China.
  • Zheng Q; Stroke Center, Second People's Hospital of Chengdu, Chengdu, China.
  • Zhang X; Department of Cardiology, Second People's Hospital of Chengdu, Chengdu, China.
  • Wu J; Department of General Medicine, Second People's Hospital of Chengdu, Chengdu, China.
J Clin Hypertens (Greenwich) ; 26(7): 757-764, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38687184
ABSTRACT
The prevalence of isolated systolic hypertension (ISH) has doubled between 2002-2005 and 2014 among the oldest-old population in China. However, the prevalence and characteristics of ISH among the oldest-old population in southwestern China remain less known. This study aimed to investigate the prevalence of ISH among the oldest-old population in Chengdu and identify associated factors to provide valuable information for disease etiology and prevention. We recruited 1,312 participants aged over 80 years by using a stratified cluster sampling method between September 2015 and June 2016, from three districts (Jinjiang, Qingyang, and Longquanyi) of Chengdu, the largest city of southwest China. A structured questionnaire, anthropometric data, and blood pressure were collected according to the standard method. Blood pressure was measured three times by using a standardized mercury sphygmomanometer after a 10-minute seated rest. Of 1312 participants, 53.0% (n = 695) had ISH. The prevalence of ISH in men and women was 54.7% and 51.3%, respectively, with no significant sex difference (P = .222). The prevalence of ISH increased with advanced age in men (P for trend = 0.029), 52.5% for the 80-84 years group, 55.2% for the 85-89 years group, and 70.4% for the 90-98 years group, respectively. Multivariable logistic regression analyses found that drinking (OR = 1.85, 95%CI = 1.26-2.71), being overweight (OR = 1.88, 95%CI = 1.19-2.96), and having a higher heart rate (OR = 0.66, 95%CI = 0.51-0.86) were associated with ISH. Stratified by sex, these three factors remained significant in men. Our work highlights that the burden of ISH is substantial among the oldest-old population in southwestern China.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Hipertensión Límite: Aged80 / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: J Clin Hypertens (Greenwich) Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión Sanguínea / Hipertensión Límite: Aged80 / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: J Clin Hypertens (Greenwich) Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China