The Most Common Predictors of Uncontrolled Blood Pressure Among Hypertensive Elders: A Systematic Review
DOI:
https://doi.org/10.35882/ijahst.v3i1.210Abstract
Aging process implies challenges for the elderly, specifically related to degeneration in the vascular system. The uncontrolled blood pressure has detrimental effects on brain, heart and kidney that cause organ failure. Hypertension is getting harder to control if the patients unaware with the factors that outweigh blood pressure control. Medication nonadherence and unhealthy behavior are known as the essential factors related to uncontrolled blood pressure. The study aims to assess the most common predictors of uncontrolled blood pressure, which involved elders with hypertension. The method used is a systematic review obtained from databases of Scopus, Science Direct, PMC, and SAGE. The total of eight full text articles in English language and randomized controlled trial design determined from 2018 to 2022 included in the assessed articles. The result did not reveal medication adherence as the most common factor, but obesity as modifiable predictor is obesity, whereas unmodifiable are age and comorbid. It is indicated that the require intervention for hypertensive elder is focused on body weight and comorbid management. The implication of this systematic review is beneficial for the elderly to achieve blood pressure control by enhancing the awareness of changeable factors and adopt a healthy lifestyle. Furthermore, the nurse also easier to determine the appropriate intervention for elders.
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A. George, S. S. Babu, M. P. Ajithkumar, and S. Thomas, Holistic healthcare. Volume 2 : possibilities and challenges. Canada: CRC Press, 2019.
World Health Organization, “Hypertension,” World Health Organization, 2019. https://www.who.int/news-room/fact-sheets/detail/hypertension (accessed Jun. 09, 2020).
C. V. S. Ram, B. W. J. Teo, and G. S. Wander, Hypertension and cardiovascular disease in Asia. Switzerland: Springer Nature, 2022.
Centers for Disease Control and Prevention, “5 Surprising Facts About High Blood Pressure,” High Blood Pressure, 2020. https://www.cdc.gov/bloodpressure/5_surprising_facts.htm (accessed Nov. 14, 2022).
World Health Organization, “More than 700 million people with untreated hypertension,” Health Topic, 2021. https://www.who.int/news/item/25-08-2021-more-than-700-million-people-with-untreated-hypertension (accessed Oct. 13, 2022).
K. T. Mills, A. Stefanescu, and J. He, “The global epidemiology of hypertension,” Nat Rev Nephrol, vol. 16, no. 4, pp. 223–237, 2020, doi: 10.1038/s41581-019-0244-2.
S. J. Liew, J. T. Lee, C. S. Tan, C. H. G. Koh, R. Van Dam, and F. Müller-Riemenschneider, “Sociodemographic factors in relation to hypertension prevalence, awareness, treatment and control in a multi-ethnic Asian population: a cross-sectional study,” BMJ Open, vol. 9, no. 5, pp. 1–10, May 2019, doi: 10.1136/BMJOPEN-2018-025869.
S. Muli, C. Meisinger, M. Heier, B. Thorand, A. Peters, and U. Amann, “Prevalence, awareness, treatment, and control of hypertension in older people: Results from the population-based KORA-age 1 study,” BMC Public Health, vol. 20, no. 1, pp. 1–10, Jul. 2020, doi: 10.1186/S12889-020-09165-8/TABLES/3.
M. Mitra and W. Wulandari, “Factors Affecting Uncontrolled Blood Pressure among Elderly Hypertensive Patients in Pekanbaru City, Indonesia,” Open Access Maced. J. Med. Sci., vol. 7, no. 7, pp. 1209–1213, Apr. 2019, doi: 10.3889/OAMJMS.2019.255.
Z. Gao et al., “Risk Prediction Model for Uncontrolled Hypertension in Chinese Community,” Front. Cardiovasc. Med., vol. 8, no. 808071, pp. 1–8, Jan. 2022, doi: 10.3389/FCVM.2021.808071.
K. Bauce and J. J. Fitzpatrick, Nursing research critique : a model for excellence. United States of America: Springer Publishing Company, 2018.
J. L. Tan and K. Thakur, Systolic Hypertension. United States of America: StatPearls Publishing, 2022.
A. Kulkarni, A. Mehta, E. Yang, and B. Parapid, “Older Adults and Hypertension: Beyond the 2017 Guideline for Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults - American College of Cardiology,” Hypertension, 2020. https://www.acc.org/latest-in-cardiology/articles/2020/02/26/06/24/older-adults-and-hypertension (accessed Jan. 12, 2022).
N. K. Choudhry et al., “Medication Adherence and Blood Pressure Control: A Scientific Statement From the American Heart Association,” Hypertension, vol. 79, no. 1, pp. E1–E14, Jan. 2022, doi: 10.1161/HYP.0000000000000203.
National Institute on Aging, “High Blood Pressure and Older Adults,” High Blood Pressure And Older Adults, 2022. https://www.nia.nih.gov/health/high-blood-pressure-and-older-adults (accessed Nov. 30, 2022).
B. A. Muruganathan, Manual of hypertension. India: Jaypee Brothers Medical Publishers, 2020.
A. A. Leung, J. V. A. A. Williams, K. C. Tran, and R. S. Padwal, “Epidemiology of Resistant Hypertension in Canada,” Can. J. Cardiol., vol. 38, no. 5, pp. 681–687, May 2022, doi: https://doi.org/10.1016/j.cjca.2022.01.029.
K. Selby et al., “Disparities in hypertension control across and within three health systems participating in a data-sharing collaborative,” J. Am. Board Fam. Med., vol. 31, no. 6, pp. 897–904, 2018, doi: 10.3122/jabfm.2018.06.180166.
H. Kanj, A. Khalil, M. Kossaify, and A. Kossaify, “Predictors of Undiagnosed and Uncontrolled Hypertension in the Local Community of Byblos, Lebanon,” Heal. Serv. Insights, vol. 11, pp. 1–7, Jan. 2018, doi: 10.1177/1178632918791576.
Prasad, B. Vijaya, Akbar, and Shamsi, Handbook of research on geriatric health, treatment, and care. United States of America: IGI Global, 2018.
O. A. Shariq and T. J. Mckenzie, “Obesity-related hypertension: a review of pathophysiology, management, and the role of metabolic surgery,” Gland Surg., vol. 9, no. 1, p. 80, Feb. 2020, doi: 10.21037/GS.2019.12.03.
F. Landi et al., “Body Mass Index is Strongly Associated with Hypertension: Results from the Longevity Check-Up 7+ Study,” Nutrients, vol. 10, no. 12, pp. 1–12, Dec. 2018, doi: 10.3390/NU10121976.
A. Chudek et al., “A Stronger Effect of Body Mass Index and Waist Circumference on the Prevalence of Uncontrolled Hypertension among Caucasian Men than Women,” Kidney Blood Press. Res., vol. 46, no. 3, pp. 298–309, Jun. 2021, doi: 10.1159/000514346.
Z. S. Almalki et al., “Uncontrolled blood pressure among hypertensive adults with rheumatoid arthritis in Saudi Arabia,” vol. 4, no. June 2021, pp. 13–19, 2022.
K. Foti et al., “Changes in Hypertension Control in a Community-Based Population of Older Adults, 2011-2013 to 2016-2017,” Am. J. Hypertens., vol. 34, no. 6, pp. 591–599, 2021, doi: 10.1093/ajh/hpaa206.
T. Sheleme, O. Jilo, F. Bekele, W. Olika, B. Safera, and Y. Babu, “Uncontrolled blood pressure and contributing factors among patients with hypertension at outpatient care of Bedele General Hospital, Southwest Ethiopia: A cross-sectional study,” SAGE Open Med., vol. 10, p. 20503121221126332, Jan. 2022, doi: 10.1177/20503121221126333.
E. Oliveros et al., “Hypertension in older adults: Assessment, management, and challenges,” Clin. Cardiol., vol. 43, no. 2, pp. 99–107, 2020, doi: 10.1002/clc.23303.
M. M. Harding, J. Kwong, D. Hagler, and C. Reinisch, Lewis’s Medical-Surgical Nursing : Assessment and Management of Clinical Problems, 12th ed. Canada: Elsevier Health Sciences, 2022.
J. Kwon, C. Y. Lim, and M. Kim, “Uncontrolled blood pressure in hypertensive patients with high medication adherence: A Korean nationwide population-based study,” Korean J. Fam. Med., vol. 41, no. 1, pp. 28–37, 2020, doi: 10.4082/kjfm.19.0051.
A. Leal, D. A. Luz, A. Silva-costa, and R. H. Griep, “Uncontrolled blood pressure among hypertensive old people assisted in Primary Health Care,” Rev. Bras. Geriatr. Gerontol., vol. 23, no. 4, pp. 1–13, 2020.
J. Liu et al., “Comorbidity Analysis According to Sex and Age in Hypertension Patients in China,” Int. J. Med. Sci., vol. 13, no. 2, pp. 99–107, Jan. 2016, doi: 10.7150/IJMS.13456.
M. Alwhaibi, “Potentially Inappropriate Medications Use among Older Adults with Comorbid Diabetes and Hypertension in an Ambulatory Care Setting,” J. Diabetes Res., vol. 2022, 2022, doi: 10.1155/2022/1591511.
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