0269/2021 - FATORES ASSOCIADOS À HIPERTENSÃO NÃO DIAGNOSTICADA ENTRE ADULTOS MAIS VELHOS NO BRASIL – ELSI-BRASIL FACTORS ASSOCIATED WITH UNDIAGNOSED HYPERTENSION AMONG OLDER ADULTS IN BRAZIL - ELSI-BRAZIL
OBJETIVO: identificarfatores associados à hipertensão arterial sistêmica (HAS) não diagnosticada entre adultos mais velhos no Brasil.MÉTODOS: foram avaliados 5416 participantes hipertensos do Estudo Longitudinal da Saúde dos Idosos Brasileiros (ELSI-Brasil). HAS não diagnosticada foi definida como a presença de pressão arterial (PA) ?140/90 mmHg sem diagnóstico prévio. Regressão logística foi utilizada para verificar fatores associados à HAS não diagnosticada. RESULTADOS: no estudo, 19,8% dos hipertensos avaliados não relataram diagnóstico prévio de HAS. Ter entre 60e 69 anos (OR:0,68IC95%0,55-0,85) e 70 e 79 (OR:0,67IC95%0,51-0,89), cor preta (OR:0,67IC95%0,49-0,91), ser obeso (OR: 0,51IC95%0,40-0,65), ter uma doença crônica(OR:0,54IC95%0,44-0,66) ou mais (OR:0,32IC95%0,25-0,42) e consultas no último ano (OR:0,47IC95%0,38-0,58) foram fatores associados a menores chances de HAS não diagnosticada, enquanto sexo masculino (OR:1,27IC95%1,05-1,54), baixo peso (OR:1,33IC95%1,00-1,78) e consumo de álcool (OR:1,36IC95%1,09-1,68) elevaram as chances para apresentar a doença não diagnosticada. CONCLUSÕES: As características identificadas nesse estudo devem ser observadas em serviços de saúde, ampliando o diagnóstico precoce e prevenindo a progressão da PA e suas futuras consequências.
OBJECTIVE: to identify factors associated with undiagnosed systemic arterial hypertension (SAH) among older adults in Brazil. METHODS: 5416 hypertensive participants in the Longitudinal Study of the Health of Elderly Brazilians (ELSI-BRAZIL) were evaluated. Undiagnosed SAH was identified by mean blood pressure (BP) ≥140/90 mmHg without previous SAH diagnosis. Logistic regression was used to verify factors associated with undiagnosed SAH. RESULTS: in the present study, 19.8% of the evaluated hypertensive patients did not report a previous diagnosis of SAH. Age between 60 to 69 (OR:0.6895%CI 0.55-0.85) and 70 to79 (OR:0.6795%CI 0.51-0.89), being black (OR:0.6795%CI 0.49-0.91), obese (OR:0.5195%CI 0.40-0.65), having a chronic disease(OR:0.5495%CI 0.44-0.66) or more (OR:0.3295%CI 0.25-0.42) and medical consultations in the last year (OR:0.4795%CI 0.38-0.58) were factors associated with lower chances of undiagnosed SAH, while being male (OR: 1.2795%CI1,05-1,54), presenting low body weight (OR: 1.3395%CI 1,00-1,78) and alcohol consumption (OR: 1.3695%CI1,09-1,68) increased the chances of having the undiagnosed condition. CONCLUSIONS: Thecharacteristics identified in this study must be observed in health services, expanding early diagnosis and preventing the progression of BP and its future consequences.
FACTORS ASSOCIATED WITH UNDIAGNOSED HYPERTENSION AMONG OLDER ADULTS IN BRAZIL - ELSI-BRAZIL
Resumo (abstract):
OBJECTIVE: to identify factors associated with undiagnosed systemic arterial hypertension (SAH) among older adults in Brazil. METHODS: 5416 hypertensive participants in the Longitudinal Study of the Health of Elderly Brazilians (ELSI-BRAZIL) were evaluated. Undiagnosed SAH was identified by mean blood pressure (BP) ≥140/90 mmHg without previous SAH diagnosis. Logistic regression was used to verify factors associated with undiagnosed SAH. RESULTS: in the present study, 19.8% of the evaluated hypertensive patients did not report a previous diagnosis of SAH. Age between 60 to 69 (OR:0.6895%CI 0.55-0.85) and 70 to79 (OR:0.6795%CI 0.51-0.89), being black (OR:0.6795%CI 0.49-0.91), obese (OR:0.5195%CI 0.40-0.65), having a chronic disease(OR:0.5495%CI 0.44-0.66) or more (OR:0.3295%CI 0.25-0.42) and medical consultations in the last year (OR:0.4795%CI 0.38-0.58) were factors associated with lower chances of undiagnosed SAH, while being male (OR: 1.2795%CI1,05-1,54), presenting low body weight (OR: 1.3395%CI 1,00-1,78) and alcohol consumption (OR: 1.3695%CI1,09-1,68) increased the chances of having the undiagnosed condition. CONCLUSIONS: Thecharacteristics identified in this study must be observed in health services, expanding early diagnosis and preventing the progression of BP and its future consequences.
Oliveira, I. M., de Araujo, T. A., de Almeida Roediger, Manuela, Zanetta, D. M. T., de Andrade, FB. FATORES ASSOCIADOS À HIPERTENSÃO NÃO DIAGNOSTICADA ENTRE ADULTOS MAIS VELHOS NO BRASIL – ELSI-BRASIL. Cien Saude Colet [periódico na internet] (2021/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-a-hipertensao-nao-diagnosticada-entre-adultos-mais-velhos-no-brasil-elsibrasil/18168?id=18168
